Podcasts about ama pra category

"Lacking a supreme being in which to place our faith, my wife and I decided to make the most difficult decision of our lives and discontinue life support. I still wonder if we made the right decision, question whether fear made us give up too early, and these chronic doubts cut with the acuity of scalpels. But I also know that certainty is a fading flame in a failing body, and in a godless universe, sometimes a 'best guess' is all you have to go on." Mukund Gnanadesikan is a psychiatrist. He shares his story and discusses his KevinMD article, "Certainty is a fading flame in a failing body." This episode is sponsored by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. Visit nuance.com/daxinaction to learn more. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Take the time to invest in yourself; it is the best investment you can make. Work to improve your communication, negotiation skills, and financial literacy skills. Think twice before accepting the first offer at face value; you owe it to yourself. Have a contract lawyer review your contract. A number of factors go into a contract, more so than salary. Consider vacation time, CME time, the amount of call, noncompetes, partnership eligibility, and benefits. Both parties: Have the discussion. Why is this? What can be done about it? Openly discuss and don't shy away from difficult conversations. Be the change maker." Sharon McLaughlin is a surgeon. She shares her story and discusses her KevinMD article, "We are all responsible for women physicians' pay discrepancy." This episode is sponsored by the Nuance Dragon Ambient eXperience. With so many demands on their time, physicians today report record levels of burnout. Burnout is caused by many factors, one of which is clinical documentation. Studies indicate physicians spend two hours documenting care for every hour spent with patients. At Nuance, we are committed to helping physicians do what you love – care for patients – and spend less time on clinical documentation. The Nuance Dragon Ambient eXperience, or DAX for short, is an AI-powered, ambient clinical intelligence solution that automatically captures patient encounters securely and accurately at the point of care. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 83 percent of patients say their physician is more personable and conversational. Rediscover the joy of medicine with clinical documentation that writes itself, all within the EHR. Visit nuance.com/daxinaction to learn more. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

This week listener questions are answered by Hannah Duffey, MD. Credit for episodes may be available, go to https://vcurb.com/episodes/ for more information.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Today I want to talk with you about how to prevent the stress you feel over food waste. I know how bad it feels when you realize that food is spoiling or you overbought or you overcooked and you end up throwing food away…And it happens over and over again…And your human brain keeps beating you up for it. So here are some effective food waste hacks that I have collected over the years that I love to use myself to prevent that food waste stress!Earn CME:Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/YV0m6dCheck out StressFreeMD:https://www.stressfreemd.net/Schedule your FREE 30-Minute Stress Relief Strategy Call:https://go.oncehub.com/StressReliefStrategyCallGet your 4 FREE stress relieving videos:https://www.stressfreemd.net/free-self-care-videosPhysicians: join our free private physicians-only Facebook group:https://www.facebook.com/groups/thephysiciansselfcarecommunityFollow me on Instagramhttps://www.instagram.com/stressfreemd/Connect with me on LinkedInhttps://www.linkedin.com/in/robyntigermd/Follow me on Facebook:https://www.facebook.com/robyntigermdFollow me on Twitter:https://twitter.com/robyntigermdExclusive physician CME accredited programming: Rx Inner Peacehttps://www.stressfreemd.net/rxinnerpeaceSelf-Care Shop--accredited programs for healthcare and open to everyonehttps://www.stressfreemd.net/selfcareshopPrivate 1:1 Coachinghttps://www.stressfreemd.net/coachingContactinfo@stressfreemd.netPodcast website:https://www.podpage.com/the-stressfreemd-podcast/

Physician suicide is no easy topic, but that doesn't mean we can't or shouldn't talk about it. Dr. Pamela Wible has examined over 2,000 physician suicide cases and collected data that is more than just statistics. In this episode, Dr. Archana Shrestha interviews Dr. Wible about her observations over the years and what each of us can do to break the stigma associated with suicide and mental health issues. Dr. Pamela Wible was a Women in White Coats 2022 Hero of the Year nominee. In between treating her own patients and helping doctors launch community clinics, Dr. Wible devotes herself to medical student and physician suicide prevention. Her extensive database and suicide registry reveals highest- risk specialties—and solutions. Dr. Wible runs a free doctor suicide hotline and has helped countless medical students and physicians heal from anxiety, depression, PTSD, and suicidal thoughts so they can enjoy practicing medicine again. Key Takeaways [02:30] How Dr. Wible got into the subject of physician suicide [06:50] The type of data she has collected over the years [13:50] Why physicians don't ask for help [24:32] Dr Wible's advice for those feeling unsupported in their environment [29:48] How doctors can create more ideal practice settings [40:22] Dr. Wible's simple suggestion for a daily mental health check-in. More than half of women physicians are feeling burnout right now and we want to help you discover what's at the heart of it. Take our brand new quiz to help you discover the root cause of burnout for you and what to do about it! Take the quiz here: https://womeninwhitecoats.com/quiz/ This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://womeninwhitecoats.com/podcastcme --- Send in a voice message: https://anchor.fm/women-in-white-coats/message

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-295   Overview: Chronic obstructive pulmonary disease (COPD) is typically diagnosed based on spirometry findings, but what if that finding isn't what you expect? Spirometry measurements are compared to standard values for age, sex, and race. The use of race-based equations has been questioned in several clinical situations, and researchers are now raising similar concerns about the use of race-based equations in spirometry, which may lead to health inequities. Join us for an important discussion on how to overcome these potential disparities in diagnosing COPD.   Episode resource links: Liu GY, Khan SS, Colangelo LA, et al. Comparing Racial Differences in Emphysema Prevalence Among Adults With Normal Spirometry: A Secondary Data Analysis of the CARDIA Lung Study [published online ahead of print, 2022 Jul 19]. Ann Intern Med. 2022;10.7326/M22-0205.   Guest: Alan Ehrlich MD, FAAFP   Music Credit: Richard Onorato

