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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 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!
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 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
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 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 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 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 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 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 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
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 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 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 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 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 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 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 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 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 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 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.
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 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.
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 12, 2019
Dr. Sandhya Pruthi, a breast disease specialist in Mayo Clinic’s Breast Diagnostic Clinic, discusses why we don’t use ultrasound as a primary screening test for breast cancer. Listen in for the pros and cons of different types of imaging studies and which are used for screening versus diagnostic testing. Also discussed is the role genetic testing should play in breast cancer screening, who should have testing done, and what tests are available, including when a care plan should include a genetic counselor.
February 5, 2019
Prostate cancer is a very common malignancy in men, second only to skin cancer. Despite the fact that it’s one of the more treatable malignancies, it remains the 2nd leading cause of cancer death in men. When diagnosed early, it has an excellent prognosis. The 5-year survival rate approaches 100% in those with local or regional disease. Although screening for prostate cancer is available, the use of screening tests has been controversial and recommendations regarding its use, confusing. Listen in to get a urologist’s perspective.
January 29, 2019
Dr. Jacob Sellon discusses advances in treatment of musculoskeletal pain and osteoarthritis, covering common questions about platelet-rich plasma and stem cell injections. Do they work? What’s the efficacy demonstrated in literature so far? What are the benefits and risks we need to discuss with our patients? What is FDA compliant versus FDA approved treatment and how does this influence insurance coverage and care management? Where does regenerative medicine research need to go?
January 22, 2019
Dr. Sharonne Hayes discusses the impact of unconscious bias in medicine and how providers can take steps to acknowledge, address, and mitigate these cultural imprints on our automatic thought processes. She then turns the tables discussing patient bias and how health systems and providers can protect and support staff who have been harassed, along with processes that can be put in place to systematically address existing practices that fosters bias. Project implicit can be found here: https://implicit.harvard.edu/implicit/takeatest.html.
January 15, 2019
Traumatic brain injury in children represents a significant public health problem and they account for over one-half million emergency department visits per year. It’s estimated that traumatic brain injuries affect as many as one in five children by the age of 15. These brain injuries can have lifelong effects on a child’s development, including their ability to learn and participate effectively in social activities. Today we’re joined by Dr. Sherilyn Driscoll, a consultant in Pediatric Physical Medicine and Rehabilitation at the Mayo Clinic Children’s Center in Rochester. Her areas of interest include brain and spinal cord injury, cerebral palsy, and spina bifida. For more information about the CDC’s Heads Up program, visit https://www.cdc.gov/headsup/.
January 8, 2019
Our topic for discussion today is benign prostatic hyperplasia, or BPH. By age 60, it’s estimated that 50% of men will have some symptoms of BPH. While BPH is not a life-threatening condition, and only rarely does it result in serious health consequences, it commonly causes symptoms affecting men’s lifestyle. Our guest today is Dr. Mitchell Humphreys, chair of the Department of Urology at Mayo Clinic Arizona and Dean of the Mayo Clinic School of Continuous Professional Development.
January 1, 2019
We’ve all heard this many times “Exercise is good for you.” We know we should all participate in some form of exercise and we commonly recommend exercise to our patients. We’re very busy, our patients are very busy. So how do we develop a regular exercise program that we can adhere to and how do we get our patients to realize the benefits they can achieve with exercise? To help answer these questions, we have with us today Dr. Robert Scales, an exercise physiologist and director of Cardiac Rehabilitation & Wellness at Mayo Clinic, Arizona.
December 25, 2018
Today’s special episode is an excerpt from the Mayo Clinic Pediatric Days Conference. This annual conference provides an interdisciplinary update in the latest strategies for providing timely and effective evidence-based diagnosis and management plans for multiple aspects of pediatric and young adult health. Today’s selected presentation, “You Did What? Uncovering What Kids are Ingesting” is presented by Dr. Charlotte S. Van Dorn, a Mayo Clinic Pediatric and Intensive Care Specialist.
