Podcasts about deputy medical director

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Best podcasts about deputy medical director

Latest podcast episodes about deputy medical director

Fertility in Focus by Fertility Matters Canada
Transforming the Fertility Landscape with AI

Fertility in Focus by Fertility Matters Canada

Play Episode Listen Later Jun 3, 2025 42:13


Send us a textThis week Fertility in Focus is thrilled to welcome Jullin Fjeldstad from Future Fertility and Dr. Sony Sierra from Evolve Egg Freezing Clinic, who sat down with us to discuss how they're bringing their unique expertise to the forefront of reproductive technology. These esteemed guests illuminate how AI is reshaping fertility preservation, specifically through the lens of egg freezing. Dr. Sierra provides a compelling overview of how egg freezing empowers individuals to align their reproductive plans with personal and professional aspirations, amidst a growing trend on social media. As more people turn to fertility preservation, understanding its benefits and implications becomes paramount. With insights from both of our guests this week, we explore how AI not only improves clinical outcomes but also offers patients unprecedented control and understanding over their fertility journeys.More about our guest speakers: Jullin Fjeldstad is the Head of Clinical Embryology and Scientific Operations at Future Fertility. Throughout her career, she has always held a passion for innovative ART technologies aimed at improving the fertility journey and IVF outcomes. In her current multi-faceted role, Jullin draws upon her experience as a seasoned embryologist and former lab director to navigate partnering clinics through seamless adoption of Future Fertility's AI-powered oocyte quality assessment tools, as well as overseeing Future Fertility's scientific project collaborations. With her extensive IVF experience and comprehensive understanding of the laboratory operations, she also provides invaluable input to the company's product development processes. Jullin holds a BSc. in Biology from the University of Victoria, Canada and a MSc. in Clinical Embryology from the University of Leeds, UK, where she achieved distinction in both areas.  Dr. Sony Sierra, MD, FRCSC, REI (She/Her), serves as a distinguished Reproductive Endocrinology & Infertility Specialist (REI) and Deputy Medical Director and Partner at TRIO. With nearly two decades of experience, she specializes in reproductive health, recurrent pregnancy loss, and early Recurrent Pregnancy Loss (RPL) programs. As the Medical Director at EVOLVE Egg Freezing Clinic and an Associate Physician at Women's College Hospital, she contributes significantly to advancing reproductive medicine. Dr. Sierra's research interests include infertility, implantation failure, and PCOS, reflected in her publications and conference presentations. Passionate about patient care, she approaches her practice with compassion and dedication, guided by her belief in excellence and empathy. Dr. Sierra's commitment to ongoing education and involvement in esteemed societies ensures her patients receive the most up-to-date care and expertise. She finds immense fulfillment in helping individuals and couples achieve their dreams of starting a family, making her a valued asset in the field of fertility medicine.For more info about Dr. Sierra, you can check out the TRIO Fertility Website: https://triofertility.com/team-member/sony-sierra/ or you can follow her on Instagram @drsonysierra. https://futurefertility.com/https://instagram.com/futurefertilityaihttps://www.youtube.com/@futurefertilityIf you or your organization would like to sponsor educational episodes just like this, please contact us at podcast@fertilitymatters.ca. Follow Fertility Matters Canada at @fertility_canada on Instagram and TikTok.

The St.Emlyn's Podcast
Ep 265 - Excellence in Debriefing with Richard Lyon at LTC

The St.Emlyn's Podcast

Play Episode Listen Later Mar 26, 2025 21:04


In this episode of the St Emlyn's Podcast, Iain Beardsell and Natalie May speak with Richard Lyon, an emergency doctor and deputy medical director of the air ambulance service at Kent, Surrey, and Sussex. Recorded at the London Trauma Conference 2024 in Kensington, Richard shares experiences and lessons from his talk on five critical cases that shaped him as a clinician and human being.   Discussion topics include the importance of case debriefing, the impact of video recording in clinical practice, overcoming the challenges of self-reflection, and the evolving culture of pre-hospital emergency medicine. Richard emphasizes the significance of supportive and structured debriefing processes and offers insights on integrating video reviews into emergency practices for improved education and reflection.   00:00 Introduction and Guest Welcome 00:37 Richard Lyon's Background and Talk Overview 01:00 The Importance of Case Learning and Debriefing 02:12 Challenges and Strategies in Case Learning 04:24 The Power of Video Recording in Clinical Practice 07:30 Implementing Video Recording: Practical Steps 08:24 Addressing Concerns and Building Trust 12:56 Senior Clinicians and Vulnerability 17:33 Supporting Pre-Hospital Clinicians 20:35 Conclusion and Final Thoughts   The Guest - Richard Lyon   Professor Lyon is an active UK NHS Consultant in Emergency Medicine and Pre-hospital Care in Edinburgh and Deputy Medical Director for Air Ambulance, Kent Surrey & Sussex. A globally recognised leader in pre-hospital and emergency medical care, Prof Lyon works for multiple world class organisations, helping to develop current and future state-of-the art medical devices, systems and concepts aiming to save lives across the globe. A respected clinical leader and senior medical advisor to both governments and global corporations, with a track record of delivering high quality output and success across clinical, academic, research and innovation. Prof Lyon was made a Member of the Most Excellent Order of the British Empire (MBE) by HM The Queen in the 2017 Honours, for Services to Emergency Healthcare, after he established a programme of work on out-of-hospital cardiac arrest for Scotland. Prof Lyon holds a personal Chair of Pre-hospital Emergency Care at the University of Surrey and has an established research portfolio in pre-hospital resuscitation and trauma care, with an extensive publication record. Prof Lyon is a current member of the Faculty of Pre-hospital Care and author of several international guidelines. Prof Lyon is a Physician with the UK International Search & Rescue Team.

Highlights from Lunchtime Live
How endometriosis can affect your fertility

Highlights from Lunchtime Live

Play Episode Listen Later Mar 12, 2025 12:53


As part of Endometriosis Awareness Month, Andrea is joined by Dr Bart Kuczera, Deputy Medical Director and Fertility Consultant at Beacon CARE Fertility, to discuss how the condition can impact your fertility, and answer your questions.

Fertility in Focus by Fertility Matters Canada
The Truth About Endometriosis & Fertility with Dr. Sony Sierra

Fertility in Focus by Fertility Matters Canada

Play Episode Listen Later Mar 4, 2025 31:57


Send us a textIn honour of Endometriosis Awareness Month, tune in to this republished, intriguing episode with Dr. Sony Sierra, a renowned reproductive endocrinologist at TRIO Fertility in Toronto and a past president of the Canadian Fertility and Endocrinology Society. Dr. Sierra takes us deep into endometriosis, shedding light on this misunderstood condition.Dr. Sony Sierra unpacks the realities of endometriosis—its overlooked symptoms, diagnostic challenges, and misunderstood impact on fertility. She breaks down the three key ways it affects conception, the best treatment options, and what patients need to know at every stage of their journey. This episode is a must-listen for anyone seeking clarity, support, and empowerment in the fight for endometriosis awareness.More About our Guest Speaker:Dr. Sony Sierra, MD, FRCSC, REI (She/Her), serves as a distinguished Reproductive Endocrinology & Infertility Specialist (REI) and Deputy Medical Director and Partner at TRIO. With nearly two decades of experience, she specializes in reproductive health, recurrent pregnancy loss, and early Recurrent Pregnancy Loss (RPL) programs. As the Medical Director at EVOLVE Egg Freezing Clinic and an Associate Physician at Women's College Hospital, she contributes significantly to advancing reproductive medicine. Dr. Sierra's research interests include infertility, implantation failure, and PCOS, reflected in her publications and conference presentations. Passionate about patient care, she approaches her practice with compassion and dedication, guided by her belief in excellence and empathy. Dr. Sierra's commitment to ongoing education and involvement in esteemed societies ensures her patients receive the most up-to-date care and expertise. She finds immense fulfillment in helping individuals and couples achieve their dreams of starting a family, making her a valued asset in the field of fertility medicine.For more info about Dr. Sierra, you can check out the TRIO Fertility Website: https://triofertility.com/team-member/sony-sierra/ or their Instagram at @triofertility. Follow Dr. Sierra directly at @drsonysierra.If you or your organization would like to sponsor educational episodes just like this, please contact us at podcast@fertilitymatters.ca. Follow Fertility Matters Canada at @fertility_canada on Instagram and TikTok.

Supercharged with Anna Geary
Supercharged with Anna Geary - Fitness Terms and Health Checks As We Age

Supercharged with Anna Geary

Play Episode Listen Later Feb 16, 2025 43:59


Anna talks to Hyrox champion, 70 year old Celia Duff; Trainer Brian Keanes translates common fitness terms. Mayo librarian Darina Molloy prescribes books. Daithi Ó Sé takes the Supercharged Speed Quiz, and Dr Suzanne Kelly, Deputy Medical Director of the Irish College of General Practitioners tells us what we should be getting checked as we age.

ASTRO Journals
Red Journal Podcast February 1, 2025: PSMA and SBRT – Innovations in Localized Prostate Cancer Treatment

ASTRO Journals

Play Episode Listen Later Jan 15, 2025 62:12


Dr. Sue Yom, Editor in Chief, hosts guests Dr. Cristian Udovicich, a Fellow in Radiation Oncology at the University of Toronto's Sunnybrook Odette Cancer Centre, and Dr. Angela Jia, Assistant Professor and Assistant Residency Program Director at University Hospitals Cleveland Medical Center, who were the first and second authors of "Evolving Paradigms in Prostate Cancer: The Integral Role of Prostate-Specific Membrane Antigen Positron Emission Tomography/Computed Tomography in Primary Staging and Therapeutic Decision-Making." In addition, we review long-term SBRT results with Dr. Andrew Loblaw, Full Professor in the Department of Radiation Oncology and Institute of Health Policy, Management and Evaluation at Sunnybrook Health Science Center at the University of Toronto and supervising author of "Stereotactic Radiation Therapy for Localized Prostate Cancer: 10-Year Outcomes From Three Prospective Trials," and Dr. Constantinos Zamboglou, Deputy Medical Director at the German Oncology Center in Limassol, Cyprus and first author of an accompanying editorial, "Stereotactic Body Radiotherapy for Prostate Cancer is Getting Mature: 10-Year Outcomes From Three Prospective Trials."

MONEY FM 89.3 - Prime Time with Howie Lim, Bernard Lim & Finance Presenter JP Ong
The Big Story: Are we seeing more knife-related attacks in Singapore?

MONEY FM 89.3 - Prime Time with Howie Lim, Bernard Lim & Finance Presenter JP Ong

Play Episode Listen Later Dec 16, 2024 12:47


We’ve been hearing news about knife-related attacks and stabbing cases in the news in recent months. Last week, a knife attack in Hougang left one woman dead and two others, including the suspected assailant, injured. In November, the Police received a call for assistance at a church after a priest had been stabbed during mass. What’s behind the recent spate of knife-attacks in Singapore? On The Big Story, Hongbin Jeong speaks with Dr David Teo Choon Liang, Senior Consultant Psychiatrist and Deputy Medical Director at Connections MindHealth to find out more. See omnystudio.com/listener for privacy information.

Cambridge Breakfast
Air Ambulance Week

Cambridge Breakfast

Play Episode Listen Later Sep 12, 2024 11:12


In Air Ambulance Week Julian Clover is joined by Dr Nicola Ebbs, Deputy Medical Director of the East Anglian Air Ambulance.