In this episode, guest host Dr. Jacob Fleming interviews Dr. Jason Cox about musculoskeletal interventions and how he uses ultrasound for diagnosis and intervention in his full spectrum musculoskeletal practice. --- CHECK OUT OUR SPONSOR Laurel Road for Doctors https://www.laurelroad.com/healthcare-banking/ --- EARN CME Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/ZHCWxF --- SHOW NOTES We begin by discussing Dr. Cox's path to MSK intervention. During his interventional training at University of Missouri, the musculoskeletal radiology program was rebuilt, and ultrasound was incorporated heavily. He used his ultrasound skills from vascular intervention in IR to learn musculoskeletal anatomy on ultrasound. He was drawn to MSK radiology due to the mechanical aspect of MSK work and the integration of visual spatial awareness and hand eye coordination involved in MSK ultrasound. He started out by learning steroid injections for sports injuries, commonly rotator cuff injuries. He now does around 20 diagnostic or interventional ultrasound procedures each day in his clinic. He opened his clinic with a partner, and did it slowly while still working at his prior job. He started working at his new clinic on his vacation days until he could build up the clientele to leave his prior job. One of the biggest challenges in opening his MSK radiology clinic was finding a sonographer able to do the complex MSK cases he was doing. The most common procedure Dr. Cox does at his clinic is ultrasound guided carpal tunnel release. He also does tendon barbotage for hydroxyapatite deposition disease for the rotator cuff tendons. His practice has grown largely due to the number of patients that are referred because they cannot get an MRI. He reads his ultrasound exams like an MRI report, with a high level of detail, differential diagnosis and recommendations. --- RESOURCES Institute for Advanced Medical Education: https://www.iame.com Linked In: https://www.linkedin.com/in/jasoncoxmd Ultrasound First Clinic: https://ultrasound-first.com European Society of Musculoskeletal Radiology: https://www.essr.org

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-295   Overview: Chronic obstructive pulmonary disease (COPD) is typically diagnosed based on spirometry findings, but what if that finding isn't what you expect? Spirometry measurements are compared to standard values for age, sex, and race. The use of race-based equations has been questioned in several clinical situations, and researchers are now raising similar concerns about the use of race-based equations in spirometry, which may lead to health inequities. Join us for an important discussion on how to overcome these potential disparities in diagnosing COPD.   Episode resource links: Liu GY, Khan SS, Colangelo LA, et al. Comparing Racial Differences in Emphysema Prevalence Among Adults With Normal Spirometry: A Secondary Data Analysis of the CARDIA Lung Study [published online ahead of print, 2022 Jul 19]. Ann Intern Med. 2022;10.7326/M22-0205.   Guest: Alan Ehrlich MD, FAAFP   Music Credit: Richard Onorato

  In this CME episode, Dr. Andrew Cutler interviews Dr. Vladimir Maletic about novel agents in development for Major Depressive Disorder or MDD. Optional CME/CE Credits and Certificate Instructions: After listening to the podcast, to take the optional posttest and receive CME/CE credit, click: https://nei.global/POD22-MDD. Learning Objectives: After completing this educational activity, you should be better able to: Describe novel mechanisms of action of agents under investigation for the treatment of depression Explain the potential implications of novel rapid-acting and multi-modal agents in optimizing outcomes for patients with unipolar depression Integrate newly available options for depression into clinical practice Accreditation: In support of improving patient care, Neuroscience Education Institute (NEI) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. NEI designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   A posttest score of 70% or higher is required to receive CME/CE credit. The content in this activity pertains to pharmacology and is worth 1.0 continuing education hour of pharmacotherapeutics. Credit Types. The following are being offered for this activity: Nurse Practitioner: ANCC contact hours Pharmacy: ACPE application-based contact hours Physician: ACCME AMA PRA Category 1 Credits ™ Physician Assistant: AAPA Category 1 CME credits Psychology: APA CE credits Social Work: ASWB-ACE CE credits Non-Physician Member of the Mental Healthcare Team: Certificate of Participation stating the program is designated for AMA PRA Category 1 Credits ™ Peer Review: The content was peer-reviewed by an MD specializing in psychiatry to ensure the scientific accuracy and medical relevance of information presented and its independence from commercial bias. NEI takes responsibility for the content, quality, and scientific integrity of this CME/CE activity. Disclosures: All individuals in a position to influence or control content are required to disclose any relevant financial relationships. Any potential conflicts of interest were identified and mitigated prior to the activity being planned, developed, or presented. InterviewerAndrew J. Cutler, MD Clinical Associate Professor, Department of Psychiatry, SUNY Upstate Medical University, Syracuse, NY Chief Medical Officer, Neuroscience Education Institute, Carlsbad, CA Consultant/Advisor: AbbVie/Allergan, Acadia, Alfasigma, Biogen, BioXcel, Boehringer Ingelheim, Corium, Intra-Cellular, Ironshore, Janssen, Jazz, Karuna, Lundbeck, Neurocrine, Noven, Otsuka, Relmada, Sage, Sunovion, Supernus, Teva Speakers Bureau: AbbVie/Allergan, Acadia, Alfasigma, BioXcel, Corium, Intra-Cellular, Ironshore, Janssen, Lundbeck, Neurocrine, Noven, Otsuka, Sunovion, Supernus, Teva   IntervieweeVladimir Maletic, MD, MS Clinical Professor of Psychiatry, University of South Carolina School of Medicine, Greenville, SC Consultant/Advisor: AbbVie, Alfasigma, Alkermes, Biogen/Sage, Intracellular, Ironshore, Janssen, Lundbeck, Otsuka, Relmada, Sunovion, Supernus, Takeda Speakers Bureau: AbbVie, Alfasigma, Alkermes, Biogen/Sage, Intracellular, Ironshore, Janssen, Lundbeck, Otsuka, Sunovion, Supernus, Takeda   Pre-Interview AuthorSabrina K. Bradbury-Segal, PhD Medical Writer, Neuroscience Education Institute, Carlsbad, CA No financial relationships to disclose.   The Planning Committee and Peer Reviewer have no financial relationships to disclose. Disclosure of Off-Label Use: This educational activity may include discussion of unlabeled and/or investigational uses of agents that are not currently labeled for such use by the FDA. Please consult the product prescribing information for full disclosure of labeled uses. Cultural Linguistic Competencies and Implicit Bias: A variety of resources addressing cultural and linguistic competency and strategies for understanding and reducing the impact of implicit bias can be found in this handout. Support: This activity is supported by an unrestricted educational grant from Sage Therapeutics, Inc. Released: September 26, 2022     CME/CE credit expires: September 26, 2025

