POPULARITY
8 episodes with american medical colleges
4 episodes with american medical colleges
3 episodes with american medical colleges
4 episodes with american medical colleges
3 episodes with american medical colleges
3 episodes with american medical colleges
2 episodes with american medical colleges
2 episodes with american medical colleges
3 episodes with american medical colleges
Rural Health News is a weekly segment of Rural Health Today, a podcast by Hillsdale Hospital. News sources for this episode: Forvis Mazars, “CMS Rule Signals Shift in Medicaid State-Directed Payments,” June 11, 2026, https://www.forvismazars.us/forsights/2026/06/cms-rule-signals-shift-in-medicaid-state-directed-payments. Medicaid.gov, “State Directed Payments,” https://www.medicaid.gov/medicaid/managed-care/guidance/state-directed-payments. Sturgis Hospital, “Sturgis Hospital Closure,” https://sturgishospital.com/sturgis-hospital-closure/. The Association of American Medical Colleges, “AAMC Statement on Proposed Rule on Medicaid Supplemental Payments,” May 21, 2026, https://www.aamc.org/news/press-releases/aamc-statement-proposed-rule-medicaid-supplemental-payments. U.S. Department of Health & Human Services, “Proposed Rule: Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments (CMS-2449-P),” May 20, 2026, https://www.hhs.gov/guidance/document/proposed-rule-medicaid-managed-care-state-directed-payments-and-medicaid-fee-service. Michigan Health & Hospital Association, “CMS Releases FY 2027 Hospital Inpatient Prospective Payment System Proposed Rule,” April 17, 2026, https://www.mha.org/newsroom/cms-releases-fy-2027-hospital-inpatient-prospective-payment-system-proposed-rule/. Federal Register, “Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments,” May 22, 2026, https://www.federalregister.gov/documents/2026/05/22/2026-10292/medicaid-program-medicaid-managed-care-state-directed-payments-and-medicaid-fee-for-service-targeted. Centers for Medicare & Medicaid Services, “Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments Proposed Rule (CMS-2449-P,” May 20, 2026, https://www.cms.gov/newsroom/fact-sheets/medicaid-managed-care-state-directed-payments-medicaid-fee-service-targeted-medicaid-practitioner. Andrea Hooten, “New Rural Health Hub Connects Arkansans to Healthcare Resources, Opportunities,” June 15, 2026, https://news.uams.edu/2026/06/15/new-rural-health-hub-connects-arkansans-to-healthcare-resources-opportunities/, University of Arkansas for Medical Sciences News. Rural Health Today is a production of Hillsdale Hospital in Hillsdale, Michigan and a member of the Health Podcast Network. Our host is JJ Hodshire, our producer is Kyrsten Newlon, and our audio engineer is Kenji Ulmer. Special thanks to our special guests for sharing their expertise on the show, and also to the Hillsdale Hospital marketing team. If you want to submit a question for us to answer on the podcast or learn more about Rural Health Today, visit ruralhealthtoday.com.
Dr. Arreaza: Hello, everyone, my name is Dr. Hector Arreaza, I am a family physician and an associate program director in the Clinica Sierra Vista – Rio Bravo Family Medicine Residency Program. Today we're discussing one of the most powerful predictors of health that many people rarely think about: geography. Where someone lives can influence everything from access to physicians and emergency care to chronic disease outcomes and life expectancy. Joining us today is Peyton, who will be taking a deeper look into the matter. Peyton, thank you for being here — can you start by introducing yourself, please? Peyton: Hello, thank you for having me. My name is Peyton, I am a 4th year medical student with Western Atlantic University, and I am from a very small town in South Dakota. Dr. Arreaza: Peyton, you are on your last few days in your FM rotation, when are you graduation? Peyton, you prepared this topic and it is great. When people hear the phrase “your ZIP code can determine your health,” what does that actually mean? Peyton: It basically means that where someone lives can significantly influence their health outcomes and even life expectancy. A person's ZIP code can affect access to physicians, hospitals, transportation, emergency services, and preventative care. Arreaza: Talking about prevention. The American Heart Association agrees with you because Zip code is not part of the cardiovascular risk calculator called PREVENT. I invite everyone to take a look at this new calculator. I think a lot of people assume healthcare is equal as long as hospitals or clinics exist nearby, right? Peyton: Yes, patients may still struggle with overcrowded healthcare systems, which can lead to long wait times. In fact, a national physician appointment survey found that average wait times for new patient primary care appointments in major cities can exceed three weeks, with some cities reporting significantly longer delays depending on specialty access and provider availability. Dr. Arreaza: And when patients experience those kinds of delays, they may frequently switch between providers, which becomes much harder to establish consistent long-term care. Peyton: One of the biggest issues many patients face is continuity of care — having consistent follow-up with the same provider over time. Dr. Arreaza: And that continuity really matters in medicine, especially family medicine, it is one of our keywords: continuity of care. Peyton: Exactly. Preventative care and chronic disease management work best when patients have long-term relationships with healthcare providers. But in many underserved communities, patients may wait months for appointments, frequently change providers, or rely on emergency rooms instead of primary care clinics. Dr. Arreaza: And urgent care too. When care becomes fragmented, conditions like hypertension, diabetes, and chronic illnesses can become much harder to manage. Peyton: Exactly. Delayed screenings, missed follow-up appointments, and lack of preventative care often lead to patients presenting later with more advanced disease that could have been treated earlier. Dr. Arreaza: And urban communities may face some of the same challenges, but rural communities are at a different level of barriers to health care. Peyton: Absolutely. Rural communities often experience significant physician shortages. According to the Health Resources and Services Administration, over 100 million Americans live in primary care shortage areas, and nearly 65% of those shortage areas are located in rural regions. Peyton: I think one of the biggest solutions starts with strengthening primary care and investing more heavily in underserved communities, especially rural areas. Dr. Arreaza: And that includes increasing the number of physicians going into family medicine and primary care specialties. Peyton: Here is an interesting fact: According to the Graham Center, Northeastern states receive high graduate medical education (GME) funding but produce relatively fewer primary care physicians. Northwestern states receive low GME funding but perform relatively better, producing slightly above the U.S. average (70.8 vs 69.8 primary care physicians per 100,000 people). However, even this remains far below Canada's average of 119 primary care physicians per 100,000 people. Right now, the United States is facing a growing physician shortage. According to the Association of American Medical Colleges, the country could face a shortage of up to 86,000 physicians by 2036, with primary care being one of the most affected areas. Arreaza: Another group that may help address the physician shortage is International Medical Graduates. We'll cover this in more detail in a future episode, but it's worth mentioning briefly here. We have highly trained physicians, including neurosurgeons, driving Uber. There is nothing wrong with that work, but their medical skills could be used to help more people. I'll leave our listeners with that thought: IMGs can help. So, Peyton, are you interested in rural medicine? Peyton: I am very interested in Rural medicine, in fact my next few rotations will be back in South Dakota on the Pine Ridge Indian Reservation. Actually, the Pine Ridge Reservation is the poorest Indian Reservation in the country. Peyton: The measure of any healthcare system is not how well it serves those closest to its centers of power, but how far its reach extends to those who need it most. If we are serious about health equity, the road forward must run through every small town, every county clinic, and every community that has been told to wait its turn. Their turn is now. References Association of American Medical Colleges (AAMC). The Complexities of Physician Supply and Demand: Projections From 2021 to 2036. https://www.aamc.org/workforce American Academy of Family Physicians (AAFP). Rural Practice and Physician Recruitment.https://www.aafp.org Centers for Disease Control and Prevention (CDC). Rural Americans at Higher Risk of Death from Five Leading Causes.https://www.cdc.gov/media/releases/2017/p0112-rural-death-risk.html Cecil G. Sheps Center for Health Services Research. Rural Hospital Closures.https://www.shepscenter.unc.edu/programs-projects/rural-health/rural-hospital-closures/ Chetty R, Stepner M, Abraham S, et al. The Association Between Income and Life Expectancy in the United States, 2001–2014. JAMA. 2016;315(16):1750–1766. https://jamanetwork.com/journals/jama/fullarticle/2513561 Health Resources & Services Administration (HRSA). Health Professional Shortage Areas (HPSAs).https://data.hrsa.gov/topics/health-workforce/shortage-areas Rural Health Information Hub. Healthcare Access in Rural Communities.https://www.ruralhealthinfo.org/topics/healthcare-access Rural Health Information Hub. Transportation to Support Rural Healthcare.https://www.ruralhealthinfo.org/topics/transportation Rural Health Information Hub. Rural Residency Planning and Development. https://www.ruralhealthinfo.org/topics/rural-residency-programs Centers for Disease Control and Prevention (CDC). Health and Access to Care in Rural America.https://www.cdc.gov/ruralhealth/index.html Measure of America. A Portrait of Los Angeles County 2026. Social Science Research Council.https://ssrc-static.s3.amazonaws.com/moa/APortraitofLosAngelesCounty2026.pdf Merritt Hawkins. Survey of Physician Appointment Wait Times and Medicare and Medicaid Acceptance Rates.https://www.merritthawkins.com/news-and-insights/thought-leadership/survey/survey-of-physician-appointment-wait-times/ Fenster, T. L., MD, Park, J., PhD, Huffstetler, A. N., MD, & Topmiller, M., PhD (2026). Graduate Medical Education Funding Does Not Flow to Primary Care Physician Production. American family physician, 113(4), 321–322. https://pubmed.ncbi.nlm.nih.gov/42101593/ Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week!
There's a growing tension inside healthcare right now—between the people leaving the workforce and the patients still arriving every day. It's a dynamic that leaders can no longer afford to ignore. The numbers make that clear: the Association of American Medical Colleges estimates that the U.S. could be short of as many as 86,000 physicians by 2036, fueled by an aging population and a wave of retirements.So, how do healthcare organizations compete for talent at a time when the workforce is shrinking, expectations are shifting, and technology is rapidly changing how care is delivered?On this episode of I Don't Care, host Dr. Kevin Stevenson sits down with River Meisinger, Regional Vice President of MSP & Strategic Accounts at AMN Healthcare, to unpack the evolving landscape of healthcare recruitment. Together, they explore how systems can build sustainable pipelines for executives, physicians, and the next generation of leaders.Top insights from the talk…Workforce shortages are structural, not temporary, driven by burnout, aging clinicians, and insufficient talent pipelines.AI and data are reshaping workforce planning, but success depends on pairing technology with a human-centered strategy.Gen Z is redefining career expectations, forcing healthcare leaders to rethink mentorship, growth pathways, and workplace culture.River Meisinger is a senior healthcare executive at AMN Healthcare, specializing in enterprise workforce solutions, strategic partnerships, and talent optimization across physician, leadership, and clinical staffing. With more than eight years of experience, he has led large-scale efforts in executive search, interim leadership, and workforce planning to strengthen operations and support patient-centered care. He holds a Healthcare MBA from Simmons University and is recognized for his work in healthcare workforce innovation.
Doctors across the nation are burned out, studies say. But according to the Association of American Medical Colleges, the total number of students who want to become doctors reached a new high last year. A film featuring local medical students explores the process of becoming a doctor and that challenges that come with it. "The Healer's Journey" will be screened at Writers & Books next week and on WXXI-TV next month. We sit down with local clinicians behind the film to discuss the state of the health care system and what it means for doctors and patients. In studio: Mick Krasner, M.D., professor emeritus of medicine at University of Rochester School of Medicine and Dentistry, co-chief medical officer and vice president of education for EmPRO Insurance Company, and executive producer of "The Healer's Journey" Abe Choe, M.D., psychiatry resident at the University of Rochester School of Medicine and Dentistry, who is featured in "The Healer's Journey" Trisha K. Paul, M.D., MFA, assistant professor in the Department of Pediatrics, Divisions of Hematology/Oncology and Palliative Care, and Department of Health Humanities and Bioethics at the University of Rochester Medical Center ---Connections is supported by listeners like you. Head to our donation page to become a WXXI member today, support the show, and help us close the gap created by the rescission of federal funding.---Connections airs every weekday from noon-2 p.m. Join the conversation with questions or comments by phone at 1-844-295-TALK (8255) or 585-263-9994, email, Facebook or Twitter. Connections is also livestreamed on the WXXI News YouTube channel each day. You can watch live or access previous episodes here.---Do you have a story that needs to be shared? Pitch your story to Connections.