Just Chill Parenting Podcast
S1E35 Allergies with Professor Adam Fox

Just Chill Parenting Podcast

Play Episode Listen Later Aug 26, 2024 43:01


In this episode Rosey interviews Dr. Adam Fox, a paediatric allergist. They discuss what causes allergies, touching on how genetics and the environment play a part. Adam shares insights on introducing potential allergens like peanuts and eggs early in a child's diet to help reduce allergy risks. They talk about eating nuts during pregnancy, and the importance of managing eczema.Adam fills Rosey in on allergy testing and diagnosis, stressing the importance of getting it right for better management and avoiding unnecessary food restrictions. This episode is all about giving parents the know-how to handle their kids' allergies for better sleep and happier families. Professor Adam Fox read Medicine and Neuroscience at Cambridge University before completing his clinical training at University College, London. After specialist training in Paediatric Allergy in 2006, he spent 9 years as clinical lead for Allergy (Adult & Paediatric) at Guy's & St Thomas' Hospitals, London – obtaining recognition as an International Centre of Excellence by both the World Allergy Organisation and GALEN (European Asthma & Allergy Network). After 3 years as Clinical Director for Specialist Ambulatory Medicine, he was appointed Deputy Medical Director for Guy's & St Thomas' Hospitals NHS Foundation Trust in 2018. Adam is a consultant Paediatric Allergist at Evelina London Children's Hospital and Professor of Paediatric Allergy at King's College London. He was the founding Director of the KCL Allergy Academy, a postgraduate educational programme, which was a finalist at the BMJ Awards in 2018. Adam chaired the UK Department of Health National Care Pathway for Food Allergy in Childhood and was a member of the National Institute of Healthcare and Clinical Excellence (NICE) clinical guideline development group for the assessment and diagnosis of food allergy in children. He previously chaired the Paediatric Committee of the British Society of Allergy & Clinical Immunology (BSACI) and was elected as BSACI President, the first Paediatrician to hold this position, from October 2018 until 2021. He remains a trustee and Immediate Past President of BSACI and in July 2022 was appointed at Chair of the National Allergy Strategy Group. Adam was awarded ‘Paediatric Allergist of the Year' from Allergy UK in 2007. His doctoral thesis on peanut allergy received the Raymond Horton Smith prize from Cambridge University in 2012 and he was included in The Times ‘Britain's 100 Best Children's Doctors' (2012). Adam received the William Frankland Award for Outstanding contribution to Allergy from the British Society of Allergy & Clinical Immunology in 2015 and a National Clinical Excellence award from the UK Department of Health in 2016 and 2020. He was also listed in the most recent ‘The Tatler Doctors List' (2013) of the best 250 UK private medical consultants. In 2024, Adam became only the second person to receive the BSACI Fellows Award in recognition of outstanding contribution to clinical allergy. Adam's private practice is Allergy London and he posts regularly about allergy related issues on Instagram ‘@DrAdamFox.'

The Medical Women Podcast
S5 Episode 5: Lifting as we climb with Dr Sarb Clare MBE

The Medical Women Podcast

Play Episode Listen Later Jun 6, 2024 36:57


Hello! Welcome back to The Medical Women Podcast! This week our fabulous guest is Dr Sarb Clare MBE. Sarb is an Acute Medical Consultant, Deputy Medical Director and all round champion of trainees! I've met Sarb at a couple of conferences and she encourages and champions her trainees so much. I hope we can all be more Sarb! Follow the Medical Women's Federation on social media:   Website: Click here to join the Medical Women's Federation or sign up to our free newsletter   Twitter: @medicalwomenuk Instagram: @medicalwomenuk Facebook: MedWomen   For any enquires about the Medical Women's Federation, email admin@medicalwomensfederation.org.uk  To get in touch about the podcast, email medicalwomenpodcast@gmail.com  This podcast is produced on behalf of the Medical Women's Federation by Dr Nuthana Bhayankaram & Ms Jenna MacKenzie. Our music is composed and played by Dr Kethaki Bhayankaram.

Rural Health Leadership Radio™
403: REPLAY: A Conversation with Dr. Emma Watson

Rural Health Leadership Radio™

Play Episode Listen Later May 14, 2024 35:15


When you think about rural healthcare, you may not think about Scotland, but Scotland has some very rural areas that deal with similar issues we deal with in rural America.  Hear about what they are doing in rural Scotland to deliver health and wellbeing to their residents, by listening to our conversation with Dr. Emma Watson, 2021-22 U.K. Harkness Fellow in Health Care Policy and Practice Deputy Medical Director at NHS Highland. “NHS Highland delivers integrated health and social care, so it is not just about illness.” ~Dr. Emma Watson Dr. Emma Watson MSc, FRCPath, FRCPEd is a 2020-21 UK Harkness Fellow in Healthcare Policy and Practice.  A Consultant Medical Microbiologist by background and a senior clinical systems leader in Scotland, she is an expert in quality improvement and in medical education and workforce planning.  Emma is Deputy Medical Director in NHS Highland which is, geographically, one of the largest and most sparsely populated combined health and social care systems in the UK.  She is also a senior medical adviser in the Scottish Government.  In both roles her focus is on developing innovative approaches to ensuring equitable access to high quality health care services with a sustainable healthcare workforce, particularly in remote and rural areas.   Emma has led a number of major change programs including the development of Scotland's first graduate entry medical school.  Emma previously held a post in the Scottish Government as Clinical Lead for the Scottish Patient Safety Program during which time she ensured quality improvement methodology translated from the development of health policy and strategy through to implementation across the entirety of the Scottish healthcare system.  Scotland was the first country in the world to implement a patient safety program on a whole system basis at national level.  As Director of Medical Education in NHS Highland she focused on the delivery of high quality medical education as a tool to increase recruitment and attract young doctors to the region as well as ensuring there is now an established programme to encourage young people from the area to go to medical school.  During the COVID-19 pandemic she led the clinical response in her region and ensured there was a whole system approach to manage the impact of the virus.  

Fertility in Focus by Fertility Matters Canada
Endometriosis and Family Planning: What You Need to Know with Dr. Sony Sierra

Fertility in Focus by Fertility Matters Canada

Play Episode Listen Later Mar 27, 2024 32:47


In honour of Endometriosis Awareness Month, we sit down with Dr. Sony Sierra, a renowned reproductive endocrinologist at TRIO Fertility in Toronto and a past president of the Canadian Fertility and Endocrinology Society. Dr. Sierra takes us deep into endometriosis, shedding light on this misunderstood condition.She begins by explaining what endometriosis is, delving into its symptoms, signs, and the challenges surrounding its diagnosis, including the various stages involved. Dr. Sierra discusses how commonly the symptoms and pain associated with menstruation are disregarded, emphasizing the importance of understanding and recognizing these signs.Dr. Sierra discusses the intricate relationship between endometriosis and fertility, outlining the three primary ways it impacts one's ability to conceive. She provides invaluable insights into what patients can expect if they suspect they have endometriosis, including the medical approaches to diagnosis and treatment.For those navigating their fertility journey, Dr. Sierra offers guidance on the best treatment options, whether they are actively trying to conceive or in the pre-planning phase. She also addresses how endometriosis affects everyday living. This episode equips listeners with the knowledge and tools to navigate endometriosis with confidence and empowerment. Tune in to gain a comprehensive understanding of endometriosis and join the movement toward greater awareness and transparency in reproductive health.More About our Guest SpeakerDr. Sony Sierra, MD, FRCSC, REI (She/Her), serves as a distinguished Reproductive Endocrinology & Infertility Specialist (REI) and Deputy Medical Director and Partner at TRIO. With nearly two decades of experience, she specializes in reproductive health, recurrent pregnancy loss, and early Recurrent Pregnancy Loss (RPL) programs. As the Medical Director at EVOLVE Egg Freezing Clinic and an Associate Physician at Women's College Hospital, she contributes significantly to advancing reproductive medicine. Dr. Sierra's research interests include infertility, implantation failure, and PCOS, reflected in her publications and conference presentations. Passionate about patient care, she approaches her practice with compassion and dedication, guided by her belief in excellence and empathy. Dr. Sierra's commitment to ongoing education and involvement in esteemed societies ensures her patients receive the most up-to-date care and expertise. She finds immense fulfillment in helping individuals and couples achieve their dreams of starting a family, making her a valued asset in the field of fertility medicine.For more info about Dr. Sierra, you can check out the TRIO Fertility Website: https://triofertility.com/team-member/sony-sierra/ or you can follow her on Instagram @drsonysierra. Afynia Laboratories, a Canadian biotechnology company, is pleased to announce the availability of EndomiR, the first validated diagnostic blood test for endometriosis. Afynia is currently offering EndomiR to Canadian fertility clinics for patients with unexplained infertility and/or symptoms suggestive of endometriosis. EndomiR shortens the diagnostic pathway by providing physicians with actionable data to inform safe and effective treatment options. EndomiR will be available to a wider au

Inspiring Women Leaders
Episode 45 - Dr Sonali Kinra

Inspiring Women Leaders

Play Episode Listen Later Feb 14, 2024 102:12


Dr Sonali Kinra is a General Practitioner (Family Physician) and the Deputy Medical Director of North Central London Integrated Care Board. She completed her undergraduate training in India, moved to England in 2004, and began practising as a GP in 2008. She has held multiple clinical leadership roles across NHS at system and national level, improving patient and staff experience and outcomes.She set up the first sponsorship program in 2022 across the Midlands region for women working in General Practice and Primary Care, which had resounding success.Sonali's commitment to workforce equity and improved accessibility to excellent healthcare has been recognized with the Professional excellence Award 2021 by the British Association of Physicians of Indian Origin (BAPIO) and in her inclusion on the Health Service Journal's 2022 Rising start list of 50 most influential BAME people in health.She is also one of the youngest trustee Board members of Royal College of General Practitioners. She lives in London with her surgeon husband.In this episode, Sonali and I chatted about:Her leadership roles Her leadership style Her leadership journey The leaders that helped her rise The challenges she faced on her journey How she navigated those challenges How she thinks you can become a strong and kind leader Her ‘take home' leadership messages for the listeners, and What she is currently excited to be working on.Sonali can be found and/or contacted via the following online platform addresses: Email: sonali.kinra@nhs.netLinkedIn: https://www.linkedin.com/in/sonali-kinra-6a4155114/X (Twitter): @SonaliKinraPlease reach out to Dr Harrison for individual coaching and/or organisational training via dr.adam@coachingmentoringdoctors.com.His web address and social media profile links / handles include:www.dradamharrison.comhttps://www.linkedin.com/in/dradamharrison/www.youtube.com/c/DrAdamPhysicianCoachhttps://www.facebook.com/coachingmentoringdoctors/https://www.instagram.com/dradamharrison/

Doctors at Work
How to be a good role model. With Sue Carr. Episode 57

Doctors at Work

Play Episode Listen Later Jan 19, 2024 35:37 Transcription Available


Most of us will remember role models (good and bad) that have heavily influenced who we are today. Sue Carr tells me that actually everyone of us is a role model to someone, we need to remember that and be aware of the shadow that we cast. Her top tips are to know yourself, and to show up day after and display consistently good values and behaviours such as compassion, listening and generosity.Professor Sue Carr is the Deputy Medical Director of the General Medical Council. She continues to practice as a Consultant Nephrologist in Leicester where she is also an Honorary Professor of Medical Education at University of Leicester. She was previously, Director of Clinical Education and an Associate Medical Director at the University Hospitals of Leicester NHS Trust for 9 years and prior to that Associate Postgraduate Dean & Foundation School Director in the East Midlands Deanery. She is a Senior Fellow of the Faculty of Medical Leadership and Management and a Fellow of the UK Academy of Medical Educators. She has previously held several national roles in medical education including as Chair of the UK Renal Association Education and Training committee, member of National Association of Clinical Tutors Council, and she was an elected Councillor of the Royal College of Physicians.Role modelling is important for us all, and GMC's Good Medical Practice document makes specific reference to it. You may also be interested in reading the Caring for Doctors - Caring for Patients report, or look at the King's Fund and Health Foundation's work on compassionate leadership. The Stoneygate Empathy Centre also has a number of publications / courses.

