Podcasts about clinical practice

"This came from an experience with a patient. It was early in my analytic training, and I was working with a supervisor who I really admired, and worked with her for a number of years. She was post-Kleinian, and was great at interpretation, formulation, and she was really helpful with just starting to guide me towards a lot of this work. I remember describing to her a patient session, and I was going through my process notes, and I said, 'I feel like the patient is inside of me. I feel like they want something that's in me, and I don't know what it is, and I can't quite access my own self, I don't know what to do'. It was through this initial experience where I really felt why analytic training versus other less intense training, we were also right at the time doing infant development, offered so much. It was early in my training and she suggested I think about an infant or even a toddler when they want something from their parents - they want something from their mother. The mother kind of feels this kind of gripping or this yearning from them, the baby wanting something. I started to think of my patients, not as infants or babies, but that what I was feeling was that there was something that the person I was working with needed, and they didn't have words yet to tell me what that was."    Episode Description: We begin by recognizing the unique journeys that lead clinicians to become psychoanalysts. Pam shares with us her initial exposure to dynamic thinking but felt that she was missing some awareness of what was happening in herself and in the patients she was working with - "I was curious...I wanted to go deeper, to know more." This led her to enroll in full-time analytic training. She shares with us her understanding of the 'difficult to reach patients' that she was treating and presents a fictionized case that represents the many countertransference struggles she faced. She noted that "instead of the patient realizing that she wanted something from me, she instead felt attacked by me." Supervision was essential in helping her make sense of her experiences and of learning to 'listen to the music'. We close by noting her open-ended curiosity and interest in learning more - lifelong attributes of analysts who continue to take pleasure in our work.   Our Guest: Pamela Polizzi, LCSW maintains a full-time private practice in New York City. She specializes in working with patients struggling with eating disorders, complex personality struggles, anxiety, depression, relational trauma, and life transitions. She earned her Master of Social Work (MSW) in Advanced Standing Clinical Practice from Fordham University at Lincoln Center in 2011. Currently, she is an Advanced Candidate at the Psychoanalytic Training Institute of the Contemporary Freudian Society (CFS) in Manhattan, working toward becoming a psychoanalyst. She completed a 2015 Two-Year Advanced Psychodynamic Psychotherapy Certificate in the Integrated Treatment of Eating Disorders from the Institute of Contemporary Psychotherapy (ICP), Center for the Study of Anorexia and Bulimia (CSAB). She also completed the Contemporary Freudian Society's (CFS) Two-Year Psychoanalytic Psychotherapy Program in 2019.  Recommended Readings: Readings for Psychoanalytic Candidates:  Bach, S. (2011). The How-To Book For Students of Psychoanalysis and Psychotherapy. Karnac.   Busch, F. (2021). Dear Candidates: Analysts From Around The World Offer Personal Reflections on Psychoanalytic Training, Education, and The Profession. Routledge.    Readings on Clinical Practice with the Patient who is Difficult to Reach:   Bollas, C. (1996). Borderline Desire. Int. Forum Psychoanal., (5)(1):5-9.   Joseph. B., Feldman, M., & Spillius, M. (1989). Psychic Equilibrium and Psychic Change: Selected Papers of Betty Joseph. New Lib. of Psycho-Anal., (9):1-222. (on Pep-web).  Joseph, B. (1975) The patient who is difficult to reach.  Joseph, B. (1982) Addiction to near-death.  Joseph, B. (1983) On understanding and not understanding: some technical issues.  Riesenberg-Malcolm, R. (1999). On Bearing Unbearable States of Mind. Routledge.    Steiner, J. (1993). Psychic Retreats: Pathological Organizations in Psychotic, Neurotic and Psychotic Patients. Routledge.    Winnicott, D.W. (1974). Fear of Breakdown. Int. R. of Psycho-Analysis. 1: 103-107.

Host: Charles Turck, PharmD, BCPS, BCCCP Guest: George Grossberg, MD Guest: Angela Sanford, MD, CMD Nearly half of patients living with dementia due to Alzheimer's disease will experience agitation during the course of illness.1 In June 2025, expert panel recommendations on identifying and managing agitation in Alzheimer's dementia were published in Postgraduate Medicine. Learn more about these recommendations as Dr. Charles Turck, Dr. George Grossberg, and Dr. Angela Sanford explore how clinicians can implement them in practice. Dr. Grossberg is the Inaugural Henry and Amelia Nasrallah Endowed Professor as well as the Director of the Division of Geriatric Psychiatry and Behavioral Neuroscience at the Saint Louis University School of Medicine. Dr. Sanford is a Professor in the Division of Geriatric Medicine in the Department of Internal Medicine at the Saint Louis University School of Medicine. Drs. Grossberg and Sanford are paid consultants of Otsuka Pharmaceutical Development & Commercialization, Inc. The expert panel and subsequent publication were sponsored by Otuska and Lundbeck -- not an independent entity. References: Grossberg GT, Sanford A, Montano CB, et al. A US-based practitioner's guide to diagnosis, evaluation, and evidence-based treatment of agitation in Alzheimer's dementia - recommendations of an expert, multispecialty advisory panel. Postgrad Med. 2025;137(6):469–485.

This week, we explore a phase 3 trial of finerenone in type 1 diabetes and chronic kidney disease and guidance on timing of nonculprit-lesion PCI after STEMI. We cover an investigational therapy for Dravet syndrome and neoadjuvant treatment for high-risk intrahepatic cholangiocarcinoma. We review the effects of radiotherapy on normal tissue, a puzzling case of progressive neurologic decline after suspected foodborne illness, and Perspectives on private equity, the AHEAD model, and medical credit cards.

Ruqaiijah Yearby is a professor at the Temple University Beasley School of Law. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. R. Yearby and M. Alsan. Private Equity's Transformation of American Medicine — Implications for Health Equity. N Engl J Med 2026;394:937-940.

