Dr. Quinn Capers, IV discusses his path, #BlackMenInMedicine, and the present landscape of medical education

One of the focuses of my blog is STEM (Science, Technology, Engineering and Mathematics), and my most central principle is “Creating Ecosystems of Success”. While we tend to think of clinical medicine as strictly a ‘Healthcare Profession’, its foundations are actually rooted in the ‘Basic Sciences’.

I discovered Dr. Quinn Capers, IV on Twitter one day by chance and started following him when he was tweeting about medical education at “The Ohio State University”. The ‘hashtag’ he used in most of his tweets ‘#BlackMenInMedicine’ further piqued my curiosity. After seeing more tweets and pictures of himself and his medical students, I reached out to Dr. Capers, the Dean of Admissions of the Ohio University’s Medical School, and he agreed to do the following interview. In our interview which coincided with Black History Month, Dr. Capers discussed his own educational path, the ‘hashtag’ #BlackMenInMedicine, and the current landscape of medical education for prospective students.

Anwar Dunbar: Thank you for the opportunity to interview you Dr. Capers. I stumbled across one of your tweets one day which included the hashtag you often use; ‘#BlackMenInMedicine’. It caught my eye, in addition to the pipeline of black male doctors, you’re training there at Ohio State University. Even though you’re at The Ohio State University and I’m a University of Michigan alumnus, I thought interviewing you would be very beneficial to my audience as I’m a STEM practitioner and an advocate myself. Also even though we typically don’t think of medicine as a science, it very much is. With that, can you talk briefly about yourself? Where are you from? What got you interested in medicine?

Quinn Capers: Thank you for the honor of being interviewed Dr. Dunbar. Speaking of Black History Month, your last name reminds me of my high school in Dayton, Ohio. It’s named after our hometown hero; the first black poet who made a living with poetry, Paul Laurence Dunbar. I actually was born in Cleveland, Ohio and moved to Dayton when I was two or three years old which is where I grew up.

My answer to the question, ‘What do you want to be when you grow up?’ was always, ‘a Doctor,’ even as a toddler. I didn’t have any doctors in my family and to be honest, we didn’t see doctors regularly. It was only on an ‘as needed’ basis – i.e. if we were injured or got really sick. I’m not really sure where the thought came from, but I now assume God planted that seed in my heart and mind, as I truly feel I was ‘called’ to this profession.

AD: What is your family’s background?

QC: Though I was born and raised in Ohio, my parents and both sets of grandparents are from Talladega, Alabama. My parents moved to Cleveland, Ohio before I was born, and as stated earlier, we relocated to Dayton before my third birthday. My father is a retired police officer and my mother is a retired postal worker. They divorced when I was very young, and my mother raised my sister and myself. My sister and I were the first in our family to attend college.

AD: Are you the first medical doctor in your family? If not, who inspired you?

QC: Yes I am, but I have a cousin who was studying Pre-Med at the Tuskegee Institute when I was in elementary school. We spent many hours talking about our shared dream of being physicians, and she was always very loving and encouraging. She is now a successful Physician Assistant in New York City.

AD: Describe your educational path.

QC: I attended public schools in Dayton, Ohio on the city’s west side – the ‘black’ side of town. I was always enamored with Black History and read voraciously about black heroes. Because of this, I knew I wanted to attend a Historically Black College/University (HBCU). I wanted to be taught by professors that were making Black History and I wanted to be in the same buildings, on the same campus, walking the same path as so many of the black intellectuals, artists, and revolutionaries that I had read about.

I chose Howard University in Washington, DC for my undergraduate studies – one of the best decisions I made in my life. For medical school I returned to my home state to attend the Ohio State University College of Medicine. Since I had attended predominantly black schools from K-12 and then Howard, medical school was my first time stepping foot into a Predominantly White Educational Institution (PWI). People have asked me if being at a PWI after having been cradled in majority black institutions my whole life led to my feeling out of place, or ‘inferior’, or if it gave me an ‘impostor syndrome’. No, it was actually just the opposite. Because I had seen so much black excellence, I felt invincible. After medical school, my residency and fellowship training in internal medicine, cardiovascular diseases and interventional cardiology, took place at Emory University in Atlanta, Georgia.

AD: Were there any particular challenges for you on the road to becoming a medical doctor?

QC: There weren’t any big challenges that stand out other than the need to prioritize studying, not over partying, and delaying gratification. Many of my friends were enjoying being finished with school, buying their first car, first house, and essentially living their lives while I was still in school and/or training. But since the opportunity to work towards an MD was a dream come true for me, none of it seemed like an inordinate challenge.

AD: What is your medical specialty?

QC: I am an ‘Interventional Cardiologist’, which is a heart specialist who specializes in opening blocked arteries and repairing heart abnormalities or defects with ‘catheter-based’ approaches. We repair the heart by accessing the circulation through an artery in the arm or leg, and then threading tubes and high-tech catheters, balloons, stents, and lasers to the heart.

AD: If I recall correctly, former Vice-President Dick Cheney had a series of those procedures. How did you ascend to become the Dean of Admissions at the Ohio State University’s Medical School?

QC: After spending the first eight years of my career in a private cardiology practice, I missed teaching and the academic environment, so I sought a position at my medical school alma mater. In private practice, nearly 100% of a physician’s time is spent taking care of patients. In what we call ‘academic medicine’, doctors work at medical schools and university teaching hospitals and have three responsibilities: caring for patients, teaching medical students and young doctors, and performing research. I thus left private practice to go into academic medicine.

After a short period of time I won several teaching awards from the students. When the Associate Dean of Admissions position opened, a colleague encouraged me to apply for it. My initial response was, ‘No that isn’t a part of my plan,’ which was to impact healthcare and improve people’s lives as the best interventional cardiologist and medical educator I could be. After giving it some thought, I realized that overseeing the admissions process at one of the country’s largest medical schools would allow me to have an even greater impact on healthcare than direct patient care. So, I decided to apply for the position and the rest is history. Now I perform both roles – Interventional Cardiologist and Associate Dean of Admissions, allocating approximately half of my time to each role.

AD: Let’s go back to #BlackMenInMedicine? Where did the hashtag come from?

QC: There are many black male physicians on Twitter. One day in 2017 some of us were having an online discussion about the landmark 2015 Association of American Medical Colleges publication entitled Altering the Course: Black Males in Medicine, which details the current severe shortage of Black males entering the medical profession. According to this publication, there were fewer Black males applying to medical school in 2014 than in the late 1970s and the downward trend continues. This portends a severe lack of Black male physicians in the future.

We discussed strategies to combat this trend and collectively came up with the idea of an online campaign to flood social media with images of Black male physicians at work, at play, and simply living their lives. The primary goal is to be role models for and inspire young men (and anyone) to pursue medicine. Other goals include changing the narrative about Black males – i.e. that not all are ‘dangerous’, but that many are physicians saving lives and serving humanity. We also wanted to speak out about injustice in any form against any group. The name of the campaign is thus ‘#BlackMenInMedicine’.

AD: This is an optional question, but based upon today’s climate, have you gotten any pushback because it acknowledges just men and not women?

QC: Very little that has been openly stated, but we are sensitive to the fact that there are likely some who feel it’s divisive and not promoting unity. We think that it’s possible to promote Black men in medicine while supporting many other groups. Many of us also tweet using other hashtags that preceded #BlackMenInMedicine, such as #WomenInMedicine, #ILookLikeASurgeon (which promotes images of women in surgery), and others. We took this on because the low numbers of Black men in medicine, in academic medicine, in leadership roles, and amongst medical school applicants has reached a crisis. I should also point out that we, the original creators of this campaign, do not feel that use of the hashtag is proprietary. Anyone who wants to promote diversity in medicine, and particularly encourage Black men to pursue medicine, is welcome to use the hashtag. In fact, we encourage it.

AD: Are there particular programs at The Ohio State University for minority medical students?

QC: Yes. At the Ohio State University College of Medicine we believe that diversity drives excellence in healthcare, and we have several strategies to recruit and support diverse students and women. We’re proud to be leaders in educating women and underrepresented minority physicians. The last four entering classes have been predominantly women, and according to 2017-2018 AAMC statistics, OSU ranks sixth of nearly 150 medical schools for the number of enrolled black medical students. We also have a post baccalaureate program called ‘MEDPATH’ that is focused on increasing the number of underrepresented and/or disadvantaged students entering medical school.

AD: When I was an undergraduate at Johnson C. Smith University in the late-1990s, many of us pondered practicing medicine, but few of us understood what it took to get into medical school – something a particular professor reminded us of regularly. Aside from the necessary academic credentials, what are some of the personal qualities aspiring medical students need to be successful?

QC: Today, most medical schools judge applicants using the Association of American Medical College’s ‘holistic review’ framework, which recommends balancing the applicant’s: experiences, personal attributes, and academic metrics (MCAT and GPA) when making a decision about their candidacy. While the MCAT (Medical College Admissions Test) and GPA are self-explanatory, it’s important that aspiring physicians understand the importance that past experiences and personal attributes will play when your application is being reviewed. You will need to have a track record of compassionate community service, healthcare-related experience (shadowing or volunteering/working in a healthcare setting), leadership, and often research.

