Podcasts about associate program director

In this episode, Drs. Shruti Javali and Adnaan Edun speak with Drs. Maryal Concepcion and Jeannine Rodems live from the CAFP All Member Advocacy Meeting to talk about Direct Primary Care (DPC), what DPC is, how it works with the patient relationship, and resources available for any family physician look at DPC as a potential career. Guests: Maryal Concepcion, MD, FAAFP is a board-certified rural family physician dedicated to serving patients in Northern California since 2012 and Calaveras County since 2015. Passionate about community-focused medicine, she provides comprehensive care for patients of all ages, from infants and expectant mothers to children and adults, including in-office procedures. Jeannine Rodems, MD, FAAFP is a board-certified family medicine physician who brings more than 25 years of experience to Santa Cruz Direct Primary Care. She is a graduate of UC Santa Cruz (go Slugs!), and completed her medical degree at the UCLA School of Medicine with her residency through the UCLA Family Medicine Residency program. She has been an active member of the local physician community in Santa Cruz County for several years. She has been the past president of the Santa Cruz County Medical Society. She has been very active with the California Academy of Family Physicians, having been a previous member of their board of directors, and served as a past president of the Santa Cruz – Monterey — San Benito CAFP Chapter. Shruti Javali, MD is family medicine physician who sees patients of all ages with a specific focus on obstetrics and women's health. In addition to each patient's medical condition, her approach also incorporates whole-person care, considering factors such as nutrition, exercise and work/life balance. Dr. Javali earned her medical degree from Saba University School of Medicine in the Dutch Caribbean and undergraduate degree from McMaster University in Hamilton, Canada. She completed her family medicine residency through Michigan State University at Mercy Health Grand Rapids in Michigan. Adnaan Edun, MD is a board-certified family medicine physician who provides preventive care, such as wellness checks, physicals, health counseling and more, he treats patients with chronic and complex conditions, including obesity, hypertension and depression. Growing up, Dr. Edun became interested in pursuing a career in healthcare as he watched his mother continue to increase her nursing knowledge by studying at home. That interest was solidified when he had open heart surgery, after which he saw healthcare through a different lens. The experience shaped his desire to study medicine and impacts how he provides care with compassion. Dr. Edun also is interested in global and rural medicine and learning about how medicine is practiced around the world. He has participated in medical trips to Peru, Guatemala and Kenya and hopes to continue to share his healthcare knowledge with other underserved communities in the future. Rob Assibey, MD, FAAFP (he/him) identifies as Ghanaian American. Dr. Assibey is the Associate Program Director at San Joaquin General Hospital Family Medicine Residency Program. He practices full spectrum family medicine with an emphasis on street medicine, addiction medicine, SNF. Dr. Assibey is the District 8 Director on the CAFP Board, and a member of the JEDI Committee. Resources: CAFP Direct Primary Care information - www.familydocs.org/dpc  CAFP's New Physician Toolkit - www.familydocs.org/nptoolkit  AAFP Direct Primary Care - https://www.aafp.org/family-physician/practice-and-career/delivery-payment-models/direct-primary-care.html  DPC Summit (July 24-27, 2025) - https://www.dpcsummit.org/home.html  CaliDPC - www.calidpc.com  Inaugural CaliDPC Docs Summit (June 7-8, 2025) - https://www.calidpc.com/resources  The Family Docs Podcast is hosted by Rob Assibey, MD, FAAFP.   The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Twitter - https://twitter.com/cafp_familydocs  Instagram - https://www.instagram.com/cafp_familydocs  Facebook - https://www.facebook.com/familydocs 

Audible Bleeding editor Wen (@WenKawaji) is joined by 3rd year medical student Nishi (@Nishi_Vootukuru), 2nd year vascular fellow Donna, JVS editor Dr. Forbes (@TL_Forbes), and JVS-CIT editor Dr. Matt Smeds (@mattsmeds) to discuss some of our favorite articles in the JVS family of journals. This episode hosts Dr. Aridi, Dr. Motaganahalli, Dr. Nagarsheth, and Dr. Madabhushi, the authors of the following papers.    Articles:   Physicians preference for carotid revascularization impacts postoperative stroke and death outcomes Simultaneous percutaneous transmural arterial bypass and deep venous arterialization for treatment of critical limb ischemia    Show Guests  Dr. Hanaa Aridi (@aridi_hanaa)- PGY3 at Indiana University School of Medicine  Dr. Raghu L. Motaganahalli (@Rmotaganahalli)- Professor of Surgery at the Indiana University School of Medicine and an attending Surgeon at the Indiana University Methodist Hospital. He is the Division Chief of Vascular Surgery and the Program Director of vascular surgery training program Dr. Nagarsheth (@KNagarshethMD) -Associate Professor of Surgery and Associate Program Director of Vascular Surgery Fellowship Program at the University of Maryland Medical Center in Baltimore. Program director of the integrated vascular surgery program. Dr. Madabhushi -Vascular Surgery Fellow at the University of Maryland Medical Center in Baltimore Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.  

We got the gang together (minus John, who is on mission).  Today, we are talking about diverticulitis with super expert Scott Steele.  Scott walks Jason, Patrick, and Kevin through the nuances of modern-day management of diverticulitis.   We cover laparoscopic lavage, review decision making for surgical resection after drainage, and discuss the evolving role of antibiotics in uncomplicated cases. Surgical techniques, including resection boundaries and the consideration of diverting ostomies in emergent situations, are also reviewed.  DOMINATE THE COLON! Hosts Scott Steele, MD: @ScottRSteeleMD Scott is the Rupert B. Turnbull MD Endowed Chair in Colorectal Surgery and Chairman of Colorectal Surgery at Cleveland Clinic in Cleveland, OH. A graduate of the United States Military Academy at West Point, he was an active duty Army officer for over 20 years, serving as the Chief of Colorectal Surgery at Madigan Army Medical Center. He also received his MBA from Case Western University Weatherhead School of Business and Management. Patrick Georgoff, MD: @georgoff Patrick Georgoff is an Acute Care Surgeon at Duke University.  He went to medical school at the University of Pennsylvania, completed General Surgery residency and Surgical Critical Care fellowship at the University of Michigan, and a Trauma Surgery fellowship at the University of Texas in Houston.  His clinical practice includes the full spectrum of Acute Care Surgery in addition to elective hernia surgery.  Patrick is the Associate Program of the General Surgery Residency and associate Trauma Medical Director at Duke. Kevin Kniery, MD: @Kniery_Bird Kevin is a vascular surgeon at Brooke Army Medical Center. He completed his undergraduate degree at the United States Military Academy in West Point, medical school at Tulane University, general surgery residency at Madigan Army Medical Center, and vascular fellowship at Cornell and Columbia. Jason Bingham, MD: @BinghamMd Jason is a general and bariatric surgeon at Madigan Army Medical Center. He also serves as the Director of Research and Associate Program Director for the general surgery residency program. He received his undergraduate degree from New York University and medical degree at the Uniformed Services University of Health Sciences. He is a medical officer in the US Army with several combat deployments under his belt. Jason's research efforts focus on the management of hemorrhagic shock, trauma induced coagulopathy, and ischemia-reperfusion injury. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

This episode is sponsored by Locumstory. Your source for all things locums.---Ben and Sam are doctors who don't just heal with medicine—they create with music. In this episode, they talk about their parallel paths from the East Coast to Colorado, their shared musical background, and how they balance both call schedules and band rehearsals. Sam shares the highs of performing at Red Rocks, while Ben discusses navigating military service and academic transitions. They also unpack the inspiration behind their podcast, Crescendo de Crescendo, a thoughtful series about how medicine and music inform and elevate each other. This episode blends passion, purpose, and practical advice for any clinician exploring life beyond the white coat.Dr. Ben's BioDr. Ben is an internal medicine physician who transitioned from a military medical career to academic medicine. He served as a Lieutenant Commander in the U.S. Navy, completed his residency and a chief resident year at Walter Reed, and later worked as an Associate Program Director in a military academic health center. After his military service, Dr. Ben pursued a medical education fellowship at Penn State, where he collaborated with Dr. Paul Haidet on research exploring the intersection of music and medicine. This collaboration inspired the creation of the podcast Crescendo de Crescendo, which he co-hosts with Dr. Sam.​Dr. Sam's BioDr. Sam is an internal medicine physician and musician based in Colorado. He is a member of the band Dark Arts, which blends elements of folk, alternative, and psychedelic rock. The band gained notable recognition by performing at the renowned Red Rocks Amphitheater. Balancing his medical career with his passion for music, Dr. Sam co-hosts the podcast Crescendo de Crescendo alongside Dr. Ben, where they explore the parallels between the practices of medicine and music.​---Every doctor needs own-occupation disability insurance.  To get it from a source you can trust? Visit https://moneymeetsmedicine.com/disability Want a free copy of The Physician Philosopher's Guide to Personal Finance?  Visit https://moneymeetsmedicine.com/freebook  