Chris Hughen sat down with Jarod Hall to discuss vibes versus skill in clinical practice. We discuss how to create a positive clinic environment and culture, the importance of patient adherence, and much more.  Watch the full episode: https://youtu.be/YvJL71E5Y5M  Episode Resources: Jarod's Instagram --- Membership: https://e3rehab.com/premium/  Mentoring: https://e3rehab.com/mentoring/ Coaching & Consultations: https://e3rehab.com/coaching/  Rehab & Performance Programs: https://e3rehab.com/programs/  Resource Guides: https://e3rehab.com/resource-guides  Newsletter: https://e3rehab.ck.page/19eae53ac1  --- Follow Us: YouTube: https://www.youtube.com/e3rehab  Instagram: https://www.instagram.com/e3rehab/ X: https://x.com/E3Rehab  LinkedIn: https://www.linkedin.com/company/e3rehab/  Facebook: https://www.facebook.com/e3rehab  --- Podcast Sponsor: Vivo Barefoot: Get 20% off all shoes! - https://www.vivobarefoot.com/e3rehab --- @dr.surdykapt @tony.comella @dr.nicolept @chrishughen @nateh_24 --- This episode was produced by Kody Hughes

With the administration signing the Consolidated Appropriations Act on February 3, 2026, extending Medicare telehealth flexibilities through December 2027, and patient demand driving unprecedented adoption, virtual care has moved from emergency response to fundamental transformation of clinical practice. Dr. Brandon Welch, founder and CEO of doxy.me, a platform facilitating 8 billion+ minutes of care across 1 million providers in 176 countries, examines how the proliferation of telehealth is reshaping medicine itself: clinical workflows, patient-provider relationships, access equity, and sustainable practice models. Drawing from his book Telehealth Success, Brandon delivers actionable strategies for healthcare leaders navigating the five pillars determining telehealth ROI: patient engagement, clinician efficiency, technology scalability, financial viability, and regulatory compliance in an era where patients expect care everywhere. Five-pillar framework for achieving sustainable telehealth success across organizations Financial sustainability models leveraging the two-year Medicare telehealth extension through 2027 Clinical practice transformation reshaping how medicine is delivered and experienced Provider success strategies addressing burnout, workflow integration, and practice transformation Access and equity insights from 176-country, 1 million+ provider implementation Brandon Welch, MS, PhD, Executive Director, Telehealth.org, Founder & CEO of Doxy.me Megan Antonelli, Chief Executive Officer, HealthIMPACT  

Part II: How Telehealth is Redefining Clinical Practice and Patient Access Join us for part two of a two-part interview with Dr. Brandon Welch, founder and CEO of doxy.me; a platform that has facilitated over 8 billion minutes of care across 1 million providers in 176 countries. With the administration signing the Consolidated Appropriations Act on February 3, 2026, extending Medicare telehealth flexibilities through December 2027, and patient demand driving unprecedented adoption, virtual care has moved from emergency response to fundamental transformation of clinical practice. Brandon examines how the proliferation of telehealth is reshaping medicine itself: clinical workflows, patient-provider relationships, access equity, and sustainable practice models. Drawing from his book Telehealth Success, he delivers actionable strategies for healthcare leaders navigating the five pillars determining telehealth ROI: patient engagement, clinician efficiency, technology scalability, financial viability, and regulatory compliance in an era where patients expect care everywhere. • Five-pillar framework for achieving sustainable telehealth success across organizations • Financial sustainability models leveraging the two-year Medicare telehealth extension through 2027 • Clinical practice transformation reshaping how medicine is delivered and experienced • Provider success strategies addressing burnout, workflow integration, and practice transformation • Access and equity insights from 176-country, 1 million+ provider implementation Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

In this episode of Healthy Wealthy & Smart, Dr. Rachel Zoffness, MS, PhD, a leading pain scientist, discusses the complexities of pain, emphasizing that it is not merely a physical issue but a biopsychosocial phenomenon. She shares insights from her upcoming book, 'Tell Me Where It Hurts,' which aims to debunk myths surrounding pain and provide a comprehensive roadmap for healing. Dr. Zoffness highlights the importance of understanding the various factors that contribute to pain, including emotional and social aspects, and advocates for a multidisciplinary approach to pain management. The discussion also emphasizes the power of hope and the need for improved medical school education on pain science.   Takeaways   ·      Pain is not just a physical phenomenon; it is biopsychosocial. ·      Understanding pain requires knowledge of biological, emotional, and social factors. ·      96% of medical schools lack dedicated pain education. ·      Patients with chronic pain need a roadmap for healing. ·      There is always a recipe for pain, and it can be changed. ·      Movement is a crucial ingredient in managing pain. ·      Engaging in joyful activities can reduce pain perception. ·      A multidisciplinary approach is essential for effective pain management. ·      Hope is a central theme in treating chronic pain. ·      Pain management should focus on empowering patients.   Chapters   ·      00:00 Introduction to Pain Science and Its Misconceptions ·      06:03 The Biopsychosocial Model of Pain ·      11:43 Understanding the Pain Recipe ·      17:50 Transforming Medical Education and Clinical Practice ·      23:51 Hope and Empowerment in Pain Management   More About Dr. Zoffness:   Dr. Rachel Zoffness is a pain scientist, pain psychologist and thought-leader revolutionizing the way we understand and treat pain. She's an assistant clinical professor at UCSF, lectures at Stanford, and consults on the development of pain management programs around the world. She was trained at Brown, Columbia, UCSD, and Mt. Sinai Hospital, and is a Mayday Fellow. Her new book, Tell Me Where It Hurts, drops March 2026 and will be translated into more than 25 languages.   Resources from this Episode:   Dr. Zoffness Website Dr. Zoffness in Instagram Buy "Tell Me Where it Hurts" on Amazon   Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

Sign up to Easy Ayurveda Video Classes by clicking the link belowhttps://www.easyayurveda.com/video-classes/Video Course: “Ayurvedic food and Nutrition”https://www.easyayurveda.com/nutrition/Buy Tridosha Made Easy Bookhttps://www.easyayurveda.com/tridosha-made-easy-3/Buy Tridosha Made Easy Book in Spanish LanguageEl corazón de los doshas: Nuevo librohttps://www.easyayurveda.com/el-corazon-de-los-doshas/Click to know more about Easy Ayurveda Hospitalhttps://www.easyayurveda.com/hospital/Buy our new course on Marma Therapy Part 1https://www.easyayurveda.com/marma1Buy our new course on Marma Therapy Part 1Subscribe to Easy Ayurveda Video Classes https://www.easyayurveda.com/video-classes/Subscribe to our free Easy Ayurveda newsletter here (you can unsubscribe and stop them anytime) -  https://forms.aweber.com/form/58/2129766958.htm Buy our course on diabetes reversal, powered by Madhavbaug https://www.easyayurveda.com/diabetes Buy our online video course on Treatment of cardiac disorders with Ayurveda https://www.easyayurveda.com/heartMaster ECG in one week. Sign up for video course https://www.easyayurveda.com/ecgContact Dr. MB Gururaja BAMS MD (Ayu)https://www.easyayurveda.com/gururaja  Contact Dr. Raghuram YS BAMS MD (Ayu)https://www.easyayurveda.com/raghuram Buy Easy Ayurveda Ebooks https://www.easyayurveda.com/my-book Buy Easy Ayurveda Printed Books https://www.easyayurveda.com/books/

This week, we explore a new standard of care for high-risk HER2-positive early breast cancer, long-acting therapy for people with HIV facing adherence challenges, a first-in-class trial of a p53 reactivator, and tecovirimat for mpox. We review group B streptococcal disease and a revealing case of prosthetic joint infection. Perspectives examine the role of folate therapy, Medicare drug-price negotiation, AI in medical education, and incidental findings.