"When Lauren came to my office as a 16-year-old, she had been diagnosed with postural orthostatic tachycardia syndrome (POTS) and a few other chronic illnesses. By the end of the appointment, she left with a diagnosis of Ehlers-Danlos Syndrome (EDS)." Linda Bluestein is an integrative medicine physician. Lauren Vasko is a patient advocate. They share their stories and discuss the KevinMD article, "The journey to diagnosing a mysterious illness." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Depression involves withdrawal, withdrawal from oneself and others. Feeling safe enough in a relationship to reveal our innermost feelings safely is connective and should be considered a valued part of the anti-depressant lifestyle. Continued relationship satisfaction is based on respectful openness and validation, the kind of communication that built love in the early days. To do otherwise is to risk a relationship with no real relating, and to miss out on a factor that may not only be part of the treatment for depression but a powerful deterrent." Joel Block is a psychologist and author of The 15-Minute Relationship Fix: A Clinically-Proven Strategy That Will Repair and Strengthen Your Love Life. He shares his story and discusses his KevinMD article, "Personal intimacy as an overlooked antidepressant." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"As we slowly emerge from the physical withdrawal required during the pandemic, the emotional toll of this past year will become increasingly apparent. Complicated problems demand organized, financially-supported solutions. We need a mental health infrastructure bill now, and we need to start rebuilding." Jennifer Reid is a psychiatrist and can be reached at her self-titled site, Jennifer Reid, M.D. She shares her story and discusses her KevinMD article, "We need a mental health infrastructure bill."   This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.    Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace.    Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader.   They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/case-conversation-t2dm-part-2 Overview: In the context of a clinical case, faculty will emphasize the importance of developing a guideline-directed diabetes care management plan that places GLP-1 RA therapy before insulin.

"Just before the pandemic, I walked 96 miles (154.5 km) in seven days on the West Highland Way in Scotland, though I was hardly alone in this endeavor. About 250 people start the walk each day, including the amazing group of primary women that I walked with, indicative of both the attraction of the trail and the popularity of this form of physical activity. All types of people were walking. There were young people and old people, some fit and some not so obviously so. The walk was exhilarating and at the same time hard and very long. Much of the great feeling of satisfaction I had at the end of every day was the feeling of achievement at having physically and emotionally pushed my own limits." Paula Rochon is a geriatrician. She shares her story and discusses her KevinMD article, "Reduce your loneliness, improve your well-being, and take the first step." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.    Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace.    Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader.   They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

Join Dr. Clancy and his guests to discuss research of, genetics of, and interventions for autism and other neurodiverse conditions. We'll also hear about the impact on families and ways we can support those with autism. Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Ted Abel, PhD Chair & DEO Neuroscience and Pharmacology University of Iowa Carver College of Medicine Lane Strathearn, MBBS, PhD, FRACP Developmental & Behavioral Pediatrician Center for Disabilities & Development University of Iowa Stead Family Children's Hospital  References/Resources:  Hawkeye Intellectual and Developmental Disabilities Research Center: https://iddrc.uiowa.edu Center for Disabilities and Development: https://uihc.org/childrens/services/center-disabilities-and-development Iowa Neuroscience Institute: https://medicine.uiowa.edu/iowaneuroscience/ Autism Center: https://uihc.org/childrens/services/autism Research on autism: https://strathearn.lab.uiowa.edu/node/add/autism-spectrum-disorder https://michaelson.lab.uiowa.edu/participate-research https://www.frontiersin.org/articles/10.3389/neuro.08.011.2009/full https://pubmed.ncbi.nlm.nih.gov/30508021/  Research on autism & vaccines: https://pubmed.ncbi.nlm.nih.gov/23545349/ https://nap.nationalacademies.org/read/13164/chapter/6#144 Financial Disclosures:  Dr. Gerard Clancy, his guests and the members of the planning committee for Rounding@IOWA have no relevant financial relationships to disclose. CME Credit Available:    https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=51624   Accreditation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. CME Credit Designation: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nurses: Effective March 18, 2020, Iowa nurses may use participation in ACCME-accredited education toward their CE requirement for licensure. A certificate of participation will be available after successful completion of the course. (Nurses from other states should confirm with their licensing boards that this activity meets their state's licensing requirements.) Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.) Date Recorded: 8/30/2022

How do you treat a patient with penicillin allergies? When is it appropriate to challenge the allergy?  When should you send them to an allergist? Listen in to find out. Hannah Duffey, MD, and Paul Wirkus, MD, FAAP discuss the treatment of a penicillin allergy on this weeks episode.In the fourth week Dr. Duffey will answer your questions. Send your questions to questions@vcurb.com.Credit for episodes may be available, go to https://vcurb.com/episodes/ for more information.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

On this episode we have the "brave enough" Dr. Sasha Shillcutt:✅Professor & Vice Chair Anesthesiology University of Nebraska Medical Center✅Founder & CEO of Brave Enough✅Researcher✅Author of 2 books✅Podcaster✅Tedx speakerShe shares:*Her journey juggling academic medicine and motherhood*Wake-up call after physician friends died from suicide*Learning how to say no*Her feeling of isolation*How she rebuilt  herself*Her community she has built for women*The intentions behind her books*The importance of giving yourself permissionEarn CME:Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here:  https://earnc.me/WNs2yIInfo for Dr. Sasha Shillcutt:Website:https://www.becomebraveenough.com/Between Grit and Grace (book):https://amzn.to/3wOtpB0Brave Boundaries (book):https://www.amazon.com/Brave-Boundaries-Strategies-Control-Empowered/dp/0757324193FB/IG/LinkedIn: @becomebraveenoughTwitter: @rubraveenoughInfo for Dr. Robyn Tiger & StressFreeMD:Check out StressFreeMD:https://www.stressfreemd.net/Schedule your FREE 30-Minute Stress Relief Strategy Call:https://go.oncehub.com/StressReliefStrategyCallGet your 4 FREE stress relieving videos:https://www.stressfreemd.net/free-self-care-videosPhysicians: join our free private physicians-only Facebook group:https://www.facebook.com/groups/thephysiciansselfcarecommunityFollow me on Instagramhttps://www.instagram.com/stressfreemd/Connect with me on LinkedInhttps://www.linkedin.com/in/robyntigermd/Follow me on Facebook:https://www.facebook.com/robyntigermdFollow me on Twitter:https://twitter.com/robyntigermdExclusive physician CME accredited programming: Rx Inner Peacehttps://www.stressfreemd.net/rxinnerpeaceSelf-Care Shop--accredited programs for healthcare and open to everyonehttps://www.stressfreemd.net/selfcareshopPrivate 1:1 Coachinghttps://www.stressfreemd.net/coachingContactinfo@stressfreemd.netPodcast website:https://www.podpage.com/the-stressfreemd-podcast/