December 18, 2018
We spend about one third of our life asleep, yet not all of us wake up refreshed and recharged the next morning. Insomnia is common and medications to help us sleep are extremely popular, but are they effective and are they safe? To discuss these issues regarding sleep, we are pleased to have as our guest today, Dr. Michael Silber, a neurologist and sleep expert. Dr. Silber works in the Center for Sleep Medicine at Mayo Clinic, Rochester.
December 13, 2018
Episode 10: Dr. Molly Feely, who is board certified in palliative care, internal medicine, and family medicine now practicing full time palliative care at Mayo Clinic Rochester, talks about best practices for management of opioid side effects. Today’s episode is part of a series on opioids, that was developed to meet state CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc
December 11, 2018
Child abuse is a serious problem, both within the U.S. and around the world. In 2012, Child Protective Services agencies estimated that approximately 9 out of 1000 children in the U.S. were victims of child maltreatment and this was felt to underestimate the true scope of the problem. A recent study by the CDC estimated that one in four children experience some form of maltreatment in their lifetimes. Today we’re joined by Dr. Arne Graff, a family physician and Division Chair of Child Abuse and Pediatrics, practicing at Mayo Clinic, Rochester, MN.
December 6, 2018
Episode 9: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about best practices for opioid monitoring and considerations for tapering. Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc
December 4, 2018
Today’s special episode is an excerpt from the Mayo Clinic 2018 Principles of Pain Management & Palliative Care. Today’s selected presentation, “Help! My Patient is Crying! Addressing Emotion in Patient Interactions,” is presented by Dr. Elise C. Carey, Mayo Clinic general internist and palliative care physician.
November 29, 2018
Episode 8: What legal/ethical obligations do physicians have when prescribing opioids? How can we address systemic issues that need improvement? Dr. Holly Geyer, internal medicine physician at Mayo Clinic-Arizona, shares her thoughts on what is currently being done to combat the opioid crisis and what additional steps can be taken to make a difference. Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc
November 27, 2018
For years, healthcare providers routinely prescribed hormone therapy for the management of women with postmenopausal symptoms as well as to reduce the risk of cardiovascular disease and the treat osteoporosis. Then, in 2002, the Women’s Health Initiative was published and our views of hormone therapy changed. Parts of the study’s findings were criticized leading to confusion as to whether hormone therapy was as effective as we assumed as well as whether hormone therapy was exposing women to excessive health risks. To help us sort out the benefits and risks of hormone therapy in women, we’re joined by Dr. Ekta Kapoor, a Mayo Clinic internist and specialist in the Menopause and Women’s Sexual Health Clinic.
November 21, 2018
Episode 7: Dr. Holly Geyer, an internal medicine physician, who serves on the opioid stewardship program at Mayo Clinic-Arizona, discusses issues of dependency and addiction. What’s the difference between dependency and addiction? Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc.
November 20, 2018
The percentage of the US population that uses a cell phone is increasing every year. Currently, it is estimated that over 95% of the population own a cell phone and over 75% own some type of smartphone. This is up from 35% compared to statistics from 2011. While these devices certainly make our life more interesting, they can also serve as a major distraction. Studies suggest that drivers using a mobile phone are four times more likely to be involved in a motor vehicle accident. Nearly half of all adults who text say they have either sent or read a text message while driving. Today we are joined by Dr. Robin Molella, a Mayo Clinic physician in the Division of Preventative, Occupational and Aerospace Medicine, and an expert in public health issues. Today’s episode was sponsored by Mayo Clinic Online CME. Register for on demand medical education in a wide variety of specialties at ce.mayo.edu
November 15, 2018
Episode 6: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clement, an emergency physician and practice leader, who works in the opioid stewardship program at Mayo Clinic-Rochester, shares his insights on treating opioid misuse in the emergency setting. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc
November 13, 2018
Hip fractures have a major impact on our healthcare system with an economic burden estimated to be over $20 billion per year. Due to the increasing age of our population, hip fractures will have an even greater impact. In addition to the economic burden, hip fractures are associated with an increase in mortality and often result in major changes in one’s lifestyle. As a result, the detection, prevention and treatment of osteoporosis becomes an important health strategy. Today’s topic is osteoporosis, calcium and vitamin D and to discuss this topic, we’re joined by Dr. Kurt Kennel, a Mayo Clinic Endocrinologist and specialist in bone metabolism.