Welcome to Ozempic Weightloss Unlocked, the podcast where we decode what this powerful medication really means for your body, your health, and your everyday life.Today we are diving into the most important new research about Ozempic and other glucagon like peptide one weight loss drugs. These medicines were first used for diabetes, but they have rapidly become some of the most talked about tools for weight management and even heart health.According to the University of Cambridge, people who stop glucagon like peptide one drugs such as Ozempic and Wegovy regain, on average, about sixty percent of the weight they lost within one year of stopping. By around sixty weeks, the regain begins to level off and is projected to reach about seventy five percent of the lost weight. That means roughly a quarter of the original weight loss may stay off long term, even after the drug is stopped.Researchers suggest there are a few possible reasons. For some people, time on Ozempic seems to reset eating habits, like smaller portions and more balanced meals, and those behaviors can stick. There may also be longer lasting changes in hunger hormones and how the brain regulates appetite. But scientists still do not know exactly how much of the regained weight is fat versus muscle. Early data suggest that as much as forty to sixty percent of weight lost on these drugs can be lean mass, including muscle, and it is not yet clear if that muscle comes back in the same way.While the injectables have been the focus for years, the Association of American Medical Colleges reports that new glucagon like peptide one weight loss pills were prescribed to about one hundred seventy thousand people in the first three weeks after their United States launch in early twenty twenty six. Trial data from Novo Nordisk show that people taking the oral version with diet and activity changes lost about thirteen percent of their body weight over a little more than a year, compared with about fifteen to sixteen percent with injectable Wegovy. In practice, doctors say the results are broadly similar, and the big difference is convenience and preference. Some people find a pill easier than a weekly injection, even though the pill has strict empty stomach rules.Public health researchers at Johns Hopkins University report that glucagon like peptide one drugs lead to meaningful weight loss across age, race, and starting weight groups, although women in their study lost a somewhat higher percentage of body weight than men. At the population level, a recent Gallup poll cited by the Association of American Medical Colleges found that obesity rates in the United States have dipped slightly since these drugs became more common, suggesting they may already be shifting public health trends.At the same time, doctors are sounding a note of caution. The Association of American Medical Colleges highlights concerns about side effects, unequal access, and what happens when people use these medicines long term for many different conditions. Some clinicians are seeing new or worsened eating disorders, where people become intensely fearful of any weight regain after starting Ozempic. Others are worried about the possibility of losing too much muscle and what that might mean for strength, metabolism, and aging.The message from obesity and endocrine specialists is that Ozempic works best as part of a full plan, not a stand alone fix. That means nutrition support, resistance exercise to protect muscle, realistic expectations about possible weight regain if the drug is stopped, and an individualized decision about whether treatment should be short term or ongoing.On future episodes of Ozempic Weightloss Unlocked, we will explore mental health effects, muscle versus fat loss, and how these medications are being studied for conditions like heart disease, liver disease, and even addiction.Thank you for tuning in to Ozempic Weightloss Unlocked. Be sure to subscribe so you never miss an update on the science and real life impact of Ozempic and related medications.This has been a quiet please production, for more check out quiet please dot ai. Some great Deals https://amzn.to/49SJ3QsFor more check out http://www.quietplease.aiThis content was created in partnership and with the help of Artificial Intelligence AI
Episode Summary By Concierge Medicine Today JANUARY 2026 - Concierge medicine and direct primary care didn't just grow — they surged more than 80% in five years. Headlines are spinning this as a threat to access and equity. But is that the full story? In this episode, the Editor-In-Chief of the industry's trade publication, Concierge Medicine Today, author and Host, Michael Tetreault, breaks down the latest national research and explains what's really happening beneath the surface. This isn't about luxury medicine. It's about physician burnout, broken reimbursement models, administrative overload, and doctors quietly redesigning their careers to survive. You'll hear why this shift is less about "escaping responsibility" and more about reclaiming sustainability, why corporate ownership is rising fast, and why concierge medicine didn't create the primary care shortage — it exposed it. If you care about the future of medicine, physician retention, and building healthcare that actually works, this conversation matters.
Welcome to Ozempic Weightloss Unlocked, the show where we unpack how this powerful medication is reshaping medicine, health, and everyday life.Today we are diving into the very latest science on semaglutide, the drug sold as Ozempic for diabetes and Wegovy for obesity, and what new research means for listeners who are using it or thinking about it.A new real world study in the journal Current Medical Research and Opinion followed people on once weekly semaglutide for two full years. Researchers found that on average, patients lost about thirty nine pounds, or nearly seventeen percent of their body weight, and most kept that weight off over the full twenty four months. People also saw improvements in blood pressure, cholesterol, blood sugar, and many moved from prediabetes or diabetes back to normal blood sugar levels. That is important, because it confirms that Ozempic is not just a quick fix but can be part of long term weight management when it is continued and combined with lifestyle changes.At the same time, doctors are getting clearer about downsides. A recent analysis from researchers in Utah, reported by Ladbible, warned that Ozempic related weight loss can come with a drop in lean mass, including muscle, of around ten percent. That is less loss than some earlier crash diets have caused, but it still matters. Losing muscle can weaken strength, slow metabolism, and be especially risky for older adults. Experts now stress pairing Ozempic with enough protein, resistance exercise, and medical follow up to protect muscle.For older listeners, the Association of American Medical Colleges reports that trials suggest these drugs can be safe and effective after age sixty five, but that adults over seventy five were rarely studied. Clinicians are urging extra caution in seniors because they are more prone to side effects like nausea, dehydration, and muscle loss, and they may already be on multiple medications.Researchers are also uncovering surprising new uses. Memorial Sloan Kettering Cancer Center reports that glucagon like peptide drugs such as Ozempic may help people with obesity reduce their risk of several cancers linked to excess body fat, including breast and colon cancer. In an early study in breast cancer patients, these medications helped counteract the weight gain that often comes with treatment, which could improve long term heart and cancer outcomes if confirmed in larger trials.Scientists are even exploring effects on brain health. Imperial College London recently showed that another drug in the same family, called liraglutide, slowed brain shrinkage and cognitive decline in people with Alzheimer disease over one year. Patients on liraglutide had almost fifty percent less brain volume loss in key memory areas compared with placebo, and their thinking declined about eighteen percent more slowly. While this was not Ozempic itself, it suggests this whole class of drugs might play a future role in protecting the brain, and large phase three trials are now underway.There is also growing attention on mental health. Think Global Health highlights that when people lose even a modest amount of weight and improve metabolic health, their risk of depression and anxiety often falls. Some patients report better mood and fewer food cravings on Ozempic, while a small number describe emotional blunting or worries about identity after major weight loss. Regulators in Europe have examined rare reports of suicidal thoughts, but the United States Food and Drug Administration has said current evidence does not show a clear causal link. Still, it is essential for anyone on these medications to check in regularly with their care team about mood and mental health, not just the number on the scale.Finally, researchers are already working on what might come next. Scientists at Karolinska Institutet in Sweden recently reported a new experimental pill that burns fat by acting directly on muscle metabolism instead of appetite. In early human trials it improved blood sugar and body composition without reducing appetite or muscle mass. If it proves safe and effective, it may one day be used alone or together with drugs like Ozempic to achieve weight loss with fewer side effects.Taken together, the latest science tells us this. Ozempic and related medications can deliver major, sustained weight loss and improve heart and metabolic health. They may lower risks tied to obesity, from diabetes to some cancers, and could even have future roles in brain health. But they are not magic. Protecting muscle, supporting mental health, tailoring treatment to age, and combining medication with nutrition, movement, and sleep are all crucial.Thank you for tuning in to Ozempic Weightloss Unlocked. If you found this episode helpful, be sure to subscribe so you never miss the latest updates on Ozempic, weight loss, and health.This has been a quiet please production, for more check out quiet please dot ai. Some great Deals https://amzn.to/49SJ3QsFor more check out http://www.quietplease.aiThis content was created in partnership and with the help of Artificial Intelligence AI
Welcome to Ozempic Weightloss Unlocked, the podcast where we explore how one medicine is reshaping health, lifestyle, and the future of obesity care.Ozempic is the brand name for semaglutide, a medicine that mimics a natural hormone called glucagon like peptide one. It slows digestion, helps the brain feel full, and was first used for diabetes before its powerful weight loss effects were recognized, as explained by experts at Memorial Sloan Kettering Cancer Center.Recently, the World Health Organization issued its first global guideline on these glucagon like peptide one medicines for treating obesity in adults. According to the World Health Organization, long term treatment with these drugs can lead to clinically meaningful weight loss and better metabolic health, but they should almost always be paired with structured changes in diet, physical activity, and regular counseling.The World Health Organization also warns that medication alone will not reverse the obesity crisis. Obesity is now recognized as a chronic disease driven by genetics, environment, poverty, and food systems. That means Ozempic is a tool, not a magic fix.On the policy side, coverage and cost are moving targets. A recent report from Politico described how some state insurance programs in the United States are struggling with the high price of these drugs, even as doctors report patients losing over one hundred pounds and improving conditions like diabetes and sleep apnea. Some states are restricting access to only the most severe cases to control spending.Researchers are also asking how Ozempic affects long term health beyond the scale. Memorial Sloan Kettering Cancer Center reports early evidence that glucagon like peptide one drugs may help reduce the risk of certain cancers linked to obesity, and may help some breast cancer patients lose treatment related weight. At the same time, oncologists stress that more data is needed and that decisions must be individualized.Mental health is another frontier. Think Global Health reports that some studies suggest these medicines might reduce symptoms of anxiety and depression as weight and metabolic health improve, while other research raises concerns about worsened mood or rare suicidal thoughts. Because the early clinical trials often excluded people with serious mental health conditions, experts say we still lack clear answers and call for careful monitoring, realistic expectations, and close contact with a qualified clinician.For older adults, the Association of American Medical Colleges notes that Ozempic and related medicines can be effective but may bring more digestive side effects and a risk of muscle loss. Geriatric specialists recommend a cautious approach, starting with low doses, going slow, and combining the medicine with resistance training and adequate protein to protect strength and function.Across all ages, researchers repeat a common theme. The best outcomes come when Ozempic is combined with lifestyle changes: better nutrition, more movement, improved sleep, and support for mental health. The medicine can quiet constant hunger and cravings, but it works best when listeners use that breathing room to build sustainable habits.In every episode of Ozempic Weightloss Unlocked, we will bring you the latest science, real world experiences, and expert insights so you can better understand how this class of drugs fits into the bigger picture of health.Thank you for tuning in, and remember to subscribe so you never miss an update on Ozempic and the future of weight loss medicine.This has been a quiet please production, for more check out quiet please dot ai. Some great Deals https://amzn.to/49SJ3QsFor more check out http://www.quietplease.aiThis content was created in partnership and with the help of Artificial Intelligence AI
This episode features David J. Skorton, MD, president and CEO of the Association of American Medical Colleges in Washington, DC, who delivered the Martin Memorial Lecture during the American College of Surgeons (ACS) Clinical Congress in Chicago. In his lecture, Dr. Skorton explained how navigating the exponential growth of scientific knowledge necessitates an integrated approach, the importance of being data-driven, and listening to the needs and ideas of patients, their families, and the communities in which we live. Talk about the podcast on social media using the hashtag #HouseofSurgery