"ME/CFS is a complex multi-system illness that destroys lives (essentially killing the person yet leaving them alive).  It leaves patients with unimaginable fatigue, post-exertional malaise (meaning that minor exertion makes them feel worse), cognitive deficits, cardiovascular dysfunction, gastrointestinal malfunctions, unrefreshing sleep, pain, and much more. As a person who has lived with ME/CFS for 13 years, I urge everyone to avoid getting it at all costs.  I also want to protect people like myself from getting sick with COVID and having our illnesses worsen to even graver severities." Stephanie Marcovici is a patient advocate. She shares her story and discusses her KevinMD article, "The consequences of unmasking and ending quarantines." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.    Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace.    Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader.   They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/alzheimer-disease-addressing-challenges-pt1 Overview: Alzheimer disease (AD) is a growing concern as the population ages. Primary care clinicians are often the first to screen for and identify signs of cognitive impairment which may be due to AD. Join neurologist Gad Marshall, MD in this two-part podcast series, as he answers important questions and provides helpful tips for assessing cognitive impairment in primary care and provides insight into the current and emerging role of neuroimaging and biomarkers in the diagnosis of AD. The topics covered in this podcast are based on challenges and misconceptions identified from the CME/CE curriculum The Future of Alzheimer Disease: Early Recognition and Emerging Therapy.

Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/alzheimer-disease-addressing-challenges-pt2 Overview: Alzheimer disease (AD) treatment is evolving. With this rapid expansion in potential therapies, there remain challenges and misconceptions. Join neurologist Gad Marshall, MD in this two-part podcast series, as he answers important questions about new and emerging disease-modifying therapies and explores ways in which these treatments may be considered in the future for patients.  The topics covered in this podcast are based on challenges and misconceptions identified from the CME/CE curriculum The Future of Alzheimer Disease: Early Recognition and Emerging Therapy.

Course: Enterovirus D68 and Acute Flaccid Myelitis in 2022 Course Director: Tony R Tarchichi MD  - Associate Professor in Dept of Pediatrics at the University of Pittsburgh School of Medicine Course Director: Megan Culler Freeman MD, PhD - Clinical Instructor in the Dept of Pediatrics at the University of Pittsburgh School of Medicine This Podcast series was created for Pediatric Hospitalists or those healthcare professionals who take care of hospitalized children.  This episode is Enterovirus D68 and Acute Flaccid Myelitis in 2022. As always there is free CME credit of up to 0.5 AMA category 1 for listening to this podcast and going to the Univ of Pitt site. See the link below.  ______________________________________________________ Objectives: Upon completion of this activity, participants will be able to: Review the epidemiology and virology of Enterovirus D68. Review the presentation, diagnosis and potential treatment of Acute Flaccid Myelitis. Review the link between Enterovirus D68 and Acute Flaccid Myelitis. ______________________________________________________ Released:  9/19/2022, Reviewed 9/19/2022, Expire: 9/19/2023 If you are new to the Internet-based Studies in Education and Research (ISER) website (which is how you will get your CME credit), you will first need to create an account: Step 1. Create an Account https://www.hsconnect.pitt.edu/HSC/home/create-account.do If you have used the ISER website in the past, you can click on the link below and then log onto in order to complete the evaluation for this training: Step 2. To access the test for CME credit: Coming soon! Accreditation Statement: The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The University of Pittsburgh School of Medicine designates this enduring material for a maximum of  (0.5)  AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-294   Overview: Fibromyalgia is a common and difficult to diagnose disease, with highly subjective symptoms. Another challenge is that treatment is dependent on a patient's implementation lifestyle changes. This brief podcast walks you through the diagnosis of fibromyalgia and offers best evidence on effective treatments.   Episode resource links: Mediations:  JAMA Netw Open. 2022;5(5):e2212939 Acupuncture:  J Pain Res. 2022; 15: 315–329   Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Richard Onorato

Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/your-questions-about-migraine-pt2 Overview: In this podcast, Drs. Dawn Buse and Michael Ready will address questions about migraine diagnosis and treatment posed by Pri-Med learners during recent programs. Topics will include red flags requiring evaluation for serious secondary causes of headache, tips on encouraging patients to use headache diaries, the role of supplements in migraine prevention, and more!

Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/Podcast/case-for-migraine-prevention Overview: This podcast will focus on the case of a patient with migraine attacks that have been increasing in frequency and the disability they cause. Faculty will discuss when to initiate preventive migraine treatment and consider medication options for this patient that will take into account her comorbid conditions and potential issues with adherence.

Contributor: Aaron Lessen, MD Educational Pearls: Recent study looked at the impact of screen time on duration of post-concussive symptoms 125 patients aged 12-25 diagnosed with a concussion were randomized to either abstain from or have unrestricted screen time for 48 hours after injury Patients with unrestricted screen time averaged approximately 5 hours/day of screen time Patients in the no screen time group averaged approximately 1 hour/day of screen time Statistically significant difference in duration of post-concussive symptoms Unrestricted screen time cohort averaged 8 days of post-concussive symptoms No screen time cohort averaged 3.5 days of post-concussive symptoms ED physicians should encourage patients to limit screen time as much as possible in the first 48 hours after a concussion to promote faster recovery from post-concussive symptoms   References Macnow T, Curran T, Tolliday C, et al. Effect of Screen Time on Recovery From Concussion: A Randomized Clinical Trial. JAMA Pediatr. 2021;175(11):1124-1131.   Summarized by Mark O'Brien, MS4 | Edited by John Spartz, MD & Erik Verzemnieks, MD   The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.  Donate to EMM today!