November 8, 2018
Episode 5: Dr. Casey Clements, an emergency physician and practice leader, who works in the opioid stewardship program at Mayo Clinic-Rochester, shares his insights on opioid therapy from the Emergency Department perspective. What is drug diversion? How do you know a patient isn’t receiving prescriptions from multiple physicians? Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc
November 6, 2018
Hip fractures have a major impact on our healthcare system with an economic burden estimated to be over $20 billion per year. Due to the increasing age of our population, hip fractures will have an even greater impact. In addition to the economic burden, hip fractures are associated with an increase in mortality and often result in major changes in one’s lifestyle. As a result, the detection, prevention and treatment of osteoporosis becomes an important health strategy. Today’s topic is osteoporosis, calcium and vitamin D and to discuss this topic, we’re joined by Dr. Kurt Kennel, a Mayo Clinic Endocrinologist and specialist in bone metabolism.
November 1, 2018
Family practitioner, Dr. David Patchett, from Mayo Clinic-Arizona shares the additional challenges associated with prescribing opioids to special populations, and discusses how and when to reassess a patient’s therapy. How do you know when to taper a patient? What are the symptoms of opioid withdrawal and how can you mitigate them? Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc
October 30, 2018
Hypoactive sexual desire in females is one component of sexual dysfunction in women. It’s a sensitive topic and one that doesn’t often get discussed in the clinician’s office. What’s the best way to ask about this problem and how do we manage it once we know it exists in our patients? We’ll discuss these issues with a women’s health specialist Dr. Jacqueline Thielen, a Mayo Clinic general internist in the Menopause & Women’s Sexual Health Clinic at Mayo Clinic in Rochester. Join Dr. Thielen at the 15th Annual Women’s Health Update in Scottsdale, AZ February 28, to March 2, 2019 where she’ll discuss the Management of Hypoactive Sexual Desire Disorder. Use coupon code womenshealth (one word, no apostrophe) during check out at ce.mayo.edu
October 25, 2018
Episode 3: Dr. David Patchett, family practitioner at Mayo Clinic-Arizona, answers common questions family practitioners often face when treating patients with pain management issues. What are best practices when prescribing opioid therapy? How do you weigh the potential benefits of opioid therapy with the identified risks? Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc
October 23, 2018
This is Mayo Clinic Talks, a curated weekly podcast for physicians and health care providers. I’m your host, Darryl Chutka, a general internist at Mayo Clinic in Rochester, Minnesota. We spend about one third of our life asleep, yet not all of us wake up refreshed and recharged the next morning. As a result, many individuals suffer from daytime sleepiness. For some, such as truck or bus drivers this can place many at risk for serious injury or death due to accident. To discuss these issues regarding sleep, we are pleased to have as our guest today, Dr. Michael Silber, a neurologist and sleep expert. Dr. Silber works in the Center for Sleep Medicine at Mayo Clinic, Rochester. Thanks for joining us, Michael. Join Dr. Silber February 24 to March 2, 2019 in Amelia Island, FL for the Mayo Clinic Electromyography (EMG), Electroencephalography (EEG), and Neurophysiology in Clinical Practice Conference. For $100 off registration, use the coupon code sleep at check out on ce.mayo.edu. Join us weekly here at Mayo Clinic Talks as we discuss best practices and burning questions. Subscribe today using iTunes or your favorite podcasting app.
October 18, 2018
Episode 2: What are the different guidelines when treating chronic versus acute pain with opioid therapy? Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic-Rochester, talks about the importance of “starting low and going slow.” What are the alternatives for chronic pain management? Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/podcast
October 16, 2018
34.8% of men ages 40 to 70 years have moderate-to-complete erectile dysfunction (ED), and 15% of men aged 70 have complete ED. Of those with ED, it’s estimated that 50-70% are due to cardiovascular disease. Until recently, only urologists were interested in patients with erectile dysfunction. Now with the knowledge of the relationship between ED and cardiovascular disease, cardiologists are taking an interest in these patients as well. Today we’re joined by Dr. Stephen Kopecky, a Mayo Clinic Preventative Cardiologist. Keeping up to date in our field is easier when you can network with colleagues from all specialties. Join Dr. Kopecky February 25 – March 1 2019 at the Mayo Clinic Cardiology at Cancun: Topics in Clinical Cardiology held at the Marriott Resort in Cancun, Mexico.