Regarding personal attributes, medical schools desire students who are: compassionate, collegial, curious, and who are self-directed learners. While the exact attributes and experiences may vary by school, medical school hopefuls need to ensure that their experience portfolio is full and that their recommenders can speak to the attributes mentioned. Often the difference between the applicant who gets accepted to medical school and the one who doesn’t is not their MCAT score or GPA, but more so a matter of which applicant had the better strategy. Gaining acceptance to medical school is very competitive and applicants should have a well-thought out strategy. Some examples of strategic questions that students should think through include:

• Will I take a “gap year”?
• If I plan to take the MCAT in spring of my junior year, when should I take Physics?
• Which leisure-time activity will demonstrate the attributes that medical schools seek?
• Should I apply before my MCAT scores return?
• If my undergraduate grades are low, should I plan on graduate school? If so, what discipline? MPH or Masters Degree in a biomedical science?

I consider it part of my mission to provide the answers to these questions to students as early in the pipeline as possible. We do this via our OSU College of Medicine website (https://medicine.osu.edu/admissions/md/tips-and-advice/pages/index.aspx), by speaking to students via webinars (https://www.youtube.com/watch?v=Q_7B3qUjuJs), and via social media.

AD: Describe the landscape today in terms of getting into medical school versus when you were aspiring to study medicine yourself.

QC: I applied to medical school in 1986. At that time, the weight of academic metrics was definitely more than 1/3 of a candidate’s application. Community service was almost ‘optional’ at that time. Academic achievement is still very important, and always will be when evaluating medical school applicants. However, it is very unlikely that a student will be accepted to medical school today without a record of compassionate community service and healthcare-related experience. Also, many medical school curricula employ both group-based learning and independent learning, so schools look for evidence of collegiality and self-directed learning to provide evidence that a student will be successful.

AD: Okay, Dr. Capers, that’s all I’ve got. Thank you again for this opportunity to interview you, and also for providing the pictures to go along with this interview. I understand that your time is very valuable. Perhaps we can do follow up interviews at some point. Do you have any other parting comments or thoughts?

QC: No. Thank you again for giving me this opportunity, Dr. Dunbar. I’d be delighted to do this again, or even to make it a recurring feature. Good luck to all of your readers!

Thank you for taking the time to read this interview. If you enjoyed it, check out my 2019 interview with Dr. Capers. If you’ve found value here and think it would benefit others, please share it and or leave a comment. Please visit my YouTube channel entitled, Big Discussions76. To receive all of the most up to date content from the Big Words Blog Site, subscribe using the subscription box in the right hand column in this post and throughout the site. Lastly follow me on the Big Words Blog Site Facebook page, on Twitter at @BWArePowerful, and on Instagram at @anwaryusef76. While my main areas of focus are Education, STEM and Financial Literacy, there are other blogs/sites I endorse which can be found on that particular page of my site.

Perspectives of Federal Workers Caught in the Middle of the 2013 Government Shutdown Revisited

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“All we can tell you is to watch the news. We don’t know when this will be over.”

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The following piece was originally published on the Examiner back in October of 2013 during my very first government shutdown as a federal employee. It was followed by another piece which I also recently republished titled The myth of the stability of being a government employee revisited. Five years later after our most recent three-day government shutdown, and with another potential one on the way, I thought it would be appropriate to republish it.

The reality is that regardless of one’s position on something like the Deferred Action on Childhood Arrivals policy (DACA), there are many, many government employees who have bills to pay and can’t afford the uncertainty of having a prolonged break in their income. This piece captured some of the rumblings of those around me leading up to, and during the time we were sent home for two weeks. It turned out to be a paid vacation as we were reimbursed for those two weeks, and ‘Obamacare’ was eventually signed into law – at least for the time being.

* * *

By the time this article goes up, the 2013 government shutdown may be over, or it may still be in effect. No one knows except our elected officials. In the meantime, when writing up the piece about The myth of the stability of being a government employee, the idea recently came to me to capture some of the reactions and sentiments of friends and colleagues in the federal government before and during the shutdown. The following are samples of quotes and reactions to the shutdown from people in my circle.

“All we can tell you is to watch the news. We don’t know when this will be over,” our supervisors and managers told us leading up the shutdown and then on the day we when we went through our shutdown protocols. We all knew that the government shutdown might be coming months in advance so all of this wasn’t a big surprise, though leaving my workplace that last time not knowing when I would return was a sobering feeling.

“We got reimbursed back in 1995 after the Clinton-Gingrich shutdown, but it’s not guaranteed that we’ll get it this time. It’s actually not looking good,” a seasoned coworker said days before the shutdown with a look of fear on his face from potentially losing the pay. It was with good reason too as our bills would continue rolling in even as our paychecks froze.

Immediately after the shutdown went into effect, many federal employees took it hard. While many were worried about the financial pinch, many workers actually found fulfillment in their work, and were upset that they couldn’t work simply because of lack of agreement by our elected officials. Some even became skeptical about continuing to work for the federal government.

“This sucks,” a coworker text-messaged me the morning of Oct. 2, the day immediately after the start of the shutdown. In later messages over the course of the shutdown, his frustrations continued saying, “I’m going to keep my options open employment-wise. It’s just going to get more difficult in the government – more work, lower pay (furloughs), no promotions, on top of the usual politics.”

“When my federal job got shutdown, I knew that I was just go and spend time at my other jobs,” a friend who has his hand in a number of community service and other projects outside of work peacefully stated. While many federal workers were crushed about not being able to go to work, others saw it as opportunity to invest their time in other projects.

“We might get shutdown, but we’ll be back to work eventually. In the meantime, those who have savings will be okay, and those who don’t will scramble to find the money to buy a bag of potato chips. It’ll be okay.” Prior to the start of the government shutdown, some colleagues weren’t worried about it at all. An unconcerned seasoned coworker who was savvy about money and investing smiled and told talked with me about the shutdown in a very carefree way.

Some retired federal employees looked at the current situation with fond memories of previous shutdowns, and made observations about the spending habits of and mentalities of the younger generations of federal employees.

“We never worried about the government shutdowns. We just relaxed and enjoyed the time off,” a retired federal employee laughingly said at an alumni association executive board meeting I’m involved with. “We were a different generation though. We had money saved up and could thus survive. People in the younger generations don’t live like we did and are in real trouble right now. They’re going paycheck to paycheck.”

“I’m filing for unemployment,” a disgusted coworker said walking from the printer the day of the shutdown, when we had to go into the office and officially close down our work stations. He continued, “The director just sent this certificate to all of us. I recommend you print it off and do the same thing.”

About a week later, my unemployment papers were put in the mail as well. Other federal employees congregated around the city to take advantage of the free specials offered by local restaurants. We all watched the news everyday wondering when our elected officials would make some sort of agreement and reopen the federal government.

Thank you for taking the time to read this blog post. In you enjoyed this post you might also enjoy:

The Big Words LLC Newsletter

For the next phase of my writing journey, I’m starting a monthly newsletter for my writing and video content creation company, the Big Words LLC. In it, I plan to share inspirational words, pieces from this blog and my first blog, and select videos from my four YouTube channels. Finally, I will share updates for my book project The Engineers: A Western New York Basketball Story. Your personal information and privacy will be protected. Click this link and register using the sign-up button at the bottom of the announcement. If there is some issue signing up using the link provided, you can also email me at [email protected] . Best Regards.

The Myth of the Stability of Being a Federal Government Employee Revisited

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“For those of us who are in the military, contractors and government employees living paycheck to paycheck yet who are still Democrats, to be honest, we NEEDED them to cave. Republicans don’t want the big government anyway. They don’t care if it fails. We need our jobs.”

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The following piece was originally published on the Examiner back in October of 2013 during my very first government shutdown early in my federal career. Five years later after our most recent three-day government shutdown, and with another one potentially on the way, I thought it would be appropriate to republish this.

The opening quote is from a thread on Twitter. Someone took a verbal shot at Senator Chuck Schumer for caving in and ending the shutdown after only three days, and a federal employee responded saying that she needed Schumer and the Democrats to surrender. The reality is that regardless of one’s position on something like the Deferred Action on Childhood Arrivals policy (DACA), there are many, many government employees who have bills to pay and can’t afford the uncertainty of having a prolonged break in their income. When government shutdowns occur, we see that there are instances when federal careers are not as stable as we believe them to be.

* * *

Recently many of my articles have focused on financial literacy. One of the key components of financial literacy is the knowledge of how to generate income whether it be through working a job, entrepreneurship, or wise investment of money already earned. With the government shutdown taking place, quite a few federal employees have been forced to ponder one of the key considerations of working a job; security.

“When we were in college, the government was thought to be the place to be in terms of employment. A lot of people wanted to get in,” a close friend who is also a federal employee and a mother of two with a third on the way said when recently over lunch. “Now things are really different and there is so much uncertainty. People are rethinking whether or not they want to go in or even stay in the government.”

In a booming economy with plentiful tax revenues, a robust Gross Domestic Product (GDP), and when our elected officials are getting along, yes being a federal employee can be a good way to go, so much so that some would say that government employees are treated too well. Prior to 2008, it was thought to be stable employment and federal employees were thought to be relatively safe from the ups and downs of our nation’s economy. On a side note, it has also been said that it’s hard to fire federal employees, and that there are some in our ranks who have lost their desire to produce and are getting paid to do nothing. In that regard maybe some federal employees are treated too well.