Listen to ASCO's Journal of Clinical Oncology Art of Oncology article, "Tamales” by Megan Dupuis, an Assistant Professor of Hematology and Oncology at Vanderbilt University Medical Center. The article is followed by an interview with Dupuis and host Dr. Mikkael Sekeres. Dupuis reflects on how patients invite their doctors into their culture and their world- and how this solidified her choice to be an oncologist. TRANSCRIPT Narrator: Tamales, by Megan Dupuis, MD, PhDI do not know if you know this, but tamales are an important—nay, critical—part of the Mexican Christmas tradition. Before I moved to Texas, I certainly did not know that. I did not know that the simple tamal, made of masa flour and fillings and steamed in a corn husk, is as essential to the holiday season as music and lights. Whole think pieces have been written in The Atlantic about it, for God's sake. But, I did not know that. A total gringa, I had grown up in upstate NY. We had the middle-class American version of Christmas traditions—music, snow, Santa, and a Honey Baked Ham that mom ordered 2 weeks before the holiday. I had never tried a homemade tamal until I moved to Texas. We had relocated because I was starting a fellowship in hematology/oncology. A central part of our training was the privilege of working at the county hospital cancer clinic. Because we were the safety-net hospital, our patients with cancer were often under- or uninsured, frequently had financial difficulty, and were almost always immigrants, documented or otherwise. In a typical clinic day, over 90% of my patients spoke Spanish; one or two spoke Vietnamese; and typically, none spoke English. From meeting my very first patient in clinic, I knew this was where I needed to be. Have you ever been unsure of a decision until you have been allowed to marinate in it? That is how I felt about cancer care; I had not been sure that my path was right until I started in the county oncology clinic. I loved absorbing the details of my patients' lives and the cultures that centered them: that Cuban Spanish is not Mexican Spanish and is not Puerto Rican Spanish; that many of my patients lived in multigenerational homes, with abuelos and tios and nietos all mixed together; and that most of them continued to work full-time jobs while battling cancer. They had hobbies they pursued with passion and lived and died by their children's accomplishments. I learned these details in the spaces between diagnosis and treatment, in the steady pattern woven in between the staccato visits for chemotherapy, scans, pain control, progression, and hospice.  In one of those in-betweens, my patient Cristina told me about tamales. She had faced metastatic breast cancer for many years. She was an impeccable dresser, with matching velour tracksuits or nice slacks with kitten heels or a dress that nipped in at the waist and flared past her knees. Absolutely bald from treatment, she would make her hairlessness look like high fashion rather than alopecia foisted upon her. Her makeup was always painstakingly done and made her look 10 years younger than her youthful middle age. At one visit in August, she came to clinic in her pajamas and my heart sank. This was a familiar pattern to me by now; I had taken care of her for 2 years, and pajamas were my canary in the coal mine of progressing cancer.  So on that sunny day, I asked Cristina what her goals would be for the coming months. The cancer had circumvented many of her chemotherapy options, and I only had a few left. “Doctora D, I know my time is limited…” she started in Spanish, with my interpreter by my side translating, “but I would really like to make it to Christmas. My family is coming from Mexico.” “Oh that's lovely. Do you have any special Christmas plans?” I ventured, wanting to understand what her holidays look like. “Plans? Doctora D, of course we are making tamales!” She laughed, as though we were both in on a joke. “Tamales? At Christmas?” I asked, signaling her to go on.  “Yes yes yes, every year we make hundreds and hundreds of tamales, and we sell them! And we use the money to buy gifts for the kids, and we eat them ourselves too. It is tradicio´ n, Doctora D.” She underlined tradicio´ n with her voice, emphasizing the criticality of this piece of information. “Okay,” I said, pausing to think—December was only four months away. “I will start a different chemotherapy, and we will try to get you to Christmas to make your tamales.” Cristina nodded, and the plan was made.  Later that evening, I asked one of my cofellows, a Houston native, about tamales. He shared that these treats are an enormous part of the Houston Christmas tradition, and if I had any sense, I would only purchase them from an abuela out of the trunk of a car. This was the only way to get the best homemade ones. “The ones from restaurants,” he informed me, “are crap.”  So summer bled into fall, and fall became what passes for winter in Texas. On 1 day in the middle of December, Cristina came into clinic, dressed in a colorful sweater, flowing white pants, black boots, and topped off with Barbie-pink lipstick. “Cristina!” I exclaimed, a bit confused. “You don't have an appointment with me today, do you?”  She grinned at me and held up a plastic grocery bag with a knot in the handles, displaying it like a prize.  “Tamales, Doctora D. I brought you some tamales so you can join our Christmas tradition.” I felt the sting of tears, overwhelmed with gratitude at 11:30 in a busy county clinic. I thanked her profusely for my gift. When I brought them home that night, my husband and I savored them slowly, enjoying them like you would any exquisite dish off a tasting menu. Sometimes, people think that oncologists are ghouls. They only see the Cristinas when they are in their pajamas and wonder why would any doctor ever give her more treatment?  My answer is because I also got to see her thriving joyfully in track suits and lipstick, because I got to spend countless in-betweens with her, and because I helped get her to the Christmas tradiciones I only knew about because of her. And in return, she gave of herself so easily, sharing her life, her passion, her struggles, and her fears with me. Caring for Cristina helped me marinate in the decision to become an oncologist and know that it was the right one. And if you are wondering—yes. Now tamales are a Christmas tradicio´n in the Dupuis household, too. Mikkael Sekeres: Hello, and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the oncology field. I'm your host, Mikkael Sekeres. I'm a professor of Medicine and Chief of the Division of Hematology at the Sylvester Comprehensive Cancer Center, University of Miami. What a pleasure it is today to be joined by Dr. Megan Dupuis from Vanderbilt University Medical Center. She is Assistant Professor of Hematology and Oncology and Associate Program Director for the Fellowship program. In this episode, we will be discussing her Art of Oncology article, "Tamales." Our guest's disclosures will be linked in the transcript. Both she and I have talked beforehand and agreed to refer to each other by first names. Megan, welcome to our podcast, and thank you for joining us. Megan Dupuis: Oh, thanks so much for having me, Mikkael. I'm excited to be here. Mikkael Sekeres: I absolutely loved your piece, "Tamales," as did our reviewers. It really did resonate with all of us and was beautifully and artfully written. I'm wondering if we could just start—tell us about yourself. Where are you from, and where did you do your training? Megan Dupuis: Sure. I'm originally from upstate New York. I grew up outside of Albany and then moved for college to Buffalo, New York. So I consider Buffalo home. Big Buffalo Bills fan. And I spent undergrad, medical school, and my PhD in tumor immunology at the University of Buffalo. My husband agreed to stick with me in Buffalo for all twelve years if we moved out of the cold weather after we were done. And so that played some factor in my choice of residency program. I was lucky enough to go to Duke for residency—internal medicine residency—and then went to MD Anderson for fellowship training. And then after Anderson, I moved up to Nashville, Tennessee, where I've been at Vanderbilt for almost four years now. Mikkael Sekeres: That's fantastic. Well, I have to say, your Bills have outperformed my Pittsburgh Steelers the past few years, but I think I think we have a chance this coming year. Megan Dupuis: Yeah. Yep. Yep. I saw they were thinking about signing Aaron Rodgers, so we'll see how that goes. Mikkael Sekeres: Yeah, not going to talk about that in this episode. So, I'm curious about your story as a writer. How long have you been writing narrative pieces? Megan Dupuis: I have always been a writer—noodled around with writing and poetry, even in college. But it was when I started doing my medicine training at Duke that I started to more intentionally start writing about my experiences, about patients, things that I saw, things that weighed either heavily on me or made a difference. So when I was at Duke, there was a narrative medicine writing workshop—it was a weekend workshop—that I felt like changed the trajectory of what my interest is in writing. And I wrote a piece at that time that was then sort of critiqued by colleagues and friends and kicked off my writing experience. And I've been writing ever since then. We formed a narrative medicine program at Duke out of this weekend workshop experience. And I carried that through to MD Anderson when I was a fellow. And then when I joined at Vanderbilt, I asked around and said, "Hey, is there a narrative medicine program at Vanderbilt?" And somebody pointed me in the direction of a colleague, Chase Webber, who's in internal medicine, and they said, "Hey, he's been thinking about putting together a medical humanities program but needs a co-conspirator, if you will." And so it was perfect timing, and he and I got together and started a Medical Humanities Certificate Program at Vanderbilt about four years ago. And so- Mikkael Sekeres: Oh, wow. Megan Dupuis: Yeah. So I've been doing this work professionally, but also personally. You know, one of the things that I have been doing for a long time is anytime there's an experience that I have that I think, “Gosh, I should write about this later,” I either dictate it into my phone, “write about this later,” or I write a little message to myself, “Make sure that you remember this experience and document it later.” And I keep a little notebook in my pocket specifically to do that. Mikkael Sekeres: Well, it's really a fabulous, updated use of technology compared to when William Carlos Williams used to scribble lines of poetry on his prescription pad and put it in his rolltop desk. Megan Dupuis: Although I will admit, you know, I don't think I'm much different. I still do prefer often the little leather notebook in the pocket to dictating. It'll often be when I'm in the car driving home from a clinic day or whatever, and I'll go, “Oh, I have to write about this, and I can't forget.” And I'll make myself a little digital reminder if I have to. But I still do keep the leather notebook as well for the more traditional type of writing experience. Mikkael Sekeres: I'm curious about what triggers you to dictate something or to scribble something down. Megan Dupuis: I think anything that gives me an emotional response, you know, anything that really says, “That was a little bit outside the normal clinical encounter for me.” Something that strikes me as moving, meaningful—and it doesn't have to be sad. I think a lot of novice writers about medical writing think you have to write only the tragic or the sad stories. But as often as not, it'll be something incredibly funny or poignant that a patient said in clinic that will make me go, “Ah, I have to make sure I remember that for later.” I think even surprise, you know? I think all of us can be surprised in a clinical encounter. Something a patient says or something a spouse will reflect on will make me sit back and say, “Hmm, that's not what I expected them to say. I should dive into why I'm surprised by that.” Mikkael Sekeres: It's a great notion as a starting point: an emotional connection, a moment of surprise. And that it doesn't have to be sad, right? It can be- sometimes our patients are incredibly inspirational and have great insights. It's one of the marvelous things about the career we've chosen is that we get to learn from people from such a variety of backgrounds. Megan Dupuis: That's it. It's a privilege every day to be invited into people's most personal experiences, and not just the medical experience. You know, I say to my patients, “I think this cancer diagnosis is in some ways the least interesting thing about you. It's not something you pick. It's not a hobby you cultivate. It's not your family life. It's a thing that's happened to you.” And so I really like to dive into: Who are these people? What makes them tick? What's important to them? My infusion nurses will say, "Oh, Dr. D, we love logging in and reading your social histories," because, yeah, I'll get the tobacco and alcohol history, or what have you. But I have a little dot phrase that I use for every new patient. It takes maybe the first five or six minutes of a visit, not long. But it's: Who are you? What's your preferred name? Who are your people? How far do you live from the clinic? What did you used to do for work if you're retired? If you're not retired, what do you do now? What are the names of your pets? What do you like to do in your spare time? What are you most proud of? So those are things that I ask at every new patient encounter. And I think it lays the foundation to understand who's this three-dimensional human being across from me, right? What were they like before this diagnosis changed the trajectory of where they were going? To me, that's the most important thing. Mikkael Sekeres: You've so wonderfully separated: The patient is not the diagnosis; it's a person. And the diagnosis is some component of that person. And it's the reason we're seeing each other, but it doesn't define that person. Megan Dupuis: That's right. We're crossing streams at a very tough point in their life. But there was so much that came before that. And in the piece that I wrote, you know, what is the language? What is the food? What is the family? What are all of those things, and how do they come together to make you the person that you are, for what's important to you in your life? And I think as oncologists, we're often trying to unravel in some way what is important. I could spend all day talking to you about PFS and OS for a specific drug combination, but is that really getting to meeting the goals of the patient and where they're at? I think it's easy to sort of say, “Well, this is the medicine that's going to get you the most overall survival.” But does it acknowledge the fact that you are a musician who can't have neuropathy in your fingers if you still want to play? Right? So those things become incredibly important when we're deciding not just treatment planning, but also what is the time toxicity? You know, do you have the time and ability to come back and forth to clinic for weekly chemotherapy or what have you? So those things, to me, become incredibly important when I'm talking to a person sitting across from me. Mikkael Sekeres: Do your patients ever get surprised that you're asking such broad questions about their life instead of narrowing down to the focus of their cancer? Megan Dupuis: Sometimes. I will say, sometimes patients are almost so anxious, of course, with this new diagnosis, they want to get into it. You know, they don't want to sit there and tell me the name of the horses on their farm, right? They want to know, “What's the plan, doc?” So I acknowledge that, and I say to them in the beginning, “Hey, if you give me five minutes of your time to tell me who you are as a person, I promise this will come back around later when we start talking about the options for treatments for you.” Most of the time, though, I think they're just happy to be asked who they are as a person. They're happy that I care. And I think all of us in oncology care—I think that's... you don't go into a field like this because you're not interested in the human experience, right? But they're happy that it's demonstrable that there is a... I'm literally saying, “What is the name of your dog? What is the name of your child who lives down the street? Who are your kids that live far away? You know, do you talk to them?” They want to share those things, and they want to be acknowledged. I think these diagnoses can be dehumanizing. And so to rehumanize somebody does not take as much time as we may think it does. Mikkael Sekeres: I 100% agree with you. And there can be a selfish aspect to it also. I think we're naturally curious people and want to know how other people have lived their lives and can live those lives vicariously through them. So I'm the sort of person who likes to do projects around the house. And I think, to the dismay of many a professional person, I consider myself an amateur electrician, plumber, and carpenter. Some of the projects are actually up to code, not all. But you get to learn how other people have lived their lives and how they made things. And that could be making something concrete, like an addition to their house, or it can be making a life. Megan Dupuis: Yeah, I love that you say that it is selfish, and we acknowledge that. You know, sometimes I think that we went into internal medicine and ultimately oncology... and I don't mean this in a trite way: I want the gossip about your life. I want the details. I want to dig into your hobbies, your relationships, what makes you angry, what makes you excited. I think they're the fun things to learn about folks. Again, in some ways, I think the cancer diagnosis is almost such a trite or banal part of who a human is. It's not to say that it's not going to shape their life in a very profound way, but it's not something they picked. It's something that happened to them. And so I'm much more excited to say, “Hey, what are your weekend hobbies? Are you an amateur electrician?” And that dovetails deeply into what kind of treatment might help you to do those things for longer. So I think it is a little bit selfish that it gives me a lot of satisfaction to get to know who people are. Mikkael Sekeres: So part of what we're talking about, indirectly, is the sense of otherness. And an undercurrent theme in your essay is otherness. You were an 'other' as a fellow in training and working in Texas when you grew up in upstate New York. And our patients are also 'others.' They're thrust into this often complicated bedlam of cancer care. Can you talk about how you felt as an 'other' and how that's affected your approach to your patients? Megan Dupuis: I think in the cancer experience, we are 'other,' definitionally, from the start, for exactly the reasons that you said. I'm coming to it as your physician; you're coming to it as my patient. This is a new encounter and a new experience for both of us. I think the added layer of being this person from upstate New York who didn't... I mean, I minored in Spanish in college, but that's not the same thing as growing up in a culture that speaks Spanish, that comes from a Spanish-speaking country—the food, the culture. It's all incredibly different. And so the way that I approached it there was to say, “I am genuinely curious. I want to know what it's like to be different than the culture that I was raised in.” And I'm excited to know about that thing.   And I think we can tell—I think, as humans—when somebody is genuinely curious about who you are and what's important to you, versus when they're kind of just checking the boxes to try to build a relationship that's necessary. I think my patients could tell that even though I'm not necessarily speaking their language, I want to know. I ask these questions because I want to know. I think if you go to it from a place of curiosity, if you are approaching another person with a genuine sense of curiosity... You know, Faith Fitzgerald wrote her most remarkable piece on curiosity many, many years ago. But even the quote-unquote “boring” patient, as she put it, can have an incredible story to tell if you're curious enough to ask. And so I think that no matter how different I might be culturally from the patient sitting across from me, if I approach it with a genuine sense of curiosity, and they can sense that, that. that's going to build the bond that we need truly to walk together on this cancer journey. I think it's curiosity, and I think it's also sharing of yourself. I think that nobody is going to open up to you if they feel that you are closed to sharing a bit of yourself. Patients want to know who their doctor is, too. So when I said I asked those five or six minutes' worth of questions at the beginning of a new patient encounter, I share that info with them. I tell them where I live, how long it takes for me to get to clinic, who my people are, the name of my dog, what I like to do in my spare time, what I'm proud of. So I share that with them too, so it doesn't feel like a one-way grilling. It feels like an introduction, a meeting, the start of a... I don't want to say friendship necessarily, but a start of a friendliness, of a shared communal experience. Mikkael Sekeres: Well, it's a start of a relationship. And you can define 'relationship' with a broad swath of definitions, right? Megan Dupuis: That's right. Mikkael Sekeres: It can be a relationship that is a friendship. It can be a relationship that's a professional relationship. And just like we know some personal things about some of our colleagues, the same is true of our patients. I was wondering if I could pick up on... I love that notion of curiosity that you brought out because that's something I've thought a lot about, and I've thought about whether it could be at least one way to combat burnout. So could you put that in context of burnout? Do you think maintaining that curiosity throughout a career is one potential solution to burnout? And do you think that being open with yourself also helps combat burnout, which is counterintuitive to what we've always been taught? Megan Dupuis: Wow. I think that this is such an important question, and it's almost like you read my justification for a Medical Humanities Certificate Program. One of the foundational arguments for why I thought the GME should support the creation of this program at Vanderbilt was because we hypothesized that it would improve burnout. And one of the arms of that is because it engenders a sense of genuine curiosity. When you're thinking about the arms of burnout: it's loss of meaning in your work; it's depersonalization of patients, right, when they're treated as objects or numbers or a ticket in the system that you have to shuffle through; when it's disconnection from the work that you do. I absolutely think that curiosity is an antidote to burnout. I don't think it's the whole solution, perhaps, because I think that burnout also includes systemic injury and structures of our medical healthcare system that no individual can fix in a vacuum. But I do think when we're thinking about what are the changes that we as individual physicians can make, I do think that being open and curious about your patient is one of the best salves that we have against some of these wounds. You know, I've never left a room where a patient has shared a personal story and felt worse about it, right? I've always felt better for the experience. And so I do think curiosity is an incredibly important piece of it. It's hard, I will acknowledge. It's hard for the speed that we move through the system, the pace that we move through the system. And I'm thinking often about my trainees—my residents, my fellows—who are seeing a lot, they're doing a lot, they are trying to learn and drink from the fire hose of the pace of medical development, checking so many boxes. And so to remain curious, I think at times can feel like a luxury. I think it's a luxury I have boomeranged back into as an attending. You know, certainly as a resident and a fellow, I felt like, “Gosh, why does this attending want to sit and chitchat about this person's music career? I'm just trying to make sure their pain is controlled. I'm trying to make sure they get admitted safely. I'm trying to make sure that they're getting the right treatment.” And I think it's something that I've tried to teach my trainees: “No, we have the time. I promise we have the time to ask this person what their childhood was like,” if that's something that is important to the narrative of their story. So it sometimes feels like a luxury. But I also think it's such a critical part of avoiding or mitigating the burnout that I know all of us face. Mikkael Sekeres: I think you touched on a lot of really important points. Burnout is so much more complicated than just one inciting factor and one solution. It's systemic. And I love also how you positioned curiosity as a bit of a luxury. We have to have the mental space to also be curious and engaged enough in our work that we can take interest in other people. I wanted to touch on one more question. You write in your essay that a patient in pajamas is a canary in the coal mine for deteriorating health. And I completely, completely agree with that. I can vividly recall a number of patients where I saw them in my clinic, and I would look down, and they had food spilled on their sweatshirt, or they were wearing mismatched socks, or their shoes weren't tied. And you thought to yourself, “Gee, this person is not thriving at home.” Do you think telemedicine has affected our ability to recognize that in our patients? Megan Dupuis: Yes, I do think so. I can remember vividly being a fellow when COVID first began in 2020, and I was training in an environment where most of my patients spoke Spanish or Vietnamese. And so we were doing not just telemedicine; we were doing telephone call clearance for chemotherapy because a lot of the patients didn't have either access to the technology or a phone that had video capability. A lot of them had flip phones. And trying to clear somebody for chemotherapy over the phone, I'll tell you, Mikkael, was the number one way to lead to a recipe of moral injury and burnout. As a person who felt this deep responsibility to do something safe... I think even now with telemedicine, there are a lot of things that you can hide from the waist down, right? If you can get it together enough to maybe just put a shirt on, I won't know that you're sitting there in pajama bottoms. I won't know that you're struggling to stand or that you're using an assistive device to move when you used to be able to come into clinic without one, or that your family member is helping you negotiate stepping over the curb in clinic. These are real litmus tests that you and I, all of us, use when we're deciding whether somebody is safe to receive a treatment. And I think telemedicine does mask some of that. Now, on the other hand, does telemedicine provide an access point for patients that otherwise it would be a challenge to drive into clinic for routine visits and care? It does, and I think it's been an incredible boon for patients who live far away from the clinic. But I think we have to use it judiciously. And there are patients where I will say, “If you are not well enough to get yourself to clinic, I worry that you are not well enough to safely receive treatment.” And when I'm thinking about the rules of chemo, it's three: It has to be effective, right? Cancer decides that. It has to be something the patient wants. They decide. But then the safety piece—that's my choice. That's my responsibility. And I can't always decide safety on a telemedicine call. Mikkael Sekeres: I completely agree. I've said to my patients before, “It's hard for me to assess you when I'm only seeing 40% of you.” So we will often negotiate them having to withstand the traffic in Miami to come in so I can feel safe in administering the chemotherapy that I think they need. Megan Dupuis: That's exactly right. Mikkael Sekeres: Megan Dupuis, it has been an absolute delight getting to chat with you. It has been just terrific getting to know you and talk about your fabulous essay, "Tamales." So thank you so much for joining me. Megan Dupuis: Thank you for having me. It was a wonderful time to chat with you as well. Mikkael Sekeres: Until next time, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe so you never miss an episode. You can find all of ASCO's shows at asco.org/podcasts. Thank you again.   The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.  Like, share and subscribe so you never miss an episode and leave a rating or review. Guest Bio: Dr Megan Dupuis is an Assistant Professor of Hematology and Oncology at Vanderbilt University Medical Center.  