October 11, 2018
Episode 1: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic-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? Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/podcast
October 9, 2018
Varicose veins are common, and become more common with advance in age. Fortunately, in most cases they’re asymptomatic, but in some cases can cause symptoms and occasionally serious health problems. Today we’re joined by Dr. Thom Rooke, a vascular specialist at Mayo Clinic’s Vascular Center and specialist in peripheral artery disease, varicose veins, and sclerotherapy. For up to date information join your colleagues at the Heart Failure Management for Nurse Practitioners, Physician Assistants, and Primary Care Providers course at Disney’s Boardwalk Inn in Lake Buena Vista, Florida, March 21-23, 2019
October 2, 2018
It’s estimated that approximately 70% of Americans are either overweight or obese. Obesity in the United States is a major health issue, resulting in an increased risk of coronary artery disease, type 2 diabetes, and stroke. It also carries significant economic costs. As a result, the diet industry is booming. It’s thought that the weight loss industry has over $20 billion in annual revenue. Some diets are legitimate, while others are not only ineffective but may be dangerous to one’s health. To help us sort out diets and weight loss, we’re joined by nutrition expert Dr. Donald Hensrud, a Mayo Clinic physician in Preventative Medicine. He is also the medical director for the Mayo Clinic Healthy Living Program here in Rochester and editor in chief of two books on dieting, the Mayo Clinic Diet and the Mayo Clinic Diabetes Diet. Keeping up to date in our field is easier when you can network with colleagues from all specialties. Join us for the 19th Annual Nutrition and Wellness in Health and Disease conference held at the Swissotel Chicago, Illinois, September 23 and 24, 2019. This and all Mayo Clinic CME are found at ce.mayo.edu
September 25, 2018
Transgender is a term for individuals whose gender identity or behavior does not conform to that associated with the sex to which they were assigned at birth. It’s difficult to estimate the number of transgender individuals, primarily because there are no population studies that accurately account for the range of gender identity and gender expression. What common health risks do transgender patients face? How does healthcare screening and preventive strategies differ in transgender patients who have been on hormonal therapy? Today we’re joined by Dr. Caroline Davidge-Pitts, an Endocrinologist and a core member of the Transgender and Intersex Specialty Care group at Mayo Clinic. For more information, join us in Washington D.C., Oct 4 – 6 at the Principles in the Care of Transgender and Intersex Patients 2018 Conference.
September 18, 2018
Depression is a common disorder seen in primary care practice. The majority of patients with depression are evaluated and treated not by psychiatrists, but by primary care providers, and it’s been shown that we correctly diagnose depression only about half of the time. Despite the fact that we have some very good treatment options for depression, those on treatment often have continued symptoms. To help us understand more about depression, we’re honored to have Dr. Bruce Sutor with us today. Dr. Sutor is a Mayo Clinic Psychiatrist and Practice Chair of Psychiatry and Psychology in Rochester, Minnesota. If you are interested in learning more about this topic, register today for the Psychiatry Clinical Updates 2019 course held February 26 through March 1, 2019, located at the Fairmont Orchid on The Big Island, Hawaii. Today’s episode was sponsored by Mayo Clinic Online CME. Learn on your own time and register for the Psychiatry Clinic Reviews Online course offering 6.5 credits that focus on Pharmaceutical Management, Depression, Addiction, PTSD, Bipolar Disorder and Suicide.
September 11, 2018
It is estimated that more than 80% of Americans will experience an episode of low back pain at some time in their lives, with total annual costs estimated at $100 billion. What are some important questions to ask patients regarding their low back pain? Are there any red flag symptoms that patients may have which would alert us to a potentially serious cause for their back pain? Today we are joined by Dr. Edward Laskowski, a Mayo Clinic Physician and Professor in Physical Medicine and Rehabilitation. Dr. Laskowski is also a co-course director for the 28th Annual Mayo Clinic Symposium on Sports Medicine in Rochester, Minnesota, November 9th and 10th, 2018. For more information, visit ce.mayo.edu.