RCPCH podcasts
Patient safety 1 - How can we build a culture of safety in paediatric healthcare?

RCPCH podcasts

Play Episode Listen Later Jan 10, 2024 60:47


Healthcare is inherently risky and so as child health professionals we need to make patient safety a priority in all our actions. We need to think about safety all the time.  In episode 1 of our six-part series on paediatric patient safety, we speak with Dr Peter Lachman, who develops and delivers programmes for clinical leaders in quality improvement at the Royal College of Physicians in Dublin. As Peter explains on the podcast, we healthcare professionals need to know patient safety theory - but, more importantly, we need to know how to apply it, drive improvement and create a workplace culture that fosters safe working practices. Everyone - from the most junior member of the team to the most senior paediatric clinical leader - needs to think about patient safety all day every day. A safe culture takes time to build. Shared activities such as handover, huddles and debrief can model good behaviour and benefit performance. Repeating behaviours that represent a safe culture can create a virtuous cycle which can change deeply held attitudes and beliefs, then ultimately the safe culture overall. Thank you for listening. Dr Natalie Wyatt, RCPCH Clinical Fellow and Jonathan Bamber RCPCH Head of Quality Improvement Produced by 18Sixty Please be advised that this series contains stories relating to child death and harm. All views, thoughts and opinions expressed in this podcast series belong to the guests and not necessarily to their employer, linked organisations or RCPCH. Download transcript (PDF) About the Patient safety podcast series As doctors we ‘first, do no harm'. However, the systems in which we work are rife with safety issues and resultant harm. In thinking about how to improve this, we have brought together leaders in the field to discuss challenging and thought-provoking issues around keeping our children safe in healthcare settings. We hope you will be entertained, educated, and energised to make strides in improving the safety of the children that you care for. There are lots of resources that expand on this on the RCPCH Patient Safety Portal, including the theory of patient safety culture and examples of how people across the UK are doing this well. Visit at https://safety.rcpch.ac.uk. More about Dr Peter Lachman Dr Peter Lachman develops and delivers programmes to develop clinical leaders in quality improvement at the Royal College of Physicians in Dublin. He works with HSE Global in Africa, and he was Chief Executive Officer of the International Society for Quality in Healthcare (ISQua) from 1 May 2016 to 30 April 2021. Peter was a Health Foundation Quality Improvement Fellow at IHI in 2005-2006 and then went on to be the Deputy Medical Director with the lead for Patient Safety at Great Ormond Street Hospital 2006-2016. Peter was also a Consultant Paediatrician at the Royal Free Hospital in London specialising in the challenge of long-term conditions for children. Peter is the lead editor of the OUP Handbook on Patient Safety published in April 2022; Co-Editor of the OUP Handbook on Medical Leadership and Management published in December 2022; and Editor of the OUP Handbook on Quality Improvement to be published in 2024. Topics/organisations/papers referenced in this podcast ISQUA (International Society for Quality in Healthcare) Oxford Professional Practice: Handbook Of Patient Safety IHI (Institute for Health Improvement) Human factors - on RCPCH Patient Safety Portal S.A.F.E. Collaborative - on RCPCH Patient Safety Portal Cincinnati Childrens Hospital patient safety Paediatric Early Warning System (NHS England) BMJ Quality & Safety journal Lachman, P., Linkson, L., Evans, T., Clausen, H., & Hothi, D. (2015). Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report. BMJ quality & safety, 24(5), 337–344 Health Foundation A framework for measuring quality, with Professor Charles Vincent et al WellChild: the national charity for sick children Applied human factors - on RCPCH Patient Safety Portal 5 whys SEIPS (Systems Engineering Initiative for Patient Safety) Psychological safety- on RCPCH Patient Safety Portal Situational awareness - on RCPCH Patient Safety Portal MaPSaF (Manchester Patient Safety Awareness Framework) Top Gun Irish Certificate in Essential Leadership for New Consultants Rolfe et al's reflective model (PDF) (what now what so what) NHS England: Improving patient safety - a practical guide

I'm Aware That I'm Rare: the phaware® podcast
Episode 440 - Mitesh Thakrar, MD

I'm Aware That I'm Rare: the phaware® podcast

Play Episode Listen Later Nov 6, 2023 13:06


Mitesh Thakrar, MD is a Clinical Associate Professor at the University of Calgary and the current Deputy Medical Director of the Southern Alberta Transplant Program. In this episode, Dr. Thakrar discusses titration of pulmonary arterial hypertension therapeutics. Learn more about pulmonary hypertension trials at www.phaware.global/clinicaltrials. Follow us on social @phaware Engage for a cure: www.phaware.global/donate #phaware Share your story: info@phaware.com @phacanada  #phawareMD

Operate with Zen
74. Leading with Kindness with Ms. Nadine Coull

Operate with Zen

Play Episode Listen Later Oct 4, 2023 55:42


Ms. Nadine Coull, MBBS, MS, FRCS (Urol) is the Deputy Medical Director of the National Health Services (NHS) and President of the Urology Section of the Royal Society of Medicine.  In addition, she is the Deputy Medical Director of Kingston Hospital.  Nadine never envisioned herself as a leader of a hospital, hospital system, or the NHS – but through deep beliefs in compassion and kindness found herself rising through the leadership ranks first locally then nationally.    She is a strong believer in boundaries – professionally and personally – to promote health and wellness.  We touch on her presidential address, The One with the Pink Bag, offering perspectives of being a strong woman in medical leadership.  And she gives us unique perspective on leadership with an international angle – allowing us to compare and contrast promotions and leadership in the US and the UK. We arrive on an important similarity – “Don't underestimate the power of kindness.”  I hope you enjoy, I certainly did.

MEM Cast
Episode 175: QI steps and PDSA

MEM Cast

Play Episode Listen Later Aug 11, 2023 17:10


In this episode we continue our discussion about Quality Improvement with Dr Choudhury, Respiratory Consultant and Deputy Medical Director for quality and safety at University hospitals of Derby and Burton. Today we discuss stages to a QI project, PDSA cycles and useful resources for your own QI journey! Other QI resources:- Twitter: #QITwitter @AklakC @QIPstart - www.QIPstart.com- NHS elect website: https://www.nhselect.nhs.uk/- Local support in your own trust - Q community (search for people in your trust with QI interest): https://q.health.org.uk/- RCP Medical care driving change: https://www.rcplondon.ac.uk/projects/medical-care-driving-change - RCP QI: https://www.rcplondon.ac.uk/projects/rcp-quality-improvement-rcpqi- Institute of healthcare improvement (US): https://www.ihi.org/- Faculty of medical leadership: https://www.fmlm.ac.uk/- Virginia mason Institute: https://www.virginiamasoninstitute.org/about/  https://www.england.nhs.uk/sustainableimprovement/virginia-mason-institute-partnership/- NHS improvement: https://www.england.nhs.uk/

How To LA
The Long Struggle Veterans Face For Housing in LA: Part 1

How To LA

Play Episode Listen Later Jun 20, 2023 19:32


#115: In May, 179 new apartments opened up for unhoused veterans at the West LA Veterans Affairs campus. Some veterans who have been stuck inside the VA system for years to were finally able to secure housing. But the development is still years behind schedule and hundreds of units short, leaving roughy 4,000 veterans in L.A. County without a permanent place to live. This is part one in a special two-part series about the veteran homelessness crisis in LA. Today, we explore how a long history riddled with bureaucracy and red tape within the U.S. Department of Veterans Affairs and other government agencies have left thousands of veterans unhoused in LA – a place once known as the "homeless veteran capital" of the county.  HTLA and our unhoused communities reporter, Nick Gerda, head to the West LA campus to talk to some unhoused – and formerly unhoused – veterans and advocates, as well as LA Mayor Karen Bass and VA officials, about the current state of affairs for vets in this city. Guests: Josh Petit, formerly unhoused veteran currently living in a tiny home on the West LA VA campus; Rob Reynolds, unhoused veteran advocate and formerly unhoused veteran; Karen Bass, Mayor of LA, John Kuhn, Deputy Medical Director of the West LA VA  

TopMedTalk
Where are you with perioperative care? Part 2 | EBPOM World Congress

TopMedTalk

Play Episode Listen Later Apr 24, 2023 17:27


This piece is a question and answer session, it's divided into two parts, this is part two. Following on from our previous podcasts, https://topmedtalk.libsyn.com/a-patients-perioperative-perspective-ebpom-world-congress / https://topmedtalk.libsyn.com/essential-update-the-center-for-perioperative-care-ebpom-world-congress / https://topmedtalk.libsyn.com/whats-new-in-education-and-training-in-perioperative-care-ebpom-world-congress this discussion is an invaluable and at points frank examination of perioperative care. What does it look like when ‘the rubber meets the road'? Hosted by Dave Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC) and Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton. We join them as questions from the online audience are answered by the panel, which includes; Patient Advocate - Lawrence Mudford, enjoyed a 38-year healthcare career working as a dentist and dental educator within both primary and secondary care, Steven Evans, Center for Perioperative Care (CPOC) Fellow and anaesthetic trainee (ST7), Sophie Randall, Director of the Patient Information Forum and Scarlett McNally, Deputy Director for CPOC and honoree, Clinical Professor at Brighton and Sussex medical school and consultant orthopedic surgeon in East Sussex.

TopMedTalk
Where are you with perioperative care? Part 1 | EBPOM World Congress

TopMedTalk

Play Episode Listen Later Apr 17, 2023 24:06


Following on from our previous podcasts, https://topmedtalk.libsyn.com/a-patients-perioperative-perspective-ebpom-world-congress / https://topmedtalk.libsyn.com/essential-update-the-center-for-perioperative-care-ebpom-world-congress / https://topmedtalk.libsyn.com/whats-new-in-education-and-training-in-perioperative-care-ebpom-world-congress this discussion is an invaluable and at points frank examination of perioperative care. What does it look like when ‘the rubber meets the road'? Hosted by Dave Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC) and Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton. We join them as questions from the online audience are answered by the panel, which includes; Patient Advocate - Lawrence Mudford, enjoyed a 38-year healthcare career working as a dentist and dental educator within both primary and secondary care, Steven Evans, Center for Perioperative Care (CPOC) Fellow and anaesthetic trainee (ST7), Sophie Randall, Director of the Patient Information Forum and Scarlett McNally, Deputy Director for CPOC and honoree, Clinical Professor at Brighton and Sussex medical school and consultant orthopedic surgeon in East Sussex.