*This episode contains descriptions of sexual violence and sex trafficking. Listener discretion is advised. Episode DescriptionSelena is the Associate Program Director of a sex trafficking survivor sanctuary. As a former porn performer and sex trafficking survivor, Selena knows firsthand what the women she is helping have experienced.In this Consider Before Consuming episode, Selena sheds light on the dark realities of the porn industry, the deceptive nature of sex trafficking, and the power of resilience.Episode ResourcesArticle: I Was Fine with Porn and the Commercial Sex Industry, Until I Worked in a BrothelVideo: What Being In Porn Is Really LikeVictim ResourcesHope Rising

In this episode, Dr. Alex McDonald speaks with Dr. Todd Wolynn of the Trusted Messenger Program on the importance of building a trusted relationship with the physician and patient.  Guests: Alex McDonald MD, FAAFP, CAQSM is a former professional triathlete, Family and Sports Medicine physician and core faculty of the Kaiser Permanente Fontana Family Medicine Reaidency Program. His professional interests include exercise and physical activity, baccine advocacy, social media and patient communication. Dr. McDonald holds degrees from Connecticut College, the University of Vermont Larnar College of Medicine, Southern California Kaiser Permanente as well as Duke University. Dr. McDonald lives in Southern, CA with his wife, 3 children and 3 dogs. He enjoys running, riding his bike, cooking, coffee and 8pm dance parties with his kids Todd Wolynn MD, MMM is the Executive Director of the Trusted Messenger Program, a part of the public health non-profit Public Good Projects. He's been a vaccine advocate Advocate for more than 30 years, through his work as a clinical vaccine researcher, immunizing pediatrician, and immunization confidence and communication researcher.  Rob Assibey, MD, FAAFP (he/him) identifies as Ghanaian American. Dr. Assibey is the Associate Program Director at San Joaquin General Hospital Family Medicine Residency Program. He practices full spectrum family medicine with an emphasis on street medicine, addiction medicine, SNF. Dr. Assibey is the District 8 Director on the CAFP Board, and a member of the JEDI Committee. Resources: CAFP 2025-2027 Strategic Plan goals Advance Payment Reform and System Transformation Develop and diversify the family medicine workforce Champion public health, health equity, and evidence-based medicine Support member wellness and joy in medicine Public Good Project - publicgoodprojects.org Trusted Messenger Program PGP's health care professional networks, health care professional training program, and its significant health communications infrastructure form one program: the Trusted Messenger Program. The Trusted Messenger Program has no equivalent in health care and public health. It brings with it the support of national medical boards and public health associations, as well as sustainable funding from several of the largest health funders. The Trusted Messenger Program is supported by a rigorous evaluation protocol, counting among its partners and stakeholders the institutions that protect and provide the public's health. The Trusted Messenger Program offers the opportunity to strengthen our health systems and to build a bulwark against the continued erosion of trust in health information and intervention. AIMS Approach - Announce, Inquire, Mirror, and Secure Family Medicine POP! - www.familydocs.org/pop The Family Docs Podcast is hosted by Rob Assibey, MD.   The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Twitter - https://twitter.com/cafp_familydocs  Instagram - https://www.instagram.com/cafp_familydocs  Facebook - https://www.facebook.com/familydocs 

All Home Care Matters and our host, Lance A. Slatton were honored to welcome Dr. Raj Dasgupta as guest to the show.   About Dr. Raj Dasgupta:   Dr. Raj Dasgupta is a Quadruple board-certified physician specializing in internal medicine, pulmonology, critical care, and sleep medicine. He is currently the Associate Program Director of Internal Medicine Residency at Huntington Health in Pasadena, California and an Associate Professor of Clinical Medicine for the University of California, Riverside School of Medicine (UCR). He previously practiced at the University of Southern California, where he is an associate professor of clinical medicine, assistant program director of the Internal Medicine Residency Program, and the associate program director of the Sleep Medicine Fellowship.   During his time at USC, he was inducted into the prestigious Alpha Omega Alpha Honor Society. Dr. Dasgupta is an active clinical researcher and has been teaching around the world for more than 20 years. He is also a regular in media, appearing on various platforms and television shows such as Chasing the Cure, The Doctors, CNN, ABC News and Inside Edition. Be sure to check out his podcasts: “The Dr. Raj Podcast” and his medical book series titled: “Beyond the Pearls” published by Elsevier.   About MedPrepToGo:   MedPrepToGo, is dedicated to providing high-yield resources for medical students in the form our online Qbank and various podcasts.

In the second episode of our rural surgery series, Dr. Cody Mullens sits down with Dr. Brad Muncy, a 2nd year general surgery resident at Marshall University Rural General Surgery Residency Program and Dr. Jodi Cisco-Goff, an Associate Program Director at Marshall University Rural General Surgery Residency Program to discuss educating and training rural surgeons at Marshall University, the first of its kind training program. ***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9 Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Welcome back to the Finding Financial Freedom Podcast with Dr. Disha Spath. Today, we're joined by Amy Holbrook, Associate Program Director at Abbott Northwestern Internal Medicine Residency Program and Chair Elect of the National ACP Council. Dr. Amy is passionate about helping new attendings navigate the financial shifts that come with earning their first attending paycheck.   In this episode, Dr. Amy shares how she got into financial wellness and the biggest financial mindset shifts that occur when transitioning from residency to attendingship. She breaks down key financial milestones, how to balance financial responsibilities while enjoying life, and strategies for building long-term financial stability.  Key Topics Covered: 1. From Resident to Attending: The Financial Mindset Shift The biggest financial changes new attendings face.   2. Smart Saving Strategies What percentage of income new attendings should aim to save. What to do after maxing out a 401(k).   3. Balancing Lifestyle and Financial Responsibility   Enjoying life while staying financially responsible.    The importance of understanding retirement accounts.   4. Debt vs. Retirement Savings  Should you focus on paying off debt or saving for retirement?   5. Insurance & Financial Planning Must-have insurance policies for new attendings.   6. Financial Education for New Attendings How Amy teaches residents to manage their first big paycheck.   Resources Mentioned: Take-Home Paycheck Calculator Pearson Ravitz White Coat Investor Simple Path to Wealth Millionaire Life Next Door Listener Takeaways: The key financial shifts that occur when transitioning from resident to attending.   How to build financial literacy and understand taxes.   The best strategies for saving, investing, and balancing debt.   Financial milestones every new attending should look out for.  Connect with Us: Host: Dr. Disha Spath, The Frugal Physician Guest: Dr. Amy Holbrook   If you're a new attending looking to take control of your finances, this episode is packed with actionable insights to help you build wealth and financial confidence. Tune in now!   This episode is sponsored by Reza & Sharif CPAs - They provide more than just tax returns and financial statements—they deliver strategic financial solutions tailored to your needs. Whether you're a business owner, physician, or investor, they help you navigate complex tax laws, maximize savings, and build long-term wealth. With expert tax planning, accounting, and advisory services, they ensure your finances work for you—not the other way around. Take control of your financial future today. Visit rezasharif.com to see how they can help.   This episode is also sponsored by Set for Life Insurance – Providing more than just insurance policies—they deliver personalized coverage and expert guidance tailored to your needs. Whether you're looking for life, disability, or long-term care insurance, their team ensures you get the best protection at the most cost-effective rates. With priority underwriting, special discounts, and access to top-rated insurers, they make securing your future simple and stress-free. Take the next step in protecting what matters most. Visit setforlifeinsurance.com or call 1-888-553-3559 today.