In this episode, I sit down with homeopath Yan Yamamoto, whose path began in pharmacy school and led her deep into the intelligence of nature. Yan shares how studying plants, witnessing the limits of conventional care, and listening closely to her clients reshaped the way she supports people in even the direst medical situations. We talk about the role of the vital force, the subtle micro-expressions she watches for, and how she approaches cases others have deemed hopeless. Yan also opens up about the personal adventures and teachers who helped her understand healing from the inside out, giving us a glimpse of the heart behind her work. Episode Highlights: 04:57 - Yan's Journey into Homeopathy 10:19 - Exploring Crystal Healing 15:09 - Integrating Various Healing Modalities 17:21 - Understanding Micro Expressions in Clients 21:03 - Overview of Yan's Upcoming Course 27:22 - Potency and Remedy Selection in Acute Cases 34:43 - Using Potency Chords in Homeopathy 36:28 - The Role of Pink Rose Remedy 38:13 - Exploring Soul Constitutions 44:09 - Navigating Past Life and Ancestral Trauma 47:47 - Safe Practices in Healing and Client Care 54:00 - Healing Retreat on Sacred Tribal Land About my Guests: Yan (Diane) Yamamoto Ouadfel is the founder of True Jewel Wellness Homeopathy and Yan's Rainbow Essence. From a young age, she felt a deep connection to the unseen healing intelligence within nature. She pursued her early passion for science at Purdue University, earning her Bachelor of Pharmacy Science in 1988 and Doctor of Pharmacy in 1989, followed by a residency and fellowship at USC–LA County. Her work in a pharmacognosy lab opened her eyes to the natural origins of many medicines, and during her pharmacy career—particularly while specializing in HIV/AIDS care—she increasingly recognized that true healing extends beyond pharmaceuticals alone. Guided by intuition and curiosity, Yan expanded her studies into vibrational medicine. She became an Advanced Crystal Healer through The Crystal Academy in 2005 and continued studying energy and vibrational healing at the RMA Mystery School. After discovering Ambika Wauters' Color and Sound book in a library, she pursued formal homeopathic training, graduating in 2017 from the American Medical College of Homeopathy @ PIHMA in Phoenix, Arizona. She has continued to deepen her skills through advanced learning in Tanzania with Jeremy and Camilla Sherr, as well as Qi Gong and Qi Gong Sound Healing with Jeff Primack and Master Mingtong Gu. She is also a contributing author in The Inner Circle Chronicles – Book 4, guided by her intuitive mentor Anne Deidre. Yan began her private practice in 2014 and has lovingly supported her clients ever since. Her approach integrates clinical knowledge, natural wisdom, and the understanding that healing is a journey back to oneself. When asked what homeopathy means to her at its core, Yan answered with heartfelt clarity: “Coming Home.” Find out more about Yan Website: https://lifeenergymedicine.com/ Email: yansrainbow@yahoo.com If you would like to support the Homeopathy Hangout Podcast, please consider making a donation by visiting www.EugenieKruger.com and click the DONATE button at the top of the site. Every donation about $10 will receive a shout-out on a future episode. Join my Homeopathy Hangout Podcast Facebook community here: https://www.facebook.com/groups/HelloHomies Follow me on Instagram https://www.instagram.com/eugeniekrugerhomeopathy/ Here is the link to my free 30-minute Homeopathy@Home online course: https://www.youtube.com/watch?v=vqBUpxO4pZQ&t=438s Upon completion of the course - and if you live in Australia - you can join my Facebook group for free acute advice (you'll need to answer a couple of questions about the course upon request to join): www.facebook.com/groups/eughom
Robin is an artificial intelligence-powered therapeutic robot programmed to act like a little girl as it provides emotional support at nursing homes and hospital pediatric units while helping combat staffing shortages. “Nurses and medical staff are really overworked, under a lot of pressure, and unfortunately, a lot of times they don't have capacity to provide engagement and connection to patients,” said Karen Khachikyan, CEO of Expper Technologies, which developed the robot. “Robin helps to alleviate that part from them.” As AI increasingly becomes a part of daily life, it's found a foothold in medical care—providing everything from note-taking during exams to electronic nurses. While heralded by some for the efficiency it brings, others worry about its impact on patient care. Robin is about 30% autonomous, while a team of operators working remotely controls the rest under the watchful eye of clinical staff. Samantha da Silva, speech-language pathologist at the hospital, said patients light up when Robin comes into their room and not only remembers their names but also their favorite music. Robin mirrors the emotions of the person it is talking with, explained Khachikyan. If the patient is laughing, then the robot laughs along, but if they're sharing something difficult, its face reflects sadness and empathy. In nursing homes, Robin plays memory games with people suffering from dementia, takes them through breathing exercises on difficult days and offers them a form of companionship that resembles a grandchild with a grandparent. But with the Association of American Medical Colleges projecting that the U.S. will face a shortage of up to 86,000 physicians in the next 11 years, Khachikyan's vision for Robin goes far beyond this type of support. He said they're working to make the robot able to measure patients' vitals and check to see how they're doing and then send that information to their medical team. Long-term plans include designing Robin to help elderly patients change their clothes and go to the bathroom. He clarified that it's not about replacing healthcare workers but about filling in the gaps in the workforce. This article was provided by The Associated Press.
Jody responds to the American College of Physicians' Annals On Call Podcast episode released on May 19th, 2025.Links:Advanced Practice Clinicians Cannot Replace Primary Care Physicians. Annals On Call Podcast, 5-29-25Physician Assistant and Former PA-Turned-Physician Discuss the State of the Profession. Patients At Risk Podcast, 7-25-21 (Spotify)New Workforce Model Suggests Continued Physician Shortages In Nonprimary Care Specialties (AAMC Article)Christin Giordano McAuliffe. There Is No Substitute for Primary Care Physicians: A Response to the Association of American Medical Colleges' Workforce Model. Ann Intern Med.2025;178:590-591. [Epub 4 March 2025]. doi:10.7326/ANNALS-24-03806University of South Alabama Dual Role NP CurriculumRazavi, Moaven PhD*; O'Reilly-Jacob, Monica RN, PhD, FNP-BC†; Perloff, Jennifer PhD*; Buerhaus, Peter RN, PhD, FAAN, FAANP(h)‡. Drivers of Cost Differences Between Nurse Practitioner and Physician Attributed Medicare Beneficiaries. Medical Care 59(2):p 177-184, February 2021. | DOI: 10.1097/MLR.0000000000001477 McMenamin A, Turi E, Schlak A, Poghosyan L. A Systematic Review of Outcomes Related to Nurse Practitioner-Delivered Primary Care for Multiple Chronic Conditions. Medical Care Research and Review. 2023;80(6):563-581. doi:10.1177/10775587231186720Kippenbrock T, Emory J, Lee P, Odell E, Buron B, Morrison B. A national survey of nurse practitioners' patient satisfaction outcomes. Nurs Outlook. 2019 Nov-Dec;67(6):707-712. doi: 10.1016/j.outlook.2019.04.010. Epub 2019 May 4. PMID: 31607371.Haas, D., Pozehl, B., Alonso, W. W., & Diederich, T. (2023). Patient Satisfaction With a Nurse Practitioner–Led Heart Failure Clinic. Journal for Nurse Practitioners, 19(4), Article 104496. https://doi.org/10.1016/j.nurpra.2022.11.006https://www.techtarget.com/patientengagement/news/366584669/Nurse-Practitioners-Boost-Patient-Satisfaction-Quality-Outcomeshttps://www.aanp.org/advocacy/advocacy-resource/position-statements/quality-of-nurse-practitioner-practicehttps://www.aacnnursing.org/news-data/all-news/rounds-with-leadership-focusing-on-the-outcomes-of-np-practiceStanik-Hutt, J., Newhouse, R. P., White, K. M., Johantgen, M., Bass, E. B., Zangaro, G., Wilson, R., Fountain, L., Steinwachs, D. M., Heindel, L., & Weiner, J. P. (2013). The quality and effectiveness of care provided by nurse practitioners. Journal for Nurse Practitioners, 9(8), 492-500.e13. https://doi.org/10.1016/j.nurpra.2013.07.004Savard I, Al Hakim G, Kilpatrick K. The added value of the nurse practitioner: An evolutionary concept analysis. Nurs Open. 2023 Apr;10(4):2540-2551. doi: 10.1002/nop2.1512. Epub 2022 Dec 17. PMID: 36527435; PMCID: PMC10006655.
What Does It Meant To Be A (Family) PhysicianPresented by Thomas L. Schwenk, MD, University of NevadaSTFM Annual Spring Conference 2025 General Session | Monday, May 5, 2025The enduring values of family medicine center on the compassionate, comprehensive care of patients over time. That care has defined family medicine and motivated family physicians for decades. Today, simply providing excellent care for patients may not be enough in the face of an extraordinarily perverse and dysfunctional health care system that often does everything in its power to make caring for patients difficult, stressful and discouraging. The regenerative power of the physician-patient relationship is often compromised and thwarted by a health care system that ranks as the worst in the world among developed countries. The health care system rides on the backs of family and other primary care physicians, and those backs are bending painfully under the system's weight.The solution lies in using the power of the physician-patient relationship as the source of motivation and energy to fight for the very soul of our profession, fight for the core of what it means to be a family physician, fight for operational changes that are designed for quality instead of efficiency, fight for informational and technological solutions that promote continuity, and fight for model operations that show our learners how attractive family medicine can be. This fight will require leadership at all levels of the discipline of family medicine. Through stories and personal anecdotes from his career, the presenter will illustrate the regenerative power of the physician-patient relationship and the power of the family physician's role as an agent for change.Learning ObjectivesAt the end of the session each participant should:Be exposed to the core importance and regenerative power of the physician-patient relationshipHave the opportunity to reflect on their own commitment to the core attributes of the physician-patient relationship as the motivation to fight for operational changes in the health care systemHave the opportunity to consider their role as a leader in preserving and supporting the physician-patient relationshipCopyright © Society of Teachers of Family Medicine, 2025Thomas L. Schwenk, MDThomas L. Schwenk, MD, holds an appointment as dean emeritus at the University of Nevada, Reno, having served as dean of the School of Medicine and Vice-President of Health Sciences from 2011–2021.Dr. Schwenk earned his B.S. degree in chemical engineering and M.D. from the University of Michigan. He trained at the University of Utah and practiced in Park City, Utah, before returning to the University of Michigan where he served as chair of the Department of Family Medicine from 1986–2011. He has served on the Board of Directors of the American Board of Family Medicine and was elected to the National Academy of Medicine in 2002. He also served for four years on the Administrative Board of the Council of Deans of the Association of American Medical Colleges. Dr Schwenk's research has focused most recently on mental health and wellness in medical students, residents and physicians. He has co-authored over 160 publications, and has consulted to over 50 medical schools and teaching hospitals in various capacities. All Episodes
Data silos are significantly hindering AI innovation, as highlighted by a recent report from Infanti. The survey of over 1,200 IT and cybersecurity professionals revealed that more than half of the respondents experience isolated data within their organizations, leading to inefficiencies and slow security responses. Nearly 30% of IT professionals reported that these data deficiencies obstruct their ability to effectively utilize AI tools. Experts emphasize the necessity for a comprehensive data strategy that includes governance, quality, and performance to foster innovation and avoid stagnation in AI projects.In the medical field, radiologists are experiencing growth rather than extinction due to advancements in AI. The Association of American Medical Colleges predicts a shortage of up to 42,000 radiologists by 2033, yet AI is proving to be an essential tool for these professionals. At institutions like the Mayo Clinic, AI has enabled rapid measurements and early disease detection, leading to a 55% expansion in their radiology department and the development of over 250 AI models to enhance diagnostic capabilities.Public relations professionals are adapting to the rise of AI by recognizing the importance of engaging with journalists to influence AI chatbots. Research indicates that authoritative journalism has a more significant impact on how AI platforms generate responses about companies than social media campaigns. This shift underscores the need for firms to prioritize earned media and thought leadership as part of their brand strategy, especially as AI continues to shape public perception.Lastly, companies like SuperOps and TD Cynics are making strides in AI integration. SuperOps has relaunched its AI-powered platform, Monika, which offers various levels of AI autonomy to enhance IT operations for managed service providers. Meanwhile, TD Cynics has updated its Destination AI program to help partners transition from AI exploration to execution, providing tools and frameworks that align technical skills with specific AI solutions. These developments highlight the growing importance of AI in various sectors and the need for organizations to adapt their strategies accordingly. Four things to know today 00:00 Want AI to Work? Fix Your Data First—Then Look at Radiologists for What's Next06:01 OpenAI Rolls Out GPT-4.1, Deepens Microsoft Integration, and Launches Safety Hub for Greater Transparency09:18 AI Gets Practical—SuperOps Wants to Automate Your Ops While TD SYNNEX Helps You Sell It12:29 LastPass Expands into SaaS Visibility, Challenging Lightweight Shadow IT Tools with Business Max Tier This is the Business of Tech. Supported by: https://cometbackup.com/?utm_source=mspradio&utm_medium=podcast&utm_campaign=sponsorshiphttps://getflexpoint.com/msp-radio/ All our Sponsors: https://businessof.tech/sponsors/ Do you want the show on your podcast app or the written versions of the stories? Subscribe to the Business of Tech: https://www.businessof.tech/subscribe/Looking for a link from the stories? The entire script of the show, with links to articles, are posted in each story on https://www.businessof.tech/ Support the show on Patreon: https://patreon.com/mspradio/ Want to be a guest on Business of Tech: Daily 10-Minute IT Services Insights? Send Dave Sobel a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/businessoftech Want our stuff? Cool Merch? Wear “Why Do We Care?” - Visit https://mspradio.myspreadshop.com Follow us on:LinkedIn: https://www.linkedin.com/company/28908079/YouTube: https://youtube.com/mspradio/Facebook: https://www.facebook.com/mspradionews/Instagram: https://www.instagram.com/mspradio/TikTok: https://www.tiktok.com/@businessoftechBluesky: https://bsky.app/profile/businessof.tech
Physician shortages in the U.S. are affecting health systems and organizations nationwide and are predicted to have long-lasting effects on public health. According to the Association of American Medical Colleges, the U.S. is facing a shortage of up to 124,000 physicians by 2034, including 48,000 primary care physicians. Dr. Marschall Runge, Executive Vice President for Medical Affairs at the University of Michigan and CEO of Michigan Medicine joined us to discuss the shortages and how technological advances, policy changes, and emerging business models are fundamentally transforming American healthcare.Listen to WBZ NewsRadio on the NEW iHeart Radio app and be sure to set WBZ NewsRadio as your #1 preset!
