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January 23, 2020
Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)Host: Tracy McRaeEpisode 1 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester walks us through the basics of opioids and the current state of this national crisis. What is an opioid? How bad is the opioid epidemic and how did we get here?Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.
January 21, 2020
Guest: Robin M. Lloyd, M.D. (@DrRobinLloyd) Host: Darryl S. Chutka, M.D. (@ChutkaMD) Insomnia has a 25 – 50% incidence rate in children. Dr. Robin Lloyd discusses the patterns and differences of disordered sleep in pediatric patients. She covers the impact technology integration has had, sleep apnea, genetic conditions, and obesity. What are red flag snoring symptoms in children? What are the signs of sleep apnea? Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. Deeper Dive: BEARS Screening Tool for Assessment of Sleep in Children: https://doi.org/10.1016/j.sleep.2004.07.015 American Academy of Sleep Medicine Recommended Amount of Sleep for Pediatric Populations: https://doi.org/10.5664/jcsm.5866
January 14, 2020
Guest: Stephen L. Kopecky, M.D. (@DrSteveKopecky) and R. Scott Wright, M.D. Host: Darryl S. Chutka, M.D. (@ChutkaMD) Dr. Stephen Kopecky and Dr. Steve Wright throw down in this debate over best practice and appropriate use of cholesterol-lowering medications. Listen in to get the perspective of two leading cardiologists on statins, PCSK9i's, fish oil, side effects, and patient education. Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
January 7, 2020
Guest: Jonathan D. Barlow, M.D. (@JonBarlowMD)Host: Darryl S. Chutka, M.D. (@ChutkaMD)Golfer’s Elbow, Tennis Elbow, Boat antifouling paint elbow…medial and lateral epicondylitis can result from a variety of repetitive activities. Dr. Jon Barlow lays out the differences between some commonly seen elbow pain generators and extends the discussion to radial tunnel syndrome, olecranon bursitis, stress fractures, and more.Dr. Barlow shares recommendations for treatment, including why you shouldn’t use steroid injections for elbow pain, when bracing may be beneficial, how to determine ulnar nerve involvement in medial epicondylitis, and ruling out referred pain.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
December 31, 2019
Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed)Host: Darryl S. Chutka, M.D. (@ChutkaMD)A MUST listen episode: 70% of Americans are overweight or obese and inactive and it’s not getting better. Dr. Ed Laskowski gives an eye-opening overview on our current state of health at a global level and what we can do about it for ourselves and for our patients. As little as 10 minutes of physical activity a week lowers all-cause mortality! To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.Deeper Dive: Overweight, Obesity, and Mortality in a Large Prospective Cohort of Persons 50 to 71 Years Old; N Engl J Med 2006; 355:763-778 DOI: 10.1056/NEJMoa055643 https://www.nejm.org/doi/full/10.1056/NEJMoa055643?query=recirc_curatedRelated_articlePhysical Activity Guidelines for Americans https://www.hhs.gov/fitness/be-active/physical-activity-guidelines-for-americans/index.htmlBeneficial associations of low and large doses of leisure time physical activity with all-cause, cardiovascular disease and cancer mortality: a national cohort study of 88,140 US adults. British Journal of Sports Medicine 2019 http://dx.doi.org/10.1136/bjsports-2018-099254
December 24, 2019
Guest: J. Taylor Hays, M.D. (@jtaylorhays)Host: Darryl S. Chutka, M.D. (@ChutkaMD)How do you treat nicotine dependent patients with other substance use disorders, and which do you start with? Does quitting tobacco increase these patients’ risk for relapse of other substances? What should you do with the patient that has “tried everything?” Dr. Taylor Hays sheds light on helping some of your most challenging patients to quit smoking.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
December 17, 2019
Guest: Esther Choo, M.D., M.P.H. (@choo_ek) Hosts: Anjali Bhagra, M.D., Joshua Murphy, J.D. As a health policy researcher, Dr. Esther Choo approaches problems analytically; critically examining the data and sharing the insights. She’s applied this to her work with TIME’S UP Healthcare to address gender equity and sexual harassment in medicine. Some of the same barriers that create health disparities impact the healthcare workforce. Addressing these issues will require changing organizational culture, how do we move to a more horizontal power structure without sacrificing all of the efficiencies of a vertical structure? Find more GRIT in Medicine episodes here. Deeper Dive: The National Academies of Sciences, Engineering, and Medicine Report on Sexual Harassment of Women- Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine https://www.nap.edu/read/24994/chapter/1
December 10, 2019
Through a combination of health policy, smoke-free environmental changes, education, and treatment availability, smoking prevalence among adults has dropped significantly. But that’s not the case for our patients with mental health disorders. Dr. Taylor Hays dispels the myths around nicotine dependence and mental health disorders like depression, anxiety, bipolar disorder, and schizophrenia. He’ll fill you in on how to help these patients quit and what quitting looks like for this patient population.
December 3, 2019
Communication helps to establish a relationship between practitioner and patient but how do you build the necessary trust within the short timeframe of an appointment slot? Dr. Daniel Hurley covers some of the most common communication mistakes even the experts make and offers some tips you can use to communicate more effectively.
November 26, 2019
Quitting smoking is one of the hardest things for our patients to do. The clinical target of nicotine replacement and other quit therapies is not to smoke. Clinical outcomes vary among the pharmacologic treatments, relapses are common, and some patients become addicted to those treatments. Dr. J. Taylor Hays unravels some of the do’s and don’ts when it comes to counseling and treating these patients.
November 26, 2019
Quitting smoking is one of the hardest things for our patients to do. The clinical target of nicotine replacement and other quit therapies is not to smoke. Clinical outcomes vary among the pharmacologic treatments, relapses are common, and some patients become addicted to those treatments. Dr. J. Taylor Hays unravels some of the do’s and don’ts when it comes to counseling and treating these patients.