Reede Scholars Live
Let's talk Health Equity, Mental Health, Emotional Well-Being, and Young People of Color

Reede Scholars Live

Play Episode Listen Later Apr 17, 2023 38:33


In this episode, Annelle Primm, MD, MPH, a psychiatrist and Senior Medical Advisor of The Steve Fund, joins us.  Dr. Primm has a long-standing commitment to serving vulnerable populations and has previously served as Deputy Medical Director of the American Psychiatric Association, an Associate Professor in the Department of Psychiatry and Behavioral Sciences at the Johns Hopkins School of Medicine, and as Director of the APA's Division of Diversity and Health Equity.  The Steve Fund is the nation's leading organization focused on supporting the mental health and emotional well-being of young people of color.  At the Steve Fund, Dr. Primm works to be part of the solution by enlightening family members, faculty, university administrators, and students themselves, to understand the needs of students of color and be intentional and deliberate about instituting protective factors to optimize their college experience. --- Support this podcast: https://podcasters.spotify.com/pod/show/reede-scholars/support

TopMedTalk
A Patient's perioperative perspective | EBPOM World Congress

TopMedTalk

Play Episode Listen Later Mar 27, 2023 17:35


Laurence Mudford (see full bio below) provides the patient perspective and here begins a discussion about perioperative care; what is it, what do people think it is, what should we make it? Taken from the Centre for Perioperative Care's (CPOC) outstanding contribution to the Evidence Based Perioperative Medicine's (EBPOM) World Congress; this piece is the first in a series which originally streamed on the EBPOM.org platform. Ensure you check out their site now as we offer incredible prices on this year's “World Congress”. See these podcasts live, before anyone else and interact with the panel via our easy to use interaction platforms and social media. The piece also features co-chairs Dave Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC) and Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton. Lawrence Mudford has enjoyed a 38-year healthcare career working as a dentist and dental educator within both primary and secondary care. This has included serving on the Board of the Faculty of General Dental Practice (UK) and as a member of the General Dental Council. Following diagnosis and successful treatment for cancer in 2016, Lawrence has realigned his focus and combines his healthcare background with his passion to champion the “patient voice” In this capacity, he sits on the Board of the CPOC. More information about CPOC go here: https://cpoc.org.uk/

The King's Fund podcast
NHS managers: trust, compassion and changing the narrative

The King's Fund podcast

Play Episode Listen Later Feb 28, 2023 30:22


Is the NHS really full of ‘overpaid pen pushers'? Jo Vigor talks to Dr Seema Srivastava, Deputy Medical Director at University Hospitals Bristol and Weston NHS Foundation Trust, Emma Challans-Rasool, Founder and Chair of the Proud2bOps operational network and Director of Organisational Development, Culture and Talent at Nottingham and Nottinghamshire Integrated Care System and Rachel Burnham, Director of Performance and Information at Guy's and St Thomas's NHS Foundation Trust, about the critical role of NHS managers and what it means to bring your humanity to work. Related resources Leading well for staff health and wellbeing in the NHS (free online course) Tenth annual leadership and workforce summit (event) What is compassionate leaderships? (explainer)

Health Education England
Pod in Action with Dr Tariq Hussain - episode 7

Health Education England

Play Episode Listen Later Jan 24, 2023 36:27


Primary Care education and training in Kent, Surrey and Sussex, with Dr Tariq Hussain (Patch Associate GP Dean for North and West Kent). In this episode, we introduce Professor Simon Gregory, who is the Deputy Medical Director of Primary and Integrated Care for HEE. Email - primarycareschool.kss@hee.nhs.uk Facebook - https://www.facebook.com/nhshee/ Twitter - https://twitter.com/nhs_healthedeng Instagram - https://www.instagram.com/nhshee/ A transcript of this episode is available here

Medical Industry Feature
Aiming for Remission in Asthma: An Expert Consensus Framework

Medical Industry Feature

Play Episode Listen Later Jan 13, 2023


Guest: Andrew Menzies-Gow, PhD Host: Charles Turck, PharmD, BCPS, BCCCP Is now the time to shift the asthma management paradigm to prioritize remission as our goal? Dr. Charles Turck is joined by Professor Andrew Menzies-Gow, Director of the Lung Division and Deputy Medical Director at the Royal Brompton and Harefield Hospitals, London, UK, to discuss remission as a goal for patients with asthma. Together, they review a recently published expert consensus framework for asthma remission and discuss whether targeting remission could lead to better outcomes for patients. At the time of recording, Professor Menzies-Gow provided services to AstraZeneca as an External Expert; Professor Menzies-Gow is now a permanent employee at AstraZeneca. ©2022 Amgen and AstraZeneca. All rights reserved. US-69837 Last Updated 12/22

Clinical Conversations
POCUS - An Extension of Clinical Skills (12 Dec 2022)

Clinical Conversations

Play Episode Listen Later Dec 12, 2022 23:05


This week on Clinical Conversations we have two episodes on clinical skills. In the second episode, Dr Jonathan Bardgett talks with Dr Sarbjit Clare about Point of Care Ultrasound (PoCUS) and its use in clinical practice. Dr Sarb Clare MBE is the Deputy Medical Director and Acute Medical Consultant at Sandwell and West Birmingham NHS Trust. She is the NHSEI Midlands Regional Advisor for AIM. She was the first appointed Acute Physician at City Hospital in 2008 where she set up Acute Medicine from infancy and she has been pivotal in developing acute medicine regionally and nationally. She is a national pioneer in Point of Care Ultrasound (POCUS) which she lectures and teaches on nationally. She runs a yearly course “Ultrasound at the Front Door” and has created many free online learning tools and released her first medical book “Ultrasound For the Generalist – A Guide to Point of Care Imaging” with Cambridge University Press in 2021. Recording date: 11 August 2022 -- Follow us -- https://www.instagram.com/rcpedintrainees https://twitter.com/RCPEdinTrainees -- Upcoming RCPE Events -- https://events.rcpe.ac.uk/ Feedback: cme@rcpe.ac.uk

Improve Healthcare
Perspectives in Patient Safety w/ Peter Lachman, MD - Royal College of Physicians of Ireland

Improve Healthcare

Play Episode Listen Later Oct 31, 2022 14:56


Peter Lachman M.D. MPH. M.B.B.Ch., FRCPCH, FCP (SA), FRCPI was Chief Executive Officer of the International Society for Quality in Healthcare (ISQua) from 1st May 2016 to 30th April 2021. He has great experience as a clinician and leader in quality improvement and patient safety. He led the transformation of ISQua to be one of the leading global organisations in quality, safety and person centred care.Dr Lachman was a Health Foundation Quality Improvement Fellow at IHI in 2005-2006 and developed the quality improvement programme at Great Ormond Street Hospital where he was the Deputy Medical Director with the lead for Patient Safety. He was also a Consultant Paediatrician at the Royal Free Hospital in London specialising in the challenge of long term conditions for children. Dr Lachman has been the National Clinical Lead for SAFE, a Heath Foundation funded RCPCH programme which aims to improve situation awareness in clinical teams across England.Currently, he is Lead Faculty Quality Improvement at the Royal College of Physicians of Ireland (RCPI) in Dublin, where he directs the Leadership and Quality programme to develop clinical leaders in quality improvement. He is co-founder and Chairperson of PIPSQC, the Paediatric International Patient Safety and Quality Community.Get a copy of the Handbook of Patient Safety

Rural Health Leadership Radio™
320: A Conversation with Emma Watson

Rural Health Leadership Radio™

Play Episode Listen Later Oct 11, 2022 30:35


In our first episode with Dr. Emma Watson, the 2021–22 U.K. Harkness Fellow in Health Care Policy and Executive Medical Director of NHS Education for Scotland, we talked about the research she started on the challenges faced in rural Scotland and Rural America. This week, Emma is back to tell us about the results of her research into why effective leadership is so important. “Be super proud of being a rural leader, or rural healthcare provider, or a rural community member because it's an amazingly special thing to be.” -Dr. Emma Watson Professor Emma Watson MSc, FRCPath, FRCPEdis a 20/22UK Harkness Fellow in Healthcare Policy and Practice. A Consultant Medical Microbiologist by background and a senior clinical systems leader in Scotland, she is an expert in quality improvement and in medical education, and workforce planning.  Emma is now the Executive Medical Director of NHS Education for Scotland, the organization charged with commissioning and delivering undergraduate and postgraduate medical education in Scotland. Prior to her fellowship Emma was Deputy Medical Director at NHS Highland and held the clinical leadership for4 acute hospitals (3 of which are small rural hospitals) she was also a senior medical adviser in the Scottish Government. In both these roles, her focus was on developing innovative approaches to ensuring equitable access to high-quality healthcare services with a sustainable health and care workforce, particularly in remote and rural areas.  Emma has led a number of major change programs including the development of Scotland's first graduate-entry medical school. Emma previously held a post in the Scottish Government as Clinical Lead for the Scottish Patient Safety Program during which time she ensured quality improvement methodology translated from the development of health policy and strategy through to implementation across the entirety of the Scottish healthcare system. Scotland was the first country in the world to implement a patient safety program on a whole system basis at a national level. As Director of Medical Education in NHS Highland, she focused on delivering high-quality medical education as a tool to increase recruitment and attract young doctors to the region and ensuring there is now an established program to encourage young people from the area to go to medical school. During the COVID-19 pandemic, she led the clinical response in her region and ensured there was a whole system approach to manage the impact of the virus.

The Jolly GP Trainee Podcast
Continuity counts; an interview with Dr Phil Evans, academic GP and Deputy Medical Director of NIHR Clinical Research Network

The Jolly GP Trainee Podcast

Play Episode Listen Later Sep 2, 2022 29:36


An interview with Dr Phil Evans, an academic GP, associate professor at the University of Exeter Medical School, National Institute Health Research (NIHR) Primary Care lead and recently appointed as a deputy medical director of NIHR Clinical Research Network.    A wide ranging conversation including the benefits of continuity of care in General Practice. To find out more about the benefits of continuity for patients and doctors see the St Leonard's Research Practice website https://www.continuitycounts.com/patient-information   Host: Dr Daniel Butler @danielnbutler      

Love, Forgive, Live
Episode 96:My Guest today_ Douglas Bosibori (Acting Deputy Medical Director of Naivasha County Referral Hospita.mp3

Love, Forgive, Live

Play Episode Listen Later Aug 15, 2022 60:35


My guest Dr. Douglas Bosibori is here to share how he implemented Mental Health Benefits for his staff in a major Hospital.

Beyond Leadership: a Cleveland Clinic Podcast
Trust Starts with Follow Through

Beyond Leadership: a Cleveland Clinic Podcast

Play Episode Listen Later Aug 1, 2022 37:59


Dr. Richard Cohen, Chair of the Digestive Disease & Surgery Institute, Professor, Chief of Surgery and Deputy Medical Director at Cleveland Clinic London, joins host Dr. Brian Bolwell to discuss how to build trust by following through on promises, never being above any task, and leading with authenticity.