In our March episode, we marked Colorectal Cancer Awareness Month with Dr. Renee Williams, a Gastroenterologist and Associate Professor of Medicine at NYU Langone. Dr. Williams talked about the importance of preventive screening for colorectal cancer and walked us through the colonoscopy procedure. In this month's Key Note, she explains what happens if polyps are found during a colonoscopy, what they are and how they're treated. The Takeaway We want to hear from you! Please complete our survey: org/member-feedback. Drop us a line at our social media channels: Facebook// Instagram // YouTube. If you're 45 or older (or have risk factors), make an appointment with your primary care physician to talk about which screening is best for you. Visit the Healthy Living Resource Center for wellness tips, information and resources; 1199SEIUBenefits.org/healthyliving. Get inspired by fellow members through our Members' Voices series: 1199SEIUBenefits.org/healthyliving/membervoices. Stop by our Benefits Channel to join webinars on managing stress, building healthy meals and more: 1199SEIUBenefits.org/videos. Visit our YouTube channel to view a wide collection of healthy living videos: youtube.com/@1199SEIUBenefitFunds/playlists. Sample our wellness classes to exercise body and mind: 1199SEIUBenefits.org/wellnessevents. Guest Bio Renee Williams, MD, MHPE, is a Professor of Medicine in the Division of Gastroenterology at NYU Grossman School of Medicine. Within the Department of Medicine, she is the Associate Chair for Health Equity and the Director of the Saul Farber Program in Health Equity. Institutionally, she is Graduate Medical Education Pillar Lead for NYU Langone's Institute for Excellence in Health Equity. Her interests include health disparities in colorectal cancer screening and medical education with a focus on simulation education. She is a member of the Association of American Medical Colleges' MedEdSCHOLAR Steering Committee, Co-Chair of the New York Citywide Colorectal Cancer Coalition (C5) Risk assessment and Screening Committee, and section editor for the American Society for Gastrointestinal Endoscopy's GESAP (Gastrointestinal Endoscopy Self-assessment Program). She also served on the Board of Trustees for the American College of Gastroenterology from 2018 to 2024.
Let's face it, no one says, “I can't wait to have a colonoscopy!” But with advances in the procedure and easier prep solutions – as well as less-invasive options – there really is no reason to wait to schedule this screening. To mark Colorectal Cancer Awareness Month, we are joined by Dr. Renee Williams, a Gastroenterologist and Associate Professor of Medicine at NYU Langone, who wants everyone to know that colon cancer is preventable, treatable and beatable! Dr. Williams explains risk factors, symptoms and the importance of prevention. She also walks us through the procedure and even shares her own, very candid experience about her first screening. The Takeaway We want to hear from you! Please complete our survey: org/member-feedback. Drop us a line at our social media channels: Facebook// Instagram // YouTube. If you're 45 or older (or have risk factors), make an appointment with your primary care physician to talk about which screening is best for you. Visit the Healthy Living Resource Center for wellness tips, information and resources; 1199SEIUBenefits.org/healthyliving. Get inspired by fellow members through our Members' Voices series: 1199SEIUBenefits.org/healthyliving/membervoices. Stop by our Benefits Channel to join webinars on managing stress, building healthy meals and more: 1199SEIUBenefits.org/videos. Visit our YouTube channel to view a wide collection of healthy living videos: youtube.com/@1199SEIUBenefitFunds/playlists. Sample our wellness classes to exercise body and mind: 1199SEIUBenefits.org/wellnessevents. Guest Bio Renee Williams, MD, MHPE, is a Professor of Medicine in the Division of Gastroenterology at NYU Grossman School of Medicine. Within the Department of Medicine, she is the Associate Chair for Health Equity and the Director of the Saul Farber Program in Health Equity. Institutionally, she is Graduate Medical Education Pillar Lead for NYU Langone's Institute for Excellence in Health Equity. Her interests include health disparities in colorectal cancer screening and medical education with a focus on simulation education. She is a member of the Association of American Medical Colleges' MedEdSCHOLAR Steering Committee, Co-Chair of the New York Citywide Colorectal Cancer Coalition (C5) Risk assessment and Screening Committee, and section editor for the American Society for Gastrointestinal Endoscopy's GESAP (Gastrointestinal Endoscopy Self-assessment Program). She also served on the Board of Trustees for the American College of Gastroenterology from 2018 to 2024.
Does med school prepare you for residency? What is competency-based medical education? What is an example of competency-based education? Our guests are Laura Edgar, EdD, senior vice president of competencies, milestones, and faculty development at the Accreditation Council for Graduate Medical Education; Lisa Howley, PhD, MEd, senior director of transforming medical education at the Association of American Medical Colleges; and Mark Speicher, senior vice president of research, learning, and innovation at the American Association of Colleges of Osteopathic Medicine. American Medical Association CXO Todd Unger hosts.
Earlier this month Mass General Brigham hospital system announced its largest layoff in the organization's history, with an anticipated 1,500 job cuts. What are the implications for patient services at MGB? The two phased layoff comes at a time the country is facing a nationwide physician shortage. According to the Association of American Medical Colleges, the U.S. is facing a shortage of up to 124,000 physicians by 2034, including 48,000 primary care physicians. Dr. John Freedman, a health care expert joined us to discuss.Ask Alexa to play WBZ NewsRadio on #iHeartRadio and listen to NightSide with Dan Rea Weeknights From 8PM-12AM!
The Trump administration recently announced the National Institutes of Health will make big changes in the way it funds researchers. Scientists say the move will have a huge effect on their work. We hear from medical researchers about the cuts and Amna Nawaz discusses more with Dr. David Skorton of the Association of American Medical Colleges. PBS News is supported by - https://www.pbs.org/newshour/about/funders
The Trump administration recently announced the National Institutes of Health will make big changes in the way it funds researchers. Scientists say the move will have a huge effect on their work. We hear from medical researchers about the cuts and Amna Nawaz discusses more with Dr. David Skorton of the Association of American Medical Colleges. PBS News is supported by - https://www.pbs.org/newshour/about/funders
In a healthcare landscape reshaped by post-pandemic challenges, workforce shortages and burnout are stretching the system to its limits. According to the Association of American Medical Colleges, the U.S. is projected to face a shortage of up to 86,000 physicians by 2036, while turnover rates among nurses and allied health professionals continue to climb. With healthcare systems struggling to address the physician shortage and fill critical roles, the question looms large—how do we bridge the widening gap between workforce demands and skill-building opportunities?How can healthcare organizations upskill and sustain a future-ready workforce in this disrupted environment?In this episode of DisruptED, host Ron J. Stefanski dives into this critical issue with three industry leaders: Jason Aubrey, Founder and CEO of Skilltrade; Geoffrey M. Roche, Director of Workforce Development at Siemens Healthineers; and Jesse McCree, CEO of SCPa Works. The experts discuss strategies, insights, and innovations aimed at addressing the physician shortage and solving one of healthcare's most pressing crises.Key takeaways from the episode:Combining Online and Hands-On Training: Jason Aubrey highlights how Skilltrade blends flexible online education with critical hands-on experience, addressing both regulatory requirements and real-world skills gaps in healthcare training.Employer-Led Workforce Models: Geoffrey Roche underscores the success of employer-led initiatives, such as those in Wisconsin, where health systems drive apprenticeship programs to build sustainable talent pipelines.Removing Barriers to Workforce Entry: Jesse McCree emphasizes the importance of reducing barriers, such as childcare and access to clinical opportunities for underrepresented communities, to create equitable and resilient workforce solutions.About the GuestsJason Aubrey is a private equity-backed CEO with a proven track record in organizational transformation, innovation, and growth across tech-enabled businesses globally. He is the founder and CEO of Skilltrade and previously led MedCerts to a successful acquisition by Stride, Inc., expanding its healthcare and IT certification training programs to address workforce gaps. With a background in political science from the University of Michigan, Jason co-founded LectureTools, a student engagement technology company, which grew to nearly 800 universities globally before being acquired by Echo360.Geoffrey M. Roche is the North America Director of Workforce Development at Siemens Healthineers, where he leads national strategies to build sustainable, future-ready healthcare workforces while advancing health equity. With over 15 years of experience in public health, workforce transformation, and higher education leadership, he has driven initiatives such as public-private partnerships, upskilling programs, and health equity solutions at institutions like Harrisburg University and Lebanon Valley College. A thought leader and speaker, Geoffrey serves in advisory roles with organizations like the Federal Reserve Bank of Philadelphia and contributes to workforce innovation as a Forbes Business Council member and podcast host.Jesse McCree is a seasoned workforce and human capital executive, currently serving as CEO of SCPa Works, where he oversees over $14 million annually to advance impactful workforce programs and regional economic growth. With 15 years of experience in workforce development, Jesse specializes in aligning business needs with job seeker opportunities, leveraging labor market data and strategic investments to create equitable economic mobility. He also holds advisory roles with the Federal Reserve Bank of Philadelphia and the U.S. Conference of Mayors Workforce Development Council, contributing expertise in labor market trends and workforce policy.
Are you prepared for how AI and private equity will reshape continuing medical education (CME) in 2025? As CME professionals face rapid industry changes, staying ahead of emerging trends is crucial for creating impactful educational content. This episode unpacks the key developments that will affect how you develop and deliver CME programs in the coming year. In this episode, you'll discover: How to leverage emerging trends like AI and confidence frameworks to position yourself as an indispensable strategic partner to your clients Practical strategies to integrate patient perspectives and real-world data into your content development process Specific ways to evolve your service offerings and build flexible workflows that adapt to changing project dynamics Press play to unlock your roadmap for thriving in the 2025 CME landscape and learn exactly how to future-proof your freelance business in an industry that's transforming at breakneck speed.Future Proof Timestamps 00:00 Introduction to the Evolving CME Landscape 00:49 Key Trends Shaping CME in 2025 03:23 The Role of Artificial Intelligence in CME 06:30 Confidence Frameworks and Outcomes Measurement 13:25 Patient-Focused Education 17:38 Interprofessional Continuing Education (IPCE) 19:56 Impact of Private Equity on CME 21:41 Practical Strategies for Independent CME Professionals 24:44 Conclusion and Future Outlook Resources WriteCME Pro Finding the Freelance Clients You Deserve Healthcare Information and Management Systems Society FDA's Digital Health Center of Excellence AI in CME Cheat Sheet AMA's Health Equity Resource Center AAMC (Association of American Medical Colleges) toolkits on cultural competency and equity in medical education. WHO's Social Determinants of Health Framework. CME/CE Market Trends
Dr. Rosha McCoy is a Senior Director for Advancing Clinical Leadership & Quality with the Association of American Medical Colleges. She brings the latest information on vaccines, the covid-19 and RSV.www.vaccinevoices.org Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Dr. Rosha McCoy is a Senior Director for Advancing Clinical Leadership & Quality with the Association of American Medical Colleges. She brings the latest information on vaccines, the covid-19 and RSV. www.vaccinevoices.org Learn more about your ad choices. Visit podcastchoices.com/adchoices
Next year there will be 150,000 fewer doctors nationwide, according to the Association of American Medical Colleges. The estimate is based on three reasons relative to medical care needs - we're getting older and need more medical care; more people have access to health insurance so the demand is higher; and doctors are getting older and retiring. Hampton Roads is not immune to this shortage. We take closer look at the doctor shortage issue and what can turn things around with our guests Dr. Armistead Williams, Dr. Elias Zerhouni, healthcare financial expert Bruce Holbrook, and Another View co-host, cardiologist Dr. Keith Newby.