When the country is in a recession and our elected officials can’t agree on how to best fund the government, or even to fund it at all, being a federal employee can look a lot less attractive. It is then that you (as have many) realize that you are still at the mercy of someone else; in this case our politicians who interestingly continue to get paid no matter what.
My tenure as a federal employee started in 2008 at the end of George W. Bush’s second term just as the current economic downturn ramped up (the Great Recession).

Though having a steady income while other sectors of the economy were disintegrating around us, federal employees have experienced/ endured:

• A freeze of our annual Cost of Living Adjustment (COLA);
• The uncertainty of ‘Continuing Resolutions’ instead having concrete budgets;
• The 2011 standoff over the raising of the ‘Debt Ceiling’ and the ‘Fiscal Cliff’;
• The 2013 summer ‘Sequestration’ leading to furloughs and;
• Now the 2013 shutdown over ‘Obamacare’ and a potential second showdown over the raising of the Debt Ceiling compliments of the Tea Party.

This series of unfortunate events has shown that federal employees are just as vulnerable to the same economic calamities as everyone else when perfect storms like the one that we’re currently in sets in. It has shown that federal employees are at the mercy of quarreling elected officials. These events have in fact shown that whether you’re employed by the private sector, the government, or an entrepreneur, everyone is vulnerable to something. Lastly though it hasn’t taken place during my tenure, there is also something call a Reduction in Force (RIF) in the government where the size of the workforce needs to be reduced, and federal employees are retained or let go based upon seniority and experience.

No matter what sector of employment or business you’re in, it is once again important to not live ‘paycheck to paycheck’ if you can help it, and to have some money saved up for unforeseen hardships such as this 2013 government shutdown. In his Financial Peace University course, Dave Ramsey calls that having an ‘Emergency Fund‘, or a ‘GOK’ (God Only Knows) fund.

Thank you for taking the time to read this blog post. In you enjoyed this post you might also enjoy:

• Who will benefit from Apple’s $350 billion investment?
• Challenge stereotypes and misconceptions on household income and wealth building
• We should’ve bought Facebook and Bitcoin stock: An investing story
• Mother’s Day 2017: one of my mother’s greatest gifts, getting engaged, and avoiding my own personal fiscal cliff
• Your net worth, your gross salary and what they mean
• The difference between being cheap and frugal

The Big Words LLC Newsletter

Who will have the skills to benefit from Apple’s $350 billion investment?

Two of the principles of my blog are “Creating Ecosystems of Success” and “Long-Term Thought”. While my scientific background is in the biomedical sciences Pharmacology and Toxicology, it’s imperative for me to keep my eyes on what’s happening in the other Science, Technology, Engineering and Mathematics (STEM)-fields. This allows me to use my platform to help guide others career-wise, and also for investment purposes (see my Facebook and Bitcoin post). In this post I want to discuss both STEM and careers, and the impacts of the new tax bill on the ‘Tech’ sector, as well as others.

My goal is to keep this post short. I actually have another post in the works regarding the new controversial ‘Tax Reform and Jobs Act’, but a recent development involving the company Apple prompted me to craft of this piece. I’ll start with a recent purchase involving one of the other ‘Four Horseman of Technology Stocks’, Amazon. Shortly after the holiday season, I ordered a copy of economist Dr. Thomas Sowell’s “Trickle Down” Theory and “Tax Cuts For The Rich”. I didn’t buy the book strictly because the Tax Cuts and Jobs Act was recently signed into law, but because I had an Amazon gift card and thought it would be an educational read. I’m also admittedly one of Dr. Sowell’s biggest fans as he embodies most of the principles of my blog. He empowers his readers with the economic laws and theories, and historical facts to interpret current events, government policies and political discussions with a more complete perspective, independent of your political affiliation or background.

The very short book discusses the famous ‘Trickle Down Theory’ which is a hotly debated topic among economists, media pundits, and politicians. Coincidentally, according to Dr. Sowell, it isn’t a formal economic law and never has been. Instead it is a term used to demonize any cutting of taxes which have historically sparked economic growth in our country, as opposed being a means of making the rich richer and ignoring the needs of those on ‘Main Street’ – the way tax cuts are typically depicted by their opposition. As expected, leading up to its passing, the Tax Reform and Jobs Act was accused of solely being a tax break for the wealthy by its opposition. Recently however, numerous sources are now reporting that it’s actually going to benefit people on Main Street as well. But what will the new law do for the national economy itself on a macro level? On January 17, 2018, Yahoo published an article titled Apple says it will invest $350 billion and hire 20,000 workers in the U.S. over the next five years.

While this is an opportunity for some to boast to the opposition that they had the bill all wrong, my focus is on who will benefit from Apple’s repatriation of its earnings, and its $350 billion investment in the United States. It seems to me that those who are trained in the technologies Apple is working on, and currently has in its pipeline, stand to benefit significantly in terms of career, earning potential, and upward mobility. Those skills may involve things like writing applications for ‘Blockchain Technology’, and/or ‘Quantum’ computers among others. Those who are not trained in those areas will only benefit from the products Apple produces, for the most part, solely as consumers.

As a STEM professional and advocate myself, this is a very appropriate time to discuss some data I recently found published by US News & World Report in 2016 titled Report: Black Students Underrepresented in High-Paying STEM Majors. The article cited data from a Georgetown University Study titled African Americans: Colleges Majors and Earnings, which discussed how black students tend to cluster in fields like social work leading to lower paying careers. The data in the Georgetown study showed that 20% of degree holders in human services and community organizing were black, and earned a median salary of about $40,000 per year. By contrast, only 7% of degree holders who received STEM-related bachelor’s degrees, and earned a median annual salary of $84,000 or more, were black – a very low number considering that blacks are only 12% of the total population in the United States.

This low percentage of participation in STEM, in addition to Apple’s repatriation of earnings, and its investment back into the United States, underscores the importance of having the necessary skill sets at critical times to take advantage of environmental changes imposed by laws like the Tax Reform and Jobs Act. Malcolm Gladwell covered this phenomenon extensively in Outliers. Right now in the United States there is considerable debate about discrepancies in wages based upon race and sex. The question has to be asked though, do those discrepancies exist due to discrimination, or is it majors chosen leading to the acquisition of skill sets for which there is high or low demand from the economy at that particular time? Are we essentially running up against the ‘Law of Supply and Demand’ as we often do? After all, the economy typically dictates what’s needed at a given time, and how much individuals in the workforce should be compensated.

How many more companies will return to the U.S. to repatriate their earnings, invest in research and development here in the U.S., and subsequently hire U.S. workers? Right now it’s unknown. But if other technology giants like Apple return, clearly some groups of people will benefit more than others. The question is will the beneficiaries strictly be based upon to race, sex and class, or will the skill sets possessed by certain well positioned individuals have something do with it? And who will possess those necessary skills once there is an increased demand for them?

Thank you for taking the time to read this post. If you enjoyed it, you might also enjoy:

• A look at STEM: What is Pharmacology?
• A look at STEM: What is Toxicology?
• A look at STEM: What is ADME/Drug Metabolism?
• A look at STEM: Blockchain Technology, a new way of conducting business and record keeping
• Challenging misconceptions and stereotypes in class, household income, wealth and privilege
• Your net worth, your gross salary and what they mean

If you’ve found value here and think it would benefit others, please share it and or leave a comment. To receive all of the most up to date content from the Big Words Blog Site, subscribe using the subscription box in the right hand column in this post and throughout the site. Lastly follow me on the Big Words Blog Site Facebook page, on Twitter at @BWArePowerful, and on Instagram at @anwaryusef76. While my main areas of focus are Education, STEM and Financial Literacy, there are other blogs/sites I endorse which can be found on that particular page of my site.

A look at STEM: Blockchain Technology, a new way of Conducting Business and Record Keeping

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“All communication inside the network takes advantage of a ‘cryptography’ to securely identify the senders and the receivers.”

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Two of the principles of my blog are “Creating Ecosystems of Success” and “Long-Term Thought”. While my scientific backgrounds are in the biomedical sciences Pharmacology and Toxicology, it’s imperative for me to keep my eyes on what’s happening in the other Science, Technology, Engineering and Mathematics (STEM)-fields. This allows me to use my platform to help guide others career-wise, and also for investment purposes (see my Facebook and Bitcoin post).

I was encouraged to visit and discuss a new technology called “Blockchain” which is the buzz of the investing and technology worlds right now. Blockchain is actually not new for those who are already familiar with it, though it’s still early in its implementation. Not being in the “Tech” sector, I had to do some homework to be able to discuss what blockchain technology is, and I must say that it was well worth the research as it’s going to play a huge part in our lives going forward. As a testament to just how early we are in this technology, I couldn’t find a single book on it on a recent visit to Barnes & Noble.

So what is blockchain technology? Simply put, blockchain is a “Distributed Ledger” technology. Those are the exact words from two more senior gentlemen I overheard discussing it while at a happy hour in Old Town Alexandria recently. Because my mentor had alerted me to what blockchain technology was, I perked up when I heard their discussion. I was able to follow some of what they were talking about, and I eventually butted into their conversation.