September 4, 2018
This week we’re talking about constipation. What are some of the causes of chronic idiopathic constipation? Are there any medications which can cause constipation or make constipation worse? When would a patient’s complaint of constipation raise your suspicion of something ominous causing the symptoms? Do prunes actually help? Today we’re joined by Amy Foxx-Orenstein, a Mayo Clinic Physician in the Division of Gastroenterology and Hepatology.
August 28, 2018
Is weight gain an unavoidable result of aging? Do we need to just plan that our bodies will be aching and sore all the time? How can the physiologic changes of aging translate into physical problems for our elderly patients? Can anything be done to maintain our flexibility as we age? Today we are joined by Dr. Edward Laskowski, a Mayo Clinic Physician and Professor in Physical Medicine and Rehabilitation. Dr. Laskowski is also a co-course director for the 28th Annual Mayo Clinic Symposium on Sports Medicine in Rochester, Minnesota, November 9th and 10th, 2018. For more information, visit ce.mayo.edu.
August 21, 2018
Sexually transmitted infections are at an unprecedented high with 50-60% affecting young people. Today we’re talking about recent trends in sexually transmitted infections and the best way to screen for STI’s. Presented by Dr. Janice Blair, a physician in the Mayo Clinic Division of Infectious Diseases, today’s special episode is an excerpt from the Mayo Clinic Women’s Health Update held in Scottsdale, Arizona. This annual conference addresses a variety of health issues that are unique to women while highlighting medical conditions that may cause different symptoms in women. The Mayo Clinic 15th Annual Women’s Health Update will be held at The Scott Resort and Spa in Scottsdale, Arizona, February 28 - March 2, 2019. We invite you to network with your colleagues and Mayo Clinic faculty by registering at ce.mayo.edu.
August 14, 2018
Why is it important to talk about sexual history? What questions should we ask to get a detailed sexual history? Today we’re talking about sexual history taking and why sexual health matters. Presented by Dr. Suneela Vegunta, a physician in the Mayo Clinic Women’s Health Center, today’s special episode is an excerpt from the Mayo Clinic Women’s Health Update held in Scottsdale, Arizona. This annual conference addresses a variety of health issues that are unique to women while highlighting medical conditions that may cause different symptoms in women. The Mayo Clinic 15th Annual Women’s Health Update will be held at The Scott Resort and Spa in Scottsdale, Arizona, February 28 - March 2, 2019. We invite you to network with your colleagues and Mayo Clinic faculty by registering at ce.mayo.edu.
August 7, 2018
It’s estimated that up to 10% of cognitively intact elderly and up to 47% of adults with dementia have experienced some form of abuse. What are some warning signs we should look for? Are there recommended questions we should be asking our elderly patients? This week we’re talking with Paul Takahashi, M.D., a Mayo Clinic geriatrician and physician in Community Internal Medicine, about recognizing abuse in the elderly.
July 31, 2018
Hyperlipidemia is one of the most common healthcare problems seen by primary care providers. Stephen Kopecky, a Mayo Clinic physician in the Division of Cardiovascular Medicine, discusses non-pharmacological treatment of hyperlipidemia, and which diets can improve the lipid profile. Dr. Kopecky also explains how nutritional supplements, exercise, and weight loss can help lower LDL cholesterol levels.
July 24, 2018
Headache is one of the most common medical complaints seen by medical providers, and although the vast majority don’t represent any serious underlying conditions, they can cause patients a great deal of anxiety and daily disruption. In today’s talk “Doctor I Have a Splitting Headache,” Dr. Jerry Swanson, a Mayo Clinic neurologist and headache specialist, helps shed light on this common complaint. Visit with Dr. Swanson and other experts at the March 2019 Headache Symposium in Phoenix, Arizona. Sign up for the mailing list at ce.mayo.edu.