Warning: This content addresses mental health issues, including research and narratives on suicide. Please take care while engaging with it and only proceed if you feel safe doing so. If you, or someone you love, is having thoughts of suicide, please contact 988. Help is available. Interviewer Lisa Meeks Interviewees John Ruddell Jennifer Ruddell Roja (friend of Jack Ruddell) Dr. Christine Moutier Dr. Jessi Gold Narrator Dr. Joseph Murray Description In this deeply moving episode, host Lisa Meeks introduces a special series dedicated to exploring the mental health crisis among medical trainees, with a focus on the tragic story of Dr. Jack Ruddell. Joined by Jack's parents, John and Jennifer Ruddell, and his close friend Roja, we delve into Jack's life, his struggles with depression and anxiety, and the immense pressures faced by medical students. Dr. Joseph Murray, a psychiatrist at Weill Cornell Medical College, provides expert insights into the high rates of burnout, depression, and suicide in the medical field. We also hear from Dr. Christine Moutier, Chief Medical Officer of the American Foundation for Suicide Prevention, and Dr. Jessie Gold, a respected psychiatrist and author, who discuss the unique challenges and cultural issues within medical training that contribute to mental health struggles. This episode aims to reduce the stigma surrounding mental health issues, encourage medical learners to seek help, and advocate for systemic changes in medical education to foster a more supportive and compassionate environment. Description of Series DWDI Special Series: Suicidality in Medical Training dives into the critical conversations around mental health, well-being, support systems, and the intense pressures faced during medical training. Through the power of storytelling, the series intertwines these broader themes with the deeply personal story of Dr. Jack Ruddell, a promising medical student who died by suicide. Jack's journey—his strengths, struggles, and the complexities leading to his untimely death—forms the emotional core of this five-part series, giving voice to the loved ones often excluded from these conversations. Alongside Jack's story, the series incorporates expert insights and data from the literature, offering a human perspective on burnout, depression, and suicide among medical trainees. With a commitment to improving mental health awareness and reducing the stigma around seeking help, the series presents a novel approach by centering personal narratives alongside expert analysis. It also explores actionable strategies for improving medical training environments and highlights the importance of institutional responses after a loss by suicide. Our mission is to reduce shame, encourage help-seeking among medical students struggling with depression, and ensure that every medical school is aware of the postvention resources offered by the American Foundation for Suicide Prevention (AFSP). Experts for the Series Christine Moutier, MD – Chief Medical Officer, American Foundation for Suicide Prevention Jessi Gold, MD – Chief Wellness Officer, University of Tennessee System; Author of How Do You Feel? David Muller, MD – Director, Institute for Equity and Justice in Health Sciences Education; Dean Emeritus, Icahn School of Medicine at Mt. Sinai; Author of the NEJM essay, Kathryn Srijan Sen, MD, PhD – Director, Eisenberg Family Depression Center; PI of the Intern Health Study Justin Bullock, MD, MPH – Fellow, University of Washington; Author of the NEJM article, Suicide, Rewriting My Story Stuart Slavin, MD, MEd – Vice President for Well-Being, ACGME Episode Release Schedule: September 17: Episode 102 – Honoring Dr. Jack Ruddell: A Story of Joy, Compassion, and Mental Health in Medical Training. September 17: Episode 103 – Suicide and Suicidality in Medical Training: Understanding the Crisis and its Causes. September 24: Episode 104 – Silent Struggles: Mental Health and Medical Education. September 26: Episode 105 – Repairing the System: How Do We Create Safe Environments? September 30: Episode 106 – Responding to Loss: Postvention and Support After a Suicide. Transcript Keywords: Suicide, Death, Mental health, Jack Ruddell, Medical training, Depression, Suicidality, Burnout, Anxiety, Medical trainees, American Foundation for Suicide Prevention, Tourette's, Disabilities, Medical education, Medical school, Discrimination, Academic pressure, Clinical practice, Imposter syndrome, Perfectionism, Shame, Mental disability, Learning challenges, Accommodations, High-stakes testing, Inclusivity, Stigma Resources: 24/7 Suicide & Crisis Hotline, call or text 988 or chat 988lifeline.org. How are you? By Jessi Gold National Office for Suicide Prevention: Language and suicide The American Foundation for Suicide Prevention References Johnson KM, Slavin SJ, Takahashi TA. Excellent vs Excessive: Helping Trainees Balance Performance and Perfectionism. J Grad Med Educ. 2023 Aug;15(4):424-427. doi: 10.4300/JGME-D-23-00003.1. PMID: 37637342; PMCID: PMC10449346. Bynum WE 4th, W Teunissen P, Varpio L. In the "Shadow of Shame": A Phenomenological Exploration of the Nature of Shame Experiences in Medical Students. Acad Med. 2021 Nov 1;96(11S):S23-S30. doi: 10.1097/ACM.0000000000004261. PMID: 34348391. Jain, Neera R. PhD, MS1; Stergiopoulos, Erene MD, MA2; Addams, Amy3; Moreland, Christopher J. MD, MPH4; Meeks, Lisa M. PhD, MA5. “We Need a Seismic Shift”: Disabled Student Perspectives on Disability Inclusion in U.S. Medical Education. Academic Medicine ():10.1097/ACM.0000000000005842, August 8, 2024. | DOI: 10.1097/ACM.0000000000005842 Meeks LM, Jain NR. Accessibility, Inclusion, and Action in Medical Education: Lived Experiences of Learners and Physicians with Disabilities. Washington, DC: Association of American Medical Colleges; 2018. Retrieved on September 14, 2024 from: https://store.aamc.org/accessibility-inclusion-and-action-in-medical-education-lived-experiences-of-learners-and-physicians-with-disabilities.html. Meeks, L. M., Pereira‐Lima, K., Plegue, M., Jain, N. R., Stergiopoulos, E., Stauffer, C., ... & Moreland, C. J. (2023). Disability, program access, empathy and burnout in US medical students: A national study. Medical education, 57(6), 523-534. Recommended Readings: Almutairi, H., Alsubaiei, A., Abduljawad, S., Alshatti, A., Fekih-Romdhane, F., Husni, M., & Jahrami, H. (2022). Prevalence of burnout in medical students: A systematic review and meta-analysis. International Journal of Social Psychiatry, 68(6), 1157-1170. Enns MW & Cox B. (2002) The Nature and Assessment of Perfectionism: A Critical Analysis. In: Flett GL, Hewitt PL, eds. Perfectionism: Theory, Research, and Treatment. American Psychological Association, 33-62. Goldman, M. L., Shah, R. N., & Bernstein, C. A. (2015). Depression and suicide among physician trainees: recommendations for a national response. JAMA psychiatry, 72(5), 411-412. Johnson, K. M., Slavin, S. J., & Takahashi, T. A. (2023). Excellent vs excessive: helping trainees balance performance and perfectionism. Journal of Graduate Medical Education, 15(4), 424-427. Meeks, L. M., Conrad, S. S., Nouri, Z., Moreland, C. J., Hu, X., & Dill, M. J. (2022). Patient And Coworker Mistreatment Of Physicians With Disabilities: Study examines mistreatment of physicians with disabilities. Health Affairs, 41(10), 1396-1402. Mirza, A. A., Baig, M., Beyari, G. M., Halawani, M. A., & Mirza, A. A. (2021). Depression and anxiety among medical students: a brief overview. Advances in Medical Education and Practice, 393-398. Pereira-Lima, K., Meeks, L. M., Ross, K. E., Marcelin, J. R., Smeltz, L., Frank, E., & Sen, S. (2023). Barriers to disclosure of disability and request for accommodations among first-year resident physicians in the US. JAMA Network Open, 6(5), e239981-e239981. Meeks LM, Ramsey J, Lyons M, Spencer AL, Lee WW. Wellness and work: mixed messages in residency training. J Gen Intern Med. 2019;34(7):1352-1355. PMID: 30924087 Meeks LM, Stergiopoulos E, Petersen KH. Institutional Accountability for Students With Disabilities: A Call for Liaison Committee on Medical Education Action. Acad Med. 2021 Oct. PMID: 34670236
The Homeopathy Health Show welcomes Ananda More to the show. Ananda is a Registered Homeopath, filmmaker, and health freedom advocate, and has been in practice since 2005. She is most recognized for her documentary film, Magic Pills. The film challenges the mainstream media's narrative on homeopathic medicines. The film explores the science, stories, and large-scale evidence from around the world. Ananda was co-owner of Riverdale Homeopathy for 17 years, a cherished hub for homeopathy in Canada, providing homeopathic remedies, books, and courses. She has taught for the American Medical College of Homeopathy, and used to teach homeopathy for travel at GAP Adventures. She now teaches homeopathy to home prescribers through her course on-line portal Off-Grid with Homeopathy and her course Home Alchemist. Ananda is a certified Heart Freedom Method practitioner, and teaches homeopaths how to use this deep shadow work to support case taking. We talk about Amanda's work around the world, her project ‘Homeopathy Off Grid' and the work on her documentary Magic Pills. Be inspired and join the conversation. The ‘VOICE OF HOMEOPATHY' on radio and podcast. Support Homeopathy on Radio & Podcast by subscribing to the Homeopathy Health Show.
The healthcare industry has been facing a critical staffing shortage. A report by the Association of American Medical Colleges projects a shortfall of up to 124,000 physicians by 2034, including tens of thousands of primary care doctors and specialists. Nurses face a similar crisis, with a projected shortage of over 350,000 registered nurses by 2026.For medical practices, this translates to fierce competition for top talent. Traditional methods of attracting new hires just aren't enough. This episode of the DrMarketingTips Show tackles this problem head-on, exploring how marketing can be a powerful tool in your HR toolbox.Learn how to craft compelling job descriptions that resonate with ideal candidates, discover strategies to recruit the top talent you need, and reconnect with past applicants to see if they're now interested in accepting a new role. This episode also explores creative ways to leverage social media to showcase your company culture. By working together, marketing and HR can build a recruitment strategy that positions your practice as the go-to destination for top talent in this competitive market.Tune Into This Episode to Learn: How to write job descriptions that resonate with ideal candidates.Follow-up with potential hires after events, keeping your practice top-of-mind.Find out how to reconnect with qualified candidates who may now be a good fit for open positions.Ways to incentivize your existing team to help find new talent. (Hint: it helps them, too!) Explore how to leverage social media to celebrate your company culture and attract potential hires.