They were also discussing “Bitcoin”, the new leading “Cryptocurrency” which runs on blockchain technology, and is currently highly deliberated in investing circles. Some people are skeptical that Bitcoin is an actual investment for numerous reasons. While it’s not clear what the future holds, as of now Bitcoin has turned into a very lucrative purchase for those who were exposed to it four or five years ago.

By the way, while Bitcoin is receiving most of the press attention right now, there are other cryptocurrencies which share its similar basic attributes which I’ll highlight later in this post. They include: Litecoin, Ethereum, Zcash, Dash, Ripple, and Monero. Similar to Bitcoin, all of them run on blockchain technology. For a more in depth discussion of how Bitcoin runs on blockchain technology, I recommend reading What Is Bitcoin? Here’s What You Need To Know by Julian Goldie. Also, to learn about how Bitcoin can be used in business transactions, I recommend reading Can You Use Bitcoin To Pay For Travel?

Let’s start with a short discussion of how blockchain technology actually works. Again as my background is in the biomedical sciences, this look at blockchain technology is not designed to get into the nuts and bolts of coding and developing, but instead to provide a comprehensive look at what appears to be the next major technological advance, and to give those a chance to participate in it, who otherwise wouldn’t have it. If my explanation of blockchain technology is too simplistic for you and you want a more detailed explanation of how it works, I recommend reading What is Blockchain Technology? A Beginner’s Guide published by Invest In Blockain which also goes into further depth about how the technology works in the cryptocurrency exchanges.

To understand how blockchain works, first envision a generic transaction taking place involving a group of let’s say nine participants either in one organization, or in different locations around the world – maybe even outer space one day with the way astronomy and space travel are going. The participants or members of the network are involved in the transaction through interfaces called ‘nodes’ which are simply their own individual workstations. Documentation of all transactions is captured using a ‘shared’ or ‘distributed’ ledger. This ledger is ‘decentralized’ and isn’t under the control of any one party.

All communication inside the network takes advantage of a ‘cryptography’ to securely identify the senders and the receivers. When one of the nodes wants to add facts to the shared ledger, a consensus is formed within the network to determine if they in fact should be added, and this consensus is called a “block”. A series of these blocks comprise the ‘chain’ which all participants can see, and which no one can change once it’s created.

In terms of concept, an example of how a blockchain would work is the “SharePoint” web-based collaborative platform that ingrates with Microsoft Office. Document sharing technology allows multiple permissioned individuals to craft and edit the same document simultaneously on the same platform in real-time. This technology removes the need to circulate drafts of a document to the members of the team via email making production less cumbersome and giving the authors absolute control over the drafts. Those who have permission to work on the document can also see who else is making edits thereby giving the collaboration transparency. Overall, this leads to increased efficiency, and the saving of both time and resources.

At this point, I’ll summarize the three advantages of blockchain technology. I’ve pulled them from a very informative video by IBM about ‘Hyper-Ledger Blockchain’ technology. Most descriptions of the technology involve these three core attributes:

• Creation of a distributed record: All parties involved in a particular transaction or business activity have a shared record of those activities. No one person or organization has ownership of the system.
• Addition to the chain is permissioned: All parties must agree on a new record or block being added to the chain. This adds trust to the transactions making them tamper resistant and highly secure.
• Transactions are secured: No one can change or delete a record from the chain making it permanent and eliminating the opportunity for fraud. A hacker for example cannot corrupt the records once it’s created.

It’s important to consider how blockchain will affect all of our lives, and it will do so in multiple ways. Let’s start in the context of banking/business. Anyone who checks their bank accounts as regularly as I do understands that many transactions don’t post/reconcile immediately – checking deposits for example. Money deposited from checks typically doesn’t transfer from one account to the other until the next businesses day – the check has to ‘clear’.

In a blockchain transaction, the transfer of funds is instant once it is approved by all parties. Currently in many business transactions, a third party intermediary is necessary which adds costs and additional levels of complexity to the transactions in addition to the potential for fraud. Blockchain technology eliminates the need for these intermediaries, and in addition to making the most mundane banking transactions more efficient, blockchain will also impact more complex transactions like the buying and selling of publicly traded securities like stocks.

My first example involved banking but blockchain’s application potential spans far beyond that. The other major impact will be in industries where it’s important to track ‘supply chains’ for products of all kinds. The IBM video described above highlights blockchains’s application in the supply chains of diamonds.

However the most important supply chains it could impact could be those involving agricultural commodities and other food sources. In instances where there is an E. coli contamination for example, such as the one experienced by Chipotle recently or Burger King before that, blockchain technology would make it much easier to track the sources of those contaminations and pull them out of the market. With my backgrounds in Pharmacology and Toxicology, it can also be used to accurately track supplies of drugs and other industrial chemicals. It’s also currently being implemented into federal and state government agencies to help make their functions more efficient – the distribution of welfare checks for example.

I’ve described two uses for blockchain technology, but its potential applications are vast. Industries that can be impacted by it include:

• Smart contracts
• The sharing economy
• Crowdfunding
• Governance
• Supply chain auditing
• File storage
• Prediction markets
• Protection of intellectual property
• Internet of Things (IOT)
• Neighbourhood Microgrids
• Identity management
• Anti-Money Laundering (AML) and Know Your Customer (KYC)
Data management
• Land title registration
• Stock trading

The demand for blockchain developers is currently high and is increasingly growing. In terms of salary, many developers make over $255,000 per year. Still being in its infancy, those individuals who gain the skills to develop blockchain applications today will be on the forefront of the technology in years to come. They will work within businesses and government agencies where they will act as supervisors and directors.

In the private sector they will create and run entire firms and companies similar to how Steve Jobs and Bill Gates captained Apple and Microsoft respectively. For the younger generations, not knowing about blockchain will be particularly disadvantageous in terms of gaining employment and being able to compete in the new global and highly digital world economy.

Where can one learn to develop blockchain applications? Once again, we’re still early the technology, but some universities and companies have responded by offering a range of blockchain related courses which vary from online formats, to traditional lectures, as well as privately run boot camps. Some notable universities offering training include: MIT, Stanford, and Princeton. Companies such as IBM have courses as well. There is also an abundance of blockchain conferences scheduled in the next year in the United States and around the world.

As described above, knowing about blockchain will benefit those who learn to develop it through future employment and through working in the technology. For the lay person, it presents tremendous investing opportunities. Blockchain is only going to continue expanding in terms of its usage and application. It’s thus important to keep an eye on who is using it, and how they are implementing it, as it may lead to a similar phenomenon to what we saw with Facebook and Bitcoin. Those opportunities started off small, but those who were prepared to take advantage of them were greatly rewarded later on.

Understanding technologies like blockchain or just knowing they exist can be life changing. One of the recurring themes of my blog is that I had no STEM professionals in my own family, so I’m fortunate to have landed where I’ve landed career-wise. It was all predicated on someone realizing that I had the aptitude for science, and then encouraging me down that educational path. Thus just as it was important for me to do the research on blockchain to be able to prepare this post, it’s equally important if not more so, for readers to share this information with students and families who can benefit from it, or with individuals who can actively and creatively disseminate it.

A special thank you is extended to my mentor who will remain anonymous, for challenging me to learn about blockchain and also for encouraging me to craft this post on this very exciting and important emerging technology. Thank you for taking the time to read this post. If you enjoyed it, you might also enjoy:

• A discussion on the dangers of cell phones, social media, and technology with Dr. Ralph G. Perrino
• Who will have the skills to benefit from Apple’s $350 billion investment?
• We should’ve bought Facebook and Bitcoin stock: An investing and technology story
• A Cryptocurrency App Case Study
• Why SEO really is the key to successful online business
• The best Apps for Crypto Investment
• Tableau discusses educating in a data driven world revisited

The Big Words LLC Newsletter

For the next phase of my writing journey, I’m starting a monthly newsletter for my writing and video content creation company, the Big Words LLC. In it, I plan to share inspirational words, pieces from this blog and my writers blog, and select videos from my four YouTube channels. Finally, I will share updates for my book project The Engineers: A Western New York Basketball Story. Your personal information and privacy will be protected. Click this link and register using the sign-up button at the bottom of the announcement. If there is some issue signing up using the link provided, you can also email me at [email protected] . Best Regards.

A look at STEM: What is ADME/Drug Metabolism?

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“If you swallow a pill and it simply sits in your stomach, and then passes out through your feces, it technically wasn’t absorbed into your body.”

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The Science of Where Drugs Go

Similar to the fields of Pharmacology and Toxicology, ADME/Drug Metabolism is a well-established field dating back to the nineteenth century, and it is very complex with respect to the wealth and depth of information available. It is still evolving today. The goal of this post is not to address every detail of the field, but instead to give readers a basic introductory understanding of the discipline. Further details about the many aspects of ADME/Drug Metabolism can be accessed online, or in scientific journals.

In my Pharmacology and Toxicology posts, I briefly discussed Pharmacokinetics, Toxicokinetics, and the Absorption, Distribution, Metabolism and Excretion (ADME) of drugs and other xenobiotics. These areas collectively comprise the exciting field of “Drug Metabolism”. Whenever a new drug or industrial chemical is produced, several key aspects of the chemical must be characterized; how much of it gets absorbed into the body, where it goes in the body, and how long it stays there. The answers to these questions are collectively known as the molecule’s “ADME” profile, and a tremendous amount of work goes into this type of research. It’s very critical information as it helps characterize the chemical’s subsequent pharmacological or toxicological effectiveness and properties. As you read through this post keep a couple of key questions in mind. How much of the molecule gets absorbed into the body? Where does it go once absorbed? How long does it stay in the body? Is it transformed into something new? How does it leave the body?