November 19, 2019
Do you self-manage your health? Do you avoid regular routine screenings? Drs. Hagen and Swift from the Mayo Clinic Physician Health Center layout the evidence supporting the need for organizational support that directly addresses the barriers of time, safe space, and confidentiality. If you have a practitioner as a patient, how can you partner with colleagues in Occupational Medicine to confidentially, accurately, and efficiently evaluate what impact the conditions or medications may have on your patient’s ability to practice? Deeper Dive: A survey of physicians’ perceptions of their health care needs Steffen MW, Hagen PT, Benkhadra k, Molella RG, Newcomb RD, Murad MH. Occupational Medicine, Volume 65, Issue 1, January 2015, Pages 49–53, https://doi.org/10.1093/occmed/kqu145 Mayo Clinic Physician Health Center https://www.mayoclinic.org/departments-centers/preventive-occupational-aerospace-medicine/physician-health-center/overview
November 19, 2019
Do you self-manage your health? Do you avoid regular routine screenings? Drs. Hagen and Swift from the Mayo Clinic Physician Health Center layout the evidence supporting the need for organizational support that directly addresses the barriers of time, safe space, and confidentiality. If you have a practitioner as a patient, how can you partner with colleagues in Occupational Medicine to confidentially, accurately, and efficiently evaluate what impact the conditions or medications may have on your patient’s ability to practice?Deeper Dive:A survey of physicians’ perceptions of their health care needs Steffen MW, Hagen PT, Benkhadra k, Molella RG, Newcomb RD, Murad MH. Occupational Medicine, Volume 65, Issue 1, January 2015, Pages 49–53, https://doi.org/10.1093/occmed/kqu145Mayo Clinic Physician Health Centerhttps://www.mayoclinic.org/departments-centers/preventive-occupational-aerospace-medicine/physician-health-center/overview
November 12, 2019
What conditions should trigger you to do a preflight assessment for your patients? What special precautions should be taken for patients with heart failure, who’ve recently had surgery, or are pregnant? Dr. Cowl dives into the physiological challenges a mildly hypoxic and high-altitude environment can have on your patients as they age and manage chronic illnesses. Deeper Dive: Aerospace Medical Association – Medical Considerations for Airline Travel https://bit.ly/2qLAKVg American College of Chest Physicians – Guidelines and Resources https://bit.ly/2qJGSxi
November 12, 2019
What conditions should trigger you to do a preflight assessment for your patients? What special precautions should be taken for patients with heart failure, who’ve recently had surgery, or are pregnant? Dr. Cowl dives into the physiological challenges a mildly hypoxic and high-altitude environment can have on your patients as they age and manage chronic illnesses.Deeper Dive: Aerospace Medical Association – Medical Considerations for Airline Travelhttps://bit.ly/2qLAKVgAmerican College of Chest Physicians – Guidelines and Resourceshttps://bit.ly/2qJGSxi
November 5, 2019
What are the current trends in substance abuse in the adolescent population? Is nicotine still the primary gateway? What questions should you be asking patients and their families? Dr. Tyler Oesterle covers what leads to experimentation, how it is changing in today’s landscape, and how adolescent addiction and treatment differs from adults, and some medications that can be helpful.
November 5, 2019
What are the current trends in substance abuse in the adolescent population? Is nicotine still the primary gateway? What questions should you be asking patients and their families? Dr. Tyler Oesterle covers what leads to experimentation, how it is changing in today’s landscape, and how adolescent addiction and treatment differs from adults, and some medications that can be helpful.
October 29, 2019
How do new drugs make it to market? How do generics come to market and what are the differences in the approval process? Dr. Denise Dupras details the process from discovery to mass market release, safety, the electronic health record, rising costs, and a few affordability tips for your patients.
October 29, 2019
How do new drugs make it to market? How do generics come to market and what are the differences in the approval process? Dr. Denise Dupras details the process from discovery to mass market release, safety, the electronic health record, rising costs, and a few affordability tips for your patients.
October 22, 2019
What should you be looking for in your physical exam? How do you differentiate a femoral hernia from a swollen lymph node? Dr. David Farley breaks down common hernias, the importance of the history and the exam, when imaging studies like a CT scan may be needed, the impact of smoking, weight gain, and life style on incision healing, and when someone should be referred for surgery.
October 15, 2019
When do you begin cervical cancer screening in your patients? Is it really ok to go 5 years in between pap smears? Which algorithm should you use to determine next steps? Lois Mc Guire details the ins and outs of cervical cancer screening including pathology reports, follow up testing recommendations, intervals for routine screening, and some expert tips for performing pap smears. Deeper Dive: ASCCP Guidelines: http://www.asccp.org/guidelines US Preventative Services Task Force: https://bit.ly/31h88zR The American College of Obstetrics and Gynecologists: https://bit.ly/2IVhc7g
October 15, 2019
When do you begin cervical cancer screening in your patients? Is it really ok to go 5 years in between pap smears? Which algorithm should you use to determine next steps? Lois Mc Guire details the ins and outs of cervical cancer screening including pathology reports, follow up testing recommendations, intervals for routine screening, and some expert tips for performing pap smears.Deeper Dive:ASCCP Guidelines: http://www.asccp.org/guidelinesUS Preventative Services Task Force: https://bit.ly/31h88zRThe American College of Obstetrics and Gynecologists: https://bit.ly/2IVhc7g
October 8, 2019
With over half of adults potentially taking an inappropriate medication some of the side effects can be very insidious. What can you do to mitigate these effects for your patients and how can you safely reduce the chance of a prescription cascade? Drs. Holm and Umbreit share tips on how you can help your patients take their medications correctly. Deeper Dive: Beers Criteria https://dcri.org/beers-criteria-medication-list/ STOPP/START Criteria for Potentially Inappropriate Prescribing in Older People Age and Ageing, Volume 44, Issue 2, March 2015, Pages 213–218, https://doi.org/10.1093/ageing/afu145
October 8, 2019
With over half of adults potentially taking an inappropriate medication some of the side effects can be very insidious. What can you do to mitigate these effects for your patients and how can you safely reduce the chance of a prescription cascade? Drs. Holm and Umbreit share tips on how you can help your patients take their medications correctly.Deeper Dive:Beers Criteriahttps://dcri.org/beers-criteria-medication-list/STOPP/START Criteria for Potentially Inappropriate Prescribing in Older PeopleAge and Ageing, Volume 44, Issue 2, March 2015, Pages 213–218, https://doi.org/10.1093/ageing/afu145
October 1, 2019
What are the true contraindications for the flu vaccine? How early is too early for your patients to get vaccinated? Dr. Robert Jacobson discusses the ins and outs of vaccines, how to respond to common reasons patients don’t want to get vaccinated, and how to increase your practice’s vaccination rates. Tips @14:54: It’s more of a stop sign then “do you want fries with that?” TLDR: Listen at 19:21 for Dr. Jacobson’s must know tips!