Web: www.JonesHealthLaw.com Phone: (305)877-5054 Instagram: @JonesHealthLaw Facebook: @JonesHealthLaw YouTube: @JonesHealthLaw In early 2024, the Florida Senate passed Senate Bill 7016 in an effort to expand the residents' access to healthcare as the state's population continues to grow. The law attempts to increase the number of doctors in the state through ways such as expanding medical residency programs in Florida and establishing ways to retain Florida medical students leading into their years of practicing. According to the bill, part of the solution to retaining Florida medical students is removing certain barriers for foreign-trained physicians to practice in Florida. The Association of American Medical Colleges notes that one of the difficulties Florida medical students face when attempting to secure a residency in Florida is competition from overseas medical schools that pay to place their students in Florida clinicals. Additionally, foreign-trained physicians must bear the burden of completing another residency in Florida before they are qualified to practice, despite already having a license elsewhere. With the bill, removing the barriers is meant to benefit Florida medical students and foreign-trained physicians alike. With the residency requirement removed for qualified foreign-trained physicians and the ability to receive licensure through teaching, there may be quite a few individuals who want to use the opportunity to become a licensed physician in Florida. As of May, of this year, the law is expected to benefit over 30,000 Cuban physicians and other foreign-trained healthcare professionals who can qualify under the new requirements. Although the law was only passed early this year, it is possible that it may have a significant impact on the status of our healthcare system for years to come. --- Support this podcast: https://podcasters.spotify.com/pod/show/joneshealthlaw/support
HOW TO DEAL WITH GRIEF AND TRAUMA is completely self-funded, produced, and edited by me, Nathalie Himmelrich. Consider making a small donation to support the Podcast: bit.ly/SupportGTPodcast. Thank you! For more information, please visit Nathalie's website, join the podcast's Instagram page, and subscribe to the newsletter to receive updates on future episodes here.About this week's episodeI have known Trish for a couple of years. From the beginning, it was obvious: that Trish and Mr. Benjamin had a deep connection. Benjamin was part of everything and everywhere she went. He supported her in every way possible. They were inseparable. It comes as no surprise that Benjamin's death just five months ago left her in despair. Trish's heart was broken, and her life was missing the most essential ingredient: Her most trusted friend and companion, Golden Retriever Benjamin. About this week's guest Patricia A. Muehsam, MD, a pioneer in the synthesis of science, holistic health, and contemporary spirituality, has been a thought leader in the alternative medicine movement. She forged new ground that led to the establishment of the Office of Alternative Medicine at the National Institutes of Health in the USA, endeavors that transformed the landscape of healthcare options today. Dr. Trish has distinguished herself as a practitioner, educator, research scientist, and award-winning author. She founded the American Medical Colleges' first initiative in alternative medicine, leading medical schools throughout the United States and the world to add courses in the field. Her original bioelectromagnetic research investigated distant healer phenomena and homeopathy. Dr Trish's award-winning book, Beyond Medicine: A Physician's Revolutionary Prescription for Achieving Absolute Health and Finding Inner Peace, has been hailed as the “only health and healing book you may ever need.” She offers health consultations, mind-body healing sessions, online courses, and communities of support.Website: www.transformationalmedicine.orgResources mentioned in this episodeDr Trish's book: Beyond MedicineSupport the Show.Support the show: Become a supporter of the show! Starting at $3/month Join Facebook Group - Grief and Trauma Support Network Download the FREE grief resource eBook Book a Discovery Call Leave a review Follow on socials: Instagram Facebook Website
The healthcare landscape is changing rapidly, with the roles of nurse practitioners (NPs) and physician assistants (PAs) expanding significantly. This shift makes it crucial to understand the differences in training and competencies between these professionals and physicians. A study by the Association of American Medical Colleges highlights a projected shortage of up to 139,000 physicians by 2033, which intensifies the need for clarity in who provides patient care.Why should patients care about who is providing their medical care?This episode of "I Don't Care," hosted by Dr. Kevin Stevenson, addresses this critical question. Kevin is joined by Dr. Purvi Parikh from Physicians for Patient Protection, a grassroots organization advocating for physician-led care. The discussion centers on the importance of transparency in medical credentials and ensuring that patients receive the highest quality of care.Key Points of Discussion:Training Differences: Physicians undergo extensive training, including medical school and residencies, accumulating over 16,000 clinical hours. In contrast, nurse practitioners and physician assistants have significantly fewer clinical hours, often leading to variations in the quality of care.Transparency and Misleading Practices: The proliferation of white coats among different healthcare providers can confuse patients. Dr. Parikh emphasizes the importance of clear credential display and proper introductions to prevent patients from mistaking non-physicians for physicians.Legislative Gaps and Corporate Exploitation: Some states have lax regulations allowing non-physicians to perform high-risk procedures. This has led to dangerous practices and patient harm, highlighting the need for stricter oversight and better legislation.Dr. Purvi Parikh is an allergist and immunologist affiliated with Physicians for Patient Protection. She holds a medical degree and has completed extensive post-graduate training. Dr. Parikh is a dedicated advocate for physician-led care, emphasizing the importance of transparency and patient safety in healthcare practices.
The healthcare landscape is changing rapidly, with the roles of nurse practitioners (NPs) and physician assistants (PAs) expanding significantly. This shift makes it crucial to understand the differences in training and competencies between these professionals and physicians. A study by the Association of American Medical Colleges highlights a projected shortage of up to 139,000 physicians by 2033, which intensifies the need for clarity in who provides patient care.Why should patients care about who is providing their medical care?This episode of "I Don't Care," hosted by Dr. Kevin Stevenson, addresses this critical question. Kevin is joined by Dr. Purvi Parikh from Physicians for Patient Protection, a grassroots organization advocating for physician-led care. The discussion centers on the importance of transparency in medical credentials and ensuring that patients receive the highest quality of care.Key Points of Discussion:Training Differences: Physicians undergo extensive training, including medical school and residencies, accumulating over 16,000 clinical hours. In contrast, nurse practitioners and physician assistants have significantly fewer clinical hours, often leading to variations in the quality of care.Transparency and Misleading Practices: The proliferation of white coats among different healthcare providers can confuse patients. Dr. Parikh emphasizes the importance of clear credential display and proper introductions to prevent patients from mistaking non-physicians for physicians.Legislative Gaps and Corporate Exploitation: Some states have lax regulations allowing non-physicians to perform high-risk procedures. This has led to dangerous practices and patient harm, highlighting the need for stricter oversight and better legislation.Dr. Purvi Parikh is an allergist and immunologist affiliated with Physicians for Patient Protection. She holds a medical degree and has completed extensive post-graduate training. Dr. Parikh is a dedicated advocate for physician-led care, emphasizing the importance of transparency and patient safety in healthcare practices.
If you would like to support the Homeopathy Hangout Podcast, please consider making a donation by visiting www.EugenieKruger.com and click the DONATE button at the top of the site. Every donation about $10 will receive a shout-out on a future episode. Dr Lauri Grossman is a Homeopath and health and wellness expert as well as an advocate for change in the global healthcare discussion. She has pioneered educational programs for healthcare professionals that improved outcomes in hospitals and medical centers across America. She is also an internationally renowned speaker, writer, and educator and served as Chair of the Department of International Affairs at the American Medical College of Homeopathy and after the earthquake in 2010, she was Project Coordinator for Haiti with Homeopaths Without Borders North America. She has a private practice of thirty plus years and has helped thousands of patients to overcome both physical and emotional illness. She has also been featured in The New York Times, Wall Street Journal, U.S. News and World Report and on Good Morning America and Fox and Friends and have been frequently quoted as an expert in local and national media outlets. Today, our conversation will focus on the 17th annual Joint American Homeopathic Conference which is on from 22-24 April in Reston, Virginia, as well as being available LIVE online, so anyone from around the world can join. The early bird price to register for this conference finishes on 18 March so visit www.JAHC.info to register right now. This is one conference you don't want to miss out on. Whether you're visiting in person or online, there will be something for everyone, from World renowned speakers on homeopathy, demo's, an exhibit hall, breakout groups, ceremonies, networking opportunities and I hear stories of scavenger hunts and dancing?! Sounds like incredible fun! Dr Lauri has also arranged a 10% discount for listeners of this show, if they want to become members of the National Center for Homeopathy. Visit www. https://www.homeopathycenter.org/ and enter the code Homeopathy-Homeopathy show notes. As a member, you'll access to the Homeopathy Housecall app, Homeopathic Family Medicine program, remedy discounts and much more.
Public health authorities are closely watching an unusual strain of bird flu that has infected dairy cows in nine states and at least one dairy worker. Meanwhile, another major health system suffers a cyberattack, and Congress is moving to extend the availability of telehealth services. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Rachel Cohrs Zhang of Stat join KFF Health News' Julie Rovner to discuss these issues and more. Also this week, Rovner interviews Atul Grover of the Association of American Medical Colleges about its recent analysis showing that graduating medical students are avoiding training in states with abortion bans and major restrictions. Plus, for “extra credit,” the panelists suggest health policy stories they read this week that they think you should read, too: Julie Rovner: NPR's “Why Writing by Hand Beats Typing for Thinking and Learning,” by Jonathan Lambert.Alice Miranda Ollstein: Time's “‘I Don't Have Faith in Doctors Anymore.' Women Say They Were Pressured Into Long-Term Birth Control,” by Alana Semuels.Rachel Cohrs Zhang: Stat's “After Decades Fighting Big Tobacco, Cliff Douglas Now Leads a Foundation Funded by His Former Adversaries,” by Nicholas Florko.Sandhya Raman: The Baltimore Banner's “People With Severe Mental Illness Are Stuck in Jail. Montgomery County Is the Epicenter of the Problem,” by Ben Conarck. Hosted on Acast. See acast.com/privacy for more information.
GENERAL ELECTION–STATE OF PLAY The 2024 presidential debates have been unveiled “The Commission on Presidential Debates announced Monday that the three 2024 presidential debates will be held next year on Sept. 16, Oct. 1 and Oct. 9. “(https://www.axios.com/2023/11/20/2024-election-debates-biden-trump-republicans ) Swing states that are expected to decide the 2024 presidential election “The titanic Biden-Trump election likely will be decided by roughly 6% of voters in just six states, top strategists in both parties tell us.” (https://www.axios.com/2024/05/06/biden-trump-election-swing-states ) POTUS CANDIDATE: BIDEN Biden's historic marijuana shift is his latest election year move for young voters PHOENIX (AP) — President Joe Biden may eventually ban TikTok, but he's moving to give something back to the young people who dominate the popular social media app — a looser federal grip on marijuana.” (https://apnews.com/article/biden-young-voters-marijuana-reclassification-dea-193e97fc2dd7b32b7d7ad50b4ea80aa0 ) Biden touts new $3.3 billion Microsoft data center at failed Foxconn site Trump backed “U.S. President Joe Biden on Wednesday unveiled plans by Microsoft Corp to build a $3.3 billion data center in southeastern Wisconsin, drawing a sharp contrast to his Republican predecessor who had backed a previous $10 billion project at the same site that was significantly scaled back.” (https://www.reuters.com/world/us/biden-unveil-33-billion-microsoft-ai-investment-battleground-wisconsin-2024-05-08/ ) Axios Poll of College Voters - Next Gen America (https://www.google.com/url?q=https://www.axios.com/2024/05/07/poll-students-israel-hamas-protests&sa=D&source=docs&ust=1715304228880446&usg=AOvVaw2gVrmRZ0q-sgs2JekbcTPA ) POTUS CANDIDATE: TRUMP Trump reportedly solicited $1 billion from oil executives to support his campaign, offering them concessions related to climate policies in return. This development underscores the high stakes of the upcoming 2024 election, particularly in the realm of climate policy. While President Biden has implemented numerous regulations aimed at addressing climate change, Trump, who has a history of rolling back such regulations and dismissing climate change as a hoax, presents a starkly different approach. The intersection of Trump's skepticism towards climate science and penchant for corruption poses a significant challenge and opportunity for the Biden campaign. This recent revelation highlights the critical importance of the election in shaping the future direction of environmental policy. Recent polls indicate that a significant portion of voters lack awareness of President Biden's major domestic accomplishments, such as the Inflation Reduction Act, which featured substantial climate investments and green incentives for both businesses and individuals. Furthermore, there is a lack of understanding among voters regarding Biden's Bipartisan Infrastructure Plan, with some mistakenly attributing similar achievements to former President Trump, despite his failure to deliver on infrastructure promises during his tenure. This highlights the urgent need for the Biden campaign to educate the public on how his policies positively impact their communities. In contrast, Trump's apparent willingness to prioritize personal gain by making promises