Living the Front Seat Life LLC (sm) Podcast
How to Heal Communities of Color with Dr. Primm

Living the Front Seat Life LLC (sm) Podcast

Play Episode Listen Later Jul 4, 2022 36:07


Episode 53 Which "Protective Factors" can you put in place to minimize a loved one's risk of developing a mental illness even after experiencing natural or man-made disasters? Nearly two months after the May 14th terrorist attack, the Eastside of Buffalo is beginning the process of healing from the disaster that killed 10 and traumatized hundreds of Black people in Western New York. In this episode you will hear from an expert in community healing and cultural humility on how to offer support to your community.  In honor of Minority Mental Health Awareness month, Coach Kelly Marie is joined by Annelle B. Primm, M.D., MPH, a Baltimore-based community psychiatrist who serves as Senior Medical Director of the Steve Fund, an organization focused on the mental health of young people of color. Dr. Primm is also co-founder, chair and convener of All Healers Mental Health Alliance (AHMHA), a culturally grounded team responding to the mental health needs of Black and other marginalized communities affected by disasters, both natural and human-caused.   This episode is sponsored by BIPOC PEEEEEEK Breaking the Stigma & Silence and Prioritizing Needs. BIPOC PEEEEEEK is hosting the Mental Health in Communities of Color conference on July 13th, 14th and 16th in Rochester, Buffalo and Syracuse NY respectively. Register for this incredible conference today at www.bipocparentvoice.org.     The Symposiums brings together local leaders, regional and national experts, community members, behavioral health providers and stakeholders for a half-day of learning dedicated to addressing mental health and trauma through the lens of equity. The goal is to engage in dialogue to highlight the diversity of needs for both youth and adults across systems and collectively work together to identify strategies to improve care for children and families from diverse backgrounds. The Buffalo event date of July 14th happens to fall on the 60-day mark of the Tops Market massacre and organizers will discuss strategies for long-term plans to address trauma and system level changes.   Mental Health Resources  Call 211 or visit www.211.org for help finding public services in your area Suicide Prevention Helpline has someone for you to talk to 24/7 call  (800) - 273 8255 Text GO to 741741 to reach a trained crisis counselor  Questions for the Host: Email FrontSeatLife@gmail.com  Click Here to rate & review on Apple Podcast  Follow or Share this Podcast from Spotify Add this show to your collection on Pandora. Support the Show with a one-time donation   Hosted by Coach Kelly Marie, founder of Front Seat Life LLC IG @thefrontseatlife FB @thefrontseatlife Produced by JazzCast Pros Podcast Production Network www.JazzCastPros.com  IG @Jazzytonair FB @JazzCastPros #conference #caregiver #MentalHealthMonday #healing #mentalhealth #physicalhealth #BetheLight #FrontSeatLife #JazzCastPros   MORE ABOUT DR. PRIMM Since Hurricane Katrina in 2005, AHMHA has spawned leadership and collaborative action to promote thriving following disasters such as Superstorm Sandy, the Flint Water Crisis, the COVID-19 pandemic, and the Buffalo shooting at Tops supermarket in May 2022.   Dr. Primm was formerly Director of the Johns Hopkins Hospital Community Psychiatry Program. She also served on the executive leadership team of the American Psychiatric Association (APA) as Deputy Medical Director and Director of its Office of Minority and National Affairs, now known as the Division of Diversity and Health Equity.   She received her undergraduate degree from Harvard University, medical degree from Howard University, and psychiatric residency training and master's degree in public health from Johns Hopkins. Dr. Primm has co-authored numerous peer-reviewed articles and is co-editor of the books, Disparities in Psychiatric Care and Women in Psychiatry: Personal Perspectives. Dr. Primm actively provides psychiatric services in Baltimore, Maryland for Hope Health Systems, Inc. and serves on the board of the Black Mental Health Alliance.

Mentally Healthy Nation
8: Is It Time to Rethink Zero Tolerance Policies in Schools?

Mentally Healthy Nation

Play Episode Listen Later Feb 17, 2022 56:17


Inequities within school policies, practices, and procedures can have negative effects on students' mental health and overall life path. On today's episode, our experts talk about Zero Tolerance Policies, which disproportionately affect Black and Brown students and those with mental health conditions. So, is it time for us to come up with a better solution? Listen today as Michael K Fauntroy, Ph.D., Associate Professor & Founding Director of the Race, Politics, and Policy Center at George Mason University and Regina James, MD, Chief of the Division of Diversity & Health Equity and Deputy Medical Director of the American Psychiatric Association discuss this topic.     

Rural Health Leadership Radio™
283: A Conversation with Dr. Emma Watson

Rural Health Leadership Radio™

Play Episode Listen Later Jan 25, 2022 35:05


When you think about rural healthcare, you may not think about Scotland, but Scotland has some very rural areas that deal with similar issues we deal with in rural America. Hear about what they are doing in rural Scotland to deliver health and wellbeing to their residents, by listening to our conversation with Dr. Emma Watson, 2021-22 U.K. Harkness Fellow in Health Care Policy and Practice Deputy Medical Director at NHS Highland. “NHS Highland delivers integrated health and social care, so it is not just about illness.” ~Dr. Emma Watson Dr. Emma Watson MSc, FRCPath, FRCPEd is a 2020-21 UK Harkness Fellow in Healthcare Policy and Practice. A Consultant Medical Microbiologist by background and a senior clinical systems leader in Scotland, she is an expert in quality improvement and in medical education and workforce planning. Emma is Deputy Medical Director in NHS Highland which is, geographically, one of the largest and most sparsely populated combined health and social care systems in the UK. She is also a senior medical adviser in the Scottish Government. In both roles, her focus is on developing innovative approaches to ensuring equitable access to high-quality health care services with a sustainable healthcare workforce, particularly in remote and rural areas. Emma has led a number of major change programs including the development of Scotland's first graduate entry medical school. Emma previously held a post in the Scottish Government as Clinical Lead for the Scottish Patient Safety Program during which time she ensured quality improvement methodology translated from the development of health policy and strategy through to implementation across the entirety of the Scottish healthcare system.  Scotland was the first country in the world to implement a patient safety program on a whole system basis at the national level. As Director of Medical Education in NHS Highland, she focused on the delivery of high-quality medical education as a tool to increase recruitment and attract young doctors to the region as well as ensuring there is now an established programme to encourage young people from the area to go to medical school. During the COVID-19 pandemic, she led the clinical response in her region and ensured there was a whole system approach to manage the impact of the virus.

Cold Steel: Canadian Journal of Surgery Podcast
E94 Mental Health and Surgery with Rebecca Afford, JJ Sidhu and Morad Hameed

Cold Steel: Canadian Journal of Surgery Podcast

Play Episode Listen Later Sep 21, 2021 53:56


With all the attention to inequities in the surgical community and beyond, sometimes the invisible disparities goes unnoticed. Mental health and its impact on surgical outcomes has been relatively poorly studied, and so on today's episode we invited the authors of a new narrative review on the topic to talk about what they found. The title of the paper is “Improving Surgical Quality for patients with Mental Health Illness: A Narrative review” and was published this August. Dr. Rebecca Afford, Dr. JJ Sidhu, and Dr. Morad Hameed joined us to talk about mental health and its impact on surgical outcomes. We would love to hear your thoughts – what does your institution to manage surgical patients with mental health conditions? Email us at podcast.cjs@gmail.com or on twitter @CanJSurg. Links: 1. Improving Surgical Quality for Patients with Mental Health Illnesses: A Narrative Review. https://journals.lww.com/annalsofsurgery/Abstract/9000/Improving_Surgical_Quality_for_Patients_with.93312.aspx Bios: Rebecca Afford is a second year general surgery resident at the University of British Columbia. Jesse Sidhu is a psychiatrist at the Vancouver General Hospital and is the Deputy Medical Director for Vancouver Mental Health and Substance Use, Acute, Tertiary, & Urgent Services. Morad Hameed is the and intensivist at the Vancouver General Hospital (VGH) and an Assistant Professor of Surgery at the University of British Columbia (UBC). He is the Head of the UBC and VGH Division of General Surgery and is a Service Chief for Acute Care Surgery at VGH.

TopMedTalk
Perioperative care of the diabetic patient | EBPOM 2021

TopMedTalk

Play Episode Listen Later Sep 20, 2021 40:11


This piece looks at diabetes from a perioperative perspective, as a patient goes toward surgery how realistic and how important is it for us to treat and manage their condition? What can be done? How can our patients help? How has the evidence moved on these issues? Also, for more on diabetes check out this Journal Club; https://www.topmedtalk.com/journal-club-1-12-various-articles-from-bmj-open-journal-of-bone-joint-surgery-american-volume-diabetes-care-annals-of-surgery/ or this Perioperative Coach; https://www.topmedtalk.com/periop-coach-3-04-perioperative-fluid-management-to-enhance-recovery-after-surgery/ And, for more on The Centre For Perioperative Care (CPOC) go here: https://www.topmedtalk.com/anaesthesia-2019-uk-centre-for-perioperative-care/ Presented by Mike Grocott, Professor of Anaesthesia and critical care at the University of Southampton, and Dave Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC), Dennie Levett, Professor in Perioperative Medicine and Critical Care at Southampton University Hospital NHS Foundation trust and Honorary Associate Professor at the University of Southampton, Emma Page, Transformation Lead East Suffolk and North Essex NHS Foundation Trust, Goher Ayman, Diabetes UK, patient representative from the guideline group, Scarlett McNally, Deputy Director of The Centre for Perioperative Care (CPOC) consultant Orthopaedic Surgeon, Eastbourne DGH, UK, Gerry Rayman, Consultant physician, Ipswich Hospitals NHS Foundation Trust.

Melanoma Insights for Professionals
Multidisciplinary management of primary melanoma

Melanoma Insights for Professionals

Play Episode Listen Later Jun 29, 2021 55:58


Melanoma has many mimics, making detection a challenge. However, early detection and appropriate management of melanoma is crucial to ensuring a patient has the best chance of survival.In this podcast, our multidisciplinary panel discuss:the clinical presentation of melanomatips to help make a clinical diagnosisunderstanding the histological features for diagnosishow to know when to biopsywhich biopsy is bestramifications of subtotal biopsieswho requires a sentinel node assessment and what does that involvewhat is involved in a wide local excision.In addition, the panel reviews a case study to put learnings into practice.This podcast is suitable for Dermatologists, Skin Cancer GPs, GPs, Surgeons, Nurses and other healthcare professionals.SPEAKERS:Dr Adrian Quek - Skin Cancer GP, Melanoma Institute Australia and The Chatswood Skin Cancer ClinicA/Prof Jonathan Stretch AM - Surgical Oncologist and Deputy Medical Director, Melanoma Institute AustraliaDr Bruna Gouveia - Dermatologist, Melanoma Institute AustraliaPlease note that this podcast was accurate at the time of recording (May 2021) but may not reflect the rapidly evolving treatment landscape and approvals in Australia.

TopMedTalk
The Business Case for Prehabilitation | EBPOM London

TopMedTalk

Play Episode Listen Later May 16, 2021 49:53


"It was successful early on within the National Health Service.. [because] you could eliminate the cost of some unhelpful, unnecessary tests... referrals to other "-ologists"... in our system that works, because more work is just more work. It's not more money." Is the business case for prehabilitation a "slam dunk", as some enthusiasts claim? If so how do you measure value versus volume, is value always a subjective term and can the balance between the two be addressed? How does the NHS's "internal market" compare to the US's fee for service environment? Furthermore, where are the sensible limits of prehabilitation, how far do we take it before we move forward to an operation? This piece has been available to EBPOM London attendees since it was first recorded in the earlier part of the year. For exclusive access to other similar pieces now and in the future please visit www.ebpom.org Presented by Monty Mythen and Kay Mitchell, Senior Research Manager for critical care research, NIHR Biomedical Research Centre, University Hospital Southampton, UK, with their guests, David Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC), Sol Aronson, tenured Professor, Duke University and Jeff Vender, Emeritus, Harris Family Foundation Chairman of the Department of Anesthesiology at NorthShore University Health System, Evanston, Illinois and Clinical Professor at the University Of Chicago Pritzker School Of Medicine in Chicago, Illinois  

Inspiring UAE Women Podcast
S1E1 - HE Dr Hawaa Almansoori: Female Leader, Today And Tomorrow

Inspiring UAE Women Podcast

Play Episode Listen Later Apr 27, 2021 24:24


Her Excellency Dr Hawaa Almansoori is a Member of the UAE Federal National Council, Deputy Medical Director of Imperial College London Diabetes Centre, Executive Director at Department of Intramural Research Abu Dhabi Stem Cells Center, Consultant Endocrinologist, Healthcare Executive, Inventor and Entrepreneur. 