July 17, 2018
Widespread pain. Fatigue. Depression. Why does the diagnosis of Fibromyalgia engender so much fear and trembling? How do we as physicians determine Fibromyalgia from the many other widespread muscle pain syndromes? Today’s selected presentation, “Fibromyalgia in a 20 Minute Office Visit” is presented by Dr. Jeffrey Thompson of the Mayo Clinic. Dr. Thompson, an award-winning educator, is board certified in physical medicine and rehabilitation as well as sports medicine. The March 2019 Mayo Clinic Principles of Pain and Palliative Care: Essential Tools for the Clinician conference will be held at the JW Marriott Desert Springs in Palm Desert, California. This annual conference targets the integration of pain and palliative services across disciplines. We invite you to network with your colleagues and Mayo Clinic faculty by registering at ce.mayo.edu. Links to the course can be found in this podcast’s description.
July 10, 2018
There are few patients that are more challenging to care for than those who have medically unexplained symptoms. They require a great deal of our time and huge medical costs can result. When should we suspect symptoms represent a functional disorder? How do we help patients when we have determined that their symptoms don’t represent a serious disorder? Do patients have a common fear regarding what their symptoms represent? Dr. Kevin Fleming, a Mayo Clinic physician in General Internal Medicine joins us to delve into medically unexplained symptoms.
July 3, 2018
Up to 30% of adults and children suffer from seasonal allergies. Allergic Rhinitis accounts for nearly 2 million lost school days and 6 million lost work days per year. Are there any non-pharmacologic ways to treat or manage seasonal allergies? Today Dr. Gerald Volcheck is joining us to talk about allergic Rhinitis. Dr. Volcheck is a Mayo Clinic physician and chair of the Division of Allergic Diseases. He is also course director for the Mayo Clinic Clinical Updates in Allergy and Immunology conference held July 2018 in Coronado, California. Visit ce.mayo.edu/allergy2018 and register today. Use coupon code ALLERGY to receive $100 off the registration fee. Offer is limited.
June 26, 2018
How can we diagnose a food allergy from an often vast array of symptoms? Is it possible to desensitize to the food we are allergic to? What are the best methods we have to test for food allergies? Today Dr. Gerald Volcheck is joining us to talk about food allergies. Dr. Volcheck is a Mayo Clinic physician and chair of the Division of Allergic Diseases. He is course director for the Mayo Clinic Clinical Updates in Allergy and Immunology conference held July 2018 in Coronado, California. Visit ce.mayo.edu/allergy2018 and register today. Use coupon code ALLERGY to receive $100 off the registration fee. Offer is limited.
June 19, 2018
Hyperlipidemia is one of the most common healthcare problems seen by primary care providers. Stephen Kopecky, Mayo Clinic physician in the Division of Cardiovascular Medicine, discusses pharmacological treatment of hyperlipidemia and the potential long-term risks of using statins. Dr. Kopecky also talks about how to treat the patient who develops myalgias from several different statins and discusses the gender differences in the benefits seen from statins.
June 12, 2018
For physicians like Mark Mannenbach, trampoline injuries are “what they do in the summertime.” Today’s selected presentation, “What I Won’t Let my Kids Do” is presented by Mayo Clinic pediatrician and pediatric emergency medicine physician, Mark Mannenbach, MD. Dr. Mannenbach discusses the top three sport activities he sees the most injuries from and goes on to offer some potential strategies to mitigate these “far too common” injuries. Topics like these are discussed at the Mayo Clinic Pediatric Days conference. This annual conference provides an interdisciplinary update on the latest strategies for providing timely and effective evidence based diagnosis and management plans for multiple aspects of pediatric and young adult health. This year’s conference will be held in October at Chicago’s Westin Hotel on Michigan Avenue. We invite you to network with your colleagues and Mayo Clinic faculty by registering at http://ce.mayo.edu/pediatricdays2018.
June 5, 2018
Medical ethics is not new, it actually dates back many centuries. In fact, there’s evidence that this topic dates back to medieval times. Dr. Darryl Chutka welcomes Dr. Jon Tilburt, to review cases where an ethical decision has to be made.