to oil companies further underscores the contrasting approaches of the two leaders on critical issues like climate and infrastructure. How Far Trump Would Go “Donald Trump thinks he's identified a crucial mistake of his first term: He was too nice.” (https://time.com/6972021/donald-trump-2024-election-interview/ ) Every Awful Thing Trump Has Promised to Do in a Second Term The former president has pushed a slew of terrifying proposals, both publicly and privately, that he plans to unleash on America should he take down Biden” (https://www.rollingstone.com/politics/politics-features/trump-second-term-plans-wildest-proposals-1234947327/)) R.F.K. Jr. Says Doctors Found a Dead Worm in His Brain “The presidential candidate has faced previously undisclosed health issues, including a parasite that he said ate part of his brain.” (https://www.nytimes.com/2024/05/08/us/rfk-jr-brain-health-memory-loss.html ) Here's Who's On Trump's Most Likely VP Shortlist—And What He's Saying About The Contenders “Former President Donald Trump spoke highly of nearly a dozen potential running mate picks over the weekend as they gathered at donor event at Mar-a-Lago for what was widely viewed as a pseudo-tryout, as Trump has reportedly begun to narrow down his list.” (https://www.forbes.com/sites/saradorn/2024/05/06/heres-whos-on-trumps-most-likely-vp-shortlist-and-what-hes-saying-about-the-contenders/?sh=60cf1d11c3a8 ) Barron Trump makes political debut as Florida delegate for GOP convention “Donald Trump's son Barron, 18 and about to graduate high school, was named as a delegate at large for the GOP national convention in Milwaukee. “ (https://www.washingtonpost.com/politics/2024/05/09/barron-trump-florida-delegate-gop-convention/ ) TRUMP'S TRIALS Trump threatened with jail after violating hush money gag order again “A New York judge on Monday threatened to jail former President Trump after his latest violation of the gag order in his hush money criminal case.” (https://www.axios.com/2024/05/06/trump-fined-gag-order-hush-money-trial ) Trump's N.Y. criminal trial: Who has testified and who hasn't “Former President Trump's first criminal trial in New York has so far featured witness testimony from a former top White House aide, a veteran tabloid publisher, a former longtime Trump assistant and a former director at a bank.” (https://www.axios.com/2024/04/30/trump-trial-hush-money-witnesses-testimony-updates) CONGRESS Mike Johnson signals House power play in 2025 “Ahead of a potential motion to vacate vote this week, Speaker Mike Johnson is tipping his hand for how he or a successor should rebuild the power of the House speakership.” (https://www.axios.com/2024/05/06/mike-johnson-house-rules-republicans-congress-2025 ) Bernie Sanders will run for re-election “Sen. Bernie Sanders (I-Vt.), the 82-year-old progressive icon, announced on Monday that he will run for re-election.” (https://www.axios.com/2024/05/06/bernie-sanders-re-election-us-senator-vermont ) Money isn't enough to smooth the path for Republican candidates hoping to retake the Senate WASHINGTON (AP) — Frustrated by the seemingly endless cash flowing to Democrats, Republicans aiming to retake the Senate have rallied around candidates with plenty of their own money. (https://apnews.com/article/gop-campaign-rich-candidates-senate-majority-68a8eb884c96ec53f13e1472d225cb21 ) MISCELLANEOUS executive about agencies view soq Recent data from the Association of American Medical Colleges indicates that medical school graduates are increasingly opting to avoid states with abortion bans or newly imposed restrictions following the Dobbs case when selecting their residency programs. In states with near-total abortion bans, the number of new residencies has declined by 4.2%, a significant contrast to the overall decrease of 0.6% across all states. This trend is even more pronounced among graduates entering OB/GYN residencies, suggesting a notable impact on specialty choices as a result of these restrictive regulations. Section 241 of Title 18 is MAGA Law's New Shiny Object “The Project 2025 plan for the Department of Justice recommends using 18 U.S.C. § 241, an 1870 civil rights law, to prosecute state officials (maybe even judges) if DOJ disagrees with how they apply state election law.” (https://randomlysecured.substack.com/p/section-241-of-title-18-is-maga-laws?utm_medium=ios )
Dr. Amanda Logue, Chief Medical Officer for Ochsner Lafayette General, joined Discover Lafayette to discuss Ochsner's new General Surgery Residency Program. Accredited by the Accreditation Council for Graduate Medical Education (ACGME), the surgical residency program received nearly 600 applications for three coveted spots. The 5-year surgery program is expected to grow, training a new class of three residents per academic year, wth the inaugural class beginning July 1, 2024. Ochsner is also pursuing accreditation of Internal Medicine, Emergency Medicine, and Transitional Year Programs. On April 16, 2024, Ochsner Lafayette General Medical Center, the region's only Level 2 Trauma Center, celebrated the launch of its new General Surgery Residency Program, which will begin July 1, 2024. Located inside the new, recently constructed tower at Ochsner Lafayette General Medical Center, the completed Graduate Medical Education space will be 17,115 square feet. Phase 1 includes eight resident sleep rooms, a resident lounge, classrooms, rounding rooms and lactation rooms. Phase 2 will house numerous simulation labs and additional classroom space. Ziad Ashkar, MD, will serve as the Designated Institutional Official (DIO), ensuring the program meets the rigorous accreditation standards set by the ACGME. Dr. Dennis Eschete will serve as the Program Director for General Surgery. About 25 surgeons will be rotating, with the core group of teaching physicians being Dr. Willard Mosier, Ochsner Lafayette General's head of trauma, Dr. Jason Breaux, Dr. Michael Horaist and Dr. Racheed “Joe” Ghanami. The new residency program is both a strategic response to the escalating physician shortage and a model for innovative care solutions leading to increased patient access. In a 2024 report, the Association of American Medical Colleges projected that physician demand will grow faster than supply, leading to a projected total shortage of up to 86,000 physicians by 2036. Moreover, Louisiana is projected to rank third nationally for a shortage of physicians by 2030, according to a Human Resources for Health analysis. Speaking of the physician shortage being experience here and nationwide, Dr. Amanda Logue shared that 140,000 patients came through Ochsner University Clinics in 2023. "It's a huge volume, there's a huge need for more physicians." Ochsner Lafayette General's new surgery residency program doesn't replace its ongoing partnership with LSU School of Medicine's at University Hospital & Cinics; it complements it. Dr. Logue stated, "The reality is there's a critical need for more physicians, which is why we started our own program in addition to the existing one. This program also signifies our deep commitment to advancing medical education and addressing the dire need for surgeons in our healthcare system." Importantly, data shows that most physicians practice within 70 miles of where they trained, so Ochsner hopes that Lafayette will be a compelling place for their residents to start their medical careers. The goal of the program is not only to provide top-tier educational opportunities, such as training at the region's only Level 2 Trauma Center, but also to inspire innovation and compassion among the residents. The residents will learn to navigate the complexities of healthcare delivery with a patient-first approach, having the opportunity to take part in cutting-edge research and be at the forefront of developing new surgical techniques. Ochsner Health is Louisiana's top healthcare educator of physicians. Annually Ochsner and its partners educate thousands of healthcare professionals. It currently offers 33 Acreditation Council for Graduate Medical Education programs, training over 330 residents and fellows each year. Dr. Logue is board certified in both Internal Medicine and Clinical Informatics, having completed her undergraduate training at LSU in microbiology,
Can the calls for evidence-based improvement in HPE be answered by big national datasets?Do we know what works in HPE/meded? Does our training “work”? Is one institution or curriculum better than another? What does “better” mean anyway?Follow this discussion lead by Jason R. Frank that has taken on an article that analyse how datapoints from graduate medical education might be able to improve that same education. Is it possible? What are the implications? Hear what our hosts thinks. Episode articleThelen, A. E., George, B. C., Burkhardt, J. C., Khamees, D., Haas, M. R. C., & Weinstein, D. (2024). Improving Graduate Medical Education by Aggregating Data Across the Medical Education Continuum. Academic medicine : journal of the Association of American Medical Colleges, 99(2), 139–145.As always you find tull episode notes on the webpagePAPERs Podcast consist ofHosts: Lara Varpio, Jason Frank, Jonathan Sherbino, Linda SnellTechnical Producer: Samuel LundbergWeb Manager: Alex AlexanderssonExecutive Producer: Teresa SöröProduction of Teaching and Learning at Karolinska Institutet
(AURN News) - As Skin Cancer Awareness Month begins, health organizations are sending an important reminder: Although less common, people of color are at risk and must stay vigilant about protection and early detection. "Having darker skin lowers the risk of melanoma at the more common sites, like the legs, back and chest, but anyone can develop it on areas like the palms of the hands, soles of the feet and under the nails," the American Cancer Society (ACS) states. "In fact, melanomas found in these areas account for more than half of all melanomas in African American people but fewer than 1 in 10 melanomas in White people." Skin cancer is the most commonly diagnosed cancer nationwide, according to the ACS. However, Black people are about three times more likely than white people to die within five years of diagnosis, often due to later-stage detection. Part of the problem, experts say, is that dermatologists can have more difficulty identifying concerning lesions on darker skin tones. The Association of American Medical Colleges is pushing for more diverse training images and educational materials to help providers make accurate evaluations. Physicians encourage people of color to perform regular self-exams, especially on areas like hands, feet soles, and nail beds where melanomas more frequently appear in this population. Annual check-ups with a dermatologist are also advised. Learn more about your ad choices. Visit megaphone.fm/adchoices
This Very Variability: Supervisor Practice Differences and Clinical LearningWhat do learners think when their supervisors do things differently? This paper provides an answer and introduces Variability Theory.Episode host: Jason R. FrankLinks and episode notes available on the webpageEpisode articleMithoowani, S., Khattak, S., Lieberman, S., Tseng, E. K., Zeller, M. P., & van Merriënboer, J. (2024). Learning From Clinical Supervisor Practice Variability: Exploring Medical Resident and Fellow Experiences and Interpretations. Academic medicine : journal of the Association of American Medical Colleges, 99(3), 310–316.Hosts: Lara Varpio, Jason Frank, Jonathan Sherbino, Linda SnellTechnical Producer: Samuel LundbergWeb Manager: Alex AlexanderssonExecutive Producer: Teresa SöröProduction of Unit for teaching and learning at Karolinska Institutet
Interviewer: Dr. Lisa Meeks Interviewees: Dr. Lee Miller, Dr. Mijiza Sanchez-Guzman, Dr. Kama Guluma, Dr. Erick Hung, and Dr. Sharad Jain Description: In this episode, we delve into the pivotal role of disability within medical education, particularly its significance in the realms of diversity, equity, inclusion, and justice. Joining us are leaders from California Medical Schools, including Dr. Lee Miller, Dr. Mijiza Sanchez-Guzman, Dr. Kama Guluma, Dr. Erick Hung, and Dr. Sharad Jain, who generously share their experiences and insights on the profound impact of disability within the medical field. Our discussion begins with an exploration of the catalysts driving the integration of specialized support systems for disability-related issues within medical schools. Our guests discuss the instrumental role of student advocacy groups in elevating the unique needs of students with disabilities and chronic illnesses and the imperative for specialized support. They also discuss the transformative effects of incorporating specialized Disability Resource Professionals (DRPs) within medical school frameworks. Our guests outline the myriad benefits associated with dedicated DRPs, ranging from heightened student satisfaction to an enriched curriculum that prioritizes disability-related matters with greater awareness and inclusivity. The guests further examine the strategic advantages inherent in investing in specialized support mechanisms, emphasizing the importance of fostering an inclusive community, eradicating stigmas surrounding disability in medicine, and cultivating a workforce that authentically reflects the diverse fabric of society. This conversation also confronts the challenges and valuable lessons learned from the implementation of specialized support programs. Our guests offer candid reflections on navigating transitions from external disability services to an in-house DRP, overcoming logistical obstacles, and garnering essential support from institutional leadership. Ultimately, this episode serves as a testament to the critical significance of specialized support for disability within medical education. It underscores the necessity of embracing inclusive practices, championing diversity and inclusion, and creating an environment where all students can thrive equitably. Bios Sharad Jain, MD is Professor of Medicine and Associate Dean for Students at the UC Davis School of Medicine. Dr. Jain completed medical school and residency in internal medicine at UCSF, where he was on faculty for several years. Prior to coming to UC Davis, Dr Jain served as the residency director of the UCSF/SFGH Primary Care Medicine Residency Program where he focused on training primary care leaders in the care of vulnerable populations. At UC Davis, he focuses on supporting students from diverse backgrounds to excel in medical school through academic advising, wellness initiatives, career decision-making, community building, and ensuring a respectful learning environment. He practices general internal medicine at the Sacramento County Health Center, an FQHC affiliated with UC Davis. Dr. Erick Hung is a Professor of Clinical Psychiatry in the UCSF Department of Psychiatry and Behavioral Sciences and is a member of the UCSF Academy of Medical Educators. He is the Associate Dean for Students in the UCSF School of Medicine. Prior to joining the Dean's team, he served as the Program Director of the Adult Psychiatry Residency Training Program from 2012-2022 and the Director of Curricular Affairs for GME for the UCSF School of Medicine from 2015-2022. He completed his medical school, psychiatry residency, and forensic psychiatry fellowship training at the University of California, San Francisco and joined the faculty at UCSF in 