"The boundaries of unacceptable behavior have eroded in the past few years. Politicians, law enforcement, movie stars, health care providers, the health care system, and society, in general, are all acting badly occasionally. I'm amazed but no longer surprised every time it happens. Patients and family members behaving badly have captured headlines lately. I'm sad that in addition to Code Blue and Code Red, my hospital now has a Code Purple, indicating out-of-control parents. And I'm saddened that now, teaching residents how to deal with unruly people is a routine part of my curriculum." Ann F. Beach is a pediatric hospitalist. She shares her story and discusses her KevinMD article, "People behaving badly: 4 steps to de-escalate hostile people." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.  Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace. Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader. They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-294   Overview: Fibromyalgia is a common and difficult to diagnose disease, with highly subjective symptoms. Another challenge is that treatment is dependent on a patient's implementation lifestyle changes. This brief podcast walks you through the diagnosis of fibromyalgia and offers best evidence on effective treatments.   Episode resource links: Mediations:  JAMA Netw Open. 2022;5(5):e2212939 Acupuncture:  J Pain Res. 2022; 15: 315–329   Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Richard Onorato

"One thing is hard to ignore – nurses need better treatment. Nurses need a seat at the table and advocacy. Nurses need to raise their voices, listen to each other, and unify to achieve the progress that we need to improve our workplace safety, manage and prevent burnout, and promote patient safety. Nurses have traditionally operated with our patients' best interests at the core of our professional life. Now is the time to advocate for our best interests as strongly as our patients. If not us, then who? If not now, then when?" Jessica Reeves is a nurse practitioner. She shares her story and discusses her KevinMD article, "Florence Nightingale. Clara Barton. Radonda Vaught?" This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.    Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace.    Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader.   They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

Have you tried everything to get out of burnout? Though you may be exhausted, it's not a problem that a good night's sleep will solve. In this special episode, Dr. Archana Shrestha shares mistakes sister docs make trying to get out of burnout and what REALLY works. If you want to burn bright again but are unsure how to get there, this episode is for you! Key Takeaways [02:08] Common mistakes sister docs make while fighting burnout [10:08] The specific mistake that makes sister docs feel stuck [16:44] Why changing circumstances doesn't always help [20:48] Common concerns and questions about PWEP If you could cure burnout forever and create a life you love waking up to in just 12 weeks, would you finally put yourself first and invest in a joyful life? Enroll now for our next WIWC Physician Wellness and Empowerment Program! Check out the details here: https://womeninwhitecoats.com/empowerment/ We have developed a Burnout Diagnostic Quiz for you to discover the root cause of burnout for YOU. Not only that, but we also tell you how you can fix your burnout. It is only 7 questions and takes just one minute to complete! Take our free quiz at womeninwhitecoats.com/quiz This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://womeninwhitecoats.com/podcastcme --- Send in a voice message: https://anchor.fm/women-in-white-coats/message

"MRI studies of these patients determined that it was not only the circuitry that was affected by the burnout but also the size of the brain structures. Compared with the controls, patients suffering from burnout showed volume loss in the prefrontal cortex. Burnout patients appeared to also have shrinking in their dorsal striatum (caudate and putamen nuclei (areas that modify movement) and hippocampus (an area involved in emotion and memory), but an increased volume of tissue in the amygdalae. So, put down the knife. Keep a work-life balance. Don't burn out. Working too hard is bad for your brain." Resources: Buddhism Without Beliefs: A Contemporary Guide to Awakening Azazel's Public House Marc Arginteanu is a neurosurgeon. He shares his story and discusses his KevinMD article, "Put down the knife: A neurosurgeon explains the importance of a work-life balance." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.    Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace.    Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader.   They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

On this episode, The Curious Clinicians explore why and how tumors in bones cause pain, with surprising results.  Check out the show notes here. Click here to obtain AMA PRA Category 1 Credits™ (0.5 hours), Non-Physician Attendance (0.5 hours), or ABIM MOC Part 2 (0.5 hours). Audio edited by Clair Morgan of Nodderly.com.

"Health isn't about luck — it's about intentionality. But even if you're doing and saying all the right things, you might not be any closer to your goals. I know because I was there. As a heart surgeon, I was very good at following the rules. But I was still morbidly obese. I followed the food pyramid to a T. I exercised for the recommended amount of time each day. I thought I was doing everything right. And yet, my heart was at its breaking point. I knew there had to be something more. So in 2015, I started digging into what modern science had to say about maintaining metabolic health. And it changed my life." Philip Ovadia is a cardiothoracic surgeon and author of Stay off My Operating Table: A Heart Surgeon's Metabolic Health Guide to Lose Weight, Prevent Disease, and Feel Your Best Every Day. He shares his story and discusses his KevinMD article, "How to stay off my operating table." This episode is sponsored by the Stanford Physician Leadership Certificate Program. For the aspiring physician leader, leadership skills are one of the most important and influential traits that will elevate your overall success.    Leadership impacts nearly every aspect of your career in a complex and diverse health care system. Including how you effectively communicate and influence those around you, how you respond to conflict and make important key decisions, how you develop your team, and even how you navigate social dynamics in your workplace.    Stanford Medicine recognizes the need to foster physician leaders in health care. That is why they developed the physician leadership certificate program. This 6-month cohort-based program includes live virtual sessions, self-paced learning modules, professional coaching, a capstone project, and much more: Providing C-suite education for the non-C-suite physician leader.   They encourage all early career and aspiring physician leaders to apply. To find out more about the program or apply, visit physicianleadership.stanford.edu. Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"We cannot change societal norms, gender biases, childhood needs, the education system, or stop a pandemic. But, we can stop gaslighting 50% of the population. We can start acknowledging that the simple fact of gender does greatly affect patient and support staff expectations, time, power, compensation, and career trajectory. Women physicians have gained much ground, but this world and life are nowhere near a level playing field yet. When we all work together to allow our women physicians some flexibility in schedules, 10 to 20% more administrative time, transparent salary offerings, remote work options, extra “flex days” for children's medical appointments, on-site childcare, and considerate timing of “mandatory” meetings we can set us all up for success. These are radical proposals that are not “fair and equal,” but they address the reality of unequal experiences. Maybe then we can stop the hemorrhaging of women physicians from health care. When we acknowledge and tweak current systems and structures to accommodate the 50% of medical students graduating, we are setting ourselves up for success." Dawn Sears is a gastroenterologist and can be reached on Twitter @GutGirlMD, YouTube, and at GutGirlMD Consulting. She shares her story and discusses her KevinMD article, "Why are women leaving medicine? Gaslighting." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"There are two valuable reasons why all physicians, especially medical students, should obtain or demand from their medical school academic business education. About 98 percent of physicians and medical students have never had an academic business education. About 30 to 50 percent of graduating medical students prefer private medical practice—which requires business and marketing knowledge to reach their optimal potential in private medical practice." Curtis G. Graham is a physician. He shares his story and discusses his KevinMD article, "Financial survival for physicians in private medical practice." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