October 1, 2019
What are the true contraindications for the flu vaccine? How early is too early for your patients to get vaccinated? Dr. Robert Jacobson discusses the ins and outs of vaccines, how to respond to common reasons patients don’t want to get vaccinated, and how to increase your practice’s vaccination rates. Tips @14:54: It’s more of a stop sign than “do you want fries with that?”TLDR: Listen at 19:21 for Dr. Jacobson’s must know tips!
September 24, 2019
Dr. John Wilkinson and Dr. Darryl Chutka share the key takeaways from their decades of practice. Listen in to their pearls and share yours with us on Twitter @ChutkaMD @MayoMedEd #MayoClinicTalks
September 24, 2019
Dr. John Wilkinson and Dr. Darryl Chutka share the key takeaways from their decades of practice. Listen in to their pearls and share yours with us on Twitter @ChutkaMD @MayoMedEd #MayoClinicTalks
September 17, 2019
Infection remains an uncommon but major complication of prosthetic joint replacement procedures. What increases your patient’s chance of getting an infected joint? What can you do to decrease the chance of infection? Do patients need antibiotics when having dental work? Dr. Elie Berbari discusses these questions and more in what Dr. Darryl Chutka calls “one of the best Grand Rounds” he’s heard. Deeper Dive: Appropriate Use Criteria For the Management of Patients with Orthopaedic Implants Undergoing Dental Procedures https://bit.ly/2QAn6LN The use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints https://doi.org/10.1016/j.adaj.2014.11.012
September 17, 2019
Infection remains an uncommon but major complication of prosthetic joint replacement procedures. What increases your patient’s chance of getting an infected joint? What can you do to decrease the chance of infection? Do patients need antibiotics when having dental work? Dr. Elie Berbari discusses these questions and more in what Dr. Darryl Chutka calls “one of the best Grand Rounds” he’s heard.Deeper Dive:Appropriate Use Criteria For the Management of Patients with Orthopaedic Implants Undergoing Dental Procedureshttps://bit.ly/2QAn6LNThe use of prophylactic antibiotics prior to dental procedures in patients with prosthetic joints https://doi.org/10.1016/j.adaj.2014.11.012
September 10, 2019
What do you do when a patient presents with subclinical hypothyroidism? When do you treat and how do you treat? Dr. Regina Castro presents the discussion around treating subclinical hypothyroidism, thyroid extract, and how to differentiate common symptoms from non-thyroid causes. Dr. Castro covers nodules, fine needle aspirates, the Sensitive TSH test, Total T4, Free T4, and TPO antibodies, and the role of lab testing in diagnosis.
September 3, 2019
A decline in sexual activity and an increase in sexual dysfunction commonly occurs in the elderly, but do you ask you patients about it? What questions should you be asking them? What are the reasons a decrease in function or desire occur? Dr. Carol Kuhle steps through the common causes, questions, and treatments encountered through her work and research at the Mayo Clinic Menopause & Women’s Sexual Health Clinic. Deeper Dive: A Study of Sexuality and Health Among Older Adults in the United States August 23, 2007 N Engl J Med 2007; 357:762-774 DOI: 10.1056/NEJMoa067423 @WHMayoClinic @MayoMedEd @ChutkaMD @clkejd #MayoClinicTalks
September 3, 2019
A decline in sexual activity and an increase in sexual dysfunction commonly occurs in the elderly, but do you ask you patients about it? What questions should you be asking them? What are the reasons a decrease in function or desire occur? Dr. Carol Kuhle steps through the common causes, questions, and treatments encountered through her work and research at the Mayo Clinic Menopause & Women’s Sexual Health Clinic.Deeper Dive:A Study of Sexuality and Health Among Older Adults in the United StatesAugust 23, 2007N Engl J Med 2007; 357:762-774DOI: 10.1056/NEJMoa067423@WHMayoClinic@MayoMedEd@ChutkaMD@clkejd#MayoClinicTalks
August 29, 2019
Greater efficacy, lower cost, and quicker recovery, ultrasound-guided procedures are sure to change the landscape of medicine. What can be treated with these procedures? What’s the evidence behind them? Are they really safe? Dr. Jonathan Finnoff discusses ultrasound-guided procedures in application to carpal tunnel syndrome, trigger finger, de Quervain's tenosynovitis, adductor tendinopathy, and chronic exertional compartment syndrome. Listen now to hear more about this cutting-edge game changer and what it means for your patients.
August 29, 2019
Greater efficacy, lower cost, and quicker recovery, ultrasound-guided procedures are sure to change the landscape of medicine. What can be treated with these procedures? What’s the evidence behind them? Are they really safe? Dr. Jonathan Finnoff discusses ultrasound-guided procedures in application to carpal tunnel syndrome, trigger finger, de Quervain's tenosynovitis, adductor tendinopathy, and chronic exertional compartment syndrome. Listen now to hear more about this cutting-edge game changer and what it means for your patients.