Improve Healthcare
Global Perspectives in Quality Improvement and Patient Safety

Improve Healthcare

Play Episode Listen Later Apr 25, 2021 19:45


In this episode, Dr. Peter Lachman from Ireland shares his insights related to quality improvement from a global perspective.Peter Lachman M.D. MPH. M.B.B.Ch., FRCPCH, FCP (SA), FRCPI recently completed five years as Chief Executive Officer of the International Society for Quality in Healthcare (ISQua) Dublin, Ireland. He has extensive experience as a clinician and leader in quality improvement and patient safety. Dr Lachman was a Health Foundation Quality Improvement Fellow at the Institute for Health Improvement in 2005-2006 and developed the quality improvement program at Great Ormond Street Hospital where he was the Deputy Medical Director with the lead for Patient Safety. Prior to joining ISQua, Peter was also a Consultant Pediatrician at the Royal Free Hospital in London specializing in the challenge of long-term conditions for children. Dr Lachman has been the National Clinical Lead for SAFE, a Heath Foundation funded Royal College of Paediatrics and Child Health (RCPCH) program which aims to improve situation awareness in clinical teams. In Ireland he is Lead International Faculty at the Royal College of Physicians Ireland (RCPI) located in Dublin, where he co-directs the Leadership and Quality program to develop clinical leaders in quality improvement. He is co-founder and Chairperson of PIPSQC, the Pediatric International Patient Safety and Quality Community. International Society for Quality in Healthcare - https://isqua.org/Royal College of Physicians Ireland - https://www.rcpi.ie/Royal College of Paediatrics and Child Health - https://www.rcpch.ac.uk/

Innovation Agency
12: In conversation with Dr Cecil Kullu

Innovation Agency

Play Episode Listen Later Feb 15, 2021 29:11


This is a conversation with Dr Cecil Kullu, a clinical leader in the North West who admits to an insatiable curiosity, always asking questions, exploring innovations - and believing in the power of people to help each other.    Dr Kullu FRCpsych is a Consultant Psychiatrist in Liaison Psychiatry and Deputy Medical Director for Research, Innovation and Development at Mersey Care NHS Foundation Trust; Interim Chair North West Clinical Senate and previous Chair of Cheshire and Merseyside Clinical Senate.   Useful links to resources mentioned in the podcast:   Enhancing mental health resilience and anticipating treatment provision of mental health conditions for frontline healthcare workers involved in caring for patients during the COVID-19 pandemic – a call for action: http://www.cln.nhs.uk/document_uploads/CLN-Paper-V.6.6.pdf Life Matters podcasts: https://www.zerosuicidealliance.com/stories/life-matters-podcast-series Zero Suicide Alliance: https://www.zerosuicidealliance.com/ Mersey Care NHS Foundation Trust: https://www.merseycare.nhs.uk/ Please email info@innovationagencynwc.nhs.uk if you would like this podcast in any other format.

OccPod: the official ACOEM podcast
OccPod: COVID Conversations – Episode 1, The Vaccine

OccPod: the official ACOEM podcast

Play Episode Listen Later Jan 26, 2021 24:40


Thank you for joining us for the first episode of COVID Conversations! This series is a special presentation of OccPod, the official podcast of the American College of Occupational and Environmental Medicine. ACOEM is dedicated to sharing the latest COVID-19 news, and host conversations grounded in science with a focus on OEM, or occupational and environmental medicine. In this episode, which was recorded in December 2020, Erin Ransford and Dr. Ismail Nabeel, MD, MPH, MS, FACOEM discuss the COVID-19 vaccine and all it encompasses, including exploring novel pathways, clinical trials, Emergency Use Authorization (EUA,) distribution, and efficacy. Produced and recorded in tandem with ACOEM's COVID-19 Q&A Forum, these recordings aim to educate a general audience on SARS CoV2 and COVID-19. Be sure to check back soon for a new episode! About Dr. Nabeel: Dr. Nabeel is the Deputy Medical Director of Employee Health, Safety and Wellness for the Mount Sinai Health System, specializing in the prevention, diagnosis, and treatment of work-related injuries and illnesses. He is an Associate Professor in the Department of Environmental Medicine and Public Health at the Icahn School of Medicine at Mount Sinai. Dr. Nabeel is board certified in Internal Medicine, Preventive Medicine (Occupational Medicine) and Clinical Informatics. A Fellow of the American College of Occupational and Environmental Medicine, Dr. Nabeel currently serves as the Vice Chair of ACOEM's Council on Scientific Affairs.

TopMedTalk
EBPOM London 2020 | The Business Case for Prehabilitation

TopMedTalk

Play Episode Listen Later Nov 18, 2020 50:07


"It was successful early on within the National Health Service.. [because] you could eliminate the cost of some unhelpful, unnecessary tests... referrals to other "-ologists"... in our system that works, because more work is just more work. It's not more money." Is the business case for prehabilitation a "slam dunk", as some enthusiasts claim? If so how do you measure value versus volume, is value always a subjective term and can the balance between the two be addressed? How does the NHS's "internal market" compare to the US's fee for service environment? Furthermore, where are the sensible limits of prehabilitation, how far do we take it before we move forward to an operation? This piece has been available to EBPOM London attendees since it was first recorded in the earlier part of the year. For exclusive access to other similar pieces now and in the future please visit www.ebpom.org Presented by Monty Mythen and Kay Mitchell, Senior Research Manager for critical care research, NIHR Biomedical Research Centre, University Hospital Southampton, UK, with their guests, David Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC), Sol Aronson, tenured Professor, Duke University and Jeff Vender, Emeritus, Harris Family Foundation Chairman of the Department of Anesthesiology at NorthShore University Health System, Evanston, Illinois and Clinical Professor at the University Of Chicago Pritzker School Of Medicine in Chicago, Illinois

RNZ: Nine To Noon
Fears over drugs shortages

RNZ: Nine To Noon

Play Episode Listen Later Oct 22, 2020 23:17


Medication shortages because of Covid-19 are affecting tens of thousands of patients, with no clear timeline for a return to normal. Drugs in short supply include four commonly used contraceptive pills, hormone replacement therapy, an inhaler for Asthma and chronic obstructive pulmonary disease sufferers, blood pressure medications and anti - parkinsons drugs. The Royal College of GPs says is calling on Pharmac to fund some medications that are in plentiful supply but are not currently funded and the Pharmaceutical Society says it is worried about the situation and how long it might last. Rhiannon Braund is the Pharmaceutical Society's Vice President and is leading work on access to and safe use of medicines at the University of Otago's Pharmacovigilance Centre. Dr Bryan Betty is Medical Director of the Royal College of GPS, formerly the Deputy Medical Director for Pharmac.

RNZ: Nine To Noon
Fears over drugs shortages

RNZ: Nine To Noon

Play Episode Listen Later Oct 22, 2020 23:17


Medication shortages because of Covid-19 are affecting tens of thousands of patients, with no clear timeline for a return to normal. Drugs in short supply include four commonly used contraceptive pills, hormone replacement therapy, an inhaler for Asthma and chronic obstructive pulmonary disease sufferers, blood pressure medications and anti - parkinsons drugs. The Royal College of GPs says is calling on Pharmac to fund some medications that are in plentiful supply but are not currently funded and the Pharmaceutical Society says it is worried about the situation and how long it might last. Rhiannon Braund is the Pharmaceutical Society's Vice President and is leading work on access to and safe use of medicines at the University of Otago's Pharmacovigilance Centre. Dr Bryan Betty is Medical Director of the Royal College of GPS, formerly the Deputy Medical Director for Pharmac.

Lawcast
Consent and COVID-19

Lawcast

Play Episode Listen Later Sep 2, 2020 25:06


In this episode of Lawcast our experts Helen Dandridge and Ciaran Claffey are joined by Dr Jackie Martin and Dr Robin Gosh to discuss the issue of taking consent from patients and the impact that COVID-19 has had on clinicians.Jackie is Clinical Director and Governance Clinical Lead for Specialised Cancer Services at Sheffield Teaching Hospitals and Robin Ghosh the Deputy Medical Director at Sheffield Teaching Hospitals, and both share their experiences of how the COVID-19 pandemic has transformed their consent taking process.Support the show (http://www.dacbeachcroft.com)

TopMedTalk
Anaesthesia 2019 | The Centre for Perioperative Care (CPOC)

TopMedTalk

Play Episode Listen Later May 22, 2020 12:39


This piece focuses on The Centre for Perioperative Care (CPOC). How does it work, what are its goals and who is involved? Also, what digital innovations will CPOC be looking towards? For more information check out the website here: https://cpoc.org.uk/ Originally recorded live at Anaesthesia 2019; where world-renowned experts presented the latest advances in perioperative medicine, critical care and pain medicine. Presented by Monty Mythen and Mike Grocott with their guest David Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC).

WRBH Reading Radio Original Programming Podcasts
Public Affairs: Dr. Megan Marino, Deputy Medical Director - New Orleans EMS

WRBH Reading Radio Original Programming Podcasts

Play Episode Listen Later Feb 13, 2020 29:34


In this episode, new host, Babs Wood, sits down with the Deputy Medical Director of New Orleans EMS, Dr. Megan Moreno. Originally aired on Monday, February 10th, 2020.

Stories from Expo
MIH/CP in Baltimore: Helping the Needy

Stories from Expo

Play Episode Listen Later Jan 7, 2020 16:09


Baltimore City Fire Department serves an ultra-urban community, and they just started an MIH/CP program, profiled in Feb. 2019.  Dr. David Marcozzi is the Deputy Medical Director for Baltimore City Fire Department and he discusses EMS in the era of value-based care.  In the latest installment of the Stories From Expo series, our friends at EMS Garage talk to top speakers and thought leaders from the 2019 EMS World Expo in New Orleans. Follow EMS World on Twitter and Facebook, and Instagram.  EMS World Expo will be held Sept. 14-18, 2020 in Las Vegas!

MONEY FM 89.3 - Workday Afternoon with Claressa Monteiro
Health Suites: The Various Means of Treating Prostate Cancer

MONEY FM 89.3 - Workday Afternoon with Claressa Monteiro

Play Episode Listen Later Sep 4, 2019 16:46


Join Claressa Monteiro, as she speaks with Dr Daniel Tan, Deputy Medical Director, Consultant, Radiation Oncologist, Concord International Hospital about the four types of prostate cancer, how systemic therapy and radiation therapy are used in treating various forms of cancer and the impact treatment will have on a victim’s daily activities.