Derek Leiner trained in internal medicine at VCUHealth and the Richmond VA Medical Center. In 2018, he completed a year as Chief Resident for Quality and Safety, a national VA QI and safety training program then began as a staff physician at the Richmond VA Medical Center. His career has included teaching, education leadership as an Associate Program Director for a medicine training program, and safety culture leadership. Derek currently works as an academic hospitalist and is the physician champion for high reliability at the Richmond VA Medical Center. He has a passion for humanism, collaborative care, and just culture.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.

Step into the future of primary care with Artificial Intelligence and Machine Learning (AI/ML). In this episode, you'll discover how these transformative technologies are revolutionizing healthcare as three expert voices from STFM's cutting-edge Artificial Intelligence and Machine Learning for Primary Care Curriculum reveal insider strategies to slash administrative burden—and maybe even carve out time for your dream vacation. Whether you're an educator eager to innovate, or a clinician ready to lead your team in implementing new tools, this dynamic panel delivers practical tips, ethical insights, and the inspiration you need to confidently participate in the AI revolution.Our Panelists:Cornelius James, MDJaky Kueper, PhDWinston Liaw, MD, MPHHosted by Omari A. Hodge, MD, FAAFP and Jay-Sheree Allen Akambase, MDCopyright © Society of Teachers of Family Medicine, 2025Resources:Artificial Intelligence and Machine Learning for Primary Care Curriculum (AiM-PC)Upcoming Opportunity - Ethical Use of AI in the Family Medicine Clinic - STFM Webinar scheduled for May 30, 2025 at 12pm CTArtificial Intelligence and Family Medicine: Better Together - Fam Med Generative Artificial Intelligence and Large Language Models in Primary Care Medical Education - Fam Med Artificial Intelligence-Prompted Explanations of Common Primary Care Diagnoses - PRiMER Guest Bio:Cornelius James, MDDr. James is an Assistant Professor in the Departments of Internal Medicine, Pediatrics and Learning Health Sciences at the University of Michigan (U-M). He is a general internist and a general pediatrician practicing as a primary care physician. He holds the James O. Woolliscroft, MD Endowment in Humane Patient Care.Dr. James has served in many educational roles across the continuum of medical education, including serving as the director of the University of Michigan Medical School evidence-based medicine curriculum, and an Associate Program Director for the U-M Internal Medicine Residency Program. He also serves on local and national committees, including the U-M Clinical Intelligence Committee and the International Advisory Committee for Artificial Intelligence. In multiple years Dr. James has been identified as one of the top teachers in the Department of Internal Medicine. In addition, in 2022 he received the Kaiser Permanente Excellence in Teaching award, the most prestigious teaching award given by the U-M medical school. Dr. James has completed the American Medical Association (AMA) Health Systems Science Scholars program, and he was also one of ten inaugural 2021 National Academy of Medicine Scholars in Diagnostic Excellence. His research interests include augmenting clinical reasoning with artificial intelligence, and equitable implementation of safe and effective digital health tools into clinical practice.His work has been published in JAMA, Annals of Internal Medicine, Academic Medicine, the Journal of General Internal Medicine, Cell Reports, and more. Jaky Kueper, PhDJaky Kueper, PhD, is an epidemiologist and computer scientist with the Scripps Research Digital Trials Center. Her work in AI for primary care ranges from investigating primary care AI needs and priorities to co-developing AI solutions with Community Health Centres. She's also been engaged in several AI for heal

In our February episode, we marked American Heart Month with Dr. Shivani Verma, an interventional cardiologist at Maimonides Medical Center. In this month's Key Note, Dr. Verma explains “broken heart syndrome,” a rare condition that can affect the heart muscle after an emotional shock or a sudden stressor. The good news: most people make a complete recovery. 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. Find out where you stand heart-wise by making an appointment with your primary care physician. Visit the Healthy Living Resource Center for wellness tips, information and resources; 1199SEIUBenefits.org/healthyliving. Get to know your numbers at 1199SEIUBenefits.org/healthyhearts. 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 Dr. Shivani Verma is an Interventional Cardiologist at Maimonides Medical Center. With specialized fellowships in Interventional Cardiology and Cardio-Oncology, she brings a wealth of expertise and experience to the field of cardiovascular care. She completed the majority of her training (Internal Medicine, Cardiology, and Interventional Cardiology) at Maimonides, where she gained a deep understanding of the intricacies of diagnosing and treating various cardiac conditions. Her subsequent fellowships highlight her ability to perform complex procedures such as angioplasties and stent placements to restore blood flow to the heart and prevent heart attacks. She also completed a fellowship in cardio-oncology at Memorial Sloan Kettering Cancer Center, where she learned to manage the unique cardiovascular risks that cancer patients face during treatment. Dr. Verma has developed a comprehensive approach to cardiovascular care focused on providing personalized, evidence-based treatment plans that take into account each patient's unique medical history, lifestyle and goals. She prides herself on optimizing the patient-physician relationship to best serve her patients. Additionally, Dr. Verma serves as the Associate Program Director of the Interventional Cardiology Fellowship Program at Maimonides Medical Center. 

You can text us here with any comments, questions, or thoughts!In our latest episode, Kemi sit down with Dr. Sharon Onguti, an infectious diseases specialist at Vanderbilt University Medical Center, where she has served since 2022. Board-certified in Internal Medicine and Infectious Diseases, she completed her fellowship at UT Health San Antonio and a sub-fellowship in Antimicrobial Stewardship at Stanford University. Dr. Onguti holds an MPH in Epidemiology and Biostatistics from Johns Hopkins Bloomberg School of Public Health and is a board member of the Society of Bedside Medicine, she is dedicated to medical education and serves as Associate Program Director of the Infectious Diseases Fellowship Program. She is also is an alumnus of our Get That Grant® coaching program! Join the conversation as Dr. Onguti shares her remarkable journey in medicine, highlighting her innovative use of AI in healthcare. Highlights: Discover how she navigates multiple roles and responsibilities while finding clarity and focus through coaching.  The importance of aligning your career with personal values and interests.  Why regular reflection and inventory of your activities help ensure alignment with long-term goals. Insights on cultivating a high-functioning support network and redefining mentorship to propel your career forward. Loved this convo? Please go find Dr. Onguti on LinkedIn and Twitter/X show her some love!  If you'd like to learn more foundational career navigation concepts for women of color in academic medicine and public health, sign up for our KD Coaching Foundations Series: www.kemidoll.com/foundations. And if you're also a high-achieving WOC facing these challenges and seeking to navigate your path more effectively, Get That Grant is here to support you! Join the waitlist for our April 2025 Get That Grant cohort! Enrollment for the April cohort is exclusive to our waitlist, so sign up now to take the first step toward turning your aspirations into reality. Applications will be sent directly to the waitlist on Monday, February 17.  Sign up for the waitlist now at  www.kemidoll.com/gtgwaitlist REMINDER: Your Unapologetic Career Podcast now releases episode every other week! Can't wait that long? Be sure you are signed up for our newsletter (above) where there are NEW issues every month! 

In our February episode, we mark American Heart Month with Dr. Shivani Verma, an interventional cardiologist at Maimonides Medical Center. In our conversation, Dr. Verma shares information on what heart health looks like, symptoms to watch for and how early prevention can help ensure better health outcomes. 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. Find out where you stand heart-wise by making an appointment with your primary care physician. Visit the Healthy Living Resource Center for wellness tips, information and resources; 1199SEIUBenefits.org/healthyliving. Get to know your numbers at 1199SEIUBenefits.org/healthyhearts. 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 Dr. Shivani Verma is an Interventional Cardiologist at Maimonides Medical Center. With specialized fellowships in Interventional Cardiology and Cardio-Oncology, she brings a wealth of expertise and experience to the field of cardiovascular care. She completed the majority of her training (Internal Medicine, Cardiology, and Interventional Cardiology) at Maimonides, where she gained a deep understanding of the intricacies of diagnosing and treating various cardiac conditions. Her subsequent fellowships highlight her ability to perform complex procedures such as angioplasties and stent placements to restore blood flow to the heart and prevent heart attacks. She also completed a fellowship in cardio-oncology at Memorial Sloan Kettering Cancer Center, where she learned to manage the unique cardiovascular risks that cancer patients face during treatment. Dr. Verma has developed a comprehensive approach to cardiovascular care focused on providing personalized, evidence-based treatment plans that take into account each patient's unique medical history, lifestyle and goals. She prides herself on optimizing the patient-physician relationship to best serve her patients. Additionally, Dr. Verma serves as the Associate Program Director of the Interventional Cardiology Fellowship Program at Maimonides Medical Center. 

Article: Olson EM, Sanborn DM, Dyster TG, Kelm DJ, Murray SG, Santhosh L, DesJardin JT. Gender Disparities in Critical Care Procedure Training of Internal Medicine Residents. ATS Sch. 2023 Feb 13;4(2):164-176. doi: 10.34197/ats-scholar.2022-0025OC. PMID: 37538076; PMCID: PMC10394715. About our Guests: Dr. Emily Olson is a pulmonary and critical care medicine fellow at Northwestern Feinberg School of Medicine. She attended medical school at the University of Wisconsin School of Medicine and completed her internal medicine residency at Mayo Clinic in Rochester, Minnesota. In addition to her work on gender disparities in procedural training, Dr. Olson is interested in clinical feedback and transitions in medical education. Dr. Lekshmi Santhosh is an Associate Professor of Medicine in the Division of Pulmonary/Critical Care Medicine and the Division of Hospital Medicine at UCSF. She practices in the MICU, neuro ICU, on the Internal Medicine teaching wards, and at the Pulmonary Outpatient Faculty Practice at UCSF. Dr. Santhosh serves as the Curriculum APD for the Internal Medicine Residency and is an Associate Program Director of the Pulmonary and Critical Care Medicine Fellowship. Learning Objectives:By the end of this podcast, listeners should be able to:Define ‘mixed methods' in a research context.Explain why a researcher might choose focus groups instead of individual interviews for qualitative assessment.  Discuss factors contributing to implicit bias in procedural opportunities for trainees.Explain how implicit bias in educational opportunities might lead to a ‘leaky pipeline' for competitive subspecialties. Identify ways to truncate their implicit bias when offering procedures to trainees.References:Olson EM, Sanborn DM, Dyster TG, Kelm DJ, Murray SG, Santhosh L, DesJardin JT. Gender Disparities in Critical Care Procedure Training of Internal Medicine Residents. ATS Sch. 2023 Feb 13;4(2):164-176. doi: 10.34197/ats-scholar.2022-0025OC. PMID: 37538076; PMCID: PMC10394715.Olson EM, Kennedy CC, Kelm DJ. Assessment of Gender Parity: Leadership Representation in Pulmonary and Critical Care Medicine. J Womens Health (Larchmt). 2022 Mar;31(3):439-446. doi: 10.1089/jwh.2020.8982. Epub 2021 May 5Questions, comments or feedback? Please send us a message at this link (leave email address if you would like us to relpy) Thanks! -Alice & ZacSupport the showHow to support PedsCrit:Please complete our Listener Feedback SurveyPlease rate and review on Spotify and Apple Podcasts!Donations are appreciated @PedsCrit on Venmo , you can also support us by becoming a patron on Patreon. 100% of funds go to supporting the show. Thank you for listening to this episode of PedsCrit. Please remember that all content during this episode is intended for educational and entertainment purposes only. It should not be used as medical advice. The views expressed during this episode by hosts and our guests are their own and do not reflect the official position of their institutions. If you have any comments, suggestions, or feedback-you can email us at pedscritpodcast@gmail.com. Check out http://www.pedscrit.com for detailed show notes. And visit @critpeds on twitter and @pedscrit on instagram for real time show updates.