August 27, 2019
Does skin not exposed to the sun have an increased chance of skin cancer when patients have had multiple sunburns? Are existing moles or new moles more likely to become a melanoma? Dr. Mark Denis Davis discusses skin cancer, sun exposure, and sunscreen. Dr. Davis also dives into rosacea, eczema, psoriasis, urticaria, onychomycosis, and warts. Who is at risk? What increases the risk? How do you treat it?
August 27, 2019
Does skin not exposed to the sun have an increased chance of skin cancer when patients have had multiple sunburns? Are existing moles or new moles more likely to become a melanoma? Dr. Mark Denis Davis discusses skin cancer, sun exposure, and sunscreen. Dr. Davis also dives into rosacea, eczema, psoriasis, urticaria, onychomycosis, and warts. Who is at risk? What increases the risk? How do you treat it?
August 22, 2019
Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 3: What are some of the common foot and ankle injuries seen in athletes? When is the wait and see approach not advised? When should patients be referred for surgery? Dr. Laskowski dives into detail on presentation and mechanism of injury, risk of recurrence, the role of bracing and proper balance and proprioceptive exercises. Connect with Dr. Laskowski on twitter at @DrEdSportsMed Connect with Mayo Clinic Sports Medicine on twitter at @MayoClinicSport
August 22, 2019
Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 3: What are some of the common foot and ankle injuries seen in athletes? When is the wait and see approach not advised? When should patients be referred for surgery? Dr. Laskowski dives into detail on presentation and mechanism of injury, risk of recurrence, the role of bracing and proper balance and proprioceptive exercises. Connect with Dr. Laskowski on twitter at @DrEdSportsMedConnect with Mayo Clinic Sports Medicine on twitter at @MayoClinicSport
August 20, 2019
What is the true key to weight loss? What about maintaining that loss? How do you manage these conversations with your patients? What framing of those conversations leads to more effective outcomes? Dr. Maria Collazo-Clavell discusses approaches for effectively discussing health concerns and obesity with our patients. How to identify their goals and build upon them utilizing motivational interviewing and partnering effectively with other health care providers. Dr. Collazo-Clavell also covers medications and referral for bariatric procedures. Deeper Dive: Maintenance of Lost Weight and Long-Term Management of Obesity Kevin D. Hall Ph.D. and Scott Kahan M.D., M.P.H. Medical Clinics of North America, 2018-01-01, Volume 102, Issue 1, Pages 183-197 DOI: 10.1016/j.mcna.2017.08.012
August 20, 2019
What is the true key to weight loss? What about maintaining that loss? How do you manage these conversations with your patients? What framing of those conversations leads to more effective outcomes? Dr. Maria Collazo-Clavell discusses approaches for effectively discussing health concerns and obesity with our patients. How to identify their goals and build upon them utilizing motivational interviewing and partnering effectively with other health care providers. Dr. Collazo-Clavell also covers medications and referral for bariatric procedures.Deeper Dive:Maintenance of Lost Weight and Long-Term Management of ObesityKevin D. Hall Ph.D. and Scott Kahan M.D., M.P.H.Medical Clinics of North America, 2018-01-01, Volume 102, Issue 1, Pages 183-197DOI: 10.1016/j.mcna.2017.08.012
August 15, 2019
Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 3: How are overuse injuries different in youth and what trends are occurring in these patients? What conversations should you have with parents of child athletes? What sports put our patients at highest risk? Dr. David Soma discusses the what role should imaging play in this population, the significance of the history and physical, the age-related prevalence of certain conditions and their underlying etiology, and the long-term complications our patients may face if these are not recognized and addressed.
August 15, 2019
Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 3: How are overuse injuries different in youth and what trends are occurring in these patients? What conversations should you have with parents of child athletes? What sports put our patients at highest risk? Dr. David Soma discusses the what role should imaging play in this population, the significance of the history and physical, the age-related prevalence of certain conditions and their underlying etiology, and the long-term complications our patients may face if these are not recognized and addressed.
August 13, 2019
When should we be concerned about an elevated creatinine level? What role should the creatinine level, GFR, BUN, and cystatin C play in determining renal function? Dr. Suzanne Norby discusses the common findings in renal function testing, the various factors that can influence the test results, and when to consider imaging. Deeper Dive into cystatin C: https://news.mayocliniclabs.com/2016/05/05/ask-the-expert-cystatin-c-and-creatinine-complementary-markers-of-gfr/
August 13, 2019
When should we be concerned about an elevated creatinine level? What role should the creatinine level, GFR, BUN, and cystatin C play in determining renal function? Dr. Suzanne Norby discusses the common findings in renal function testing, the various factors that can influence the test results, and when to consider imaging. Deeper Dive into cystatin C: https://news.mayocliniclabs.com/2016/05/05/ask-the-expert-cystatin-c-and-creatinine-complementary-markers-of-gfr/
August 8, 2019
Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 2: Who can do these types of exams? What questions are important to cover in the history? What’s the ideal lead time prior to participation that patients should be screened? Dr. Montero discusses the ins and outs of pre-participation sports physicals and the common findings from his practice. Find Dr. Montero on Twitter at @DanMonteroMD and @MayoClinicSport American Academy of Pediatrics – Pre-Participation Evaluation: https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Pages/PPE.aspx
August 8, 2019
Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 2: Who can do these types of exams? What questions are important to cover in the history? What’s the ideal lead time prior to participation that patients should be screened? Dr. Montero discusses the ins and outs of pre-participation sports physicals and the common findings from his practice. Find Dr. Montero on Twitter at @DanMonteroMD and @MayoClinicSportAmerican Academy of Pediatrics – Pre-Participation Evaluation:https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Pages/PPE.aspx
August 6, 2019