The Liver, Kidney and Small Intestine

Before walking through the ADME acronym in greater detail lets first talk about the three organs that impact a chemical’s ADME profile the most: the Liver, the Kidneys and the Small Intestine. As described later in this post, other organs can impact a chemical’s ADME profile but these are the three major players. I will try to explain these organs in the context of this post in the simplest way possible.

“If you take a pill and it simply sits in your stomach for a brief period of time, and then passes out through your feces, then it technically wasn’t absorbed into your body,” said the same professor from my Pharmacology post who distinguished the discipline of Pharmacology from Pharmacy. This anecdote described how drugs and man-made industrial chemicals in the classic sense must be absorbed into the blood stream to actually have been absorbed into your body. There are other ways a chemical can get into the body (inhalation and dermal exposures), but for this post I’m focusing only on oral absorption.

If absorbed in the small intestine, the molecule of interest then passes through the “Hepatic Portal Vein” into the liver where any number of things can happen to it (described in greater detail below). After leaving the liver and entering the general circulation, the molecule is for the most part cleared through the kidneys via the urine, but in some cases it can be deposited back into the GI-Tract and leave the body through the feces. Molecules can also be exhaled depending upon what they’re transformed into once absorbed. Any molecule not absorbed by the small intestine leaves the body through the feces.

I can’t emphasize enough the importance of the liver and kidneys which both perform numerous critical functions in the body. For this particular context, the normal function of both, are critical to the body’s handling of both endogenous and exogenous chemicals which is why physicians, nurses and pharmacists inquire about their function early on when patients are admitted for care in clinical settings.

Breaking Down the Acronym

With that in mind, I’ll now break down the ADME acronym and why these skill sets are so valuable for scientists who gain an expertise in them:

Absorption: As described earlier, the “Absorption” aspect deals with how much of the chemical is absorbed into the body following oral ingestion, passage into the small intestine, the liver, and finally into the blood stream. The properties of the chemical itself can dictate how much of it is absorbed – particularly its size and for simplicity whether it’s charged (+ or -) or neutral. As described in my Pharmacology post, pharmaceutical companies designate molecules as either “small” or “large”, and many large molecules can only be administered by injection into the bloodstream. While there are several experiments that can help characterize a molecule’s oral absorption, “Pharmacokinetic” and “Biliary Excretion” studies (discussed below) are the most specific. Just briefly, by treating animals (usually rodents) with radio-labelled compound, the amount of compound absorbed can be determined by quantifying the amount of radioactivity in the blood, urine and feces over time telling scientists how quickly the molecule was absorbed in addition to the amount absorbed and if these two metrics change with increasing dose.
Metabolism: Once in the body, molecules can undergo “Biotransformation” – that is, classes of proteins called “Enzymes” can transform the structure of a given molecule by breaking it down into multiple pieces or adding on new “Functional Groups”, altering its properties so that it’s more readily eliminated from the body (discussed below). In some instances, this biotransformation turns the molecule into something toxic which can cause injury to the liver or other tissues in the body. The Metabolism aspect of ADME, involves a separate discipline called “Enzymology” which focuses just on the enzymes themselves; their levels in cells (Protein Expression), the rates of their reactions (Kinetics), their structures, etc. There are actually multiple classes of drug metabolizing enzymes but the most prevalent class at least as it relates to the liver, is the “Cytochrome-P450s”. Pharmaceutical companies pay particular attention to this class of enzyme (and a host of others) as they greatly impact the “Bioavailability” of the drug. The “First Pass Effect” or “First Pass Metabolism” occurs when a drug is significantly metabolized before it gets into the general circulation due to metabolism by liver enzymes. Some of the clinical aspects of metabolism will be further discussed later in this post. By the way, while Cytochrome P450s were classically associated with the liver, we now know that they are expressed throughout the human body as well as all plants and animals.
Distribution: Once in the body’s general circulation, the molecule can travel to many of the tissues of the body and can accumulate there for short- or long-periods of time depending upon the tissue and the properties of the molecule itself. If the molecule is particularly non-polar (neutral), it can accumulate in fatty tissues or for pregnant females, it can partition into breast milk and be transfered to nursing offspring. Molecules can also bind reversibly to blood plasma allowing for an increased internal dose.
Excretion: Excretion refers to how the molecule is eliminated from the body. Typically the urine and the feces are measured to determine how the molecule is eliminated. Detection in the urine indicates that the molecule was absorbed to some degree into the bloodstream as the kidneys filter out aqueous waste from the blood. Poor kidney function can actually lead to a prolonged bioavailability and subsequent toxicity which is why clinicians always inquire about it as described earlier. Not all of the absorbed chemical exits the body through the urine though. It turns out that absorbed chemicals can empty out back into the GI-Tract from the liver via the bile and then be eliminated through the feces.
Drug Transport: This aspect doesn’t traditionally fall under the ADME acronym, but it’s an important field that is now being actively researched in academia and industry. It deals with how cells may concentrate the chemical in tissues or remove the molecule from the target tissue before it can exert its function.
Pharmacogenomics/Toxicogenomics: These new and exciting fields look at the genetics unique to individuals to determine the best treatments and dosages for that individual. Genetic differences in levels in the drug metabolizing enzymes mentioned above can result in drastically different effects of treatment with a given dose of a drug depending on the individual. The same is true for an individual’s reaction to a toxicant.

The Applications for ADME

So why is all of this important? Whether in a hospital setting, a pharmacy, or in the chemical industry creating a new food additive, pesticide, or cosmetic, it’s important to have as clear an understanding as possible of where the molecule goes in the body and what its fate is following ingestion. As described above, physicians, whether in general practice or in the emergency room, have to gauge a patient’s liver and kidney function as those two organs will dictate how long the pharmaceutical stays in circulation – again, its “Bioavailability”.

Even a pharmaceutical designed to be therapeutically beneficial can be toxic if it remains in the body too long, if its levels exceed a certain dose level, if it’s transformed into something toxic, or if there is a drug-drug interaction. “Drug-Drug Interactions” are typically the result of one drug causing an increased internal dose of another drug due to inhibiting or preventing metabolism by the enzymes described in the metabolism bullet above. In graduate school we learned about the classic case of Terfenadine causing abnormal heart rhythms that could lead to death by increasing the amounts of circulating Erythromycin – both of these drug molecules normally work by with non-cardiac mechanisms. Terfenadine was removed from the market once it’s ability to cause this deadly drug-drug interaction was recognized.

Where ADME is Considered

Chemical, food and beverage, and pharmaceutical companies all have to know what happens to their molecules in the body for several reasons. A drug can be highly effective at preventing cancer cells from multiplying in a laboratory setting in dishes and flasks, but unless it is readily absorbed in the intestines and can actually get to its target tissue in the body as its untransformed structure, it’s useless. In some instances, a drug can get to its site of action, but the cells of that tissue can adapt and effectively expel the molecule before it gets a chance to exert its function as described earlier. Pesticides which are sprayed on agricultural commodities often make it to our dinner tables in low levels where we do ingest them to some degree.

Another very important context for ADME/Drug Metabolism is actually “Food Safety” which is a key consideration for food and beverage companies like Pepsico and Quaker Oats. As a matter of fact, at a family dinner earlier this year, a discussion of about Trisodium Phosphate (TSP), a preservative used in “Cap’n Crunch” cereal which had other industrial uses, caused a stir amongst my relatives. I had to remind them that both the ADME and toxicity profiles of this preservative had already likely been characterized and cleared through extensive studies by the company and the Food and Drug Administration (FDA).

ADME Careers and Training

We’ve discussed what ADME/Drug Metabolism is, but where do these scientists work and where do they receive their training? ADME/Drug Metabolism scientists work in Pharmaceutical and Chemical companies, and in government performing “Regulatory” functions (visited in an upcoming post). They receive their training for the most part in academic settings in labs specializing in Pharmacology and Toxicology, both of which have ADME/Drug Metabolism as a major component. There are some labs that strictly study one of the many aspects of ADME/Drug Metabolism but they are in the minority of the research groups in the biomedical sciences.

“Scientists with training in Drug Metabolism will almost never be with jobs,” said one of the professors in my graduate department at the University of Michigan. While we know that there is no job that is 100% secure, this particular professor was stressing that ADME/Drug Metabolism scientists are critical parts of most companies. The divisions of those companies responsible for these types of studies are typically titled Drug Metabolism and Pharmacokinetics (DMPK). No matter what disease the company is interested in (Diabetes, Cancer, HIV, etc.), it is essential that they understand the chemical’s ADME/Drug Metabolism profile for their own purposes and when submitting packages for approval by the Food and Drug Administration and other regulatory agencies. The same is true for chemical companies. Depending on the degree level earned and where the scientist is employed, ADME/Drug Metabolism scientists can earn starting salaries of $60,000-$70,000.

