Enabling connected, whole-person care starts with the health IT team. In this conversation with Erich Huang, MD, Ph.D., Chief Science and Innovation Officer at Onduo, you'll hear his perspective on how health systems can empower their IT teams to think creatively about their tech stack and how to leverage data to drive innovation in interoperability and care delivery; with real-world examples of how Duke Health applied data to improve predictive modeling to identify patients who need different approaches to care delivery and his thoughts on the future of data in healthcare at an Alphabet company.This episode is sponsored by Onduo.
Welcome to Episode #50 of Habitual Excellence, presented by Value Capture. Show notes: https://www.valuecapturellc.com/he50 In today's episode, we're joined by two guests, two leaders from Duke HomeCare and Hospice, part of Duke Health. They are Cooper Linton, Associate Vice President, and Benita Pope, Director of Hospice Services. We also have a special guest host, Mike Radtke, a Senior Advisor with Value Capture. Mike has worked with Cooper and Benita and has supported them in their continued development of the Duke Quality System, incorporating Lean management and improvement methods. You can download a fantastic whitepaper that talks more about the work that Cooper and Benita have led at DHCH. In the episode, Mike, Benita, and Cooper discuss the following: Describe how your approach to addressing safety has changed over the last 2 years? You started your focus on zero harm in the inpatient hospice unit. What were some of your key insights from that early experience? As you spread to the home environment, how did you adapt your practices to make it work in that unique care setting? What have you changed with how you lead as you've been on this journey? How have staff responded to these changes? How do you really know it works for them? How does this leadership system help develop others on a daily basis, so you don't have to solve all the problems yourselves? What value have you experienced in having a coach supporting your change efforts? What challenges have presented themselves in focusing on zero harm in the home environment and how are you addressing those challenges?
What can a study of one million students teach us about masking in schools? Rick speaks with Duke Health specialist Dr. Danny Benjamin Jr.
In this episode, Matthew Roman discusses how Duke Health is implementing a number of foundational technology platforms for effective patient engagement and care delivery over the next couple of years. A clinician by background, Matthew describes the collaboration model among a diverse group of technology and operational executives to implement digital health programs at Duke Health. He gives us a hint of the one single question he wrestles with every day as the Chief Digital Strategy Officer. He also explains why they choose to “tread lightly” in offering clinical advice through artificial intelligence. Matthew describes several challenges digital health startups must be prepared to face, even if they have remarkable and game-changing technology solutions. Among his words of advice? Don't oversell. He also shares a few learnings from his experience for peer group executives in health systems. Take a listen. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/
Dr. Michael Bolognesi, an orthopedic surgeon at Duke Health, joined the podcast to talk about his career journey and the big trends in orthopedics today, including the transition to outpatient and how value is assigned to procedures.
Arundhati interviewed Dr. Erich Huang, Chief Data Officer for Quality at Duke Health, and the Director of Duke Forge. They talk about why more hospitals are implementing machine learning tools for healthcare, and the challenges of ensuring these models do not yield biased results. Episode Resources Connect with Arundhati Parmar firstname.lastname@example.org https://twitter.com/aparmarbb?lang=en https://medcitynews.com/ Connect with Dr. Erich Huang https://forge.duke.edu/erich-s-huang-md-phd https://www.linkedin.com/in/erichhuang/
"A failure to finish is a failure to start" In this week's latest podcast episode, host, Ankur Kalra, MD, meets guest Prof Madhav Swaminathan (Duke University Health System, NC, US) to discuss how he has orchestrated a major humanitarian effort, in association with Duke University Health and The American Society of Echocardiography, to supply ventilation equipment and PPE to hospitals and NGOs during the current COVID-19 crisis in New Delhi, India. Hear them discuss the challenges and learnings associated with the supply chain, inventory, logistics and cost to deliver this humanitarian effort; which most recently resulted in $140,000 of life-changing equipment being delivered to four key hospitals in New Delhi. A most inspirational episode. Questions and comments can be sent to “email@example.com” and may be answered by Ankur in the next episode. Guest @mswami001, hosted by @AnkurKalraMD. Produced by @RadcliffeCARDIO. Brought to you by Edwards: www.edwardstavr.com
"Transitional Pain Service," by Hesham Elsharkawy, MD, MBA, MSc, FASA, Associate Professor of Anesthesiology, Case Western Reserve University, MetroHealth Pain and Healing Center, Cleveland, Ohio. "The Future Role of Artificial Intelligence in Predicting Opioid Use," by Rodney A. Gabriel, MD, MAS, Chief, Division of Regional Anesthesia and Acute Pain Medicine, Medical Director, Koman Outpatient Pavilion Ambulatory Surgery Center, Associate Professor of Anesthesiology, University of California San Diego, San Diego, California. "How I Do It: Transition Pain Clinic, Duke Health," by Padma Gulur, MD, Professor of Anesthesiology and Population Health, Director of Pain Management Strategy and Opioid Surveillance; Brian Starr, MD, Assistant Professor of Anesthesiology; and Amanda Nelli, MD, Postdoctorate Associate, PROMIS Lab; all of Duke Health, Durham, North Carolina. From ASRA News, February 2021. See original article at www.asra.com/asra-news for figures and references. This material is copyrighted.