May 29, 2018
Hypertension is extremely common in our society, affecting nearly 1 in every 3 individuals in the United States. The treatment of hypertension is the most common reason for office visits in non-pregnant adults to healthcare providers and the most common reason for use of prescription medications. Dr. Darryl Chutka, a general internist at Mayo Clinic in Rochester, along with Dr. Gary Schwartz, a consultant in the Division of Nephrology and Hypertension at Mayo Clinic in Rochester, discuss the evaluation and management of hypertension and the new hypertension treatment guidelines.
May 23, 2018
Healthcare professionals are more prone to stress and professional burnout compared to many other occupations. Chronic exposure to stress can decrease a provider’s efficiency and could result in negative consequences on our health and family life. It can lead to mental health issues, alcoholism, and other substance abuse. Debbie Fuehrer is a Licensed Professional Clinical Counselor in the Mayo Clinic Mind Body Medicine program and is the coordinator of the Mayo Clinic Complementary and Integrative Mind Body Medicine program. Debbie discusses how stress affects us as well as techniques health care professionals can use to manage stress.
May 15, 2018
Despite the fact that we have a wide variety of antihypertensive medications available, it’s estimated that up to half of the patients with hypertension are not adequately controlled. Dr. Darryl Chutka, MD, welcomes Dr. Gary L. Schwartz to discuss hypertension and the new hypertension guidelines.
April 17, 2018
Dr. Darryl Chutka, a general internist at Mayo Clinic in Rochester and Dr. Donald Hensrud, a physician in Preventative Medicine and the medical director for the Mayo Clinic Healthy Living Program in Rochester, Minnesota discuss the risks and benefits of drinking coffee.
April 10, 2018
Bonus Ep2 of 2: Dr. Molly Feely, who is board certified in palliative care, internal medicine, and family medicine now practicing full time palliative care at Mayo Clinic Rochester, talks about best practices for Management of Opioid Side Effects. This podcast is brought to you by the Opioid conference held each year as a part of Mayo Clinic’s Continuing Medical Education. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
April 3, 2018
Bonus Ep1 of 2: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about best practices for Opioid Monitoring and Considerations for Tapering. This podcast is brought to you by the Opioid conference held each year as a part of Mayo Clinic’s Continuing Medical Education. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
March 13, 2018
Ep3 of 3: Which patients should be placed in monitored beds? Are there other factors to consider besides the troponin values when treating patients with ACS? Dr. Jamie Newman, a hospitalist at Mayo Clinic-Rochester and Dr. Allan Jaffe, a cardiologist and consultant at Mayo Clinic-Rochester share their insights on inpatient care, including pre- and post-surgery patients. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/troponinpc and register.
March 7, 2018
Ep2 of 3: Dr. Jamie Newman, a hospitalist at Mayo Clinic-Rochester and Dr. Casey Clements, an emergency physician from Mayo Clinic-Rochester discuss how the new 5th generation assay for troponin will affect emergency medicine. What are the benefits and potential difficulties associated with the new test? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/troponinpc and register.
February 28, 2018
Ep1 of 3: How does the 5th generation assay differ from the 4th generation assay? Will a more sensitive assay improve clinical practice? Dr. Jamie Newman, a hospitalist at Mayo Clinic-Rochester and Dr. Allan Jaffe, a cardiologist and consultant at Mayo Clinic-Rochester walk us through the new 5th generation assay for troponin. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/troponinpc and register.
January 4, 2018
Ep1 of 8: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic-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? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
January 4, 2018
Ep2 of 8: What are the different guidelines when treating chronic versus acute pain with opioid therapy? Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic-Rochester, talks about the importance of “starting low and going slow.” What are the alternatives for chronic pain management? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
January 4, 2018
Ep3 of 8: Dr. David Patchett, family practitioner at Mayo Clinic-Arizona, answers common questions family practitioners often face when treating patients with pain management issues. What are best practices when prescribing opioid therapy? How do you weigh the potential benefits of opioid therapy with the identified risks? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
January 4, 2018
Ep4 of 8: Family practitioner, Dr. David Patchett, from Mayo Clinic-Arizona shares the additional challenges associated with prescribing opioids to special populations, and discusses how and when to reassess a patient’s therapy. How do you know when to taper a patient? What are the symptoms of opioid withdrawal and how can you mitigate them? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
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