MONEY FM 89.3 - Workday Afternoon with Claressa Monteiro
Prostate Cancer: What You Need to Know

MONEY FM 89.3 - Workday Afternoon with Claressa Monteiro

Play Episode Listen Later Jun 28, 2019 20:06


Dr. Daniel Tan, Deputy Medical Director at Concord International Hospital, stops over for Coffee With Claressa to explain prostate cancer, help us identify the symptoms, and debunk the myths surrounding the third most prevalent cancer affecting Singaporean men.

TopMedTalk
Anaesthesia 2019 | The Centre for Perioperative Care (CPOC)

TopMedTalk

Play Episode Listen Later May 21, 2019 12:19


Live from Anaesthesia 2019, on day two of the conference; a 'must-attend event' for the specialty where world-renowned experts present the latest advances in perioperative medicine, critical care and pain medicine. This piece focuses on The Centre for Perioperative Care. Presented by Monty Mythen and Mike Grocott with their guest David Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC).

Osler Podcasts
Dan Bodnar - Prehospital tranexamic acid

Osler Podcasts

Play Episode Listen Later May 15, 2019 10:33


Tranexamic acid is an old drug with a new purpose, and is increasingly found in the drug kits of prehospital providers. Dr Dan Bodnar, Deputy Medical Director of Queensland Ambulance Service, joins Todd on the podcast to discuss the uses, evidence base and administration of Tranexamic acid. Dan is a Brisbane based Emergency Physician.  His work life between the Royal Brisbane and Women's Hospital, the Queensland Ambulance Service and the Queensland Children's Hospital.  

Ourselves Black Podcast
Dr. Annelle Primm: Innovative Solutions/Use of Technology Addressing Young Adult Mental Health Part. 2

Ourselves Black Podcast

Play Episode Listen Later May 14, 2019 19:41


Dr. Annelle Primm, a community psychiatrist based in Baltimore, Maryland, is the Senior Medical Advisor for the Steve Fund, the nation's only organization focused on the mental health and emotional well-being of college students of color. Dr. Primm was formerly Deputy Medical Director of the American Psychiatric Association (APA) and served as APA's Director of the Office of Minority and National Affairs. She was previously Director of the Johns Hopkins Community Psychiatry Program where she oversaw a variety of mental health services for adults. Dr. Primm has written and lectured widely on culture issues in mental health, eliminating disparities in mental health care, and the social determinants of mental health.

Ourselves Black Podcast
Dr. Annelle Primm: Innovative Solutions/Use of Technology Addressing Young Adult Mental Health Part. 1

Ourselves Black Podcast

Play Episode Listen Later May 8, 2019 15:51


Dr. Annelle Primm, a community psychiatrist based in Baltimore, Maryland, is the Senior Medical Advisor for the Steve Fund, the nation's only organization focused on the mental health and emotional well-being of college students of color. Dr. Primm was formerly Deputy Medical Director of the American Psychiatric Association (APA) and served as APA's Director of the Office of Minority and National Affairs. She was previously Director of the Johns Hopkins Community Psychiatry Program where she oversaw a variety of mental health services for adults. Dr. Primm has written and lectured widely on culture issues in mental health, eliminating disparities in mental health care, and the social determinants of mental health.

Journal of Oncology Practice Podcast
CancerLinQ: Cutting the Gordian Knot of Interoperability

Journal of Oncology Practice Podcast

Play Episode Listen Later Jan 31, 2019 18:48


With the care of patients with cancer strewn across numerous settings, are electronic health records (EHRs) meeting the definition of interoperability according to the 21st Century Cures Act? Dr. Pennell speaks with author Wendy Rubinstein. Read the related article "CancerLinQ: Cutting the Gordian Knot of Interoperability" on JOP.   Hello and welcome to the ASCO Journal of Oncology Practice podcast. This is Dr. Nate Pennell, medical oncologist at the Cleveland Clinic and consultant editor for the JOP. Most oncologists in America today use an electronic medical record, or EMR. But for a number of reasons, few of us are able to access records for patients outside of our own practice, a concept that's known as interoperability. Today we're going to be talking about a new editorial published as part of a series called "The State of Cancer Care in America." This editorial is titled "CancerLinQ-- Cutting the Gordian Knot of Interoperability," published in the January 2019 issue of the JOP. Joining me on this podcast is the author Dr. Wendy Rubinstein medical geneticist and Deputy Medical Director at CancerLinQ, LLC. Dr. Rubinstein, thank you for joining me today. Thanks for having me. So I know that this is not going to be a surprise to any of our listeners, but would you mind just kind of giving us a little background on the issue of EHR interoperability, and how did we end up with the scenario that we have today? Well, sure. Of course, electronic health records systems weren't built with interoperability in mind. The overarching goal for hospitals was documentation to support billing, and it hasn't been a priority for hospitals to make it easy for their patients to interact with other health systems. But to be fair, people didn't talk much about interoperability 10 to 15 years ago. And I'm not even sure an official definition existed. So now the 21st Century Cures Act provides a definition. So basically, electronic health information should be able to be securely exchanged with other health information technology. And there should be no special effort required by the user, especially and including patients. And the data exchange for the authorized use, it needs to be completely enabled under applicable laws, and any information blocking is prohibited. So what this comes down to, basically, is that a patient should be able to have care at one medical office, and then go to a separate system across town, without having to fill out another paper form with their complete medical history, medication list, and review of systems all over again. So part of the article talks about, and you mentioned, the ASCO Oncology Practice Census. And in 2017, the practice census found that 40% of practices were unable to accept any patient information from other practices. And you might think that the problem is getting better with attention to it, but actually, it's getting worse. In the 2016 practice census, 34% of oncology practices said that their EHR was interoperable with hospitals in their region. But in 2017, only 10% were interoperable with regional hospitals. So in oncology, this is especially important because cancer patients typically have their care strewn across multiple specialists, surgery, radiation oncology, medical oncology, and more. So with their care being decentralized and being complex, how can we really subject our patients to recounting their entire history every time they come to a new specialist? And we're relying on them to be savvy about their cancer history and to be accurate about it. And this is often the worst time of their life. So without quite saying it to them, we're basically letting them know that we don't communicate with our other doctors. And I have to say, sometimes my own medical profession embarrasses me. Yeah, it's interesting. I mean, it's a couple of different issues, the first being of just simple interoperability and having access to your patients' records when they're not within your system. The traditional way of doing this is you've typed up a letter or a note from what you've done, and then you mail it to the other physicians who are either the primary care doctor or the person who referred to you the patient. And strangely enough, that's still mostly how this happens. I have a sophisticated electronic medical record that puts together a sophisticated note filled with all kinds of important information, which gets printed out and put it in an envelope and mailed to someone, rather than sending that electronically and having it available whenever they need it. They have to somehow come up with a way to scan that into their system so that they can read it. So it's really remarkable that we're still in that system. And I now have limited interoperability with other people through my own EMR, and it's just astonishing how much easier it is to keep track of people with that. Once you start to get a taste of the potential of that, it's really hard to go back and not be able to access patient's records anymore. Everyone I think is a little bit aware of this issue and becoming increasingly aware of this issue. What are the barriers out there to making EHRs interoperable? It just seems like such an obvious thing to do, and yet it somehow is a difficult process. To attempt to maybe take something complex and bring it to some basic issues, I can call out a couple of issues. One is extreme customization, and the other is that we need a common language that can speak across different implementations of electronic health records. So with extreme customization, and this is how I would characterize it. So customization is very effective at locking up health information and preventing it from being exchanged. And for any EHR vendor, offering a way for clinicians to customize their reports, their documentation, it really is a great way to satisfy them. And in fact in my own experience, my cancer genetics practice became very efficient by creating templates for notes and letters about genetic testing and managing patients at high risk of cancer. But if you think about it, when I recorded a diagnosis of colon cancer in a letter to the patient or the clinician, it wasn't mapped to any standard vocabulary or code. It can't be shared other than as a TXT file. When you talked about bringing in scanned documents, yes, you can look at them, but they're not machine computable. In fact, if you like to know how many ways you can say total neutrophil count in an electronic health record, CancerLinQ was in the unfortunate position of figuring this out. So in the first 30 oncology practices that CancerLinQ received data from, there were 76 distinct ways to say total neutrophil count, like white blood cell count or WBC. And that means that there were more than two names per organization on average, even within an organization. There's no agreement on what to call this. So it's certainly true. We, as human beings, we can all semantically process different terms for total neutrophil count, but a computer can't. It can't do that, unless we provide a mapping or we create it. So this basically locks up the data and reduces its value. So to extract the value, we apply natural language processing and human observation using interfaces. But that's expensive, and the problem is it doesn't help at the source. You still have the EHR, it's not really aggregated together yet, and in the day to day workings, you're not really doing anything to solve the problem. So the other problem which is very much related is we need a lingua franca. We need a common language to make the proper use of the data that we have in EHRs. And so on a higher level, ASCO and CancerLinQ have convened a volunteer stakeholder group, and this represents diverse perspectives in oncology, different specialties coming to the table. And the purpose is to create a core set of data elements from oncology called mCODE. So mCODE stands for Minimal Common Oncology Data Elements. And ASCO is aligned with other medical organizations, as well, and the Biden Cancer Initiative, so that together we can inform oncology EHR vendor design. We can inform their decisions and, hopefully, prompt interoperability to improve cancer care. One of the things that's-- of course, you now work with CancerLinQ. Can you tell us just a little bit about CancerLinQ and how CancerLinQ can work to overcome some of these issues? Sure, I'd love to. So CancerLinQ is a major initiative at ASCO. And the goal was to create a learning health system for oncology. So first and foremost, CancerLinQ is a quality measurement and reporting system. We have over 100 health care organizations. These are large and small, they're community and academic, that are participating in CancerLinQ. And so far, we've established data flows with 47 organizations, and we've integrated data for over a million patients with cancer. And that reflects their comprehensive longitudinal record of health. So by doing this, the reason to do this is we're enabling practicing oncologists to measure, and report, and improve the quality in patient care. So when you look at, for example, the 2017 ASCO Oncology Practice Census, about 25% to 30% of practices, they called out quality measurement and reporting activities as a top burden for them. In order for them to do this, they have to actually do manual extraction from electronic health records, if you can wrap your mind around that. You have to pay to do that. So the CancerLinQ platform reduces the reporting burden by displaying the quality measures for MIPS, MACRA reporting and also supports ASCO's QOPI certification. And what this means is that clinicians can actually see the time window they have left to take specific actions to meet the quality benchmarks. The other part of CancerLinQ is that we provide statistically de-identified data sets from the cohort to researchers and to FDA. And in that way, we're trying to accelerate discovery and scientific improvements to cancer care. Yeah, it's a fantastic initiative, and I'm glad to see that it seems to be growing and doing well. The next question would be, how can CancerLinQ, aside from individual practices being able to use the data for quality metrics and, of course, the anonymized pool data for research, how is this working to overcome problems of interoperability? So CancerLinQ is somewhat unique in that we've integrated data from practices, so far using seven different electronic health records. So we don't limit, we feel we can't limit the data aggregation to a single EHR type because the overall goal is to learn from all patients. But there are some common problems that we share with other big data providers. So any entity that's performing data aggregation, they're also coming up against the same problem we have, as needing a common language for oncology, such as mCODE. And as I mentioned, ASCO is looking to engage everyone who has this common problem to solve it together. One barrier I can't resist talking about as a geneticist is the way genomic data is handled. The one disturbing practice is that really the way DNA sequencing data exists is it's completely structured in machine computable when it comes off the sequencer. I mean, almost by definition. And then the results get reported by paper, and even if there is an electronic file sent to the practitioner with the report, there's nowhere in the electronic health record to store the genetic test data in its rich detail. So the report might get scanned or copied someplace, and it'll get attended somewhere where you can go visualize it. If it's scanned in, it loses all of its structure, and then it requires optical character recognition and very messed up tables to try to make sense. So if you think about it, like what we want to do with that data, how can we automatically run clinical quality measures for colon cancer without having a place for KRAS gene test results? That's already in all the quality measures. If an oncology practice is running Molecular Tumor Board, how can they do that with reading off of this piece of paper? They need the files to really run that activity. And the same thing is true for identifying patients who are eligible for a clinical trial, increasingly based on a molecular variant result. So we can do that to some extent. We can do all these things, but we really can't scale precision oncology with these kinds of limitations. So I think a common theme across CancerLinQ and other entities that are trying to aggregate data and especially to combine it with the rich phenotypic data in electronic health records, the molecular diagnostics laboratory should routinely make these results available to the ordering clinicians as structured data files. It may be difficult for them to maintain it themselves. The electronic health record really should have a place for this, which with mCODE, that will definitely be a part of mCODE. Where do we go from here? How do we get from where we are today to the world where all this information is easily shareable across EHRs? The technical challenges there, but really it's about collaboration and having a will to solve this across the entire ecosystem. So we have created an organization called the Oncology Leadership Council. So CancerLinQ's Oncology Leadership Council includes corporate nonprofit and government collaborators and, for example, the American Society for Radiation Oncology, National Cancer Institute, FDA, the Cancer Informatics for Cancer Centers, Ci4CC, AstraZeneca, College American Pathologists, American College of Medical Genetics and Genomics, and many others. Now ASCO doesn't think that this is something that we could or should solve alone. This really means helping the entire oncology community to improve care by solving the problem at the source. And that means capture all of the important oncology data as structured, computable information. And we have to do this without imposing any more documentation burdens on physicians. And frankly, we shouldn't really be hiring an army of data entry clerks to do this either. I like to think about call to action. What can people do, given the situation? So I would like the listeners to know that the Office for the National Coordinator for Health IT is right now soliciting comments on what they call the strategy on reducing regulatory and administrative burden relating to the use of health IT and EHRs. So ASCO is currently preparing comments, and you'll have a chance to review and provide feedback. And I also wanted to let listeners know that you can also participate in the writing of comments, which is going on by the American Medical Informatics Association, AMIA. The comments are due soon, on January 28, 2019, but input would be very valuable. I'd also like to mention that CancerLinQ is concerned about information blocking. And as I mentioned before, information blocking is prohibited by ONC. And lastly, I can't resist inviting people, that if you're interested in joining CancerLinQ, please contact us. Excellent. I think that was a good idea to put that message out there. And I will also put the plug in that joining CancerLinQ is actually free of cost to get this wonderful resource. You bet. Dr. Rubinstein, thank you so much for talking with me today. Thank you, it's a great opportunity and a real pleasure. And I also want to thank our listeners out there who joined us for this podcast. The full text of Dr. Rubinstein's paper, "CancerLinQ-- Cutting the Gordian Knot of Interoperability," is available online now at ASCOpubs.org, backslash journal, backslash JOP in the January 2019 issue. This is Dr. Nate Pennell for the Journal of Oncology Practice signing off.