This one may come as a shock. According to Duke Health's Dr. Paul Wischmeyer, "We as a population in the US were the perfect setup and target for this [COVID], with our disturbed gut microbiomes, our Western diet." So what does gut health have to do with COVID? Tune in to find out. Also, the study that Dr. Paul discussed - PROTECT-EHC - if you want to be a part of it, visit https://www.protect-ehc.org/. Visit our sponsor, BetrHealth.com, a gut healthy, effortless, food-as-medicine approach to whole person health . Try BetrHealth risk free at https://betrhealth.com/risk-free-trial/. Quacks and Hypochondriacs is hosted by Dr. Bill Ferro and Erin O'Hearn, and is produced by Earfluence.
Conversation with Steven Barnes, AVP of Development and Alumni Affairs, Duke Health Steven Barnes has been with Duke Health now 18 months. In addition to managing a new team, he has been leading development efforts through the throws of the pandemic, at an academic medical institution. Steven shares those experiences … Continue reading The post Conversation with Steven Barnes, AVP of Development and Alumni Affairs, Duke Health first appeared on Advancement Unplugged.
Enjoy this rerun of Aarav and Arsh's interview with Ice Hockey Olympian and Physician, Dr. Caroline ParkSupport the show (http://twobrothersandtheirsports.com)
Dr. Selene Parekh, MD, MBA, wears several different hats in the orthopedic world. He’s a Foot & Ankle Specialist at Duke Health. He is known as “The Fantasy Doctor” in media circles, and he uses his data-driven insights and medical expertise to guide sports enthusiasts through the precarious world of sports injuries to make accurate predictions on how an athlete’s injury might impact their fantasy team. And, to top it off, Parekh brings his knowledge and insights of foot and ankle injuries to India, where his mission is to provide the latest techniques and best practices to the surgeons there. One area of orthopedic medicine that’s making a lot of progress these days, Parekh said, is 3D printing.
This episode features John Sampson, President of Private Diagnostic Clinic, the physician practice of Duke Health. Here, he discusses the trends he’s seeing in the brain cancer field today, the importance of emotional intelligence in leadership, and more.
In this segment, Beyond the Scope, we speak to pathologists about their pursuits and interests in and outside of pathology. What is it like running a research lab during COVID? How does mentorship support a diverse specialty? What IS amigurumi? On this episode, Dr. Sara Jiang (@Sara_Jiang) speaks with neuropathologist and physician-scientist Dr. Giselle López (@neurogiselle), associate professor of Pathology and Neurosurgery at Duke Health. Featured public domain music: US Army Blues, BugaBlue From Dr. Lopez, websites and Twitter handles of helpful mentorship/leadership resources: Pathology: https://mentoring.uscap.org/ @TheUSCAP Medicine: https://snma.org/page/programspipeline @SNMA http://national.lmsa.net/about.html @LMSA_National http://www.glma.org/ @GLMA_LGBTHealth https://www.physicianswithdisabilities.org/ https://www.amwa-doc.org/residents/residents-as-mentors-program/ https://www.amwa-doc.org/our-work/initiatives/#i03 @AMWAStudents @AMWADoctors Science: https://www.sacnas.org/what-we-do/leadership-programs/ @SACNAS https://www.abrcms.org/index.php/education-training/student-webinars @ABRCMS https://diversity.nih.gov/ @NIH_COSWD
This week on “Better Healthcare Through Math”, we're joined by Wendy Webster from Duke University Medical Center. Wendy tells us how she teamed up with LeanTaaS to solve the problem of having more surgeons and patients that needed surgery than available OR time.