Preventative health care becomes more complicated as patients age. Do screening tests continue to improve the quality and duration of our elderly patient’s lives? Dr. Christina Chen discusses her process for determining the appropriateness of preventative health screening for patients over 65 and steps through what a generalist should know about the comprehensive geriatric assessment to help maximize independence for our patients. Deeper Dive: US Preventative Health Task Force https://www.uspreventiveservicestaskforce.org/Page/Name/tools-and-resources-for-better-preventive-care
August 6, 2019
Preventative health care becomes more complicated as patients age. Do screening tests continue to improve the quality and duration of our elderly patient’s lives? Dr. Christina Chen discusses her process for determining the appropriateness of preventative health screening for patients over 65 and steps through what a generalist should know about the comprehensive geriatric assessment to help maximize independence for our patients.Deeper Dive:US Preventative Health Task Forcehttps://www.uspreventiveservicestaskforce.org/Page/Name/tools-and-resources-for-better-preventive-care
August 1, 2019
Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 1: According to the CDC, sports concussions have reach epidemic levels. Dr. Cara Prideaux discusses risks for concussions, evaluation signs and symptoms, and when referral and imaging is recommended. What should be happening on the sidelines when one of your patients has an event? What are the recommendations for recovery and returning your patients to school and sports? Dr. Prideaux details the dangers of returning too early and what to do when patients are making a delayed transition back to normality. For a deeper dive: American Medical Society for Sports Medicine Position Statement on Concussion in Sport Harmon KG, Clugston JR, Dec K, et al American Medical Society for Sports Medicine position statement on concussion in sport British Journal of Sports Medicine 2019;53:213-225. http://dx.doi.org/10.1136/bjsports-2018-100338
August 1, 2019
Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 1: According to the CDC, sports concussions have reach epidemic levels. Dr. Cara Prideaux discusses risks for concussions, evaluation signs and symptoms, and when referral and imaging is recommended. What should be happening on the sidelines when one of your patients has an event? What are the recommendations for recovery and returning your patients to school and sports? Dr. Prideaux details the dangers of returning too early and what to do when patients are making a delayed transition back to normality.For a deeper dive:American Medical Society for Sports Medicine Position Statement on Concussion in SportHarmon KG, Clugston JR, Dec K, et al American Medical Society for Sports Medicine position statement on concussion in sport British Journal of Sports Medicine 2019;53:213-225. http://dx.doi.org/10.1136/bjsports-2018-100338
July 30, 2019
Who decides when the plane needs to land due to a medical emergency and what’s involved in those decisions? What’s the protocol for CPR onboard and what tools are available to help with resuscitation? What happens when a passenger dies on a flight? Drs. Haddon and Harris step through the intricacies of responding to inflight emergencies and the ethics involved.
July 30, 2019
Who decides when the plane needs to land due to a medical emergency and what’s involved in those decisions? What’s the protocol for CPR onboard and what tools are available to help with resuscitation? What happens when a passenger dies on a flight? Drs. Haddon and Harris step through the intricacies of responding to inflight emergencies and the ethics involved.
July 23, 2019
Are you required to respond? If you do, what are your responsibilities? What are your liability risks and protections? Dr. Harris steps through some recommendations for responding to in-flight emergencies. Dr. Haddon runs through what you should ask as part of the physical exam while in-flight and why these questions are important.
July 23, 2019
Are you required to respond? If you do, what are your responsibilities? What are your liability risks and protections? Dr. Harris steps through some recommendations for responding to in-flight emergencies. Dr. Haddon runs through what you should ask as part of the physical exam while in-flight and why these questions are important.
July 16, 2019
What causes Irritable Bowel Syndrome (IBS)? What diets are recommended? What is gut-brain access and what does it have to do with IBS? Dr. Hansel covers treatment recommendations for IBS-diarrhea predominant, IBS-constipation predominant, and IBS-mixed type, including the role of bile acid malabsorption. For a deeper dive: Bile Acid Malabsorption Testing: https://news.mayocliniclabs.com/2018/03/09/michael-camilleri-m-d-leslie-donato-ph-d-discuss-testing-bile-acid-malabsorption-clinical-practice/
July 16, 2019
What causes Irritable Bowel Syndrome (IBS)? What diets are recommended? What is gut-brain access and what does it have to do with IBS? Dr. Hansel covers treatment recommendations for IBS-diarrhea predominant, IBS-constipation predominant, and IBS-mixed type, including the role of bile acid malabsorption. For a deeper dive:Bile Acid Malabsorption Testing:https://news.mayocliniclabs.com/2018/03/09/michael-camilleri-m-d-leslie-donato-ph-d-discuss-testing-bile-acid-malabsorption-clinical-practice/
July 9, 2019
Who can be treated outpatient and who really needs to be evaluated in the ED? When does the risk of treatment outweigh the benefits? What tools can you use to help make these decisions? Dr. Matthew Bartlett discusses when to treat, options for treatment – including direct oral anticoagulants, follow up care, and preventative measures for patients with thrombotic disease.
July 9, 2019
Who can be treated outpatient and who really needs to be evaluated in the ED? When does the risk of treatment outweigh the benefits? What tools can you use to help make these decisions? Dr. Matthew Bartlett discusses when to treat, options for treatment – including direct oral anticoagulants, follow up care, and preventative measures for patients with thrombotic disease.
July 2, 2019
What are microaggressions? How do you recognize them? How do you address them? Efficient teams and effective health care require diverse and inclusive environments. Drs. Njathi-Ori, O’Brien, and Warner present on microaggressions in medicine, the evidence in gender gap research, and give you tools to address microaggressions when they happen in your environment.
July 2, 2019
What are microaggressions? How do you recognize them? How do you address them? Efficient teams and effective health care require diverse and inclusive environments. Drs. Njathi-Ori, O’Brien, and Warner present on microaggressions in medicine, the evidence in gender gap research, and give you tools to address microaggressions when they happen in your environment.