Contributor: Travis Barlock, MD Educational Pearls: Most oxygen in the body is bound to hemoglobin, forming oxyhemoglobin. Less than 1% of the oxygen in the body is dissolved in plasma.  Pulse Oximeters (Pulse Ox) function by emitting wavelengths of light from one side, and capturing the amount absorbed on the opposite side. A calculation determined the amount of saturation.  Pulse Ox relies on pulsations in arterial flow to create a photoplethysmogram (pleth) for measurements  Patients with poor peripheral perfusion may have unreliable pulse ox. Patient with an LVAD have constant flow and also unreliable pulse ox.  Pulse Ox is a useful tool when pacing to determine mechanical capture. If there is disparity between the electrical wave pulse and the rate on pulse ox, there is likely no mechanical capture leading to poor distal flow.    References Eecen CMW, Kooter AJJ. Pulsoximeters: werking, valkuilen en praktische tips [Pulse oximetry: principles, limitations and practical applications]. Ned Tijdschr Geneeskd. 2021;165:D5891. Published 2021 May 11. Elgendi M. On the analysis of fingertip photoplethysmogram signals. Curr Cardiol Rev. 2012;8(1):14-25. doi:10.2174/157340312801215782   Summarized by Kirsten Hughes, MS4 | Edited by John Spartz MD & Erik Verzemnieks, MD   The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.  Donate to EMM today!

Why are penicillin allergies a problem? When aren't they a problem? Listen in to find out the difference. This week Hannah Duffey, MD, and Paul Wirkus, MD, FAAP discuss common rashes and presentation of a penicillin reaction.In the fourth week Dr. Duffey will answer your questions. Send your questions to questions@vcurb.com.Credit for episodes may be available, go to https://vcurb.com/episodes/ for more information.ACCME Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Colorado Medical Society through the joint providership of Kansas Chapter, American Academy of Pediatrics and Utah Chapter, AAP.  Kansas Chapter, American Academy of Pediatrics is accredited by the Colorado Medical Society to provide continuing medical education for physicians. AMA Credit Designation StatementKansas Chapter, American Academy of Pediatrics designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

"People developing anaphylaxis will not always have five extra minutes to spare. I do appreciate that auto-injectors are expensive, but it is not at all expensive to have an ampule or vial of epinephrine on board, which can be drawn up in five seconds. Those also come in a much friendlier concentration of 1 mg/1 mL. The chances of using epinephrine to treat a cardiac arrest patient are astronomically small compared to the chances of needing it to arrest an anaphylactic reaction, particularly if they continue to serve food containing nut products. Parents in the nut allergy community have advocated for these changes for years. And while the airlines have taken the important step of no longer serving packets of nuts on board, little else has been done to make air travel safer for the food-allergy community. I call upon the major airlines to revise their medical kits and to offer allergy-safe meals for those in need. It is such a simple measure, and you can quite literally save a life." Samara Friedman is a pediatric orthopedic surgeon. She shares her story and discusses her KevinMD article, "A nut allergy nightmare at 35,000 feet." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

On this episode we have the courageous and strong Dr. Laura Fortner!✅OBGYN of over 21 years✅Speaker &  expert in litigation stressShe is passionate about helping physicians thrive through medical malpractice, normalizing the topic and how to not let it define who you are and how to feel at peace.  She shares:✅her own journey being sued (and how she is STILL in it after 8 years!) ✅MMSS: Medical Malpractice Stress Syndrome (in the DSM) ✅the emotional rollercoaster full of shame, anger, helplessness and fear✅imbedding who we are with what we do✅how coaching helped her overcome and thrive and how she helps other physicians do the sameEarn CME:Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs here: https://earnc.me/wybERPInfo for Dr. Fortner:Website:https://www.themedmalcoach.com/The Medical Malpractice Comeback Kit webinar series:https://www.themedmalcoach.com/mini-courseLinkedIn:https://www.linkedin.com/in/laura-fortner-md-30b88832/Info for Dr. Robyn Tiger & StressFreeMD:Check out StressFreeMD:https://www.stressfreemd.net/Schedule your FREE 30-Minute Stress Relief Strategy Call:https://go.oncehub.com/StressReliefStrategyCallGet your 4 FREE stress relieving videos:https://www.stressfreemd.net/free-self-care-videosPhysicians: join our free private physicians-only Facebook group:https://www.facebook.com/groups/thephysiciansselfcarecommunityFollow me on Instagramhttps://www.instagram.com/stressfreemd/Connect with me on LinkedInhttps://www.linkedin.com/in/robyntigermd/Follow me on Facebook:https://www.facebook.com/robyntigermdFollow me on Twitter:https://twitter.com/robyntigermdExclusive physician CME accredited programming: Rx Inner Peacehttps://www.stressfreemd.net/rxinnerpeaceSelf-Care Shop--accredited programs for healthcare and open to everyonehttps://www.stressfreemd.net/selfcareshopPrivate 1:1 Coachinghttps://www.stressfreemd.net/coachingContactinfo@stressfreemd.netPodcast website:https://www.podpage.com/the-stressfreemd-podcast/