Today you'll hear from: Jared, a Vice Chair of Strategy at Duke Health, Doctor, Professor, Bishop, and Father of 8:Who makes decisions in medicineHow Covid is impacting his practiceChanges he'd make if he were healthcare CzarWhy medical residents get shaftedChallenges of fee-for-service healthcareLifelong pursuit of learningBenefits of an MBAThe Christensen family "5 to survive"Holding family outings that aren't trainwrecksDaily connections with each childRad Aid https://twitter.com/JRadMD
In this episode of Beyond the Scope, Dr. Sanam Loghavi (@sanamloghavi) of MD Anderson Cancer Center speaks with Dr. Sarah Bean (@DrSMBean) a gynecologic, breast, and cytopathologist at Duke Health about pathology and her interests Beyond the Scope. How did she get interested in woodworking? What are the four phases of a mentoring relationship? What are her tips for work-life integration? What advice does she have for women in academics? Featured public domain music: US Army Blues, BugaBlue
Dr. John Young talk to Dr. Shaefer Spires, Infectious Disease Specialist. Dr. Spires is treating patients and monitoring the impact of COVID-19 at Duke Health. We discuss returning to elective surgeries, COVID-19 testing, the effectiveness of antibody testing, and the use of medicine to treat the virus.
#001. What should I eat NOW? How much do I REALLY need to workout? What does meditation even DO? How can I STAY motivated? How can I STOP emotional eating? And the biggest question of all, can I REALLY become my healthiest self at THIS point? Welcome to The Inside Out Wellness Podcast, where we'll be answering ALL of these questions and so much more! Week after week, host Katie Hardy of www.WholeHardy.com teaches you how to create a healthier MIND so you can build your healthiest SELF - even if you think it's too late! Former candy corn addict & forever a wellness junkie, Katie shows you how to confidently design & consistently show up for a Total Wellness Lifestyle based on YOUR personality, schedule, and goals. Katie shares realistic and effective perspective shifts & practices that she used to become a sought-after wellness expert - all while juggling work, kids, marriage, friends, passions, and more. Along with sharing her best kept secrets, she interviews the best in the industry who will share their secrets to ensure you are seen, heard, and loved! Based on her Certification in Integrative Wellness & Behavior Change from Duke Health, Katie's Inside Out Wellness Method has transformed the minds & bodies of countless health seekers like yourself. And now, it’s YOUR TURN to hear from the experts, get inspired, and tackle your biggest goals along the way. What do you say? Are you in? Because at WholeHardy Health, LLC - we believe that wellness doesn’t have to feel like work, and it does need to happen from the inside out.Episode Show Notes:www.wholehardy.com/001
Dr. Palma Shaw, a vascular surgeon from SUNY Upstate Medical University in New York, is joined by Dr. Patricia Bellows, obstetrician and gynecologist from Houston Methodist Hospital; Dr. Ellen Dillavou, vascular surgeon from Duke Health; Bernadette Aulivola, vascular surgeon from Loyola University Health System; and Houston Methodist vascular surgeons Charudatta Bavare and Alan Lumsden. This conversation was recorded on April 2, 2020.To watch the discussion follow the link below:ISEVS Critical Issues: COVID-19 Impacts on Career, Pregnancy, & Family We’d love to hear about how working during this pandemic is affecting your life, so send us a tweet using #CVnow, and don’t forget to tag @debakeycvedu.
Jim Poole, MD, FAAP, clinical associate of Duke Health, founded FastBraiin in 2010 on the premise that individuals with ADHD have unique strengths in athletics, business, engineering, medicine, sales, the arts, and the classroom—wherever a quick and adaptable brain shines. In this episode, we talk about how he defines ADHD, his approach to management, and how he supports creativity in kids with ADHD. You can find him online at https://fastbraiin.com, on Twitter @FastBraiin, and his book here.