Medic Mindset
Talking Teaching

Medic Mindset

Play Episode Listen Later Oct 4, 2018 56:53


The Deputy Medical Director for Austin Travis County EMS, Dr. Jason Pickett, and I sat down and recorded a joint podcast about clinical teaching. His podcast is called the Austin Travis County Office of the Medical Director Official Podcast and he released a longer version of this episode. I've really enjoyed getting to know Dr. Pickett because he teaches me something every time we get together. In this next hour, you will hear my delight as he teaches me things about teaching! This episode is about teaching, but you can't talk about teaching without talking about learning. Whether you are a clinical preceptor, a classroom teacher or a paramedic student, I think there is something here for ya.

The Spark
The Spark, Episode 9: Advances in the treatment of substance use disorder at UCSF.

The Spark

Play Episode Listen Later Apr 9, 2018 19:24


In this episode, we'll hear from Dr. Scott Steiger, Associate Clinical Professor of Medicine and Psychiatry, and Deputy Medical Director of the Opiate Treatment Outpatient Program at Zuckerberg San Francisco General Hospital (ZSFG). Dr. Steiger will discuss his research and patient care initiatives in treating people with substance use disorders in some of the city's most vulnerable communities. We also talk to a first-year medical student who shadowed Dr. Steiger at ZSFG, and who will be pursuing a summer research experience in addiction medicine for adolescents. Music: Sneaker Chase by Podington Bear. Licensed under CC BY-NC 3.0.

Surgical Grand Rounds Lectures
Reflections on a retained swab Never Event in Churchill Theatres

Surgical Grand Rounds Lectures

Play Episode Listen Later Aug 9, 2016 48:40


Dr Clare Dollery describes a retained swab Never Event that happened in the Churchill Hospital and reflects on how we respond and learn from it. Dr Dollery is Deputy Medical Director at Oxford University Hospital NHS Foundation Trust and chairs the Trust’s Clinical Governance Committee which is a sub-committee of the Trust Management Executive. She has worked as a consultant cardiologist since 2003.

Medic2Medic Podcast
Dr. Williams

Medic2Medic Podcast

Play Episode Listen Later Sep 25, 2015 45:02


Dr. Jefferson Williams is my guest. Dr. Williams is the Deputy Medical Director of the Wake County EMS System.

BJSM
Children with chronic diseases can exercise too! Diabetes to organ transplant – Ex is medicine!

BJSM

Play Episode Listen Later May 22, 2015 12:08


Dr Carolyn Broderick provides practical examples of the type of physical exercise that is feasible in children with chronic diseases, such as diabetes, mitochondrial myopathy, haemophilia, or after an organ transplantation. She also discusses the risk of injury during the growth spurt and how to best avoid these injuries. Dr Broderick, MBBS, FACSP, PhD, is a staff specialist in Sport and Exercise Medicine at the Children's Hospital at Westmead, Australia. She was Medical Director of the Australian Team for the Youth Olympic Games in 2014 and Team Physician for the Australian Team at the Sydney 2000 and London 2012 Olympic Games. She is a member of the Australian Olympic Committee Medical Commission and Deputy Medical Director for the Australian Olympic Team in Rio 2016. Her research interests include injury surveillance in youth sport and physical activity in children with chronic disease. Further Reading: Fundamental movement skills, physical fitness and physical activity among Australian children with juvenile idiopathic arthritis. Hulsegge G, Henschke N, …Broderick C, et al. J Paediatr Child Health. 2015 Apr;51(4):425-32. doi: 10.1111/jpc.12733. http://www.jsams.org/article/S1440-2440%2812%2900661-5/abstract Low back pain in children and adolescents: a systematic review and meta-analysis evaluating the effectiveness of conservative interventions. Michaleff ZA, Kamper SJ, Maher CG, Evans R, Broderick C, Henschke N. Eur Spine J. 2014 Oct;23(10):2046-58. doi: 10.1007/s00586-014-3461-1. http://link.springer.com/article/10.1007%2Fs00586-014-3461-1 A feasibility study of the effect of intra-articular corticosteroid injection on isokinetic muscle strength in children with juvenile idiopathic arthritis. McKay D, Ostring G, Broderick C, Chaitow J, Singh-Grewal D. Pediatr Exerc Sci. 2013 May;25(2):221-37. Epub 2013 Mar 15. http://www.ncbi.nlm.nih.gov/pubmed/23504857 Evaluation and management of bleeding risks with athletic activities in children with hemophilia. Broderick C. Clin Adv Hematol Oncol. 2013 Jan;11(1):46-7. No abstract available. Mol Cancer. 2013 Feb 1;12:7. doi: 10.1186/1476-4598-12-7. http://www.ncbi.nlm.nih.gov/pubmed/23416863 Association between physical activity and risk of bleeding in children with hemophilia. Broderick CR, Herbert RD, Latimer J, Barnes C, Curtin JA, Mathieu E, Monagle P, Brown SA. JAMA. 2012 Oct 10;308(14):1452-9. doi: 10.1001/jama.2012.12727. http://jama.jamanetwork.com/article.aspx?articleid=1377921 Patterns of physical activity in children with haemophilia. Broderick CR, Herbert RD, Latimer J, van Doorn N. Haemophilia. 2013 Jan;19(1):59-64. doi: 10.1111/j.1365-2516.2012.02904.x. The International Olympic Committee Consensus statement on age determination in high-level young athletes. Engebretsen L, Steffen K, Bahr R, et al. Br J Sports Med. 2010 Jun;44(7):476-84. doi: 10.1136/bjsm.2010.073122. No abstract available. Erratum in: Br J Sports Med. 2010 Aug;44(10):770. http://bjsm.bmj.com/content/44/7/476.extract

BJSM
Travelling with teams? Practical tips for team clinicians; includes Athlete Management System

BJSM

Play Episode Listen Later May 22, 2015 7:48


Dr Carolyn Broderick, MBBS, FACSP, PhD is staff specialist in Sport and Exercise Medicine at the Children's Hospital at Westmead, Australia. Dr Carolyn is Team Physician for the Australian Federation Cup Tennis Team. She was Medical Director of the Australian Team for the Youth Olympic Games in 2014 and Team Physician for the Australian Team at the Sydney 2000 and London 2012 Olympic Games. She is a member of the Australian Olympic Committee Medical Commission and Deputy Medical Director for the Australian Olympic Team in Rio 2016. Her research is on injury surveillance in youth sport and physical activity in children with chronic disease. What are the challenges of being a team physician for tennis players who travel the world continually? Does an athlete management system help to monitor work load and injuries? Musculoskeletal conditions in children and adolescents managed in Australian primary care. Henschke N, Harrison C, McKay D, Broderick C, Latimer J, Britt H, Maher CG. BMC Musculoskelet Disord. 2014 May 20;15:164. doi: 10.1186/1471-2474-15-164. http://www.biomedcentral.com/1471-2474/15/164 Children, sport and the Olympics: Observations from the Games of the XXX Olympiad in London. Broderick C. J Paediatr Child Health. 2013 Sep;49(9):701-3. doi:10.1111/jpc.12217. http://onlinelibrary.wiley.com/doi/10.1111/jpc.12217/abstract The International Olympic Committee Consensus statement on age determination in high-level young athletes. Engebretsen L, Steffen K, Bahr R, et al. Br J Sports Med. 2010 Jun;44(7):476-84. doi: 10.1136/bjsm.2010.073122. http://bjsm.bmj.com/content/44/7/476.extract Reducing the risk of injury in young footballers. Broderick C, McKay D. BMJ. 2009 Mar 18;338:b1050. doi: 10.1136/bmj.b1050. http://www.bmj.com/content/338/bmj.b1050

PregTASTIC Online Radio
Ep093 Preterm Labor: What Causes It?

PregTASTIC Online Radio

Play Episode Listen Later Apr 29, 2008


Preterm labor: What are the causes? Signs? How can preterm labor be prevented? What about twins? Dr. Diane Ashton, Deputy Medical Director of the March of Dimes talks preterm birth.