Technologies Used in ADME Experiments

There are numerous scientific tools and technologies that ADME/Drug Metabolism scientists use, but I’ll mention two of them briefly. The first is the Mass Spectrometer also known as the “Mass-Spec”. The accompanying picture shows a Mass-Spec. Click on the image to enlarge it. Mass-Specs are not used solely in ADME/Drug Metabolism studies, but they’re very important to the field because they can detect and identify molecules in whole blood, blood plasma, tissue samples, urine, and fecal samples at very, very low levels. More importantly they can detect changes in the structure and identity of molecules once they have gone through the body and can help to predict a drug/industrial chemical’s efficacy or toxicity.

Technologies and methods are always changing and evolving but the Mass-Spec is currently a very important tool for ADME/Drug Metabolism. Currently, Pharmacology and Toxicology scientists in industry are moving towards decreasing animal usage and towards more in vitro and in silico methods which are giving rise to the use of Physiologically Based Pharmacokinetic Models (PBPK) where the fate of molecules can be predicted using various constants and inputs into computational models. We’re currently in the early era of these methods.

Professional Societies for ADME

If you are interested in learning more about the exciting field ADME/Drug Metabolism, I suggest that you visit the website of the American Society for Pharmacology and Experimental Therapeutics (ASPET). You can then click on the link titled Education & Careers. In the right hand column, there is a link titled About Pharmacology, that provides a great deal of interesting information. Speaking of ASPET, all scientific disciplines have their own professional societies with annual meetings that are held in various cities (eg. Boston, San Francisco, Chicago, San Diego, Washington,etc.) every year, and where scientists gather to show their results and network. The two major professional societies for ADME/Drug Metabolism scientists are ASPET, and the International Society for the Study of Xenobiotics (ISSX).

Thank you for taking the time to read this post, and I hope I was able to shed some light onto what ADME/Drug Metabolism is as a field. The next post in this series will discuss the field of Inhalation Toxicology. If you enjoyed this post, you may also enjoy:

• A look at STEM: What is Pharmacology?
• A look at STEM: What is Toxicology?
• A look at STEM: What is Inhalation Toxicology?
• A look at STEM: Blockchain technology, a new a conducting business and record keeping

A special thank you is extended to Dr. Paul Hollenberg and Dr. Chester Rodriguez for their contributions to this post. I also want to acknowledge Dr. Yoichi Osawa of the University of Michigan’s Department of Pharmacology for the picture of the Mass Spectrometer used in this post.

The Big Words LLC Newsletter

For the next phase of my writing journey, I’m starting a monthly newsletter for my writing and video content creation company, the Big Words LLC. In it, I plan to share inspirational words, pieces from this blog and my writers blog, and select videos from my four YouTube channels. Finally, I will share updates for my book project The Engineers: A Western New York Basketball Story. Your personal information and privacy will be protected. Click this link and register using the sign-up button at the bottom of the announcement. If there is some issue signing up using the link provided, you can also email me at [email protected] . Best Regards.

A Look at STEM: What is Toxicology?

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“In terms of toxicology, it is the dose makes the poison!”

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Toxicology: The Sister Science of Pharmacology

Similar to Pharmacology, the field of Toxicology is centuries old and is very complex regarding the wealth and depth of information available. It is also still evolving today. The goal of this post is not to address every detail of the field, but instead to give readers a basic introductory understanding of the discipline. Further details about the many aspects of Toxicology can be accessed online, or in scientific journals.

When I meet people outside of my scientific circles at career and STEM fairs, Toxicology doesn’t get confused with other disciplines the way Pharmacology and Pharmacy do – I thus won’t open with a story about misunderstandings. I’ll simply say that Toxicology an exciting field with vast opportunities for individuals who are trained in it. Following my principle of “Creating Ecosystems of Success”, I wanted to write an overview of the field – particularly for parents and young students who have an aptitude for science and may be interested in Toxicology as a career one day. As you’ll see later on, Toxicology is an important component of numerous industries, and scientists with this training will never be without jobs.

Doses and Poisons: Paracelsus’ Riddle

“The dose makes the poison,” is the popular toxicology adage credited to the Swiss physician and alchemist Paracelsus. Simply put, given the proper dose, even chemicals and substances considered harmless can be poisonous – too much sugar or water for example. Dosage or the amount of a substance one is exposed to is a key component of Toxicology – keep this in mind as you read through this post. Also keep in mind the route of exposure. Toxicologists are always considering that an individual can be poisoned through oral ingestion, or through either dermal or inhalation exposures.

I think of Pharmacology and Toxicology as “sister” sciences – both dealing with the effects of xenobiotics on living systems. While Pharmacology focuses more on the therapeutic effects of xenobiotics, Toxicology focuses on the harmful effects – in most cases humans but in some instances other mammalian and non-mammalian species. These effects can occur on the molecular, cellular, tissue, and whole organism levels. While Pharmacology and Toxicology are separate disciplines, they have several overlapping principles and skill sets allowing individuals credentialed in one to work in the other.

Toxicology and Drugs

I’ll start my discussion of why Toxicology is important with drugs. Both biotechnology and large pharmaceutical compan9ies have to understand and report a drug’s toxicological profile to the federal government before selling it to the general public. Many promising drugs actually never make it to market because they’re too toxic. Some actually make it and are then recalled – Rezulin for example.

There are also both clinical and research contexts for Toxicology. Similar to Pharmacology, all medical practitioners (Anesthesiologists, Physicians, Pharmacists, Nurses, Surgeons, etc.) must receive some toxicology training as they all need an understanding of the potential toxicities of the drugs they’ll ultimately prescribe. They need to understand how much of a given pharmaceutical will be beneficial vs. harmful to patient – a drug’s “Therapeutic Index”. If the patient is taking multiple medications, “Drug-Drug” interactions can result – toxicities and side effects resulting from one or more drugs being present in the body at the same time causing others be poisonous. The patient’s current liver and kidney function are critical here as well as they will ultimately determine how long the drugs persist in the body. In an emergency room, physicians must often determine what a patient may have been poisoned by in order make swift life-saving decisions.

Forensic Toxicologists are instrumental in solving crimes and deaths. They’re masters of detecting chemicals in the body’s tissues and understanding how they may have led to a victim’s death. Michael Jackson’s overdose on “Propofol” comes to mind, and is just one of many examples.

Toxicology in Research Settings

In the research context, think about experimentation in laboratory settings – well designed studies run by scientists asking questions and looking for specific answers. Initial toxicological studies typically involve determining how a toxicant exerts its effect on the molecular and then on the tissue/organ levels – similar to how Pharmacologists identify new drug targets. After determining a toxicant’s molecular mechanism, there is then the need to determine the toxic dose range of the chemical at the molecular, tissue and whole animal levels. This is called a “Dose Response” – a critical tool of both Pharmacology and Toxicology where scientists look to determine if increasing the amount of the chemical in question, increases the amount of biological response. This applies to a broad spectrum of chemicals – pharmaceuticals and industrial chemicals alike.

What am I referring to when I say industrial chemicals? Simply look around your home at all of the products you use daily including: household cleaners, cosmetics, pesticides (Raid for example), and even additives and preservatives in some the foods we consume. Thus when you think about Toxicology, think very broad in terms of scope. For this reason, individuals with toxicology training will never be without jobs as everything we use must be screened for safety. Toxicologists are currently in high demand.

Sub-Disciplines of Toxicology

Similar to Pharmacology, there are numerous sub-disciplines within Toxicology. The following is a list of some of the major areas beyond what’s been described thus far. These areas are heavily considered by government agencies and private sector companies who all need toxicologists to create new products, determine the safety of those products, and lastly determine the fate of those products once used:

Aquatic, Eco- and Environmental Toxicology: While these are distinct disciplines all in themselves, I’ve grouped them together for simplicity. They collectively consider toxicity to non-human life – aquatic, avian, other terrestrial life. They consider what happens to ecosystems if a particular species is inadvertently killed off. Some questions involve where the toxicant goes in our environment, how long it stays there, and if it breaks down into something else more or less toxic.
Computational (In silico) Toxicology: Uses computational models, to predict mammalian toxicities. “Tox21” is a current effort to minimize animal testing using computational and predictive models.
Entomotoxicology: Determines how a given chemical is toxic to insect species. This is very important for the creation of pesticides, and it’s also critical for Ecotoxicology as the chemical designed to control specific insects may easily kill something else unintended.

Food Safety Toxicology: Looks at the potential toxicity of man-made or natural ingredients intentionally added to our food. Heat formed compounds are of particular concern – acrylamide and furan are examples which can spontaneously form during the cooking of certain precursor molecules. Lastly the ingredients in food packaging are also considered as they can be ingested through the foods they are in contact with.
Forensic Toxicology: As described above, deals with the solving of crimes – often determining what a victim was poisoned with.
In vitro Toxicology: Characterizes how a toxicant works using cell models and protein systems as opposed to whole animals.

Mammalian Toxicology: Studies the effects of a given toxicant on mammalian systems – traditionally using animals to model to human toxicity. Experiments can be designed over multiple dose ranges and through any of the three routes of exposure – oral, dermal or inhalation. Time of these studies can range from hours to days, to years. Varying indices can be studied such as life-stage sensitivity, cancer potential, or the ability to inhibit one’s immune response. Mammalian toxicology is very important in “Regulatory” settings described below.
Modes of toxic action: Characterizes how toxicants exert their action on the molecular, cellular and whole animal levels. This information can be used to design chemicals to control something like a pest, or to determine how a cancer tumor-type forms.
Medical Toxicology: As described above, deals with the prevention of patient poisoning in medical settings.
Occupational Toxicology: Involves potential toxicity to workers who are in contact with a given toxicant and may get exposed through their skin or through inhalation.