June 25, 2019
What are the updated guidelines for managing hyperlipidemia and how do the risk modifiers change how patients should be treated? What do you do when a patient starts a statin and there is no change in cholesterol levels? What do you do when increasing the dose or switching to a stronger drug continues to have little to no impact? Dr. Kopecky discusses the updated guidelines, challenges with statin therapy, and additional tactics to consider in treating hyperlipidemia. For a deeper dive check out these resources: 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines http://www.onlinejacc.org/content/early/2018/11/02/j.jacc.2018.11.003 Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia https://www.nejm.org/doi/full/10.1056/NEJMoa1812792
June 25, 2019
What are the updated guidelines for managing hyperlipidemia and how do the risk modifiers change how patients should be treated? What do you do when a patient starts a statin and there is no change in cholesterol levels? What do you do when increasing the dose or switching to a stronger drug continues to have little to no impact? Dr. Kopecky discusses the updated guidelines, challenges with statin therapy, and additional tactics to consider in treating hyperlipidemia. For a deeper dive check out these resources:2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood CholesterolA Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelineshttp://www.onlinejacc.org/content/early/2018/11/02/j.jacc.2018.11.003Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemiahttps://www.nejm.org/doi/full/10.1056/NEJMoa1812792
June 18, 2019
The World Health Organization has listed vaccine hesitancy as a Top 10 Global Health Threat. How do you discuss vaccine myths with vaccine hesitant patients? What are the true risks associated with vaccines? How do you navigate conversation with a patient who refuses a flu vaccine because they had one in the past and still got the flu? Dr. Gregory Poland discusses vaccine hesitancy, immunization in pregnancy, late-season flu vaccines, antigenic burden and the evidence behind single session multiple vaccine administration, and the ethics of health care provider immunizations. For a deeper dive check out these articles: 1. Poland GA, Jacobson RM. The age-old struggle against the antivaccinationists. N Engl J Med. 2011 Jan 13;364(2):97-9. doi: 10.1056/NEJMp1010594. https://www.nejm.org/doi/10.1056/NEJMp1010594 2. Poland GA. Influenza vaccine failure: failure to protect or failure to understand? Expert Rev Vaccines. 2018 Jun;17(6):495-502. https://doi.org/10.1080/14760584.2018.1484284 3. Poland CM, Poland GA. Vaccine education spectrum disorder: the importance of incorporating psychological and cognitive models into vaccine education. Vaccine. 2011 Aug 26;29(37):6145-8. https://doi.org/10.1016/j.vaccine.2011.07.131
June 18, 2019
The World Health Organization has listed vaccine hesitancy as a Top 10 Global Health Threat. How do you discuss vaccine myths with vaccine hesitant patients? What are the true risks associated with vaccines? How do you navigate conversation with a patient who refuses a flu vaccine because they had one in the past and still got the flu? Dr. Gregory Poland discusses vaccine hesitancy, immunization in pregnancy, late-season flu vaccines, antigenic burden and the evidence behind single session multiple vaccine administration, and the ethics of health care provider immunizations. For a deeper dive check out these articles:1. Poland GA, Jacobson RM. The age-old struggle against the antivaccinationists. N Engl J Med. 2011 Jan 13;364(2):97-9. doi: 10.1056/NEJMp1010594. https://www.nejm.org/doi/10.1056/NEJMp10105942. Poland GA. Influenza vaccine failure: failure to protect or failure to understand? Expert Rev Vaccines. 2018 Jun;17(6):495-502. https://doi.org/10.1080/14760584.2018.14842843. Poland CM, Poland GA. Vaccine education spectrum disorder: the importance of incorporating psychological and cognitive models into vaccine education. Vaccine. 2011 Aug 26;29(37):6145-8. https://doi.org/10.1016/j.vaccine.2011.07.131
June 11, 2019
Who is a good candidate for multitarget stool DNA testing and what do you do when it’s positive but the colonoscopy is discordant? Do you have a surveillance plan for your patients with ulcerative colitis and irritable bowel disease? What are the current screening recommendations for the general public versus patients with a family history? Dr. John Kisiel discusses these recommendations and the evidence behind them. He shares tips on managing patients on anticoagulant therapy going for polypectomy and when to stop screening in the elderly.
June 11, 2019
Who is a good candidate for multitarget stool DNA testing and what do you do when it’s positive but the colonoscopy is discordant? Do you have a surveillance plan for your patients with ulcerative colitis and irritable bowel disease? What are the current screening recommendations for the general public versus patients with a family history? Dr. John Kisiel discusses these recommendations and the evidence behind them. He shares tips on managing patients on anticoagulant therapy going for polypectomy and when to stop screening in the elderly.