Monica Gandhi, MD, reflects on her decades-long work in HIV care, from providing care early in the epidemic to leading implementation of today's groundbreaking medical advances. She discusses the science behind HIV (including how 7 people have been cured), the groundbreaking shift from complex pill regimes to long-acting injectable therapies, and how these innovations help patients facing medication challenges. Monica also draws parallels to COVID-19 as she underscores the importance of harm reduction; encourages bipartisan support while talking about policy and funding; addresses social determinants of health that impact HIV prevention and treatment. For her, HIV is not just an infection, but a movement driving healthcare and equity forward.  Read the transcript of the episode. Connect with Dr. Monica Gandhi on Twitter and LinkedIn  Endemic, by Monica Gandhi  CAPTC HIV & PrEP Resources  Long-Acting Injectable PrEP  Previous episode with Dr. Monica Gandhi: S1 E7: How Effective Are COVID-19 Vaccines? with Dr. Monica Gandhi  Monica Gandhi, MD, MPH, is a Professor of Medicine and an Associate Chief in the Division of HIV, Infectious Diseases, and Global Medicine at the University of California, San Francisco. She is the director of the UCSF Center for AIDS Research and the Medical Director of the HIV clinic (Ward 86) at SF General Hospital. Dr. Gandhi also serves as the Associate Program Director of the Infectious Diseases Fellowship at UCSF. Her research focuses on HIV treatment and prevention optimization, HIV in women, adherence measurements in HIV and tuberculosis, adherence interventions, and optimizing the use of long-acting antiretroviral therapy. Dr. Gandhi has been in the HIV workforce since 1996 and brings an extremely important level of expertise to the field. Her book, Endemic, illustrates the lessons to be learned and applied to future epidemics from the HIV epidemic.   Have any questions, concerns, or love letters? Send us a message on Instagram @comingtogetherpod or email us at captc@ucsf.edu  Don't forget to leave us a review on Spotify, or wherever you get your podcasts.  

Centering prayer is the topic of this special episode of Deacons Pod. The Paulist Deacon Affiliates' guest is Colleen Thomas, a spiritual director trained in the monastic arts of discernment, spiritual companionship, and retreat leadership, and a long-time practitioner of centering prayer. Colleen is Associate Program Director at Stillpoint: A Center for Christian Spirituality in Los Angeles. She also is Diversity Outreach Coordinator for Contemplative Outreach and host of the "Opening Minds, Opening Hearts" podcast. Colleen holds a Master of Arts degree in Theology and Art from Fuller Theological Seminary. ABOUT THE SHOW: Deacons Pod is a podcast for everyone. But, it's especially created to inspire and give hope to people on the “threshold of faith”: Those who are thinking about going to Church and those who are thinking about leaving Church. Deacons Pod is hosted by the Paulist Deacon affiliates. The podcast is a production of the Paulist Fathers. More at deaconspod.com

Join pediatric otolaryngologist Swathi Appachi, MD as she discusses the latest innovations in pediatric voice and sleep care, including Cleveland Clinic Children's Pediatric Voice Center and hypoglossal nerve stimulation for sleep apnea in children with Trisomy 21. Dr. Appachi also shares on update on our Otolaryngology-Head and Neck Surgery Residency Program, where she serves as Associate Program Director.

Welcome back to the series, Perspectives on Peace, hosted by Chris Coyne. The first four episodes of this series will focus on The Legacy of Robert Higgs (Mercatus Center, 2024) and will feature a collection of short interviews with many of the chapter authors.This episode focuses on the military and health industrial complexes of Robert Higgs, featuring authors Nathan Goodman on “The Military-­Industrial Complex and the Militarization of Society”, Raymond March on “What About the Healthcare State? Robert Higgs's Contribution to Health Economics”, and Yuliya Yatsyshina on “The War Industry as Economic Cancer.” In their conversations, the authors share the impact Robert Higgs has had on their life and career and dive into a short summary of their respective chapters.Nathan P. Goodman is a Senior Research Fellow and Senior Fellow at the F.A. Hayek Program for Advanced Study in Philosophy, Politics, and Economics at the Mercatus Center at George Mason University. Nathan is an alum of the Mercatus PhD Fellowship.Raymond J. March is an Assistant Professor of Economics at Angelo State University.Yuliya Yatsyshina is an Associate Program Director for Academic & Student Programs at the Mercatus Center at George Mason University. Yuliya is an alum of the Mercatus MA Fellowship.Learn more about Chris Coyne's work as Director of the Initiative for the Study of a Stable Peace (ISSP).If you like the show, please subscribe, leave a 5-star review, and tell others about the show! We're available on Apple Podcasts, Spotify, Amazon Music, and wherever you get your podcasts.Virtual Sentiments, our new podcast series from the Hayek Program is streaming! Subscribe today and listen to seasons one and two.Follow the Hayek Program on Twitter: @HayekProgramLearn more about Academic & Student ProgramsFollow the Mercatus Center on Twitter: @mercatusCC Music: Twisterium

The pancreatic anastomosis is often regarded as the “Achilles Heel” of the Whipple operation, as technical failure and leakage is a significant source of perioperative morbidity and mortality. In this episode from the HPB team at Behind the Knife listen in as we discuss the standard techniques for the anastomosis, alternative techniques for the pancreatic anastomosis in patients with aberrant anatomy and/or physiology, key factors to consider when selecting the ideal approach/technique for the anastomosis, and mitigation strategies for leaks.  Hosts Anish J. Jain MD (@anishjayjain) is a current PGY3 General Surgery Resident at Stanford University and a former T32 Research Fellow at the University of Texas MD Anderson Cancer Center. Jon M. Harrison is a 2nd year HPB Surgery Fellow at Stanford University. He previously completed his general surgery residency at Massachusetts General Hospital, and will be returning to MGH as faculty at the conclusion of his fellowship.    Monica M. Dua (@MonicaDuaMD) is a Clinical Professor of Surgery and the Associate Program Director of the HPB Surgery Fellowship at Stanford University. She also serves as also serves as the regional HPB Surgeon at the VA Palo Alto Health Care System. Learning Objectives · Develop an understanding of the standard technical approaches to the pancreatic anastomosis during a Whipple (pancreatoduodenectomy) operation · Develop an understanding of the alternative technical approaches to the pancreatic anastomosis during the Whipple when the standard approaches may not be feasible · Develop an understanding of the key anatomic and physiologic factors in the decision making when selecting the optimal approach for the pancreatic anastomosis · Develop an understanding of possible mitigation strategies in the event of a pancreatic anastomotic leak. Suggested Reading Jon Harrison, Monica M. Dua, William V. Kastrinakis, Peter J. Fagenholz, Carlos Fernandez-del Castillo, Keith D. Lillemoe, George A. Poultsides, Brendan C. Visser, Motaz Qadan. “Duct tape:” Management strategies for the pancreatic anastomosis during pancreatoduodenectomy. Surgery. Volume 176, Issue 4, 2024, Pages 1308-1311, https://pubmed.ncbi.nlm.nih.gov/38796390/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

We're excited to bring you the second episode in our BTK/ASGBI collaborative series, where we compare and contrast various aspects of surgery in the US and the UK, debating who does it better. In today's episode, BTK fellow Jon Williams and ASGBI hosts Kellie Bateman and Jared Wohlgemut welcome the Christian Macutkiewicz from the UK and Scott Steele to discuss surgeon careers--from getting your first faculty job to broadening your impact to compensation structures.  Dr. Macutkiewicz is the President-Elect of the Association of Surgeons of Great Britain and Ireland. He is a General and HPB Surgeon in Manchester, England. He completed a Bachelor of Science in Biochemistry at the University of Birmingham, before studying medicine at the University of Manchester, and received an MD doctorate at the University of Manchester for research into sepsis. He underwent surgical training in North West Deanery, before completing an HPB and Liver Transplant Fellowship in Leeds. He has been a consultant surgeon in Nottingham, Leeds and most recently in Manchester since 2018. He also works privately at Spire Manchester Hospital.  Dr. Steele needs no introduction as a founder of BTK, but otherwise he is president of the Cleveland Clinic main campus and chair of the department of colorectal surgery. After graduating from West Point, Dr. Steele received his medical degree from University of Wisconsin. He then underwent general surgery residency training at Madigan Army Medical Center in Tacoma, WA followed by colorectal surgery fellowship training at University of Minnesota Medical Center. Dr. Steele then served in the military as an active duty surgeon until 2015, including several deployments and further faculty time at Madigan where he additionally served as Associate Program Director for general surgery. He then served as Division Chief of colorectal surgery at University Hospitals in Cleveland and associate director of surgical services at the Digestive Health Institute, prior to being named Chair of the department of colorectal surgery at the Cleveland Clinic in 2016, a position that he continues to hold today.  So, which country would you rather work in to carry out your illustrious surgical career? Give this episode a listen and decide for yourself! Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

TopMedTalk at Anesthesiology 2024 the annual meeting of the American Society of Anesthesiologists (ASA). This piece delves into the excellent work our guests do and how you might be interested in opportunities in anesthesia in the US Military. Desiree Chappell and Mike Grocott speak with their guests; Captain Adam Mortensen, Officer-in-Charge for The Cherry Hill Medical Recruiting Station, New Jersey, Major Kyle L Cyr, Associate Program Director, NCC Anesthesiology Residency, Walter Reed National Military Medical Center, Bethesda, MD and Lieutenant Colonel Michael Patzkowski, MD, MHA, Army Anesthesiology Consultant to the Surgeon General.

In this episode, Dr. Sergio Zanotti discuss the management of critically ill patients undergoing hyperglycemic emergencies. He is joined by Dr. George Willis, a practicing emergency medicine physician. Dr. Willis is an Associate Professor and Associate Program Director for Emergency Medicine at the University of Texas Health Science Center in San Antonio, where he also serves as Vice Chair of Faculty Affairs. A recognized clinical educator, he holds a particular interest in endocrine emergencies, vascular emergencies, procedural education, and medical education. Additional resources: Hyperglycemic Crises in Adults with Diabetes: A Consensus Report. GE Umpierez, et al. Diabetes Care 2024: https://diabetesjournals.org/care/article/47/8/1257/156808/Hyperglycemic-Crises-in-Adults-With-Diabetes-A Clinical Effects of Balanced Crystalloids vs Saline in Adults With Diabetic Ketoacidosis. WH Self, et al. JAMA 2020: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7670314/ Evaluation and Management of the Critically Ill Adult with Diabetic Ketoacidosis. B Long, GC Willis, S Lentz, et al. J Emerg Med 2020: https://pubmed.ncbi.nlm.nih.gov/32763063/ The SQuID protocol (subcutaneous insulin in diabetic ketoacidosis) Impacts on ED operational Metrics. Acad Emerg Med 2023: https://pubmed.ncbi.nlm.nih.gov/36775281/ Books mentioned in this episode: Kintsugi: Finding Strength in Imperfection. By Celine Santini: https://bit.ly/3NCdAYB

The More Sibyl Podcast Presents: 중독과 정신의학|The One with Dr. Olawale Ojo - On Addiction & Psychiatry: Episode 20 (2024)In this episode, Dr. Wale Ojo, Associate Program Director of Indiana University's Addiction Psychiatry Program, discusses the complexities of mental health and addiction. Starting with his education at Obafemi Awolowo University in Nigeria, Dr. Ojo discusses his transition to the U.S. and contrasts cultural perceptions of mental health in both countries.The conversation explores the cultural perceptions of mental health in Nigeria, the influence of religion, and the stigma around seeking psychiatric help. Dr. Ojo reflects on the increase in drug addiction among Nigerian youth, attributing it to globalization and societal changes. He emphasizes the role of family dynamics, support systems, and cultural values in mental health and addiction recovery. Additionally, he discusses the complexities of perinatal addiction and the challenges faced by women balancing societal expectations. Dr. Ojo calls for decriminalizing cannabis to better study its effects and advocates for integrated mental health and addiction care. Through anecdotes of patient success stories, he underlines the importance of internal motivation and a supportive environment in recovery. Overall, the episode offers a thoughtful exploration of mental health, addiction, and the importance of patient-centered care across diverse cultural settings.If you're ready for real talk on mental health, recovery, and resilience, you must check out this episode. Trust me, you won't regret it!

My guest for Episode #277 of the My Favorite Mistake podcast is Derek Leiner, MD, FACP. Episode page with video, transcript, and more Dr. Leiner trained in internal medicine at VCUHealth and the Richmond VA Medical Center. In 2018, he completed a year as Chief Resident for Quality and Safety, a national VA QI and safety training program then began as a staff physician at the Richmond VA Medical Center.   His career has included teaching, education leadership as an Associate Program Director for a medicine training program, and safety culture leadership.  Derek currently works as an academic hospitalist and is the physician champion for high reliability at the Richmond VA Medical Center.  He has a passion for humanism, collaborative care, and just culture. In this episode, we discuss a medical error involving a lumbar puncture procedure and the subsequent emotional impact on the healthcare professional involved. We explore the distinction between near misses and patient harm, highlighting the importance of learning from both. The concept of Just Culture is introduced, emphasizing a fair and supportive approach to addressing errors. We delve into High Reliability Organizations and their focus on creating a culture of safety. The significance of open communication with patients and the potential for positive outcomes is also addressed. Additionally, we examine the "second victim" phenomenon, where healthcare professionals experience emotional distress following errors. The episode concludes with practical strategies for recovering from mistakes and fostering a culture of continuous learning and improvement in healthcare. Questions and Topics: What is your favorite mistake? Is this a near miss or patient harm? Did I understand your definition of a near miss correctly? What was the reaction and response to the incident? Can you explain the concept of high reliability organizations and its relevance to healthcare? What was the patient's reaction to the disclosure? What is your reaction to Doctor Mayer's story? What are your thoughts on Just Culture? How do you coach others to recover from mistakes and combat negative self-talk? Key topics discussed: Lumbar puncture incident & its emotional impact Near miss vs. patient harm Just Culture & its implementation High reliability organizations (HROs) Patient disclosure and reactions Second victim phenomenon & support Recovering from mistakes & learning Systemic factors, human error & normalization of deviance Importance of continuous learning & improvement

Joining us on Well Said is Dr. Maja Svarkic, Associate Program Director for the Residency in Otolaryngology and Head & Neck Surgery at Hofstra/Northwell and an Associate Professor of Otolaryngology at the Zucker School of Medicine to discuss the various presentations and impacts of the common auditory ailment known as tinnitus.