Regulatory Toxicology (Private Sector): When the private sector creates a product, it must work with federal and state government agencies to determine the safety of that product. The products can be: drugs, pesticides, cosmetics, food additives, paints – you name it. Regulatory Toxicologists in the private sector must understand government laws and guidelines for the products they’re creating – knowing which animal and in vitro studies to run to get their product registered in the most cost efficient way.
Regulatory Toxicology (Public Sector): Involves government and state agencies determining the safety of products produced by private industry. This usually consists of considering real world human exposures, and looking at any pertinent data (animal, in vitro, exposure or physical chemical) that might help model those exposures to determine levels of safety or lack thereof.
Toxicogenomics: Similar to Pharmacogenomics, looks at the genetics unique to individuals to determine potential increased toxicity for that individual.
Toxinology: Deals specifically with animal, plant and microbial toxins.
Toxicokinetics: Similar to the description in my Pharmacology post, Toxicokinetics deals with how the body handles toxicants in terms of absorption (entry to the body), tissue accumulation (distribution), biotransformation (metabolism) of the molecule, and excretion (elimination). I will revisit Pharmacokinetics and Toxicokinetics in greater detail in a separate post.

Toxicology Careers and Training

So have I convinced you that toxicologists are literally everywhere? Similar to pharmacologists, toxicologists can leverage their skill sets to work in other capacities besides academia, and the public and private sectors. When combined with other fields such as law and business, toxicologists can start their own companies – consulting for example, and in some cases they can create new health-related technologies and innovations.

Depending on the degree level earned and where the scientist is employed, Pharmacologists can start earn starting salaries of $60,000-$70,000. There are numerous avenues by which to pursue training in Toxicology. According the website of the Society of Toxicology, training can start as early as high school and the amount of training one pursues (Bachelors, Masters, Ph.D.) will depend upon specific career goals. As there is tremendous overlap in skill sets of scientists in the biomedical sciences, one need not have a degree in “Toxicology” per se to work in the field in most cases. An exception is the federal government which is very stringent in terms of matching one’s academic credentials exactly with job openings regardless of one’s actual scientific training and expertise. An individual for example with a Masters or Ph.D. in another biological science, MD, or a DVM for example can receive training in Toxicology through postdoctoral fellowship.

Certifications in Toxicology and the Society of Toxicology

Toxicology also has a unique certification – the Diplomate of the American Board of Toxicology (DABT). Earning one’s DABT allows toxicologists to be nationally certified which is particularly important in the private sector, and in capacities such as serving as expert witnesses in litigations. The European Union has a similar certification titled “European Registered Toxicologists” (ERT).

If you are interested in learning more about the exciting field of Toxicology, I suggest that you visit the website of the Society of Toxicology (SOT) – the major professional society for Toxicology. Click on the “Careers” tab and scroll down to the “Becoming a Toxicologist” tab. A wealth of information is available talking about numerous aspects of the field. Similar to Pharmacology, Toxicology has its own annual meeting hosted by SOT where scientists gather to network, discuss their results, employers seek new job prospects, and companies show their latest devices and technologies.

Thank you for taking the time to read this post, and I hope I was able to shed some light onto what Toxicology is. If you enjoyed this post, you might also enjoy:

• A look at STEM: What is Pharmacology?
• A look at STEM: What is Inhalation Toxicology?
• A look at STEM: What is ADME/Drug Metabolism?
• A look at STEM: Blockchain Technology, a new of conducting business and record keeping

A special thank you is also extended to Dr. Chester Rodriguez for his contribution to this post, and sharing the importance of earning one’s DABT.

The Big Words LLC Newsletter

For the next phase of my writing journey, I’m starting a monthly newsletter for my writing and video content creation company, the Big Words LLC. In it, I plan to share inspirational words, pieces from this blog and my writers blog, and select videos from my four YouTube channels. Finally, I will share updates for my book project The Engineers: A Western New York Basketball Story. Your personal information and privacy will be protected. Click this link and register using the sign-up button at the bottom of the announcement. If there is some issue signing up using the link provided, you can also email me at [email protected] . Best Regards.

Are we losing our soft skills due to technology?

One of the principles of my blog is “Critical/Objective Thought” meaning that I usually try to see things from all angles as opposed to just one. I might lose some readers here, but yes I do switch between CNN and Fox News when trying to understand what’s happening politically and in current events. Recently Tucker Carlson interviewed Mike Rowe of the show “Dirty Jobs”. I support Rowe and his messages about all jobs being necessary and important (even the dirty ones), and that our society has over glamorized college and the pursuit of white-collar jobs at the expense of trades, and blue-collar jobs.

Towards the end of their discussion, Carlson and Rowe talked about the growing use of Emojis which have become a very, very popular form of digital communication using symbols as opposed to complete or even truncated words (great vs gr8 for example). Rowe said something very interesting which is that the use of these Emojis (and social media) may be eroding the “Soft Skills” in our society – particularly for individuals seeking employment which involves talking with potential employers during face to face interviews, and where understanding the nuances and complexities of both verbal and nonverbal communication is highly advantageous. He further said that he would encourage individuals looking for jobs these days (some for the first time) to develop their Soft Skills.

According to Investopedia, “Soft Skills” are character traits and interpersonal skills that characterize a person’s relationships with other people. Just off the top of my head, Soft Skills involve being able to speak clearly, listen and also understand the nuances of verbal and non-verbal communication – making eye contact with other individuals, and being able to give more than one word answers for example. It can also involve being able to read someone’s mood by the answers they give and don’t give, or simply their body language. Again these are important on job interviews.

But a job interview is just getting your foot in the door. What about staying at that position? Once hired, soft skills can make all of the difference in the world in terms of excelling in that particular position and helping an organization thrive – particularly when achieving the mission involves working on teams. In any organization there are personalities to work with and juggle which can affect the mission. Some personalities work well together while others clash. There are rare individuals who get along with everyone. Personality clashes and petty bickering can cause production to grind to a screeching halt to the detriment of that organization. Soft kills are critical in navigating interpersonal issues and conflict resolution.

“Emotional Intelligence” can fall under soft skills. According to Psychology Today, Emotional Intelligence is defined as the ability to identify and manage your own emotions and the emotions of others. The other are explanations for it, but I tend to think of it in terms of forming alliances, and not burning bridges. This involves awareness of self and of others – understanding what drives your colleagues, understanding current and past rivalries between colleagues, understanding who is on the fast track towards promotion, and also being more emotionally proactive and less reactive in adverse circumstances, particularly in groups – meetings for example. A good example of Emotional Intelligence is being happy for a newly promoted colleague as opposed to being outwardly bitter – or at least not openly showing your disappointment and letting it affect your performance.

Where does one learn soft skills? We actually learn our soft skills from a multitude of places. Here I will defer to Dr. Ralph G. Perrino’s essay titled, “The Socialization Process and Its Impact on Children and Learning”. In his essay Dr. Perrino, a veteran educator, describes the most profound external forces on the development of children and teens all of which have lingering effects well into adulthood:

The family from which one’s “Ascribed” status is derived;
Attendances at a public school or an exclusive, elite private school;
The composition of peer groups;
Exposure to mass culture and media;
Involvement in voluntary groups and;
Religious affiliation/spirituality.

Soft skills can further be learned and improved through reading and formal trainings. One of my favorite trainings offered through my job is the Seven Habits of Highly Effective People by Stephen Covey. Soft skills can also be learned through in depth discussions with mentors – particularly those in leadership positions with years and years of experience leading others. Lastly, Soft skills can be learned just by observing others.

I’ll close by going back to Mike Rowe’s question. Is technology negatively impacting our soft skills? I would say that it can. In some instances, communication over email and or text-messaging can be easily misunderstood which is particularly detrimental when there are conflicts to be worked out. Digitally you can’t look into someone’s eyes, see their body language, or gauge the dynamics of a group in real time. These are all things for “Millenials” and subsequent generations to be aware of. With the new technologies that captains of industry such as Elon Musk are working on, and with the coming of Artificial Intelligence, this is something to be very cognizant of for students, educators, employees and employers alike.

Thank you for taking the time to read this post. If you enjoyed this one, you might also enjoy:

• We should’ve bought Facebook and Bitcoin stock: An investing and technology story
• A look at STEM: Blockchain technology, a new way of conducting business and record keeping
• A Cryptocurrency App Case Study
• Why SEO really is the key to a successful online business
• The Best Apps for Crypto Investment
• Who will have the skills to benefit from Apple’s $350 billion investment?

If you’ve found value here and think it would benefit others, please share it and/or leave a comment. To receive all of the most up to date content from the Big Words Blog Site, subscribe using the subscription box in the right hand column in this post and throughout the site. Please visit my YouTube channel entitled, Big Discussions76. You can follow me on the Big Words Blog Site Facebook page, and Twitter at @BWArePowerful. Lastly, you can follow me on Instagram at @anwaryusef76. While my main areas of focus are Education, STEM and Financial Literacy, there are other blogs/sites I endorse which can be found on that particular page of my site.