Jim Poole, MD, FAAP, clinical associate of Duke Health, founded FastBraiin in 2010 on the premise that individuals with ADHD have unique strengths in athletics, business, engineering, medicine, sales, the arts, and the classroom—wherever a quick and adaptable brain shines.FastBraiin has helped over 6,000 children and adolescents move from C’s, D’s and F’s to A/B honor roll, and helped more than 2,000 adults improve their productivity and relationships at home and in the workplace. FastBraiin currently has multiple locations within the Raleigh-Durham area with plans for a national expansion.
We are back to our regularly scheduled programming as Steve Guy returns this week to his moderator of sorts position. John answers questions from Twitter, The Duke updates us on his current health situation, a sober Worldwide chimes in, and so much more in this jam packed episode!
Bridget F. Koontz, MD, joins the AUA Inside Tract to discuss being an Affiliate member with the AUA. Dr. Koontz is a Radiation Oncologist with Duke Health. The AUA is a global membership organization with more than 20,000 members that bridges urologic communities through education, research, policy and philanthropy. To read more about Affiliate AUA membership opportunities please visit its homepage on AUAnet.org.
We recently traveled to Durham, North Carolina, for a State of the Science Summit™ on Gastrointestinal Malignancies. At the meeting, we spoke with the faculty from Duke Health and UNC Health Care, who highlighted key updates from the 2019 Gastrointestinal Symposium. Key topics included the importance of molecular profiling in colorectal cancer, important trials in gastric/gastroesophageal junction cancer, headway made in the treatment of pancreatic cancer, novel approaches in neuroendocrine tumors, and emerging agents in hepatocellular carcinoma.
We're happy to announce that plans for season 2 are in the works! In the meantime, we thought Voices of Duke Health listeners might enjoy this vignette about Nancy C. Andrews, MD, PhD, produced by Joseph O'Connell. As a teenager, Dr. Andrews brought some unusual house guests back to her parents' home in upstate New York: 30 live horseshoe crabs. In this bonus episode, Andrews looks back on her early formation as a physician-scientist and her journey to becoming the first woman dean of a top ten medical school.
Show Highlights Jen talks about her role in patient engagement at Duke Health in the Digital Strategy Office and why patient engagement is important Jen shares why patient engagement is important not only for Duke Health in healthcare delivery but more importantly for us as patients (and consumers) in managing our health and healthcare Terri asks Jen about the pathway into health systems for innovation Jen talks about the opportunities for patients to augment their healthcare in-between visits with in-home solutions and ways to optimize patient time and visits Terri and Jen talk about the importance of data privacy and how the regulations make it difficult to effectively manage the health for loved ones and even our own health Terri’s Key Takeaway We have an opportunity to leverage technology to create optimal care for patients in a way that reduces challenges for patients. References in the Podcast Duke Health: https://www.dukehealth.org/ MyHealthTeams; https://www.myhealthteams.com/ Katie McMillan: https://www.linkedin.com/in/katie-donohue-mcmillan-mph/ Watkins Conti Products: http://www.watkinscontiproducts.com/ BWom: https://www.b-wom.com/en Ellvie: https://www.elvie.com/shop/elvie-trainer Genneve: https://genneve.com/ Who is Jennifer Maddocks? Jennifer Maddocks PT, MMCi is a board-certified healthcare professional who transitioned to the technology team at Duke Health in 2015. She is a member of the Digital Strategy Office at Duke and focuses on patient engagement and the patient experience as it relates to technology. She really enjoys learning from patients and working with health system partners to identify opportunities to continuously improve digital patient interactions and positively impact health outcomes for patients and their loved ones. Contact Jen can be reached via email at firstname.lastname@example.org. You can follow Terri on Twitter at @terrihansonmead or go to her website at www.terrihansonmead.com or on Medium: https://medium.com/@terrihansonmead. Feel free to email Terri at PilotingYourLife@gmail.com. To continue the conversation, go to Twitter at @PilotingLife and use hashtag #PilotingYourLife.