*Trigger warning:  About midway through this interview, we spend about 3 minutes discussing a client mentioned in the book that was not nice to animals. I give the verbal trigger warning along with a gong sound at RT 24:10. If you like, you can then fast forward to RT 29:00. Dr. Douglas Flemons, author of "Empathetic Engagement in Clinical Practice" as well as six other books, joins us on the podcast to talk about empathy and how to develop more of it. We talk about: Empathy vs Sympathy Empathy as a choice What happens when empathy breaks down in our relationships How to increase empathetic ability while holding onto your own values and self-identity Hypnosis as an empathetic experience   Dr. Douglas Flemons is a psychotherapist, emeritus professor, and author of books on writing, hypnosis and therapy, psychotherapy and Eastern philosophy, and suicide assessment. His new book on empathy, Empathic Engagement in Clinical Practice, draws on the insights of researchers, philosophers, and artists, along with his own forty years of clinical practice and thirty years of teaching and supervising.    Purchase the book at https://contextconsultants.com/our-books/ See more about Dr. Flemons if you would like to work with him or consult with him at https://contextconsultants.com   -------------- Support the podcast through Buy Me a Coffee! https://buymeacoffee.com/drlizbonet Support the Podcast & Help yourself with Hypnosis Downloads by Dr. Liz! http://bit.ly/HypnosisMP3Downloads Do you have Chronic Insomnia? Find out more about Dr. Liz's Better Sleep Program at https://bit.ly/sleepbetterfeelbetter Search episodes at the Podcast Page http://bit.ly/HM-podcast --------- About Dr. Liz Interested in hypnosis with Dr. Liz? Schedule your free consultation at https://www.drlizhypnosis.com Winner of numerous awards including Top 100 Moms in Business, Dr. Liz provides psychotherapy, hypnotherapy, and hypnosis to people wanting a fast, easy way to transform all around the world. She has a PhD in Clinical Psychology, is a Licensed Mental Health Counselor (LMHC) and has special certification in Hypnosis and Hypnotherapy. Specialty areas include Anxiety, Insomnia, and Deeper Emotional Healing. A problem shared is a problem halved. In person and online hypnosis and CBT for healing and transformation.  Listened to in over 140 countries, Hypnotize Me is the podcast about hypnosis, transformation, and healing. Certified hypnotherapist and Licensed Mental Health Counselor, Dr. Liz Bonet, discusses hypnosis and interviews professionals doing transformational work. Thank you for tuning in!

Bruce Chabner is a professor of medicine at Harvard Medical School and clinical director emeritus of the Massachusetts General Hospital Cancer Center. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. I.D. Goldman and B.A. Chabner. Cerebral Folate Deficiency, Autism, and the Role of Leucovorin. N Engl J Med 2026;394:833-835.

Louise Moist, MD, MSc, CCPE / Peter J. Lin, MD, CCFP - Managing CKD With SGLT2 Inhibitors in Primary Care: Applying New Evidence Into Clinical Practice

Louise Moist, MD, MSc, CCPE / Peter J. Lin, MD, CCFP - Managing CKD With SGLT2 Inhibitors in Primary Care: Applying New Evidence Into Clinical Practice

In this episode, Dr. Puder engages in a profound conversation with Dr. Douglas Flemons, a seasoned marriage and family therapist and author of the newly released Empathic Engagement in Clinical Practice. Drawing from over 30 years of supervising family therapists, Dr. Flemons redefines empathy as an active, pursued skill rather than a passive feeling, distinguishing it sharply from sympathy. Explore common misconceptions, the pitfalls of sympathetic responses, debates on cognitive versus affective empathy, the role of microexpressions and universal affective states, and practical strategies for building genuine therapeutic connections without imposing interpretations or judgment.   By listening to this episode, you can earn 1.25 Psychiatry CME Credits. Link to blog Link to YouTube video

Part I: How Telehealth is Redefining Clinical Practice and Patient Access Join us for part I of a two-part interview with Dr. Brandon Welch, founder and CEO of doxy.me; a platform that has facilitated over 8 billion minutes of care across 1 million providers in 176 countries. With the administration signing the Consolidated Appropriations Act on February 3, 2026, extending Medicare telehealth flexibilities through December 2027, and patient demand driving unprecedented adoption, virtual care has moved from emergency response to fundamental transformation of clinical practice. Brandon examines how the proliferation of telehealth is reshaping medicine itself: clinical workflows, patient-provider relationships, access equity, and sustainable practice models. Drawing from his book Telehealth Success, he delivers actionable strategies for healthcare leaders navigating the five pillars determining telehealth ROI: patient engagement, clinician efficiency, technology scalability, financial viability, and regulatory compliance in an era where patients expect care everywhere. • Five-pillar framework for achieving sustainable telehealth success across organizations • Financial sustainability models leveraging the two-year Medicare telehealth extension through 2027 • Clinical practice transformation reshaping how medicine is delivered and experienced • Provider success strategies addressing burnout, workflow integration, and practice transformation • Access and equity insights from 176-country, 1 million+ provider implementation Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

Clear communication builds trust in biosimilars.  Credit available for this activity expires: 2/19/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/1003245?ecd=bdc_podcast_libsyn_mscpedu