Dr. April Stouder, Associate Program Director and Director of Admissions at the Duke Physician Assistant Program, discusses what it takes to gain a spot in the competitive program. She discusses Duke PA program's emphasis on community service, particularly in underserved communities and healthcare roles. April highlights the value of non-clinical volunteering, especially in healthcare or with underserved populations. She explains the admissions process, including the CASPA application and the GPA and GRE requirements. April walks us through the interview process, which is designed to assess both cognitive and non-cognitive attributes like maturity and resilience. Relevant Links:Duke PA ProgramThe Ultimate Guide to Becoming a Physician AssistantCASPA: Everything You Need to Know about the Experiences Section That PA Girl with Can't-Miss Advice for Aspiring Physician AssistantsRelated Admissions Straight Talk Episodes:How to Get into Physician Assistant Programs How To Get Accepted To the University of Iowa's PA Program An Inside Look at Yale's Online PA Program How Did This Successful PA Applicant Get Accepted?Andrea Benedict: Life as a Physician Assistant Follow UsYouTubeFacebookLinkedInContact Uswww.accepted.comsupport@accepted.com+1 (310) 815-9553

Faculty development is always evolving, and new faculty development techniques like Master Adaptive Learning (MAL) equip educators to adapt their teaching to fresh, evidence-based methods. In this episode, Drew M. Keister, MD, shares the ongoing work of STFM's Faculty Development Collaborative to develop faculty development competencies, and facilitate discussions on faculty development, competency-based medical education, as well as how to create an environment conducive to master adaptive learning.Hosted by Saria Saccocio, MD, MHA, FAAFPCopyright © Society of Teachers of Family Medicine, 2024Resources:STFM Collaborative List - sign up for the Faculty Development Collaborative (note - you will need to sign into your STFM account)The Master Adaptive Learner - eBook by by Cutrer et alTraining Future Family Physicians to Become Master Adaptive Learners - Family Medicine Envisioning the Master Adaptive Learner - Resources from the AMASTFM Competency-Based Medical Education ToolkitWhy the Physician of the Future is a Master Adaptive Learner - AMA4 Personal Traits that Boost the Master Adaptive Learner Process - AMAGuest Bio:Drew Keister, MD, is a Lehigh Valley native who returned to join the LVHN Family Medicine Department in 2008. He attended Cornell University and attended Penn State College of Medicine in Hershey, the sweetest place on Earth. He completed his residency at the Andrews Air Force Base (AFB), where he was introduced to the fundamentals of Osteopathy. He joined the faculty at Offutt AFB's family medicine residency, in Nebraska. He attended the UNC Faculty Development Fellowship. Drew participated in the LVHN FM residency's P4 (Preparing the Personal Physician for Practice) national pilot experiment. He has served as the primary care clerkship director, the Associate Program Director and Program Director. In 2017, he became Vice Chair for Education. He remains an active faculty member in the residency and has broadened his focus to include CME, fellowship programs, medical student education, predoctoral training, and the new family medicine residency in Schuylkill County. In addition, he serves as the Vice CHair of the STFM Faculty Development Collaborative and presents nationally on faculty development topics, especially around Master Adaptive Learning, Individualized Education Plans, and Competency-Based Medical Education. Link:https://www.stfm.org/stfmpodcast092024 

Dr. Jeanine Cook-Garard learns about the growing popularity of weight loss drugs like Ozempic, weight loss surgical options, and what other options you might have to lose weight if you are dangerously overweight. She speaks with Dr. Charles E. Thompson, an Advanced Robotic and Bariatric Surgeon who is the Associate Program Director of the Mount Sinai South Nassau General Surgery Residency Program, and an Assistant Professor of Surgery at the Mount Sinai Icahn School of Medicine.

In this episode, Dr. Assibey is joined by CAFP's Justice Through Equity, Diversity, and Inclusion (JEDI) Committee co-chairs, Drs. Shannon Connolly and Melissa Campos to discuss how and why the committee was formed, the work being done by this committee to focus CAFP's work with the JEDI lens.  Guests: Dr. Shannon Connolly, MD, FAAFP (she/her) is the Associate Medical Director at Planned Parenthood of Orange and San Bernardino Counties. Dr. Connolly offers Adult primary care with a focus on sexual and reproductive health, and gender-affirming care. She is Chair of CAFP's JEDI Committee, as well as Past President of the CAFP Board. Dr. Connolly also serves on the AAFP Commission on DEI in Family Medicine. Dr. Connolly identifies as Asian American, and an immigrant to the US. Melissa Campos, MD (she/her) identifies as Mexican-American. Dr. Campos is the Associate Program Director at Scripps Chula Vista Family Medicine Residency and a Physician for San Ysidro Health. She practices full spectrum family medicine, inpatient, OB, SNF, and clinic. Dr. Campos is Vice-Chair of the JEDI Committee, and Past-President of the San Diego Chapter of CAFP.. Rob Assibey, MD, FAAFP (he/him) identifies as Ghanaian American. Dr. Assibey is the Associate Program Director at San Joaquin General Hospital Family Medicine Residency Program. He practices full spectrum family medicine with an emphasis on street medicine, addiction medicine, SNF. Dr. Assibey is the District 8 Director on the CAFP Board, and a member of the JEDI Committee. Resources: Find more information about CAFP's Justice Through Equity, Diversity and Inclusion Committee at familydocs.org/jedi. Find more information about Family Medicine POP! (August 23-25, 2024 in Costa Mesa, CA) at www.familydocs.org/pop. Read the article by Drs. Connolly and Campos published in the California Family Physician magazine at www.familydocs.org/cfp.  CAFP's Online Education is Homeroom: https://education.familydocs.org  AAFP links EveryONE Project: https://www.aafp.org/family-physician/patient-care/the-everyone-project.html Center for Diversity and Health Equity: https://www.aafp.org/family-physician/patient-care/the-everyone-project/aafp-center-for-diversity-and-health-equity.html Neighborhood Navigator: https://www.aafp.org/family-physician/patient-care/the-everyone-project/neighborhood-navigator.html  CAFP's Committee page: https://www.familydocs.org/committees  CAFP's local chapter page: https://www.familydocs.org/chapters The Family Docs Podcast is hosted by Rob Assibey, MD.   The Family Docs podcast is developed, produced, and recorded by the California Academy of Family Physicians. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of any entities they represent or the California Academy of Family Physicians. More information at www.familydocs.org/podcast. Visit the California Academy of Family Physicians online at www.familydocs.org. Follow us on social media: Twitter - https://twitter.com/cafp_familydocs  Instagram - https://www.instagram.com/cafp_familydocs  Facebook - https://www.facebook.com/familydocs   

In this episode of the Plant-Based Canada Podcast, we talk to Dr. Neha Pathak. Dr. Pathak is board certified in both internal medicine and lifestyle medicine and works as Chief Physician Editor for Health and Lifestyle Medicine and host of WebMD's Health Discovered podcast. She reports on topics related to lifestyle, climate change, and environmental impacts on health for WebMD and Medscape, and is a regular contributor to Yale Climate Connections.She graduated with a BA in psychology and biology from Harvard University, and received her MD with honours in community service from Cornell University's Weill Medical College. She completed her primary care, internal medicine residency at New York Hospital, Weill Cornell Medical College. She obtained her certificate in climate change and health communication from Yale School of Public Health.She is a member of the American College of Lifestyle Medicine board of directors and Chair of the Global Sustainability Committee. Dr. Pathak is also a lecturer at the Yale School of Public Health, where she facilitates coursework on climate change and health.Through all of her work, she hopes to educate healthcare professionals and the public about the health impacts of climate change and environmental pollution, and the health benefits of climate action. Her research focuses on the intersection of lifestyle medicine and planetary health.Additionally, Dr. Pathak is the Associate Program Director of the Atlanta VA Medical Center's Quality Scholars Program and an Adjunct Assistant Professor of Medicine at Emory University School of Medicine. She is a Primary Care Physician and was a designated women's health provider at the VA, and continues to see patients at a community health center in Georgia.ResourcesHealth Discovered Podcast Instagram Threads Linkedin Yale Climate Connections WebMD Profile Lifestyle Medicine Interventions for Personal and Planetary Health: The Urgent Need for Action ACLM Commitment Statement to Address Climate Change, Health, and EquityBonus PromotionCheck out University of Guelph's online Plant-Based Nutrition Certificate. Each 4-week course will guide you through essential plant-based topics including nutritional benefits, disease prevention, and environmental impacts. You can also customize your learning with unique courses such as Plant-Based Diets for Athletes and Implementing a Plant-Based Diet at Home. As the first university-level plant-based certificate in Canada, you'll explore current research, learn from leading industry experts, and join a community of like-minded people. Use our exclusive discount code PBC2024 to save 10% on all Plant-Based Nutrition Certificate courses. www.uoguel.ph/pbn. Support the Show.

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Description: Host Dr. Narjust Florez and two esteemed international clinicians discuss the unique characteristics of CNS metastases in patients with non-small cell lung cancer and small cell lung cancer. Guest: Dr. Sarah Goldberg is an Associate Professor of Medicine in the section of Medical Oncology at the Yale School of Medicine. She is the Division Chief of Thoracic Oncology, the Research Director for the Center for Thoracic Cancers, and the Associate Program Director for the Medical Oncology-Hematology Fellowship Program at Yale Guest: Dr. Ernest Nadal is a medical oncologist and the director of Thoracic Tumors Section at the Catalan Institute of Oncology, an Associate Professor at the University of Barcelona, a vital member of the Spanish Lung Cancer Group and an expert in clinical trial development and interest in response and use of immune checkpoint inhibitors for the management of CNS metastases.

MacKenzie MacDonald stops by to talk about why she continues to give back to DCS!

In this episode, Dr. Zanotti covers temporary pacing in the ICU. he is joined by Dr. Christopher Noel, a Critical Care Attending at Cooper University Healthcare, and an Assistant Professor of Medicine at Cooper Medical School of Rowan University. In addition, Dr. Noel is the Associate Program Director for the Critical Care Medicine Fellowship and the Director of the Medical Student Critical Care Clerkship. Additional resources: Temporary Epicardial Pacing After Cardiac Surgery. Cronin b, et al. Journal of Cardiothoracic and Vascular Anesthesia 2022: https://pubmed.ncbi.nlm.nih.gov/36180288/ Temporary epicardial pacing after cardiac surgery: a practical review. Part 1: General considerations in the management of epicardial pacing. M.C. Reade. Anesthesia 2007: https://pubmed.ncbi.nlm.nih.gov/17300304/ Temporary epicardial pacing after cardiac surgery: a practical review. Part 2: Selection of epicardial pacing modes and troubleshooting. M.C. Reade. Anesthesia 2007: https://pubmed.ncbi.nlm.nih.gov/17381573/ Medtronic Educational Resources on Temporary Pacemakers: https://www.medtronic.com/us-en/healthcare-professionals/products/cardiac-rhythm/pacemakers/temporary-external-pacemakers.html Books mentioned in this episode: Crucial Conversations: Tools for Talking When Stakes are High. By Joseph Grenny, et al.: https://bit.ly/3XWFo0d The Mutiny on the Bounty. By Peter FitzSimons: https://bit.ly/4cwGkNb

Do you struggle with family dinners? Would you like to enjoy drama-free mealtimes?  Are your children picky eaters?   Find more peace and presence around the dinner table by listening to this discussion about how families can gather, cook and eat together.    We welcome a special guest today, Dr. Jaclyn Albin. She is a med-peds physician at UT Southwestern.  She is the director of their culinary medicine program, an Associate Professor of Internal Medicine and Pediatrics, and practices primary care across the lifespan. She also serves as the founding Associate Program Director for the combined Internal Medicine/Pediatrics Residency Program.  She is trained in lifestyle medicine and is a certified culinary medicine specialist (CCMS). She serves on the national advisory board for the CCMS program at Health meets Food and studies the impact of culinary medicine classes in medical education, patient care, and community settings.   Feeding a family and building a heathy relationship with food is hard. It requires a hands-wide-open mindset as well as presence, acceptance, trust, and patience.   Slow down, be fully present, and leave your devices elsewhere.  Share stories and make mealtimes an experience of connection and love   Listen to hear more practical strategies for healing your own relationship with food and gathering peacefully to enjoy family mealtimes with less drama. If you happen to be interested in incorporating culinary medicine and lifestyle medicine into your practice, Dr Albin shares many tip and tools to make this happen. Move beyond consuming this amazing podcast. True change happens when you work with us - virtually and/or in-person. If you want to experience culinary medicine and lifestyle medicine yourself, join me for Yoga, Coaching, Mindfulness and Culinary Medicine retreat at Sagrada or Nicasio Creek Farm. www.jessiemahoneymd.com/retreat-nicasio-creek-farm Coach with Jessie - 1:1, in topic-focused small groups, or at a retreat. www.jessiemahoneymd.com Work with both of us in person at The Mindful Healers Annual Retreat www.jessiemahoneymd.com/retreats Hire one or both of us to speak or lead a workshop on any topic covered in the Mindful Healers Podcast. We also create team retreats, teach yoga, and offer experiential mindfulness for teams, groups, grand rounds, institutions, and conferences. www.jessiemahoneymd.com/mindful-healers-podcast www.awakenbreath.org  www.jessiemahoneymd.com/speaking *Nothing shared in the Mindful Healers Podcast is medical advice.   #physicianwellness #mindfulnesscoach #pauseandpresence #physiciancoach    

This week on Behind the Curtain... Associate Program Director, Justin Johnson, is reunited with his lost dog, Mal! We discuss the trend of "sharenting", and.. Why have you never gotten a license? We also setup "Mixed Drink Week" where we plan to have Josh try a different mixed drink per day. All of this, plus much more, on - Behind the Curtain!!  