Contributor: Nick Tsipis, MD Educational Pearls: PO medications are less frequently used in the ED due to their longer onset of action        The position the patient is in when given PO medications may affect how quickly the medication is absorbed The quicker the medication passes through the stomach into the small intestine, the quicker it can be absorbed and metabolized Recent study used in silico gastric biomechanics model to compare the length of time it took PO medications to pass through the stomach based on the patient's positioning Compared the medication transit time in a stomach model placed in right lateral, left lateral, upright, and supine positions Right lateral positioning resulted in the fastest time for medication to pass through the stomach and enter the duodenum Likely due to the direction of gravity aligning with the antrum and pylorus of the stomach Left lateral positioning had the slowest time for the pill to enter the small intestine  Likely due to gravity not aligning with stomach anatomy The time to absorption in the right and left lateral position were significantly faster and slower respectively than that seen in the upright and supine positions  These results indicate that placing a patient in the right lateral position when giving PO medications may result in faster rate of medication onset than if the patient is in another position   References Lee JH, Kuhar S, Seo JH, Pasricha PJ, Mittal R. Computational modeling of drug dissolution in the human stomach: Effects of posture and gastroparesis on drug bioavailability. Phys Fluids (1994). 2022;34(8):081904.   Summarized by Mark O'Brien, MS4 | Edited by John Spartz MD & Erik Verzemnieks, MD   The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.  Donate to EMM today!

Podcast: Teens and Headaches    Evaluation and Credit:  https://www.surveymonkey.com/r/MedChat43   Target Audience             This activity is targeted toward all physician specialties.   Statement of Need  When pediatric patients present with headaches, a comprehensive evaluation should be conducted to determine if it is a primary or secondary headache. Providers should consistently utilize the latest diagnostic and management guidelines to effectively diagnose and manage their pediatric patients with headaches.   Objectives  At the conclusion of this offering, the participant will be able to:  Discuss the prevalence of headaches in the pediatric population. Discuss the symptoms and clinical characteristics of headaches including the distinction of symptoms between adults and teens.  Describe the diagnostic process for headaches in teens including red flags.  Identify effective management strategies for primary headaches including migraines in the teen patient.   Moderator Joe Flynn, D.O. Chief Administrative Officer Norton Medical Group Physician-in-Chief  Norton Cancer Institute   Speaker Brian Plato, D.O., FAHS Medical Director Headache Medicine, Neurology Norton Neuroscience Institute Norton Healthcare   Moderator, Speaker and Planner Disclosures   The planners and moderator of this activity do not have any relevant relationships to disclose.  The speaker, Brian Plato, D.O., FAHS has relevant relationships with: Allergan and Amgen - Advisory Board and Speaker Bureau; Biohaven – Speaker Bureau; and Teva - Advisory Board. These relationships have been successfully mitigated.   Commercial Support   There was no commercial support for this activity.    Physician Credits   Accreditation  Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians.   Designation  Norton Healthcare designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.   Nursing Credits Norton Healthcare Institute for Education and Development is approved with distinction as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation (ANCC). This continuing professional development activity has been approved for .5 contact hours. In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance. For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study:   Headache Diagnosis in Children and Adolescents https://pubmed.ncbi.nlm.nih.gov/29476266/   Practice guideline update summary: Acute treatment of migraine in children and adolescents: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American https://pubmed.ncbi.nlm.nih.gov/31413171/   American Headache Society https://americanheadachesociety.org/     Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. Five Louisville hospitals provide inpatient and outpatient general care as well as specialty care including heart, neuroscience, cancer, orthopedic, women's and pediatric services. A strong research program provides access to clinical trials in a multitude of areas. More information about Norton Healthcare is available at NortonHealthcare.com.     Date of Original Release |September 2022; Information is current as of the time of recording.  Course Termination Date | September 2024 Contact Information | Center for Continuing Medical, Provider and Nursing Education; (502) 446-5955 or cme@nortonhealthcare.org  

"The most important lesson when negotiating contracts is picking your battles and coming at them with optimism and positivity. Yes, you can and should be excited about this new opportunity, but you need to receive what's fair and reasonable in the market. Don't be afraid to push back on things that matter, and be smart enough to let the smaller things go." Amanda Hill is a health care attorney. She shares her story and discusses her KevinMD article, "Know your worth: Negotiating employment contracts from a place of strength." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

Do you ever get so stuck on how to move forward, that you forget how far you've come already? Dr. Kim Nichols, a recent participant in our Physician Wellness and Empowerment Program (PWEP), turned to coaching to remind herself of her strengths and capabilities. In this episode, Dr. Archana Shrestha interviews Dr. Nichols about her experiences in PWEP and how she has moved forward with her career as a result. If you're feeling stuck, tune in to this episode, as you are not alone! Key Takeaways [02:48] Dr. Nichols shares some of the struggles she faced as a busy mom and doctor [07:30] How coaching reminded her that she is not alone [12:05] Why sister docs need to be careful with how they treat themselves [16:59] How life has improved for Dr. Nichols since participating in PWEP [21:45] Her advice to those considering the program but are still unsure If you could cure burnout forever and create a life you love waking up to in just 12 weeks, would you finally put yourself first and invest in a joyful life? Enroll now for our next WIWC Physician Wellness and Empowerment Program! Check out the details here: https://womeninwhitecoats.com/empowerment/ This Podcast is not approved for credit by CMEfy, however, you may reflect on how this Podcast applies to your day-to-day and engage to earn AMA PRA Category 1 Credit(s)™ via point-of-care learning activities here: https://womeninwhitecoats.com/podcastcme --- Send in a voice message: https://anchor.fm/women-in-white-coats/message