2009. He actively teaches in the areas of risk assessment, medical education, forensic psychiatry, leadership, and ethics. His interests include primary care and mental health integration, the interface between mental health and the legal system, inter-professional collaboration and training, HIV psychiatry, LGBTQ mental health, and medical education. His educational scholarship interests include competency-based assessment, faculty development, and near-peer learning in the workplace setting. Kama Z. Guluma, MD, is a Clinical Professor of Emergency Medicine and the Associate Dean for Admissions and Student Affairs at UC San Diego School of Medicine. As the Associate Dean for Admissions and Student Affairs, he oversees the offices of Admissions, Student Affairs, and Financial Aid. Dr. Guluma joined the Department of Emergency Medicine as a faculty member in 2001. He joined the Division of Medical Education as Associate Dean for Admissions and Student Affairs in October 2018. Prior to becoming Associate Dean, he served as the Director of Student Programs for the Department of Emergency Medicine, and as an Academic Community Director in the UC San Diego School of Medicine. He is a past recipient of the Medical Student Teaching Award in the UC San Diego Department of Emergency Medicine, has been a nominee for the Kaiser Excellence in Teaching Award in the UC San Diego School of Medicine, and a recipient of the Faculty Mentorship Award from the UC San Diego Graduate Student Association. Lee Todd Miller, MD is Professor of Pediatrics and the Associate Dean for Student Affairs at the David Geffen School of Medicine at UCLA. After completing medical school and post-graduate training at the University of Virginia, for the last 38 years, Dr. Miller has been heavily involved at UCLA in both undergraduate and graduate medical education in pediatrics. Prior to moving into the Dean's Office, he served for 10 years as the Vice Chair of Education within the Department of Pediatrics. He is the 12-time recipient of the UCLA School of Medicine's Golden Apple Award, the national Humanism in Medicine Award sponsored by the Association of American Medical Colleges, and the University of California Academic Senate Distinguished Teaching Award. In addition to his current roles in Student Affairs and pediatric education, Dr. Miller is also one of the founders of the medical school's Global Health Program, nurturing the global health interests of countless students and residents over the years. He has worked on education-related projects in the Democratic Republic of the Congo, Ethiopia, Mozambique, Rwanda, South Africa, Zambia, Afghanistan, Myanmar, Peru, and Ecuador. Mijiza M. Sanchez-Guzman is the Associate Dean, Office of Medical Student Affairs, at the Stanford School of Medicine. She has worked in higher education and the health sciences for more than 18 years with a commitment to diversity and inclusion, gender equity, and leadership development. Transcript Keywords: DRP, Disability Inclusion, Medical Education, Leadership, Students, Structures, Processes, Specialized Support. Produced by: Lisa Meeks Audio editor: Nicole Kim Digital Media: Katie Sullivan and Lisa Meeks
Following the ratification of the 13th Amendment to the United States Constitution, formally abolishing slavery, John Swett Rock, an abolitionist lawyer, achieved a significant milestone by becoming the first African-American to be admitted to the bar of the United States Supreme Court on February 1, 1865. Born free on October 13, 1825, in Salem, New Jersey, Rock was not only a lawyer but also an educator and a dentist. He graduated from the American Medical College in Philadelphia in 1852 and established a dental practice in Boston, where he tended to escaped slaves seeking refuge through the Underground Railroad. His tenure at the U.S. Supreme Court lasted only one year as health issues interrupted his career. At the age of 41, in 1866, Rock died due to tuberculosis. Learn more about your ad choices. Visit megaphone.fm/adchoices
For a city full of universities and colleges, what's one more? And what makes a DO different from an MD? We've got the scoop on the latest from Duquesne University, plus we're wondering why one of our beloved inclines can't stay open and what to look out for when Pittsburgh Pride hits a new park later this year. We always cite our sources: Duquesne University opened up their new College of Medicine for students to earn DO degrees. Here's what being a doctor of osteopathic medicine means. The Hospital and Healthsystem Association of Pennsylvania figures that by 2030, the state will be short more by than 1,000 primary care docs. The Association of American Medical Colleges estimates a potential shortage of primary care physicians between 17,800 and 48,000 by 2034. A study published in December asked about 500 third- and fourth-year med students across 125 schools about the considerations they'd take when thinking about residencies, and 58% said they'd be unlikely to apply for a residency program in a state with abortion restrictions. The NYT explained how abortion restrictions have changed the landscape for people who previously wanted to study reproductive care. Comedian Hannah Gadsby talks about being introduced to “her people” via Mardi Gras in her special “Nanette.” This year's Pittsburgh Pride celebration will be held at Point State Park. Keep your eyes peeled on QBurgh for more Pride events as more gets announced. The Mon Incline is still closed, but you can check out what other funiculars look like around the world, like this one in Verona, Italy. Become a member of City Cast Pittsburgh at membership.citycast.fm. Want more Pittsburgh news? Sign up for our daily morning Hey Pittsburgh newsletter. We're also on Instagram @CityCastPgh! Interested in advertising with City Cast? Find more info here. Learn more about your ad choices. Visit megaphone.fm/adchoices
In response to a listener request, Lara describes the differences between conceptual frameworks, theory, and theoretical frameworks.Host: Lara VarpioEpisode page is especially helpful this week since all the figures are in there. Episode article for reference: Varpio, L., Paradis, E., Uijtdehaage, S., & Young, M. (2020). The Distinctions Between Theory, Theoretical Framework, and Conceptual Framework. Academic Medicine: Journal of the Association of American Medical Colleges, 95(7), 989–994. https://doi.org/10.1097/ACM.0000000000003075 Hosts: Lara VarpioTechnical Producer: Samuel LundbergExecutive Producer: Teresa SöröProduction of Unit for teaching and learning at Karolinska Institutet
It Happened To Me: A Rare Disease and Medical Challenges Podcast
Pancreatic cancer occurs when a cell in the pancreas is damaged, causing the malignant or cancer cell to form in the tissue of the pancreas. The pancreas is a gland about 6 inches long and is shaped like thin pear lying on its side. The pancreas lies between the stomach and the spine. The risk of developing pancreatic cancer increases with age, with about ⅔ of patients being diagnosed at age 65 or older. Slightly more men than women are affected. Cigarette smoking is one of the biggest risk factors. Other risk factors include: Being overweight Personal history of diabetes and Family history of pancreatic cancer or pancreatitis Like most cancers, early detection is critical. Survival rates are impacted by tumor size and whether the cancer has spread to other organs. In this episode we are joined by Leslie Waldman, who has a personal diagnosis of pancreatic cancer, which she has lived with for 10 years. Leslie Waldman is director of Consumer and Physician Engagement at Johns Hopkins Medicine. During the last four decades, he has served Johns Hopkins in many capacities including director of strategic marketing, director of competitive strategy for Johns Hopkins Medicine and as director of public affairs for the Johns Hopkins University School of Public Health. Throughout her career, she has blended strategy planning and marketing, public affairs and consumer health education to affect change and motivate consumers towards healthier living. Resulting programs have included community-based screening programs for Tay-Sachs disease and lead poisoning; the award-winning health portfolio, A Woman's Journey; and strategic marketing programs for women's health, many clinical programs and recruitment of volunteers for clinical trials The Association of American Medical Colleges has honored her work for the digital program, COVID -19: One Year Later; re branding Johns Hopkin Medicine, marketing the Johns Hopkins Breast Center, advertising during open enrollment, the publication of Estrogen Replacement Therapy: The Johns Hopkins Guide to Making an Informed Decision; and marketing for the Johns Hopkins Asthma and Allergy Center. Ms. Waldman has a masters in science in health education from the Johns Hopkins University Bloomberg School of Public Health and a BA from the Newhouse School of Communications and the College of Liberal Arts at Syracuse university. Check out “A Woman's Journey: Healthy Insights That Matter” on Apple Podcast here. There is also an archive here. We also encourage you to explore the resources offered by PanCan and Lust Garden. You can also reference the NCCN guidelines for pancreatic cancer here. Stay tuned for the next new episode of It Happened To Me! In the meantime, you can listen to our previous episodes on Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “It Happened To Me”. It Happened To Me is created and hosted by Cathy Gildenhorn and Beth Glassman. DNA Today's Kira Dineen is our executive producer and marketing lead. Amanda Andreoli is our associate producer. Ashlyn Enokian is our graphic designer. See what else we are up to on Twitter, Instagram, Facebook, YouTube and our website, ItHappenedToMePod.com. Questions/inquiries can be sent to ItHappenedToMePod@gmail.com.
Adam J. Milam, MD, PhD is a Senior Associate Consultant in the Department of Anesthesiology and Perioperative Medicine at Mayo Clinic Arizona. Prior to starting this position, he completed his cardiothoracic anesthesiology fellowship at Cleveland Clinic and residency at Cedars-Sinai Medical Center. He graduated from Wayne State University School of Medicine. Prior to medical school, he attended Johns Hopkins University where he graduated with a Bachelor of Arts in Public Health. He also holds a Master of Health Science as well as a Doctor of Philosophy in Public Health from the Department of Mental Health at Johns Hopkins Bloomberg School of Public Health.Dr. Milam has been actively involved in several national and state societies including the American Society of Anesthesiologists, the Society of Cardiovascular Anesthesiologists, the National Medical Association, and the California Society of Anesthesiologists; he serves on committees for each of these organizations. He also is actively engaged in research; Dr. Milam's research is rooted in practices, policies, and interventions to address health disparities and health inequities. He has published over 80 peer-reviewed publications and has more than 75 national, international, and invited presentations. His research has been featured and disseminated in leading public health and medical journals as well as Men's Health, Rolling Stone, and US News & World Report. His work has been used to guide local and state legislation that promote health equity. Dr. Milam's research also explores barriers to and possible strategies to improve diversity in the medical workforce. He has received multiple national awards including the Herbert W. Nickens Scholarship from the Association of American Medical Colleges and the Excellence in Public Health Award from the U.S. Public Health Service Physician Professional Advisory Committee; Dr. Milam is also a member of the Delta Omega Public Health Honor Society. Dr. Milam's Twitter Dr. Milam's Website
Why docs don't like the word “provider,” and the surprise dealt to the AAMC by OB residency programs a Delaware-based health system, is taking a stand against the use of the term “provider” to describe physicians. The AMA agrees, saying they oppose the term “provider” as inadequate and urging MDs to insist on being identified as "physicians." Co-hosts Nicole (Pathology Extern), Riley (MD/PhD student), and Jeff (M2) discuss why "provider" might not capture what doctors do. In the mid 90s, OB/Gyn residencies helped to pilot the Association of American Medical Colleges' Electronic Residency Application Service, or ERAS. This year, to the “surprise and dismay” of the AAMC, the OB residencies are jumping ship this year and starting their own system. Despite the oft-repeated trivia, urine isn't sterile. I know! mind blown.
Join Harry Severance, an emergency physician, as we explore the factors contributing to this issue, including the impact of the COVID-19 pandemic and the demonization of health care workers. Discover the alarming statistics and consequences presented by organizations like the Association of American Medical Colleges and National Nurses United. Harry shares his perspectives on the mass exodus of health care professionals, the instability of hospitals, and the challenges faced in providing critical care. Gain valuable insights into the need for action and the role of public awareness in addressing this pressing problem. Harry Severance is an emergency physician. He discusses his KevinMD article, "The escalating violence in health care workplaces: a critical problem facing the nation's health care system." The Podcast by KevinMD is brought to you by the Nuance Dragon Ambient eXperience. With a growing physician shortage, increasing burnout, and declining patient satisfaction, a dramatic change is needed to make health care more efficient and effective and bring back the joy of practicing medicine. AI-driven ambient clinical intelligence promises to help by revolutionizing patient and provider experiences with clinical documentation that writes itself. The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled, 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 SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/4Wrty9 Powered by CMEfy.
Michael Steele, in for Ali Velshi, is joined by Jennifer Rubin, Opinion Writer at the Washington Post, Fmr. Gov. MarkSanford, Fmr. Governor of South Carolina, Dr. Uché Blackstock, Founder & CEO at Advancing Health Equity, Dr. David J. Skorton, President & CEO at Association of American Medical Colleges, Rina Shah, Principal & Founder at Rilax Strategies, Tara Setmayer, Senior Advisor at Lincoln Project, April Ryan, White House Correspondent& Bureau Chief at The Grio, Jennifer Horn, Fmr. New Hampshire Republican Party Chair, Barbara McQuade, Fmr. U.S. Attorney for Michigan, Sen. Gary Peters (D) Michigan, Melissa Gira Grant, Staff Writer at The New Republic, and Neal Katyal, Fmr. U.S. Acting Solicitor General.
Life expectancy in the U.S. is at its lowest point in nearly two decades, and the projected life spans of Black and Native Americans are shorter than white Americans. According to new research, Black people live longer in areas with more Black primary care doctors. One of the study's authors, Michael Dill with the Association of American Medical Colleges, joins John Yang to discuss. PBS NewsHour is supported by - https://www.pbs.org/newshour/about/funders
© 2020-2026 Ivy Podcast Discovery LLC