Today, we have the pleasure of speaking with Dr. Marah Hehemann, an assistant professor of urology and the Associate Program Director of Andrology at the University of Washington in Seattle. Dr. Hehemann specializes in male sexual function and fertility and also practices clinically at the university.   Hair loss can be a distressing experience for many men, leading them to seek out treatments like minoxidil (Rogaine) and finasteride (Propecia). However, these popular medications may come with potential side effects that impact sexual function. Minoxidil is unlikely to significantly affect erectile function when applied topically, as only about 1% of the medication is absorbed into the bloodstream. On the other hand, finasteride, which blocks the conversion of testosterone into dihydrotestosterone (DHT), has been associated with a 5-10% chance of negatively impacting sexual function, including reduced libido, erectile dysfunction, ejaculatory problems, and decreased sexual pleasure. These effects have been reported with both the higher 5mg dose used for benign prostatic hyperplasia (BPH) and the lower 1mg dose for male pattern baldness.     For more free erectile dysfunction education and resources, please visit: https://erectioniq.com/    Mark Goldberg helps men resolve erectile dysfunction. He offers individual, one-on-one services to men throughout the world through a secure, telehealth platform. It's 100% confidential. You can visit the Center for Intimacy, Connection and Change website to schedule a free consultation: https://centericc.com/  

Conversation with Alexander Neuwirth, M.D., Associate Program Director of the Orthopaedic Surgery Residency and Associate Program Director, Frank E. Stinchfield Adult Reconstruction Fellowship, and Assistant Professor of Orthopaedic Surgery in the Division of Adult Hip and Knee Reconstruction at Columbia University Medical Center and New York-Presbyterian Hospital. We discuss teaching millennials, active learning, flipped classrooms, […]

Interview with Dustin Greenhill, MD, FAAOS, Associate Program Director of Orthopaedic Surgery at the St. Luke's University Health Network and Assistant Clinical Professor at Temple University School of Medicine. Dr. Greenhill is a pediatric orthopaedic surgeon and first author of the paper entitled “Treatment of Length-Unstable Pediatric Femur Fractures in Children Aged 5 to 11 […]

Mentorship has long been recognized as a crucial component of training physicians. Benefits of mentorship in medicine include increased productivity, improved career satisfaction, expansion of professional networks, reduction in stress, and better work-life balance. Mentorship has also been shown to aid recruitment and retention of a diverse physician workforce. The establishment of mentorship programs has been proposed as a mechanism for promoting inclusivity and diversity within academic medicine, but setting up successful programs can be challenging.Today's podcast features 3 accomplished anesthesiologists at different stages of their careers who will discuss the benefits of good mentorship programs and how to start successful programs in both academic and private practice.Scott Markowitz, MD, MSOL, is Professor of Anesthesiology and Vice-Chair for Professional Development and Diversity, Equity, and Inclusion at Washington University in St. Louis. Dr Markowitz focuses on leadership development, promoting a diverse and inclusive leadership and workplace, and promoting meaningful engagement among department members.  He serves on the ASA's ad hoc Committee on Harassment, Incivility, and Disrespect, and also works closely with other leaders on the national initiative, Raising Anesthesiology Diversity and Anti-Racism (RADAR).  Ioana Pasca, MD, is an Associate Professor, Associate Program Director and Director of Neuroanesthesia at Riverside University Health System. She is also a faculty member at the LLUMC Department of Anesthesiology, Critical Care, and Neurocritical Care UCR School of Medicine Adjunct Associate Professor and Anesthesia Interest Group Advisor. Paul Yost, MD, FASA, is the ASA Assistant Secretary, past CSA President, and past ASA Director. He trained in pediatrics at Jackson Memorial in Miami and Anesthesiology at UCLA.  He has worked at Children's Hospital Orange County and St Joseph's in private practice for 32 years.  Served as Chair of pediatric anesthesia at CHOC , Chief of Staff ad hoc, and co-director of Pediatric and Adult Cardiac Anesthesia. Additionally, he served 10 years in city government including 8 years on city council and a couple of terms as mayor of Seal Beach.   

In this episode of Parts and Labor, join Angela Chaudhari, MD, chief of Gynecology and Gynecologic Surgery at Northwestern Medicine, and a panel of maternal-fetal medicine physicians from Northwestern Medicine. From referral criteria to effective collaboration with other disciplines, Dr. Chaudhari and her guests dive deep into the world of maternal-fetal medicine and the complexities of high-risk pregnancies. This episode's panel of guests include: • Kathleen A. Drexler, MD, Assistant Professor of Maternal-Fetal Medicine• LaTasha D. Nelson, MD, MS, Co-director of Northwestern Medicine Placental Accreta Program and Maternal-Fetal Medicine Physician• Bethany T. Stetson, MD, Chief of Obstetrics and Associate Program Director of Maternal-Fetal Medicine

Follow our show wherever you get your podcasts: https://link.chtbl.com/JoH0AMKR Ever wondered what makes some attending physicians unforgettable mentors?  I had the pleasure of delving into the intricacies of medical education with my esteemed colleagues, Winfred Frazier MD and Arthi Chawla MD. Dr. Arthi Chawla, MD is a family medicine specialist in Rochester, NY, and a Senior Instructor in Family Medicine. She is affiliated with medical facilities Highland Hospital and Strong Memorial Hospital. Having completed her residency and a faculty development fellowship in Pittsburgh, she now shapes the minds of residents in western New York. Dr. Chawla emphasizes the importance of a supportive and nurturing environment, where residents can evolve into skilled physicians who practice with both competence and compassion. Her approach to teaching is a testament to the profound influence educators have on the future of healthcare. Dr. Winfred Frazier is a seasoned family medicine physician from Pittsburgh, Pennsylvania. He is a Medical Director at New Kensington Family Health Center; Associate Program Director, Family Medicine Residency Program. Dr. Frazier shared his journey of teaching residents and medical students. His enthusiasm for mentoring the next generation of physicians is palpable as he recounts the fulfillment he derives from witnessing the growth and development of his learners. Together with Dr. Frazier and Dr. Chawla, we uncovered the eight golden rules that can transform your teaching style. Imagine impacting patient outcomes simply by refining how you guide the next generation of doctors.   "I've had amazing teachers in my life; I can still remember my third-grade teacher telling me, 'You're doing great, you can do this.' So I've had these mentors in my life, and I just really want to give back." - Winfred Frazier MD  "One of the things that has always been really important to me is being approachable and creating a supportive learning environment that's not traumatic and not scary for the learner." - Arthi Chawla MD Episode highlights: The joy of teaching: Insights from dr. Winfred Frazier Fostering growth: Dr. Arthi chawla's vision The eight golden rules of precepting The power of feedback and trust Recognizing learning styles and the need for educator training   Resources: One Minute Mindfulness Training: https://www.thehappymdacademy.com/store/x4u6NP4i   Watch this episode on Youtube: https://youtu.be/8gjkeaMFK7Y   Learn more about Dr. Dike and The Happy MD: https://linktr.ee/dikedrummond Contact Dr. Drummond Email: support@thehappymd.com  Phone: 206-430-1905 Web contact form: https://www.thehappymd.com/contact   We would love to hear your feedback. Send us your review on Apple Podcasts, iTunes, or in other directories through this link: https://www.podchaser.com/podcasts/physicians-on-purpose-1546320  

Welcome back to the Neurophilia Podcast! Discover the passion and complexities that draw professionals like Dr. Marianne Mays and Dr. Diana Shadbear into the world of Headache Medicine. This episode offers a rare glimpse into their unique journeys, from the serendipity of career paths to the rewarding challenges of specializing in neurology's most personal subspecialty. Learn how their mentor-driven paths led them to tackle migraines and other debilitating headaches, improving countless lives along the way.Embark on a deep exploration of the rigorous training that shapes a headache specialist, as we discuss the multifaceted fellowship program at Cedars-Sinai. Dr. Shadbear unveils the vibrant mix of clinical practice, research, and multidisciplinary collaboration that prepares doctors for diverse career opportunities in headache medicine – from private practice to the frontiers of academic research. The conversation also touches on the profound satisfaction that comes from restoring normalcy to patients plagued by chronic pain.We wrap up with an engaging discussion on the evolving landscape of headache treatments, from revolutionary pharmaceuticals to neuromodulatory devices. The specialists share insights on the battle against insurance barriers and the push for personalized medicine, underscoring their commitment to patient care. Their candid stories and rapid-fire questions not only showcase their expertise but also their fervent advocacy for a specialty that offers more than just relief—it offers hope.Dr. MaryAnn Mays, MD is a headache medicine physician at the Cleveland Clinic Center for Neurological Restoration.  She also serves as the Neurologic Institute Vice Chair for Education and as Associate Program Director for the Cleveland Clinic Neurology Residency Program in Ohio. Dr. Diana Shadbehr, DO is a headache specialist at Cedars-Sinai Medical Center in Los Angeles. She is an assistant professor of neurology, program director of the headache medicine fellowship, director of the headache program, and medical director of the neurology clinics. Follow Dr.  MaryAnn Mays on Twitter @maryannmays11Follow Dr.  Nupur Goel on Twitter @mdgoelsFollow Dr.  Blake Buletko on Twitter @blakebuletkoFollow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPodSupport the Show.

Dr. Sportelli is a Medical Physician who received a Bachelors degree in Biology as well as a Masters of Science degree in Biology from Montclair State University. He attended NYIT School of Osteopathic Medicine, and upon graduating with Honors in clinical science, Dr. Sportelli pursued a Graduate Medical Internship year in General Family Medicine at NJ Medical School. He is the Associate Program Director of NY Medical College Psychiatry Residency at Prime Health, Adjunct Clinical Assistant Professor of Touro School Medicine and a member of the Advisory Board of NYIT School of Osteopathic Medicine. Dr. Sportelli is Board Certified by the American Board of Psychiatry and Neurology and he is Fellowship Trained in Child and Adolescent Psychiatry. He holds an unrestricted medical license in the State of New Jersey.In this episode we discuss:Are prescription drugs the only answer?Why being more successful won't make you happier.The future of mental health treatments.How to better handle everyday stress.This episode is brought to you by Vivo Health, Ned, PaleoValley, InsideTracker, 1stPhormMentioned in this episode:Get 15% off with code DRLYONhelloned.com/DRLYONGet 15% off and a 100-day trial for all footwearhttps://www.vivobarefoot.com/drlyonVisit 1st Phorm Website for Free Shipping on orders $75+http://www.1stphorm.com/drlyonInside Tracker 20% Off the Entire Storehttps://info.insidetracker.com/drlyon15% Off Your Purchasehttps://paleovalley.com/drlyon