A Look at STEM: What is Pharmacology?

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“Simply put, Pharmacy is the study of what drugs do to man, and Pharmacology is the study of what man does to drugs!”

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The Field of Pharmacology

The field of Pharmacology is centuries old and it is very complex with respect to the wealth and depth of information available. It is still evolving today. The goal of this post is not to address every detail of the field, but instead to give readers a basic introductory understanding of the discipline. Further details about the many aspects of Pharmacology can be accessed online, or in scientific journals.

I earned my Ph.D. in Pharmacology from the University of Michigan. I admittedly didn’t understand the field initially, although I did know that it dealt with drugs and hoped that a degree in it would one day secure a position for me in the Pharmaceutical industry. Since starting my studies in 1999, completing my degree in 2005, and starting my current career as a Regulatory Scientist, I’ve gotten the same question over and over again, “You have a background in Pharmacology? Are you a Pharmacist?” At Career and STEM Fairs, I get this question a lot, and thus following my principle of “Creating Ecosystems of Success“, I wanted to write a brief overview of the field – particularly for parents and young students who have an aptitude for science and may be interested in Pharmacology as a career one day.

Pharmacology and Pharmacy: What’s the Difference?

“Simply put, Pharmacy is the study of what drugs do to man, and Pharmacology is the study of what man does to drugs,” said one of the Cancer Pharmacology faculty in our Principles of Pharmacology course during my first year of graduate school. This statement explained in a very simple way some of the differences between the two disciplines. Pharmacy is the study of the actual drugs administered to patients as therapeutic agents and its practitioners work at various institutions including hospitals, medical centers, and drug stores – CVS for example. Pharmacists are health professionals, earn Doctor of Pharmacy degrees (Pharm Ds), are experts on medications, and are responsible for dispensing medicines. Pharmacology is a basic research science that studies the mechanisms underlying the therapeutic effects of pharmaceuticals and potential drug candidates with the goal of developing and testing of new drugs.

All medical practitioners (Anesthesiologists, Physicians, Pharmacists, Nurses, Surgeons, etc.) must take Pharmacology courses as they all need some understanding of the mechanisms of the drugs they ultimately prescribe. Pharmacologists are the actual researchers performing experiments trying to create new drugs and identify new drug targets. They further seek to characterize how mammalian systems (in most cases human although they are also involved in developing veterinary drugs) handle molecules at the molecular, cellular, tissue and whole organism levels. It’s a vast field with many areas of specialization that I’ll discuss in the remainder of this post.

Sub-Disciplines of Pharmacology

Pharmacology classically can be divided into two parts; Pharmacokinetics, which deals with how the drug is absorbed and eliminated by the body, and Pharmacodynamics, which deals with how the drug exerts its medicinal effect mechanistically. The following sub-disciplines within Pharmacology generally fall under one of these two umbrellas or, in most cases, are a mixture of the two. Each of us or someone we know has taken a drug or a treatment which has been impacted by one of these areas. Any pharmacologist reading this can easily further parse this list out into greater detail, but again this was written for a general audience:

ADME/Drug Metabolism: Deals with how the body handles the therapeutic molecules in terms of absorption (entry to the body), tissue accumulation (distribution), biotransformation (metabolism) of the molecule, and excretion (elimination). Another focus of ADME/Drug Metabolism is “Drug Transport” which focuses on how drugs are absorbed and effluxed from cells using membrane channels and transporters impacting their effectiveness. I will revisit ADME/Drug Metabolism in greater detail in a separate post as me and some of my peers know it pretty well and find it to be a very exciting aspect of both Pharmacology and Toxicology.
Antimicrobial Pharmacology: Involves the control of bacteria, fungi, and viruses to fight off or prevent infections.
Autonomic Pharmacology: Deals with how the drug interacts with the Autonomic Nervous System (that part of the nervous system responsible for controlling bodily functions that are not consciously directed such as the heartbeat, breathing, and the digestive system) particularly through pathways involving epinephrine, norepinephrine, dopamine, and seratonin.
Cancer Pharmacology: Deals with drugs used in the treatment of cancer – usually some form of chemotherapy.
Cardiovascular Pharmacology: Deals with drugs used in treatment of heart disease and regulation of blood pressure. A well-known class is the “Statins” – cholesterol lowering drugs such as “Lipitor“.
Endocrine and Receptor Pharmacology: Deals with how a given drug binds, interacts or even blockades a given cellular receptor, and then what the receptor does or doesn’t do to impact the homeostasis of that cell or tissue. The receptor can be membrane bound or cytosolic (many hormone receptors).
Drug Discovery: Typically associated with the private sector and deals with the identification of new drug entities and the identification of new drug targets. In industry, pharmacologists generally refer to drugs as either “small molecules” which are our classic drugs like Aspirin (~180 g/mol), or “large molecules” (as heavy as 150,000 g/mol) also known as “biologics” which are generally proteins which have therapeutic effects. An example is Abbvie’s “Humira”. The units “g/mol” or grams per mole designate a chemical’s molecular weight and as you can see the size difference between the two classes is considerable.
Neuropharmacology: Similar to Autonomic Pharmacology but deals with all of the other parts of the nervous system such as pain responses – analgesics and anesthetics for example.
Pharmacogenomics: This new and exciting field looks at the genetics unique to individuals to determine the best treatments and dosages for that individual.

The Clinical and Research Sides of Pharmacology

For each of these sub-disciplines there is a clinical side and a research side. The clinical side is self-explanatory – it involves treating patients for various diseases as well as the prevention of illness by the above mentioned medical practitioners. Think of the many medications you have been prescribed when you go to see medical doctors when you’re sick or for checkups, emergencies or surgeries. But where do these medications come from originally? Also, where will new medications come from in the future?

Academic and Industrial Research

This is where the research side come comes into play. At institutions like my alma mater, and in the private sector, there are scientists working year round on research projects asking questions about current medications in addition to trying to unlock the secrets of nature to create new therapeutics. The investigations they perform involve testing molecules using whole animal models, cellular models, and in vitro systems to ask questions at the molecular level (proteins, lipids, DNA and RNA) about what the compound does. It’s this research that can get very esoteric to the general public and that is published in academic journals including: Drug Metabolism and Disposition, the Journal of Pharmaceutical and Experimental Therapeutics, and Molecular Pharmacology.

Pharmaceutical companies like Merck and Pfizer conduct research as well but instead of doing it strictly to find new knowledge, it’s to create new drugs that they can sell. The same is true for smaller Biotech companies like Biogen. Both need scientists with backgrounds in Pharmacology. The Federal Government also employs scientists with backgrounds in Pharmacology to determine the safety of new drugs before they can be prescribed to the general public. The same is true for food products and chemicals used in those products, so Pharmacologists are literally everywhere.

Careers in Pharmacology and Training

Depending on the degree level earned and where the scientist is employed, Pharmacologists can start earn starting salaries of $60,000-$70,000. Pharmacologists generally receive their training at major research universities. While undergraduates can get training in Pharmacology – nursing students for example, degrees in Pharmacology are usually conferred at the Masters and Ph.D. levels and support for the student’s educational expenses as well as a modest salary are provided. Upon attaining these degrees, scientists then determine which sector they want to pursue – academia, the private or public sectors, or nontraditional careers. With the skills obtained in graduate school, scientists with these backgrounds have the flexibility to combine their knowledge sets with other disciplines to go into a wide variety of areas in addition to drug discovery in pharmaceutical companies and biotechs including: consulting, Toxicology, patent law and even starting their own companies.

The Professional Societies for Pharmacology

If you are interested in learning more about the exciting field of Pharmacology, I suggest that you visit the website of the American Society for Pharmacology and Experimental Therapeutics (ASPET). You can then click on the Education & Careers link near the top of the page. In the right hand column, there is a link titled About Pharmacology, that provides a great deal of interesting information. Speaking of ASPET, all scientific disciplines have their own professional societies with annual meetings that rotate cities every year, and where scientists congregate to show their results, and network. The two major professional societies for pharmacologists are ASPET, and the International Society for the Study of Xenobiotics (ISSX).

Thank you for taking the time to read this post, and I hope I was able to shed some light onto what Pharmacology is. If you enjoyed this post, you might also enjoy:

• A look at STEM: What is Toxicology?
• A look at STEM: What is ADME/Drug Metabolism?
• A look at STEM: What is Inhalation Toxicology?
• A look at STEM: Blockchain Technology, a new way of conducting business and record keeping

A special thank you is also extended to Dr. Paul Hollenberg, Chair of the Department of Pharmacology at The University of Michigan when I was a student, who graciously looked at this post and gave feedback prior my publishing it.

The Big Words LLC Newsletter

For the next phase of my writing journey, I’m starting a monthly newsletter for my writing and video content creation company, the Big Words LLC. In it, I plan to share inspirational words, pieces from this blog and my writers blog, and select videos from my four YouTube channels. Finally, I will share updates for my book project The Engineers: A Western New York Basketball Story. Your personal information and privacy will be protected. Click this link and register using the sign-up button at the bottom of the announcement. If there is some issue signing up using the link provided, you can also email me at [email protected] . Best Regards.