In an effort to remain accountable to communities who have been negatively impacted by past and present medical injustices, the staff at Himmelfarb Library is committed to the work of maintaining an anti-discriminatory practice. We will uplift and highlight diverse stories throughout the year, and not shy away from difficult conversations necessary for health sciences education. To help fulfill this mission, this week’s blog post will feature a conversation with Dr. Raymond Pla, MD.

Dr. Raymond Pla is an Assistant Professor of Anesthesiology and Critical Care Medicine at GW. He received his BS from Emory, then went on to Meharry Medical School, one of four HBCU medical schools, for his MD. I was honored to speak with Dr. Pla about his path to the health sciences, the work he does as a Professor at GW, and his people-first approach to advocacy, particularly when speaking with communities of color.

Dr. Pla did not always intend to go into medicine, he “had the same dreams that you commonly encounter when you're talking to young boys.” Even when he first started his BS program in Biology at Emory, he did not intend to go into medicine, though it was an option. The summer after his Junior year, however, that changed. Over the summer, he had the opportunity to shadow Dr. Clive Callendar at Howard University, going on rounds, in the ICU, and even observing in the OR. A titan in the field of transplantation, especially kidney and liver, Dr. Callendar’s high expectations of his residents, interns, and even the young Dr. Pla set a high standard for medical education. What most fascinated Dr. Pla during his time in the OR was “that person up at the head of the table, on the other side of what we call the ether screen… the anesthesiologist.” Eventually, Dr. Pla started observing with the anesthesiologist, learning what their role was in transplant surgery. Seeing the patients the next day, looking at their labs and seeing the changes in their clinical course overnight, was the second most impactful part of the experience. When Dr. Pla started at Meharry, his classmates reported he already had every intention of going into anesthesiology.

The impact Dr. Callendar had on Dr. Pla is evident, as is Dr. Pla’s desire to pay that influence forward in his practice and teaching. He described what he considers the two most important things doctors, especially those in academic medicine, do. First, “we care.” It is not just about an accurate diagnosis or a successful course of treatment. The foundation of those things is caring - thinking about a patient’s condition in the shower or on a jog or sitting in traffic, jotting down a realization and following up on it the next day, revising the patient’s treatment plan based on these considerations and reflections. And sticking with patients, following them throughout their course of treatment. Dr. Pla described the importance of making time for patients as a part of this, saying “We’ll sit and listen when we don’t have time. When we’re busy, we have someplace else that we need to be. We will redefine where we need to be and where we need to be at this moment is sitting with this person, with their family, to answer questions. Or sit and listen.”

The second of these most important things is “when we give of ourselves to the next generation, the same way that someone gave of themselves.” And he tied giving back into caring, as it is part of caring. Giving can take many forms. Reflecting on your teaching, updating what or how you teach. Dr. Pla recounted a story of a summer he spent at the United States Naval Academy, and a Professor of Electrical Engineering he met there. This Professor received word that a pilot had overshot the carrier deck and put their plane into the ocean. The pilot was not hurt, but this Professor asked himself “Was there something I didn’t teach that young man that had I taught him, had he known, would have prevented what could have been a fatal accident?” Hearing from graduates of the residency program about how something he taught them prevented an injury or a loss of life, particularly in airway management, reinforces that you are teaching those vital things.

When speaking with Dr. Pla it is abundantly evident that teaching is his favorite part of the work he does at GW. He lights up when talking about “The Forgotten Four,” encouraging his students to consider treatments and medications that tend to be overlooked or kept in the back of your mind, and bringing those forward. Because bringing those forward can quite literally save a life. He considers that an “ethical duty, a moral duty.” The themes of moral and ethical duties as medical practitioners echoed throughout our conversation.

Recently, Dr. Pla has made appearances on local news, encouraging the African-American community to get the COVID-19 vaccine. As one of the first people in DC to receive the vaccine, Dr. Pla says he felt an obligation to speak to his community and encourage them to get the vaccine. There is an understandable mistrust of the medical establishment within black and brown communities. Most of us can cite Tuskegee, World War II, Henrietta Lacks, Baltimore. But when we cite these infamous atrocities we overlook the personal atrocities people of color experience on a regular basis. While there is still a great deal of work to be done to rebuild that trust, to eliminate systemic racism within medicine, there is an immediate need to get vaccines to these communities that are being disproportionately affected by the virus. Because when these communities see those who have earned their mistrust saying this vaccine is the only way forward, they “[have] no hope for a better future… a pandemic-free future.” Dr. Pla sees his outreach as a way to help bring hope back to his community, to begin addressing the legacy of racism in medicine, and to hopefully earn back some trust. He hopes to continue this work in a meaningful way, to encourage colleagues and students to do their part as members of the medical community, and to address the other epidemics facing communities of color - infant mortality, maternal mortality, advanced heart disease, breast cancer, etc., all of which disproportionately affect people of color. It is “a moral calling for those of us who value lives.”

There is still so much work to be done. But, as Dr. Pla argues, just because this is a daunting task does not mean we should dismiss it. It does not mean we should despair, or give up hope. During our conversation he invoked a quote from Dr. Martin Luther King, Jr.: “The arc of the moral universe is long, but it bends towards justice.” It is a quote often invoked to remind us that the work we do today is but part of the work necessary. That the immediate is but a small part of the whole. Quite often allies, including myself at times, use this quote as an excuse to not take action when we are most needed. With Dr. Pla’s invocation, those of us who consider ourselves allies in the medical community should answer the call not to conversation, but to action. We must take steps to ensure communities of color are treated with dignity and receive a level of medical care that keeps them healthy, honoring their community-based needs and concerns.

To learn more about these issues and what you can do, explore the NEJM’s Race and Medicine collection; browse articles on systemic racism in the Himmelfarb Collection; engage with the resources and educational series from the Anti-Racism Coalition at SMHS.

To explore more of Dr. Pla’s work, you can browse his articles indexed in the Health Sciences Research Commons.