Audible Bleeding editor Wen (@WenKawaji) is joined by 5th year general surgery resident Richa Kalsi (@KalsiMD) from University of Maryland Medical Center, 3rd year general surgery resident Sasank Kalipatnapu (@ksasank) from UMass Chan Medical School, JVS editor Dr. Forbes (@TL_Forbes), and JVS-CIT editor Dr. Smeds (@matsmeds) to discuss two great articles in the JVS family of journals regarding endosuture aneurysm repair mid-term follow-up and endovascular repair of thoracic aortic aneurysm with aberrant subclavian artery. This episode hosts Dr. Frank Arko (@farkomd), Dr. Sukgu Han (@SukguH), and Dr. Fernando Fleischman, authors of the following papers:   Articles: Five-year outcomes of endosuture aneurysm repair in patients with short neck abdominal aortic aneurysm from the ANCHOR registry by Arko et al Sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery by Fleischman and Han et al   Show Guests: Dr. Arko is the Chief of Vascular and Endovascular Surgery with Atrium Health, Siverling Endowed Chair of vascular surgery clinical professor at Wake Forest University, and  co-director of Center for Aortic Disease at Sanger Heart and Vascular Institute. Dr. Sukgu Han is an Associate Professor of Surgery and Program Director for the residency/fellowship in the Division of Vascular Surgery and Endovascular Therapy at Keck School of Medicine of USC. He is also the Co-Director of the Comprehensive Aortic Center at Keck Hospital of USC.  Dr Fernando Fleischman is a cardiothoracic surgeon with extensive aortic expertise at Keck Hospital of USC. He is an Associate Professor of Surgery and Associate Program Director of cardiac surgery at USC. He is also the Co-Director of the Comprehensive Aortic Center.     Follow us @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

In this episode of the Healthy, Wealthy, and Smart podcast, guest host Dr. Stephanie Weyrauch interviews Dr. James Denisar-Green about rural healthcare. Dr. Denisar-Green shares his background and experiences growing up in Montana and his journey through medical training in both urban and rural settings. He discusses the challenges and rewards of practicing medicine in smaller communities and highlights the close-knit nature of these communities. Tune in to gain insights into the unique aspects of rural healthcare.   Show notes:  [00:00:23] Rural healthcare challenges. [00:05:58] Family medicine filling OB gap. [00:09:22] Challenges in rural healthcare. [00:12:55] Overcoming transportation challenges. [00:16:23] The conundrum of patient responsibility. [00:21:13] Healthy options at the supermarket. [00:26:38] Getting more providers in rural areas. [00:27:38] Bringing in rural providers. [00:32:01] Training physicians to stay. [00:35:36] Finding Meaning in Primary Care.   More About Dr. James Denisar-Green:  Dr. James Denisar-Green is a dedicated medical professional with a diverse range of clinical expertise, including general preventive medicine, maternity care, and graduate medical education. He currently serves as an Attending Faculty Physician with a Federally Qualified Health Center and Associate Program Director for a Family Medicine residency program located in Billings, Montana. He provides full-spectrum care in multiple settings including outpatient, inpatient, adult, pediatric, and maternity care.  Dr. Denisar-Green completed his residency in Family Medicine with UNLV School of Medicine and holds a Ph.D. in Cell and Molecular Physiology as well as M.D. from the University of North Carolina. He has been recognized for his achievements, including the 40 under 40 award from the Billings Gazette in 2023 and the Resident Teacher Award from the Society of Teachers of Family Medicine in 2019. His research contributions include publications in PubMed and primary care lecture presentations. His passion for improving healthcare extends beyond the clinic, as evidenced by his involvement in hospital committees and community initiatives. Resources from this Episode:  Website email: mudphudgreen@gmail.com   Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio      

Sharmin, Kaylin, and Jane are joined by Dr. Risheen Reejhsinghani, cardiologist extraordinaire, Clinical Associate Professor at Stanford, and Associate Program Director of the cardiology fellowship. They discuss her journey through medical training as an international medical graduate, how her love for cardiology developed, and how her career has evolved to allow her to combine her passions for medical education and mentoring into her daily… Read More »Episode 310 – WDx Episode #26: “You are Resilient, even if You Don't Know It”

DR JAIN: Sexuality is a broad term that encompasses sexual identity, activity, attitude toward sex, intimacy, partnership, and pleasure. In this podcast, we cover the basics of sexual function and the effects of aging, medical comorbidities, and mental health on sexuality. We discuss sexual health in long-term care settings and in older adults with cognitive disorders and suggest an approach to commonly encountered sexual health issues. Welcome to The Carlat Psychiatry Podcast.This is another episode from the geriatric psychiatry team.I'm Neha Jain, an Associate professor of psychiatry, Medical Director for the Mood and Anxiety Disorders Program and Associate Program Director for the Geriatric Psychiatry Fellowship Program at the University of Connecticut Health Center, in Farmington, CT. In today's podcast, I am joined by two of my colleagues. DR COLLIER: I'm Stephanie Collier, The Editor-in-Chief of The Carlat Geriatric Psychiatry Report. DR AZIZ: and I'm Dr. Rehan Aziz, an associate professor of psychiatry and neurology at Hackensack-Meridian School of Medicine. I am also the associate program director for geriatric psychiatry and general psychiatry at Jersey Shore University Medical Center, in Neptune, New Jersey. Let's begin our discussion with the topic Dr. Jain started out with. What are your thoughts about how sexual function and sexuality intersect in older adults? DR JAIN: Yes, first it is just important to acknowledge that older adults are sexually active because discussions about sexual issues are often avoided in healthcare settings. You know there is often discomfort on part of the patient or clinician, a lack of knowledge-I mean how much training do you remember in Med School and residency. , fear of embarrassment, or ageist beliefs. However, a fulfilling sex life is a crucial aspect of quality of life for many seniors. DR COLLIER:This brings up the question of how we assess sexual health in older adults in a clinical setting. DR. JAIN: To assess sexual activity, I generally start by asking for permission to discuss sexuality with the patient. I then ask open-ended questions such as “What concerns or questions do you have in terms of your sexual activity?” I may also ask “Have you noticed changes in your sexual relationship with your partner over time?” Many older adults will not disclose sexual health issues if there are others in the room, so I try to ensure privacy when screening for sexual dysfunction. I ask about problems with libido, getting/maintaining an erection (for men), dryness or discomfort (for women), and difficulty achieving orgasm (for both). DR. AZIZ: We know that patients can be at risk of sexually transmitted diseases. Dr. Jain, what is your approach to that discussion with a patient, given that it can be a sensitive topic for many? DR. JAIN: To start the conversation, I ask whether they have concerns about their partner's sexual health. For those who are at risk, I suggest undergoing screening for sexually transmitted infections. I handle the discussion with sensitivity, using open-ended questions in a respectful yet straightforward manner, to alleviate any discomfort. This approach encourages patients to share any additional concerns they may have. And I avoid making assumptions about their sexual orientation or relationship status and allow patients to disclose their preferences at their own pace. DR COLLER: When assessing patients, it is important to examine their comorbidities as they can often affect sexuality. Dr. Jain, what is your process to assess a patient's comorbidities and their effect on sexuality? DR JAIN: Whenever I encounter patients with sexual dysfunction, I make sure to inquire about their medical history, particularly any comorbidities they may have. This is because certain illnesses like Parkinson's disease, cancer, diabetes, and coronary artery disease can contribute to sexual dysfunction. My treatment recommendations are based on the underlying causes, which may include prescribing medications such as sildenafil, referring patients to urology or sexual health counseling, or suggesting evaluation for pelvic floor physical therapy. DR. AZIZ: We know that depression and anxiety are important risk factors for sexual dysfunction, as are the medications used to treat them. SSRIs can cause hypoactive sexual desire, erectile dysfunction, and delayed ejaculation. So, when we have a patient that has sexual dysfunction and depression, or anxiety treatment should be carefully tailored. DR JAIN: I agree. Before prescribing antidepressants and during the first few follow-ups after starting a new medication, I regularly discuss potential sexual side effects. These side effects may be influenced by the dosage and can sometimes persist even after discontinuing the medication. If necessary, I may suggest taking a brief drug holiday of 24-48 hours before planned sexual activity. In some cases, I may also recommend switching to antidepressants that are less likely to cause sexual side effects, like bupropion, mirtazapine, or vortioxetine. DR COLLIER: Antipsychotics can also have negative effects on sexuality, including reduced libido, erectile dysfunction, and amenorrhea. The sexual side effects are greater in first- generation and prolactin-inducing antipsychotics like risperidone and paliperidone. Dr. Jain, what is your process for addressing antipsychotics and sexual dysfunction? DR JAIN: Yes, during the first follow-up visit after starting an antipsychotic, I usually inquire about any sexual side effects that the patient may be experiencing. If such side effects are present, I may suggest a switch to aripiprazole, which has fewer sexual side effects. Alternatively, I may recommend the use of adjuvant sildenafil to manage sexual dysfunction. DR AZIZ: It is well-known that sexual dysfunction can be affected by the aging process. As an example, women tend to have lower estrogen levels after menopause, which can lead to vulvovaginal atrophy and discomfort during sexual activity. Dr. Jain, could you please explain your approach to treating sexual dysfunction in older adults? DR JAIN: For older women who are experiencing discomfort during sex, one of my recommendations might be to use vaginal lubricants. I always encourage women to talk to their primary care physician about possible treatment options, including local and systemic hormone therapy. As for older men who are experiencing erectile and ejaculatory dysfunction, I inform them that it's a common condition. Depending on the patient's needs, we discuss how to manage modifiable risk factors like obesity, smoking, or hypertension. Additionally, I might suggest psychotherapy or a trial of a phosphodiesterase-5 inhibitor. DR AZIZ: Let's talk about treating inappropriate sexual behavior in dementia, as it can be challenging for some clinicians. DR COLLIER: This is a significant concern. Alzheimer's dementia often causes a lack of interest in sexual activity, but inappropriate behaviors may also occur. Frontotemporal dementia can lead to early sexual disinhibition, while other dementias may have it in later stages. The effectiveness of psychotropic drugs for addressing inappropriate sexual behaviors is uncertain. Instead, behavioral interventions such as redirecting, distracting, and reminding are more useful. Some clinicians may opt to use jumpsuits and shirts with buttons at the back to prevent exposure, but they should weigh the risks and benefits before doing so. DR AZIZ: Yes, treatment can be difficult. If behavioral interventions fail to reduce inappropriate sexual behaviors, case studies suggest the use of antidepressants, particularly SSRIs, and antipsychotics. There is limited evidence for the effectiveness of mood stabilizers, antihypertensives, and cimetidine. While anti-androgens (cyproterone acetate) and progestins (medroxyprogesterone) may be considered by clinicians, they are rarely prescribed due to ethical concerns when treating patients who cannot provide informed consent. DR JAIN:DR COLLIER: Shall we delve into the various limitations on sexuality in older adults? One prime example is the importance of providing quality care to patients experiencing sexual dysfunction. However, barriers to healthy sexual expression in long-term care settings can hinder both treatment and sexuality. DR AZIZ: It's a significant problem. Multiple obstacles prevent healthy sexual expression in long-term care environments, such as staff bias (i.e., labeling sexual behaviors as "inappropriate"), insufficient privacy, the practice of separating couples upon admission to long- term care, concerns regarding consent and capacity, and discrimination against LGBTQ individuals. DR JAIN: There are some ways we can prevent these restrictions. For instance, by providing risk and capacity assessment training, staff can gain confidence in managing sexual behaviors and creating a safe environment for residents to express their sexuality. Additionally, making changes to the environment, like offering Do Not Disturb signs and private spaces, can contribute to the long-term care residents feeling more comfortable. However, this does not completely fix the restrictions you mentioned Dr. Aziz. It's worrying to see the high levels of discrimination that LGBTQ patients face, particularly in long-term care settings. This stigma can be internalized by older adults who identify as LGBTQ, making them hesitant to discuss sexuality. Many LGBTQ adults prefer to age in place and avoid long-term care facilities due to concerns about stigma, autonomy, and potential abuse. One way to combat this stigma is through staff training and education. Clinicians can also help by avoiding assumptions about sexual preferences and using inclusive language when asking open- ended questions. They can also connect older LGBTQ adults to community resources, such as the Services and Advocacy for LGBT Elders USA website (www.sageusa.org). DR JAIN: It's important to acknowledge that sexuality remains a significant aspect of life for older adults, despite common occurrences of sexual dysfunction. Clinicians can greatly aid their patients by inquiring about their sexual health, as addressing sexual dysfunction can immensely enhance their quality of life. Treatment options like behavioral interventions, psychotherapy, and medications should be carefully molded to the needs of each patient. DR COLLIER: The newsletter clinical update is available for subscribers to read in The Carlat Geriatric Psychiatry Report. Hopefully, people will check it out. Subscribers get print issues in the mail and email notifications when new issues are available on the website. Subscriptions also come with full access to all the articles on the website and CME credits. DR AZIZ: And everything from Carlat Publishing is independently researched and produced. There's no funding from the pharmaceutical industry. DR JAIN: Yes, the newsletters and books we produce depend entirely on reader support. There are no ads and our authors don't receive industry funding. That helps us to bring you unbiased information that you can trust. DR COLLIER: And don't forget, you can now earn CME credits for listening to our podcasts. Just click the link in the description to access the CME post-test for this episode.As always, thanks for listening and have a great day!