In this episode of the Healthy, Wealthy and Smart podcast, Dr. Karen Litzy speaks with Dr. Orit Hickman about the evolving understanding of persistent pain and the implications for physical therapy practice. They discuss personal journeys in understanding pain, the importance of modern pain science, and the need for a supportive therapeutic environment. The conversation also covers practical steps clinicians can take to better serve patients with persistent pain, the challenges posed by healthcare systems, and the transition towards a more patient-centered model of care.   Takeaways   ·     Pain management requires understanding both the physical and psychological aspects of pain. ·      Modern pain science emphasizes the importance of education in treatment. ·      Therapists must create a safe environment for patients to discuss their pain. ·      Pacing and nervous system safety are crucial in treatment plans. ·      Capacity and tolerance must be assessed to tailor treatment effectively. ·      Healthcare systems often hinder the implementation of evidence-based practices. ·      Clinicians should focus on building trust and rapport with patients. ·      Transitioning to a patient-centered model can improve outcomes. ·      Listening to patients is key to understanding their unique experiences. ·      Team collaboration and shared vision are essential for successful practice.   Chapters   ·      00:00 Introduction to Persistent Pain and Evolving Science ·      03:06 Personal Journeys in Understanding Pain ·      05:53 Modern Pain Science in Clinical Practice ·      09:06 Therapeutic Environment and Patient Engagement ·      11:52 Pacing and Nervous System Safety ·      15:02 Capacity vs. Tolerance in Pain Management ·      17:49 Healthcare System Challenges in Pain Treatment ·      21:51 Transitioning to a Patient-Centered Model ·      26:37 Practical Steps for Clinicians ·      33:50 Lightning Round: Myths and Hope in Pain Care   More About Dr. Hickman: Dr. Orit Hickman is a doctor of physical therapy and founder of Pain Science Physical Therapy in Burien, Washington, where she leads a clinic dedicated to evidence-based care for people with persistent pain. Drawing on 25 years of clinical experience and 16 years of business ownership, she is focused on redesigning how physical therapy is delivered so pain science can truly work in everyday practice. She mentors both new and experienced physical therapists and shares educational content through multiple social media platforms.   Resources from this Episode:   Pain Science PT Website Pain Science PT on YouTube Dr. Hickman on TikTok Pain Science PT on Facebook Pain Science PT on Instagram Dr. Hickman on LinkedIn Pain Science PT on LinkedIn   Jane Sponsorship Information: Book a one-on-one demo here Mention the code LITZY1MO for a free month   Follow Dr. Karen Litzy on Social Media: Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio

This week, we highlight major advances in multiple myeloma, gene therapy for cystinosis, and experimental treatments for myotonic dystrophy. We review long-term outcomes of aortic-valve replacement, strategies for secondary stroke prevention, and a revealing diagnostic case of eosinophilic disease in an older adult. A Sounding Board explores FDA approval standards. Perspectives delve into tobacco cessation, influenza evolution, and the uncertainty patients and clinicians share when facing life-altering diagnoses.

Sonja Rasmussen is a professor in the Department of Genetic Medicine at Johns Hopkins School of Medicine. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. S.A. Rasmussen and D.B. Jernigan. Antigenic Drift and Antivaccine Shift in the 2025–2026 Influenza Season. N Engl J Med 2026;394:732-735.

Helen Malinowski, LICSW, SEP, is the founder of the Somatic Integration Institute and the Catalyst Collective. She is passionate about supporting clinicians in building sustainable, nourishing practices that prevent burnout and compassion fatigue. Why are so many experienced clinicians burning out, even when they love their work—and what can be done to prevent it? How does somatic regulation transform both clinical effectiveness and practitioner wellbeing? What makes community support essential—not optional—for sustaining a long-term clinical career? How can clinicians grow their practice without sacrificing themselves in the process? What are the biggest myths clinicians believe about burnout, and what actually keeps practitioners resourced for decades? Helen Malinowski, LICSW, SEP, is the founder of the Somatic Integration Institute and the Catalyst Collective. She is passionate about supporting clinicians in building sustainable, nourishing practices that prevent burnout and compassion fatigue. Through the Catalyst Collective, she creates transformational community spaces where established practitioners can grow their impact while staying deeply resourced and connected. Helen believes clinicians deserve to thrive, not just survive. She works with practitioners who are ready to invest in their growth while also honoring their need for support and sustainability. Through somatic approaches and deep community connection, she helps clinicians build practices that sustain them for the long haul. When she's not working with clients or leading cohorts, you'll find Helen running, hiking, at the beach with her dog, or connecting with friends over good conversation. As a mother navigating the beautiful complexity of family life, she understands firsthand the importance of building work that nourishes rather than depletes. Excellent Executive Coaching Podcast If you have enjoyed this episode, subscribe to our podcast on iTunes. We would love for you to leave a review. The EEC podcasts are sponsored by MKB Excellent Executive Coaching, which helps you get from where you are to where you want to be with customized leadership and coaching development programs. MKB Excellent Executive Coaching offers leadership development programs to generate action, learning, and change that is aligned with your authentic self and values. Transform your dreams into reality and invest in yourself by scheduling a discovery session with Dr. Katrina Burrus, MCC, to reach your goals. Your host is Dr. Katrina Burrus, MCC, founder and general manager of Excellent Executive Coaching, a company that specializes in leadership development.

Dr. Brandy Griffith and Dr. Mitva Patel discuss how to apply the ACR BI-RADS contrast-enhanced mammography (CEM) lexicon in clinical practice, highlighting practical strategies for interpreting low-energy and recombined images. They review key terminology, management pitfalls, and emerging evidence to help radiologists confidently adopt CEM while understanding its limitations and impact on patient care. Applying the Contrast-enhanced Mammography BI-RADS Lexicon to Clinical Practice. Griffith et al. RadioGraphics 2025; 45(11):e240136.

Our guest Dr. Douglas Flemons- share about his new book Empathic Engagement in Clinical Practice. Distinguishing empathy from sympathy or emotional fusion, how "untethered, selfless imagination" sharpens understanding, and what misapplied empathy looks like—and how to avoid it. https://contextconsultants.com Joanne's Book to help family Manage Emotions:Super Dog Helps Boys Fears A 30-second free guide to see if you qualify at ServiceDogPro.com!  https://podcast.feedspot.com/anxiety_podcasts/ https://podcast.feedspot.com/us_psychology_podcasts/ sts/  

This week includes studies on promising new therapies for IgA nephropathy, evolving antithrombotic strategies after coronary stenting, and the inciting antigen in rare vaccine-related clotting syndromes. We review the urgent challenge of mucormycosis and follow the case of a young woman with headaches and hypertension. We discuss human-subjects research. Perspectives examine rural health, data interoperability, drug labels in the courts, and a pediatrician's dilemma.

Carmel Shacharis an assistant clinical professor of law and faculty director of the Health Law and Policy Clinic at Harvard Law School. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. H. Howard and C. Shachar. The Rural Health Transformation Program — An Avenue for Promoting Administrative Policies. N Engl J Med 2026;394:625-627.

In this episode of SurgOncToday, Everett Warren, MD, MAT, is joined by Maggie DiNome, MD, FACS, and Micaela Weaver, DO, FSSO, FACS, to discuss lessons learned in setting up a clinical practice that is both busy and diverse yet tailored to their individual interests.

This week, we look at new evidence on oral cholesterol-lowering therapy, the evolving role of beta-blockers after myocardial infarction, and advances in breast and prostate cancer treatment. We review the inherited risk of coronary disease. We also work through a revealing diagnostic case in a young woman and reflect on science under pressure, corporatized insurance, the reach of FDA law, and what it means to live with life-sustaining technology.