June 4, 2019
What’s the difference between e-cigarettes, vaping, and the newly FDA authorized “heat-not-burn” or IQOS devices? Do they really help our patients stop smoking and what data is available on the safety of these products? Listen now to hear Dr. Taylor Hays discuss these points and more. For a deeper dive check out these resources: The FDA Authorization of IQOS: https://bit.ly/2XV2cLw A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy: https://www.nejm.org/doi/full/10.1056/NEJMoa1808779
May 28, 2019
How can we help women at high risk of breast cancer manage their risk? How do you rank these risks and approach their management? Dr. Pruthi discusses what you can do and tools that you can use to help calculate risk and what to do with the information you have. Breast cancer risk assessment tool: Gail model https://bcrisktool.cancer.gov/ IBIS breast cancer risk evaluation tool http://www.ems-trials.org/riskevaluator/
May 28, 2019
How can we help women at high risk of breast cancer manage their risk? How do you rank these risks and approach their management? Dr. Pruthi discusses what you can do and tools that you can use to help calculate risk and what to do with the information you have. Breast cancer risk assessment tool: Gail model https://bcrisktool.cancer.gov/IBIS breast cancer risk evaluation tool http://www.ems-trials.org/riskevaluator/
May 27, 2019
Female veterans can face significant barriers to receiving proper care. As the number of female service members increases, what can we do to help address these barriers and facilitate access to the care they need? What resources exist and how do we identify this population if they do not readily self-identify as veterans? Check out these resources for more information: MACVSO.org NACVSO.org VA Women’s Health Research Network: https://www.hsrd.research.va.gov/for_researchers/womens_health/ https://www.rand.org/topics/military-health-and-health-care.html
May 27, 2019
Female veterans can face significant barriers to receiving proper care. As the number of female service members increases, what can we do to help address these barriers and facilitate access to the care they need? What resources exist and how do we identify this population if they do not readily self-identify as veterans?Check out these resources for more information:MACVSO.orgNACVSO.orgVA Women’s Health Research Network: https://www.hsrd.research.va.gov/for_researchers/womens_health/https://www.rand.org/topics/military-health-and-health-care.html
May 21, 2019
How do you detect Lyme’s disease without the rash? What are the implications for our patients if we miss it? If you practice in an endemic area what are the guidelines for treatment when your patient has been bitten by a tick? Dr. Bobbi Pritt discusses Lyme disease detection, prophylaxis, and some of the long-term consequences of Lyme disease. Listen now to learn the ABCs of tick bite prevention. CDC Guidelines for Tick Bite Prophylaxis: https://www.cdc.gov/ticks/tickbornediseases/tick-bite-prophylaxis.html To see more from Dr. Pritt and dive deeper into the world of “Creepy, Dreadful, Wonderful Parasites,” view her blog at https://parasitewonders.blogspot.com/ You can also follow Dr. Pritt on Twitter at @parasitegal
May 21, 2019
How do you detect Lyme’s disease without the rash? What are the implications for our patients if we miss it? If you practice in an endemic area what are the guidelines for treatment when your patient has been bitten by a tick? Dr. Bobbi Pritt discusses Lyme disease detection, prophylaxis, and some of the long-term consequences of Lyme disease. Listen now to learn the ABCs of tick bite prevention.CDC Guidelines for Tick Bite Prophylaxis: https://www.cdc.gov/ticks/tickbornediseases/tick-bite-prophylaxis.htmlTo see more from Dr. Pritt and dive deeper into the world of “Creepy, Dreadful, Wonderful Parasites,” view her blog at https://parasitewonders.blogspot.com/You can also follow Dr. Pritt on Twitter at @parasitegal
May 14, 2019
Does perception of care equal quality of care? Healthcare is increasingly consumer-centric and patient experience data can inform us about how we compare within our own institution and across healthcare. But the data can also be influenced by the nature of your practice and implicit bias present in our patients. What are some of the unintended implications of patient experience data? How can we responsibly interpret and utilize it? What scores should we be striving for? What is the sweet spot? For a deeper dive into Dr. Poole’s research follow the link to his article in the New England Journal of Medicine: https://www.nejm.org/doi/full/10.1056/NEJMp1813418 A brief webcomic by Whit Taylor and Chris Kindred on the Tuskegee Experiment: https://thenib.com/tuskegee-experiment?utm_campaign=web-share-links&utm_medium=social&utm_source=link
May 14, 2019
Does perception of care equal quality of care? Healthcare is increasingly consumer-centric and patient experience data can inform us about how we compare within our own institution and across healthcare. But the data can also be influenced by the nature of your practice and implicit bias present in our patients. What are some of the unintended implications of patient experience data? How can we responsibly interpret and utilize it? What scores should we be striving for? What is the sweet spot?For a deeper dive into Dr. Poole’s research follow the link to his article in the New England Journal of Medicine: https://www.nejm.org/doi/full/10.1056/NEJMp1813418A brief webcomic by Whit Taylor and Chris Kindred on the Tuskegee Experiment: https://thenib.com/tuskegee-experiment?utm_campaign=web-share-links&utm_medium=social&utm_source=link
May 7, 2019
How close are we to having an immunization for HIV? What’s on the horizon? When should your patients be referred to an HIV center or clinic for care? How do you connect a patient that wants local care when a center isn’t close by? Dr. Rizza discusses the management of HIV, pharmacotherapy, and goals of treatment in the second episode of this two-part HIV mini-series.
May 7, 2019
How close are we to having an immunization for HIV? What’s on the horizon? When should your patients be referred to an HIV center or clinic for care? How do you connect a patient that wants local care when a center isn’t close by? Dr. Rizza discusses the management of HIV, pharmacotherapy, and goals of treatment in the second episode of this two-part HIV mini-series.
April 30, 2019
Can you predict who has HIV and who doesn’t? Do you order universal HIV screening? What screening tests should be ordered and what happens when the results are positive or equivocal? When is a false negative possible? What is the effective window for post-exposure prophylaxis? Dr. Stacey Rizza discusses HIV and progression to AIDS, medical exposures, and screening in the first episode of this two-part HIV mini-series. Dive deeper into universal screening: https://doi.org/10.1016/j.mayocp.2012.06.021
April 30, 2019
Can you predict who has HIV and who doesn’t? Do you order universal HIV screening? What screening tests should be ordered and what happens when the results are positive or equivocal? When is a false negative possible? What is the effective window for post-exposure prophylaxis? Dr. Stacey Rizza discusses HIV and progression to AIDS, medical exposures, and screening in the first episode of this two-part HIV mini-series. Dive deeper into universal screening: https://doi.org/10.1016/j.mayocp.2012.06.021
April 23, 2019
Why are prescription drug costs so high in the United States? What role does the rebate system potentially play in drug availability? What is value-based pricing? Vincent Rajkumar, M.D. discuss research in this area and provides resources for health care providers to have discussions with patients about drug affordability. Check out his articles here: https://doi.org/10.1016/j.mayocp.2012.07.007 and https://doi.org/10.1016/j.mayocp.2015.01.014
April 23, 2019
Why are prescription drug costs so high in the United States? What role does the rebate system potentially play in drug availability? What is value-based pricing? Vincent Rajkumar, M.D. discuss research in this area and provides resources for health care providers to have discussions with patients about drug affordability. Check out his articles here: https://doi.org/10.1016/j.mayocp.2012.07.007 and https://doi.org/10.1016/j.mayocp.2015.01.014
April 16, 2019
When should patients be referred to a physiatrist versus a physical therapist? What services can you expect when referring your patient to physical medicine and rehabilitation? Can they help your patients avoid surgery? What resources do they utilize to decrease pain and increase function? Listen as Dr. Jeff Brault discusses his five-finger approach to treatment of chronic and degenerative disease.