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-293   Overview: Evidence informs us that almost one-third of antibiotic prescriptions written for children in the United States are inappropriate, meaning they are not in line with evidence-based guidelines. Antibiotics are tremendous tools and beneficial when used appropriately; however, as with all pharmacological therapy, there are risks of adverse effects and healthcare cost. When prescribed inappropriately, they unnecessarily put children at risk and cause financial burden on individuals and the system. Please join the podcast team as we discuss recent evidence on these risks and burden and consider how this evidence can help improve practice.    Episode resource links: Butler AM, Brown DS, Durkin MJ, et al. Association of Inappropriate Outpatient Pediatric Antibiotic Prescriptions With Adverse Drug Events and Health Care Expenditures. JAMA Netw Open.2022;5(5):e2214153. doi:10.1001/jamanetworkopen.2022.14153   Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Richard Onorato

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-293   Overview: Evidence informs us that almost one-third of antibiotic prescriptions written for children in the United States are inappropriate, meaning they are not in line with evidence-based guidelines. Antibiotics are tremendous tools and beneficial when used appropriately; however, as with all pharmacological therapy, there are risks of adverse effects and healthcare cost. When prescribed inappropriately, they unnecessarily put children at risk and cause financial burden on individuals and the system. Please join the podcast team as we discuss recent evidence on these risks and burden and consider how this evidence can help improve practice.    Episode resource links: Butler AM, Brown DS, Durkin MJ, et al. Association of Inappropriate Outpatient Pediatric Antibiotic Prescriptions With Adverse Drug Events and Health Care Expenditures. JAMA Netw Open.2022;5(5):e2214153. doi:10.1001/jamanetworkopen.2022.14153   Guest: Susan Feeney, DNP, FNP-BC, NP-C   Music Credit: Richard Onorato

"The worry and anticipation of getting sued are heightened more than ever in the wake of the pandemic. It is in all physicians' minds. I recently did a quick poll in some of my physician groups on social media, and roughly 500 physicians responded to this question: Do we need medical malpractice reform? I only had one say no, and one said it would depend. Every other physician said yes. Now, this is a small group, but I believe asking this on a larger scale would get similar results – the majority would want this. We desperately need to change, but change takes time and debate. So, what can we do now in this pandemic to avoid litigation?" Laura Fortner is an obstetrician-gynecologist. She shares her story and discusses her KevinMD article, "Avoiding medical malpractice in the wake of the pandemic." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Since President Nixon declared war on cancer in 1971, and despite some great victories and many losses, there continues to be a never-ending battle in this long-fought war that seems never-ending. The convergence of great intellect and resources of academia and industry, fueled by continued entrepreneurship and investment funding into the biotechnology sector, despite the many risks of failure and expense, is one that is obvious to yield the greatest rewards to both prosperity and health. Ultimately, targeted therapies will improve lifespans and quality of life for cancer patients." Eugene Chan is a health care executive. He shares his story and discusses his KevinMD article, "Cancer of the future: diagnosis, treatment, and impact on the health care system and patients." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"Gun violence, war, pandemic, natural disasters — listening to the news or doom scrolling on social media during times of tragedy can leave us feeling devastated, discouraged, and angry. Tragedy can also make us feel like helping. We're motivated to reach those affected and do something. Giving money can be a simple way to help. In the wake of a tragedy, many of us react fast and give to the first plea that comes across our Facebook feed. This is reactive giving, and while it's significant, reactive givers often feel like they didn't actually make a difference.There is another approach to giving that will leave you confident about your contribution. After recent mass shootings, many people asked me how to help. So I am providing tools to put the power of your money to work effectively in any tragedy." Recha Bergstrom is a women's imaging radiologist. She is founder and CEO, The Physician Philanthropist, helping doctors learn how to donate effectively and invest responsibly so they can maximize their positive impact on the world, and can be reached on LinkedIn, Facebook, and Instagram. Join the private Facebook group, The Physician Philanthropist Group. She shares her story and discusses her KevinMD article, "How you can donate effectively after tragedy." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

"All physicians need to be concerned about issues such as potential delays in the start date, restrictive covenants, potential ownership in a private practice, malpractice tail coverage, employee benefits, etc. Unfortunately, until discrimination against female physicians ends, female physicians need to be especially vigilant in protecting their rights." Dennis Hursh is a physician contract lawyer. He blogs at Physicians Contracts Blog. He shares his story and discusses his KevinMD article, "Special contractual issues for female physicians." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

Contributor: Lessen, Aaron MD Educational Pearls: Ketamine can be given at 0.2-0.3 mg/kg as subdissociative doses for pain control in the ED Ketamine coadministered with Haldol may reduce agitation A recent study in Iran compared subdissociative Ketamine given with 2.5 mg Haldol to 1 mg/kg Fentanyl for pain control in the ED Ketamine with Haldol had better pain control than Fentanyl at 5, 10, 15 and 30 minutes  Ketamine with Haldol less frequently required rescue medication  Ketamine with Haldol did have increased agitation at only the 10 minute mark Of note, there was not a Ketamine only group to compare  Ketamine with Haldol is a viable alternative combination for pain control    References Moradi MM, Moradi MM, Safaie A, Baratloo A, Payandemehr P. Sub dissociative dose of ketamine with haloperidol versus fentanyl on pain reduction in patients with acute pain in the emergency department; a randomized clinical trial. Am J Emerg Med. 2022;54:165-171. doi:10.1016/j.ajem.2022.02.012 Sin B, Ternas T, Motov SM. The use of subdissociative-dose ketamine for acute pain in the emergency department. Acad Emerg Med. 2015;22(3):251-257. doi:10.1111/acem.12604   Summarized by Kirsten Hughes, MS4 | Edited by John Spartz, MD & Erik Verzemnieks, MD   The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at https://emergencymedicalminute.org/cme-courses/ and create an account.  Donate to EMM today!

"Jumping on the recent TikTok trend of medical professionals sharing the things they would never do given their knowledge and expertise, I am sharing the five things I would never do as a board-certified allergist-immunologist." Kara Wada is an allergist-immunologist. She shares her story and discusses her KevinMD article, "5 things I would never do as an allergy and immune system expert." Did you enjoy today's episode? Rate and review the show so more audiences can find The Podcast by KevinMD. Subscribe on your favorite podcast app to get notified when a new episode comes out. Click here to earn 1.0 AMA PRA Category 1 CME for this episode. Also available in Category 1 CME bundles. Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info