Leemore Dafny is a professor of business administration at Harvard Business School and a professor of public policy at the Harvard Kennedy School. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. L. Dafny. Health Insurance after Corporatization — What Next? N Engl J Med 2026;394:521-523.

In this episode of the Innovations and Clinical Implementation podcast, hosts Tom Blue and Sonia Horner discuss the future of AI-driven medicine with Dr. Don Brown, a physician entrepreneur and the former founder of LifeOmic who emerged from retirement to create Bioscope.ai. The conversation explores how Bioscope.ai functions as a revolutionary "AI Medical Colleague" by aggregating vast datasets—including whole genome sequencing, EMRs, and multi-omics—into a secure cloud repository that feeds an orchestration layer of multiple LLMs grounded in academic research. Dr. Brown details the platform's "synoptic view," an interface inspired by high-performance aircraft that visualizes 15 dimensions of health on a 3D wireframe, and introduces "Lumina," an AI persona that learns a physician's specific style to generate personalized care plans, ultimately allowing practices to offer high-value subscription models that turn static health data into a dynamic asset. For access to episode resources. https://sites.google.com/ovationlab.com/innovationsinclinicalimplement/home

Send us a textDescription: An immersive reading of If We Must Die by Claude McKay with reflection on military metaphors in healthcare and being a fighter.Website:https://anauscultation.wordpress.comWork:If We Must Dieby Claude McKayIf we must die, let it not be like hogsHunted and penned in an inglorious spot,While round us bark the mad and hungry dogs,Making their mock at our accursèd lot.If we must die, O let us nobly die,So that our precious blood may not be shedIn vain; then even the monsters we defyShall be constrained to honor us though dead!O kinsmen! we must meet the common foe!Though far outnumbered let us show us brave,And for their thousand blows deal one death-blow!What though before us lies the open grave?Like men we'll face the murderous, cowardly pack,Pressed to the wall, dying, but fighting back!References:Metaphor, Oxford English Dictionary, https://www.oed.com/dictionary/metaphor_n?tl=true Metaphor, Poetry Foundation, https://www.poetryfoundation.org/education/glossary/metaphor Aristotle. The Poetics, trans Ingram Bywater. Chapter 21, 1457b1-30 Kim S, Mills H, Brender T, McGowan S, Widera E, Chapman AC, Harrison KL, Lee S, Smith AK, Bamman D, Gologorskaya O, Cobert J. "My Mom Is a Fighter": A Qualitative Analysis of the Use of Combat Metaphors in ICU Clinician Notes. Chest. 2024 Nov;166(5):1162-1172. Tate T. Your Father's a Fighter; Your Daughter's a Vegetable: A Critical Analysis of the Use of Metaphor in Clinical Practice. Hastings Cent Rep. 2020 Sep;50(5):20-29.Thibodeau PH, Hendricks RK, Boroditsky L. How Linguistic Metaphor Scaffolds Reasoning. Trends Cogn Sci. 2017 Nov;21(11):852-863.

Stress fractures are common injuries in athletes and military recruits, that's' understandable- based on the physical forces placed on the long bones. A stress fracture can be defined as a partial or complete fracture of the bone that is a result from repeated application of stress lower than that required to fracture the bone in a single loading situation. In pregnancy, the body is subjected to various physiological changes that make women more vulnerable. In this pregnancy, we will highlight a REAL patient case which our team cared for on the inpatient service where a simple cough at 34 weeks leads to a painful spontaneous rib fracture! Is there any data published on this? Are serum tests for bone turn-over required as part of this workup? Listen in for clinical pearls!1. 1962: Long A.E.: “Stress fracture of the ribs associated with pregnancy”. Surg. Clin. North Am., 1962, 42, 909.2. 2000: Baitner AC, Bernstein AD, Jazrawi AJ, Della Valle CJ, Jazrawi LM. Spontaneous rib fracture during pregnancy. A case report and review of the literature. Bull Hosp Jt Dis. 2000;59(3):163-5. PMID: 11126720. https://pubmed.ncbi.nlm.nih.gov/11126720/3. 2015: Rib stress fractures in pregnancy: a case report and review of literature. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/file:///C:/Users/hchapa/Downloads/1575956493464-5157163%20(1).pdf4. Zhang Y, Li R, Zhang J, Zhou W, Yu F. Changes in Serum Concentrations of Bone Turnover Markers in Healthy Pregnant Women. International Journal of Clinical Practice. 2023.

In this episode of the Innovations and Clinical Implementation podcast, hosts Dr. Lexi Gonzales and Tom Blue interview Dr. Sundeep Dugar, a pharmaceutical drug hunter with nearly 40 years of experience in small molecule discovery who serves as the co-founder and Chief Scientific Officer at Blue Oak Nutraceuticals. The conversation focuses on the development of Mitocatalyst, a precision-formulated epicatechin designed to mimic the mitochondrial biogenesis normally triggered by exercise. Dr. Dugar reveals his breakthrough discovery that exercise-induced Reactive Oxygen Species (ROS) signal the mitochondria to produce a specific steroid—11-beta hydroxyprogesterone—and explains how Mitocatalyst utilizes nanomolar doses of epicatechin to molecularly mimic this steroid, distinguishing it from high-dose antioxidant protocols that paradoxically blunt these beneficial signals. The discussion uses the metaphor of building a "fireplace" (mitochondria) to burn "firewood" (nutrition), positioning the supplement as a critical intervention for aging patients or those unable to exercise. For access to episode resources: https://sites.google.com/ovationlab.com/innovationsinclinicalimplement/home