April 16, 2019
When should patients be referred to a physiatrist versus a physical therapist? What services can you expect when referring your patient to physical medicine and rehabilitation? Can they help your patients avoid surgery? What resources do they utilize to decrease pain and increase function? Listen as Dr. Jeff Brault discusses his five-finger approach to treatment of chronic and degenerative disease.
April 9, 2019
The healthcare system is not immune to bias, harassment, and discrimination. How do we create a climate of mutual respect? How do we empower bystanders to step up? How do we create systems and procedures to ensure consistent messaging and action when these things occur? Listen in as Dr. Sharonne Hayes discusses the Time’s Up Healthcare movement and what you can do to get involved. https://www.timesuphealthcare.org
April 9, 2019
The healthcare system is not immune to bias, harassment, and discrimination. How do we create a climate of mutual respect? How do we empower bystanders to step up? How do we create systems and procedures to ensure consistent messaging and action when these things occur? Listen in as Dr. Sharonne Hayes discusses the Time’s Up Healthcare movement and what you can do to get involved. https://www.timesuphealthcare.org
April 2, 2019
When does forgetfulness become a red flag for dementia? What’s normal aging and what’s underlying disease process? When is a mental status exam not enough and what should you do next? Dr. Richard Caselli discusses dementia diagnosis, risk factors, treatment, and research.
April 2, 2019
When does forgetfulness become a red flag for dementia? What’s normal aging and what’s underlying disease process? When is a mental status exam not enough and what should you do next? Dr. Richard Caselli discusses dementia diagnosis, risk factors, treatment, and research.
March 26, 2019
How does integrative medicine differ from alternative and complementary medicine? Are the practices evidence-based? How and when can these techniques be applied in your current practice? Listen as Dr. Christina Chen discusses the practice of integrative medicine and its impact on her patients.
March 26, 2019
How does integrative medicine differ from alternative and complementary medicine? Are the practices evidence-based? How and when can these techniques be applied in your current practice? Listen as Dr. Christina Chen discusses the practice of integrative medicine and its impact on her patients.
March 19, 2019
Primary care providers can make a difference in the health disparities experienced internationally. Impact can range from directly providing care to educating staff and building enduring local capacity. Listen for some points to consider when planning a global health trip or medical mission. How do you get started? What skills do you need as a health care provider? How do you pick a location? Where can you find more reliable in-depth information on global health?
March 19, 2019
Primary care providers can make a difference in the health disparities experienced internationally. Impact can range from directly providing care to educating staff and building enduring local capacity. Listen for some points to consider when planning a global health trip or medical mission. How do you get started? What skills do you need as a health care provider? How do you pick a location? Where can you find more reliable in-depth information on global health?
March 12, 2019
How does our brain react to stress and setback? How can we harness what neuroscience tells us about these responses to combat the stresses in our lives we cannot currently change? Dr. Anjali Bhagra steps through the three F’s- focus, fatigue, and fear, to dig a little deeper into how we’re geared to respond and what we can do to intentionally navigate our responses.
March 12, 2019
How does our brain react to stress and setback? How can we harness what neuroscience tells us about these responses to combat the stresses in our lives we cannot currently change? Dr. Anjali Bhagra steps through the three F’s- focus, fatigue, and fear, to dig a little deeper into how we’re geared to respond and what we can do to intentionally navigate our responses.
March 5, 2019
A Mayo Clinic Talks Podcast Episode in which the tables turn as Thomas Shives, M.D., interviews Darryl Chutka, M.D., about his career highlights and how he became involved in the Mayo Clinic Talks Podcast.
March 5, 2019
A Mayo Clinic Talks Podcast Episode in which the tables turn as Thomas Shives, M.D., interviews Darryl Chutka, M.D., about his career highlights and how he became involved in the Mayo Clinic Talks Podcast.
February 26, 2019
Summary: Does medical marijuana have proven benefits? Who can prescribe it? What are the potential harms in using it? Dr. Thomas Pittelkow, a Mayo Clinic anesthesiologist specializing in pain management for cancer patients and advanced interventions in end of life care, discusses the differences between recreational and medical marijuana. Listen in for more on hopes and limitations in cannabis research, best practices for patient conversations, state vs. federal regulations, and the importance of communication with dispensaries. For more detailed information about Medical Cannabis, visit https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/medical-marijuana/art-20137855. For more information about state-to-state regulations, visit http://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx.
February 26, 2019
Summary: Does medical marijuana have proven benefits? Who can prescribe it? What are the potential harms in using it? Dr. Thomas Pittelkow, a Mayo Clinic anesthesiologist specializing in pain management for cancer patients and advanced interventions in end of life care, discusses the differences between recreational and medical marijuana. Listen in for more on hopes and limitations in cannabis research, best practices for patient conversations, state vs. federal regulations, and the importance of communication with dispensaries. For more detailed information about Medical Cannabis, visit https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/medical-marijuana/art-20137855. For more information about state-to-state regulations, visit http://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx.
February 19, 2019
We practice effective communication with our patients but how effectively do we communicate with our co-workers? At home after a long day? Dr. Katie Arendt discusses how to utilize humility and emotional intelligence to communicate effectively and build awareness of confirmation bias and ladders of inference.
February 19, 2019
We practice effective communication with our patients but how effectively do we communicate with our co-workers? At home after a long day? Dr. Katie Arendt discusses how to utilize humility and emotional intelligence to communicate effectively and build awareness of confirmation bias and ladders of inference.
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