In this conversation, Awab Abdel-Jalil discusses the evolution and significance of the constructional approach in behavior analysis. Awab Abdel-Jalil is the Associate Vice President of Applied Research at Upstate Caring Partners in Utica, NY, and a doctoral candidate at Endicott College under the mentorship of Dr. Joe Layng. He emphasizes the importance of understanding historical context, the role of ascent in learning, and the scrutiny faced by ABA, which can lead to positive changes. Awab shares his personal journey into the field, the influence of mentorship, and the legacy of Israel Gold Diamond. He also addresses common misunderstandings of nonlinear contingency analysis and highlights the growing resources available for practitioners. The conversation concludes with insights into future directions in constructional therapy and the importance of harnessing negative reinforcers in practice. Continuing Education Credits (https://www.cbiconsultants.com/shop) BACB: 1.5 Learning IBAO:  1.5 ABA Topics QABA: 1.5 General CBA/CPD:    1.5 Learning   Follow us! Instagram: https://www.instagram.com/behaviourspeak/ LinkedIn:  https://www.linkedin.com/in/behaviourspeak/ Contact LinkedIn: https://www.linkedin.com/in/awab-abdel-jalil-64541a196/ Upstate Caring Partners: https://www.upstatecp.org/ The Institute for Applied Behavior Science at Endicott College https://www.endicott.edu/academics/schools/institute-for-applied-behavioral-science   Links: The Constructional Approach Website https://theconstructionalapproach.com/ The Constructional Approach Facebook Group https://www.facebook.com/groups/700952357829957 Claire St. Peter on The Behavioral Observations Podcast https://open.spotify.com/episode/5NLz4wfAT9paQfzvut11K1 Articles and Books Discussed Abdel-Jalil, A., Linnehan, A. M., Yeich, R., Hetzel, K., Amey, J., & Klick, S. (2023). Can there be compassion without assent? A nonlinear constructional approach. Behavior Analysis in Practice, 1-12. https://doi.org/10.1007/s40617-023-00850-9  Goldiamond, I. (2002). Toward a constructional approach to social problems: Ethical and constitutional issues raised by Applied Behavior Analysis. Behavior and Social Issues, 11(2), 108-197. https://doi.org/10.5210/bsi.v11i2.92 (Original work published in 1974). Goldiamond, I. (1984). Training parents and ethicists in nonlinear behavior analysis. In R. F. Dangel & R. A. Polster (Eds.), Parent training: Foundations of research and practice (pp. 504–546). Guilford.   Layng, T. V. J., & Abdel-Jalil, A. (2022). Toward a constructional exposure therapy. Advances in Cognitive Therapy, Fall, 8–11. https://www.researchgate.net/publication/373767631_TOWARD_A_CONSTRUCTIONAL_EXPOSURE_THERAPY Layng, T. V. J., Andronis, P. T., Codd III, R. T., & Abdel-Jalil, A. (2022). Nonlinear contingency analysis: Going beyond cognition and behavior in clinical practice. Routledge.  Liden, T. A., & Rosales-Ruiz, J. (2024a). Constructional parent coaching: A collaborative approach to improve the lives of parents of children with autism. Behavior Analysis in Practice. https://doi.org/10.1007/s40617-024-00944-y Linnehan, A. M., Abdel-Jalil, A., Klick, S., Amey, J., Yeich, R., & Hetzel, K. (2023). Foundations of preemptive compassion: A behavioral concept analysis of compulsion, consent, and assent. Behavior Analysis in Practice. https://doi.org/10.1007/s40617-023-00890-1  Scallan, C. M., & Rosales-Ruiz, J. (2023). The constructional approach: A compassionate approach to behavior change. Behavior Analysis in Practice. https://doi.org/10.1007/s40617-023-00811-2   Wilder, D. A., Ingram, G., & Hodges, A. C. (2021). Evaluation of shoe inserts to reduce toe walking in young children with autism. Behavioral Interventions, 37(3), 754–765. https://doi.org/10.1002/bin.1860   Books coming this summer:  Nonlinear Contingency Analysis: Going Beyond Cognition and Behavior in Clinical Practice. Second Edition.  Layng, T. V. J., Andronis, P. T., Codd III, R. T., & Abdel-Jalil, A. Applications in Nonlinear Contingency Analysis.  Abdel-Jalil, A., & Linnehan, A. (Editors)  

Send us a textStep inside the room where it's happening. This recording captures the groundbreaking AI panel discussion from the 2026 Delphi Neonatal Innovation Conference, held live on Monday afternoon. Leading experts Dr. Jim Barry (University of Colorado), Dr. Thao Ho (UCSF), Lindsey Knake (University of Iowa), Selva Selvaraj (Nicklaus Children's Health System), and Dr. Ryan McAdams (University of Wisconsin-Madison) tackle the most pressing questions about AI in the NICU.From predictive models for sepsis and NEC to AI scribes that transform documentation, our panelists explore what's actually working today versus what remains science fiction. They discuss the challenge of generalizing AI across different units, navigating ethics and bias, designing tools for families, and envisioning what neonatal care will look like in ten years. If you're wondering whether we're ready for AI-driven clinical decisions—or how to avoid “AI fatigue”— this panel discussion is for you!Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below. Enjoy!

This week, we explore new therapies to reduce pancreatitis risk in severe hypertriglyceridemia, advances in breast cancer treatment, and long-term results of gene therapy for hemophilia B. We discuss vision-threatening vascular emergencies, the mental health effects of firearm injury on families, and care for peripheral artery disease. We also follow a revealing diagnostic case in an older woman with respiratory failure. Perspectives reflect on hypertension control, immunization access, chronic disease policy, and on the inherited risk of disease.

Robert Kocher is an adjunct professor at the Stanford University School of Medicine, a nonresident senior scholar at the University of Southern California Schaeffer Institute, and a partner at Venrock. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. S.P. Kishore and R. Kocher. The Hypertension Control Paradox — Why Is America Stuck? N Engl J Med 2026;394:417-420.

Comments or feedback? Send us a text! Empathy is widely viewed as the cornerstone of effective therapy—but what if we've been misunderstanding it all along?In this episode, Dr. Pete Kelly sits down with Dr. Douglas Flemons, to discuss his new book Empathic Engagement in Clinical Practice. Flemons challenges the common assumption that empathy is something therapists simply have, reframing it instead as something we do—moment by moment, in relationship.Together, they explore empathy as an active, relational process; unpack the critical distinctions between empathy, sympathy, and compassion; and examine why well-intentioned empathic efforts can sometimes miss the mark or even undermine the therapeutic alliance. The conversation also addresses therapist burnout, emotional boundaries, and how clinicians can engage deeply with clients without overidentifying or becoming emotionally depleted.This episode is essential listening for clinicians who want to refine their relational skills, strengthen therapeutic presence, and practice empathy in a way that is both clinically effective and personally sustainable.

In this episode, we explore evolving evidence on anticoagulation after atrial fibrillation ablation, long-term outcomes with immunotherapy for melanoma, and promising new treatments for hepatitis D and triple-negative breast cancer. We review advances in physiologic pacing for heart failure and work through a challenging case involving fever, rash, and neurologic symptoms. An article considers fairness for late-career physicians, and Perspectives discuss misconceptions about autism, access to contraception, and the financial pressures shaping health care.

Tara Eicher is a postdoctoral research fellow in the Department of Biostatistics at the Harvard T.H. Chan School of Public Health. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. T. Eicher, J. Quackenbush, and A. Ne'eman. Challenging Claims of an Autism Epidemic — Misconceptions and a Path Forward. N Engl J Med 2026;394:313-315.

Unlock the secrets behind squat biomechanics in this must-listen episode of the "NASM CPTPodcast" with host, and NASM Master Instructor, Rick Richey. Whether you're a fitness veteran or just starting your strength journey, this episode dives deep into the science—and myths—about squats, backed by the latest research. Curious about why your torso leans differently during squats, or how changing your foot position impacts muscle activation? Rick breaks down the impact of tibia-torso angles, foot position (should you turn your toes out?), and squat depth on your muscles and overall performance. Learn how “butt wink,” squat depth, and even partial squats play a role in hypertrophy and athletic performance—and what matters most for avoiding injury. Packed with evidence from studies like Barack et al. (2011) and Strab & Powers (2024), this episode smashes old rules and reveals how to tailor your squat technique for optimal results, safety, and YOUR body's limitations. Worried about knee pain, back issues, or if deeper squats are better? The answers may surprise you! Plus, get actionable tips on how to assess and improve your range of motion, how personal anatomy affects squat form, and why consistency often beats perfection in your training routine. Episode References: Straub, R. K., & Powers, C. M. (2024). A Biomechanical Review of the Squat Exercise: Implications for Clinical Practice. International journal of sports physical therapy, 19(4), 490–501. https://doi.org/10.26603/001c.94600 Barrack Adam J, Straub Rachel K, Cannon Jordan, Powers Christopher M. International Journal of Sports Science & Coaching. 4. Vol. 16. SAGE Publications; the relative orientation of the trunk and tibia can be used to estimate the demands on the hip and knee extensors during the barbell back squat; pp. 1004–1010. If you like what you just consumed, leave us a 5-star review, and share this episode with a friend to help grow our NASM health and wellness community! The content shared in this podcast is solely for educational and entertainment purposes. It is not intended to be a substitute for professional advice, diagnosis, or treatment. Always seek out the guidance of your healthcare provider or other qualified professional. Any opinions expressed by guests and hosts are their own and do not necessarily reflect the views of NASM. CTA: Introducing NASM One, the membership for trainers and coaches. For just $35/mo., get unlimited access to over 300 continuing education courses, 50% off additional certifications and specializations, EDGE Trainer Pro all-in-one coaching app to grow your business, unlimited exam attempts and select waived fees. Stay on top of your game and ahead of the curve as a fitness professional with NASM One. Click here to learn more. https://bit.ly/4ddsgrm

This week, we explore new evidence on managing asymptomatic carotid stenosis, restoring vision in advanced macular degeneration, and preventing migraine in children. We discuss innovative cellular therapy for autoimmune disease, review sudden cardiac arrest in athletes, and describe a case of severe systemic infection with vision loss. Perspectives examine global tobacco risks, the future of telehealth payment, Medicare coverage of new technologies, and the things physicians carry.

Dr. Aaron Zelikovich discusses the utility of neurofilament light chain as a serum biomarker in peripheral neuropathy.  Show citation: Karam C. Clinical Utility of Serum Neurofilament Light Chain in Peripheral Neuropathy. Muscle Nerve. 2026;73(1):86-92. doi:10.1002/mus.70073 Show transcript: Dr. Aaron Zelikovich: Welcome to today's neurology minute. My name is Aaron Zelikovich, a neuromuscular specialist at Lenox Hill Hospital in New York City. Today, we will discuss a recent article on the utility of neurofilament light chain as a serum biomarker in peripheral neuropathy. It has been studied in other neurological diseases like ALS and multiple sclerosis, as in the 2024 study by Robert Fox et al, which highlighted the limitations of serum neurofilament light chain in patients with multiple sclerosis, since the elevation was inconsistent and tended to occur weeks after MRI changes, and was really only found to be helpful in certain clinical situations. The study we highlight today is a single-center retrospective study that highlights the opportunities and limitations of using serum neurofilament light chain as a biomarker to monitor treatment response and peripheral neuropathy. Serum neurofilament light chain has been shown as an indicator of neuronal injury in both central and peripheral nervous system disease that has been associated with axonal injury or degeneration. It is now commercially available. The authors in this study provide a real-world single-center retrospective study that looked at various forms of peripheral neuropathy over 12 months. Patients had to be evaluated and meet criteria for peripheral neuropathy with either genetic testing, nerve conduction studies, and/or clinical exams. Neuropathies included TTR amyloid, vasculitis, CMT, CIDP, GBS, and anti-MAG neuropathy. Patients with TTR amyloid who were treatment naive and had elevated serum neurofilament light chain showed a reduction in neurofilament light chain levels with treatment. Additionally, patients with CIDP who were treatment naive with elevated serum neurofilament light chain also showed a reduction in neurofilament light chain levels with treatment. All patients with idiopathic peripheral neuropathy had normal serum neurofilament light chain levels. However, serum neurofilament light chain can vary in patients based on age, if they have diabetes, renal dysfunction, and body weight. And this makes it really challenging to interpret it in an isolated setting. Serum neurofilament light chain is a new biomarker for peripheral neuropathies. It can be a supplemental tool in the appropriate clinical context. Future studies are needed to identify its potential to be used as a treatment response biomarker in neuropathies like CADP, GBS, and TTR amyloid. Thank you so much, and have a wonderful day. 

Tara Sklar is the faculty director of the Health Law and Policy Program at the University of Arizona James E. Rogers College of Law and associate director of telehealth law and policy at the University of Arizona College of Medicine–Tucson Arizona Telemedicine Program. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. T. Sklar and B. Richman. Financing Telehealth — Moving Beyond Payment Parity. N Engl J Med 2026;394:211-213.

This week, we explore new options in cardiovascular prevention, fish-oil supplementation in dialysis patients, RSV vaccination, and cutting-edge cellular therapy for leukemia. We discuss advances in lung cancer treatment, approaches to functional dyspepsia, and a complex case of severe infection after travel. Perspectives examine access to and cost of weight-loss drugs, the promise and risks of AI in clinical care, and what it means to care for others while carrying personal loss.

In this episode of Longevity by Design, host Dr. Gil Blander sits down with Dr. Wei-Wu, Executive Chairman at Human Longevity, Inc. Together, they explore how advances in genome sequencing, AI, and multi-layered diagnostics are changing the fight against age-related diseases. Wei-Wu shares why understanding your own genetic risks and combining them with other health data leads to better prevention and a longer healthspan.Wei-Wu explains the value of integrating genome sequencing, advanced imaging, and liquid biopsy to catch diseases like cancer early, before symptoms appear. He draws on real-world examples, including how combining different tests can spot cancers that single methods might miss. The conversation highlights how technology brings down costs, making once-rare insights widely available, and how each person stands to benefit from personalized risk profiles.The episode closes with practical advice: use today's tools to become the CEO of your own health. Wei-Wu urges listeners to embrace data-driven, individualized care and stresses that no single tool or habit holds all the answers. Instead, true longevity comes from a holistic, ongoing approach, one that uses all available knowledge to prevent disease and extend both life and health.Guest-at-a-Glance

Rachel Sachs is a professor of law at Washington University in St. Louis. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. S.B. Dusetzina and R.E. Sachs. Insurance Coverage and Pricing of Weight-Loss Drugs in the United States. N Engl J Med 2026;394:105-107. S. Gondi, A.S. Kesselheim, and B.N. Rome. Generic Liraglutide — Overlooked but Not Forgotten. N Engl J Med. DOI: 10.1056/NEJMp2515668.

Welcome to another episode of the Sustainable Clinical Medicine Podcast! In this episode, Dr. Zhen Chan shares his unique journey from growing up in Miami, Florida to becoming a pediatrician in Washington, DC, and ultimately venturing into the entrepreneurial side of healthcare. Dr. Chan discusses his educational background, including an MD-MBA dual degree, and how it shaped his interests in blending artistic and scientific aspects within the medical field. He delves into his clinical practice in the 'fast track' side of an emergency room and his desire to improve healthcare systems. Dr. Chan also talks about his entrepreneurial endeavors, like founding Grapevine, a community focused on healthcare workforce optimization and reducing burnout among medical professionals. Throughout the conversation, he emphasizes the importance of networking and staying updated with technological advancements to better serve patients and the healthcare community. Here are 3 key takeaways from this episode: 1. The Power of Networking in Healthcare: Dr. Chan emphasizes that building professional relationships and communities—like her Grapevine initiative—is crucial for career growth, combating burnout, and reducing social isolation among healthcare professionals. Networking is not just for business leaders; it's essential for clinicians at all stages. 2. Innovation and Entrepreneurship are Vital for Modern Physicians: Dr. Chan's journey shows that blending clinical practice with entrepreneurial thinking and process improvement (such as Six Sigma and MBA training) can help address systemic issues in healthcare. Physicians can—and should—embrace innovation to improve patient care and the healthcare system. 3. Technology and AI Can Reduce Administrative Burden: The discussion highlights how AI-powered tools (like scribing and coding assistants) are transforming healthcare by reducing administrative workload, allowing doctors to focus more on patient care. Accurate documentation and embracing new technologies are key to improving efficiency and outcomes. Meet Dr. Zhen Chan: Dr. Zhen Chan is a practicing pediatrician at Children's National Medical Center in Washington, DC and Founder/CEO of Grapevyne, a community dedicated to empowering physician autonomy and wellbeing through better networking and understanding about healthcare beyond medicine. He graduated from the University of Miami with his BS in Neuroscience and Criminology, MD, and MBA in Health Management & Policy. After completing his education, he went on to complete his pediatrics residency at New York Presbyterian Hospital-Weill Cornell Medicine, where his work in quality improvement and advocacy projects revealed a career path to impact healthcare at scale beyond the exam room. In addition to his clinical practice and his own community, he advises other healthcare startups as well focused on improving healthcare access. Connect with Dr. Zhen Chan:

[Trigger warning: trauma/animal cruelty] What is the difference between genuine empathy and feeling sympathy for someone? How often do well-intended therapists mistake comparison for true empathic engagement? What does it […] The post Empathic Engagement in Clinical Practice with Dr. Douglas Flemons [Trigger Warning: Trauma/Animal Cruelty] | POP 1324 appeared first on How to Start, Grow, and Scale a Private Practice | Practice of the Practice.

This week, we share advances in treatment for EGFR-mutated lung cancer, a brain-penetrant enzyme therapy for a rare pediatric disorder, and dual targeting of extramedullary myeloma. We review cardiogenic shock, work through a challenging diagnostic puzzle in a young woman with recurrent illness, and explore Perspectives on corporatized care, vaccine policy, AI in medicine, and where clinicians carry grief.

In 2002, the National Institute of Child Health and Human Development (NICHD) proposed the 3-Tier fetal heart rate (FHR) classification system that was subsequently adopted by many organizations, categorizing tracings into three groups: Category I (normal), Category II (indeterminate), and Category III (abnormal). Recently, our podcast team received an interesting question form one of our podcast family members: “If there is a change in the fetal heart rate tracing intrapartum, but it is still in the normal range (like 120 going to 150)- and variability is normal, is that an abnormality? And what is meant by a ‘ZigZag' FHT pattern (different than marked variability)?”. That is a fantastically complex question…and we will explain the answer in this episode.1. Zullo F, Di Mascio D, Raghuraman N, Wagner S, Brunelli R, Giancotti A, Mendez-Figueroa H, Cahill AG, Gupta M, Berghella V, Blackwell SC, Chauhan SP. Three-tiered fetal heart rate interpretation system and adverse neonatal and maternal outcomes: a systematic review and meta-analysis. Am J Obstet Gynecol. 2023 Oct;229(4):377-387. doi: 10.1016/j.ajog.2023.04.008. Epub 2023 Apr 11. PMID: 37044237.2. Ghi T, Di Pasquo E, Dall'Asta A, et al. Intrapartum Fetal Heart Rate Between 150 and 160 BPM at or After 40 Weeks and Labor Outcome.Acta Obstetricia Et Gynecologica Scandinavica. 2021;100(3):548-554. doi:10.1111/aogs.14024.3. The 3 Tier System: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://ncc-efm.org/filz/NICHD_Reference_from_CCPR.pdf4. Jia YJ, Ghi T, Pereira S, Gracia Perez-Bonfils A, Chandraharan E. Pathophysiological Interpretation of Fetal Heart Rate Tracings in Clinical Practice. American Journal of Obstetrics and Gynecology. 2023;228(6):622-644. doi:10.1016/j.ajog.2022.05.0235. Ghi T, Di Pasquo E, Dall'Asta A, et al. Intrapartum Fetal Heart Rate Between 150 and 160 BPM at or After 40 Weeks and Labor Outcome. Acta Obstetricia Et Gynecologica Scandinavica. 2021;100(3):548-554. doi:10.1111/aogs.14024.6. Yang M, Stout MJ, López JD, Colvin R, Macones GA, Cahill AG. Association of Fetal Heart Rate Baseline Change and Neonatal Outcomes. Am J Perinatol. 2017 Jul;34(9):879-886. doi: 10.1055/s-0037-1600911. Epub 2017 Mar 16. PMID: 28301895.