Katie D. McMillan, MPH, has dedicated her career to imagining and building technology to improve health care for patients and providers. Her experience spans multinational global health organizations, lean software start-up companies, and large academic medical centers. Katie’s latest venture is the creation of the Mobile App Gateway (MAG) at Duke University Health System. The MAG serves as the hub for digital health at Duke and provides product consulting services to clinicians and researchers, monthly events and workshops, and content exploring the many facets of the health tech industry. Roylyn Fernandez, RN, has more than 15 years of combined experience in clinical and informatics roles integrating technologies such as electronic health records (EHRs), virtual desktop infrastructure (VDIs), and mobile applications into system processes. Her passion for nursing and health care enable her to leverage her clinical, operational, and informatics knowledge to design and execute technology adoption strategies that support organizational goals related to quality, patient safety, and revenue capture initiatives. In 2016, Roylyn joined DeLappe Consulting after leading enterprise-wide technology implementation and optimization projects for Kaiser Permanente, Sutter Health, and Cottage Health Systems. 01:59 What Katie presented at the NODE conference. 02:07 The Mobile App Gateway, a digital health hub at Duke Health, and what they do. 02:45 How health researchers find the Mobile App Gateway. 04:35 Engaging, educating, and facilitating—“quarterbacking” projects. 05:38 How the Mobile App Gateway keeps track of these projects and measures success. 06:40 The Mobile App Gateway’s partnership with Zealth. 07:08 The Mobile App Gateway’s signature projects in oncology. 07:30 “Financial toxicity.” 09:07 “The softer side of cancer care.” 09:45 DeLappe Consulting and what they do. 09:54 Transforming operations by integrating technology. 10:02 What it means to “operationalize technology.” 11:19 “When it comes to operationalizing technology, it’s more of a transformative journey.”—Roylyn 14:48 “There’s a lot to be said about [observing] a process.”—Roylyn 18:11 Why the engagement piece is the hardest part of integrating technology. 19:19 Attaining a buy-in to engagement with technology and change. 20:57 “Do with vs do to.”—Roylyn 25:14 The worst advice being perpetuated about incorporating technology in health care.
Allison Chrestensen worked as an occupational therapist for years. Through her job, she thought she had a pretty good understanding of the patient experience. That was until Allison suffered a cardiac arrest and spent days in a coma. She survived, and walked away with a completely changed perspective on what it means to be a patient. In this episode, Allison and her husband, Mike, share their patient and caregiver experiences. Since her cardiac arrest, Allison started her own business. Tandem Healthcare Solutions helps bridge the gap between patients and medical professionals. Mike works as an IT analyst for Duke Health. Find the full transcript at www.listeningbooth.info.
Session 79 Dr. Brittany Davidson is an academic OB/GYN Oncologist practicing at Duke Health. She joined us to share the specialty she chose and why it’s great. Please help up find more guests for this podcast by sending an email to email@example.com and write the subject: Specialty Stories Intern. [01:40] Interest in Oncology Brittany has always been interested in women's health even back in college. She then followed the path to medical school, realizing she loved being in the operating room as well as the people and the OB/GYNs she worked with. She saw how they were happy at work - something she wanted to be like. After her third year rotation as a medical student, she was pretty cemented to OB-Gyn and didn't realize she was going to do Oncology until 2nd-year residency. Going into OB-Gyn she was thinking it was all about delivering babies and bringing joy to the world. In fact, she remembers telling her medical school tour guide that she didn't want to do Oncology. However, after first rotation as a 2nd-resident and coming back from honeymoon and a day in the clinic, she just fell in love with patients and the operating room, taken by surprise. "There's always something and that's the fun part is figuring out what that something is sometimes." [05:18] Traits of a Good Gynecologist You have to be interested in being in an operating room but you also have to be great listener. By not talking and letting that patient have that time is very important. With the information you get from them, you can help potential treatment options. "Listening is an under-recognized, underutilized field that I'm really starting to do more of myself and trying to instill that in the people that I help train." It's hard to be quiet as silence is really awkward but that's where sometimes the best and most information comes through. As physicians, we don't learn enough about how to communicate as physicians but it's a ubiquitous skill across fields. [07:30] Types of Patients and Treatment Process As a GYN/Oncologist, they're referred to as oncologist below the belt. They take care of female reproductive cancers - ovarian, uterine, vulvar, vaginal, cervical cancer. They also take care of pre-cancer, the precursors to those cancers such as cervical dysplasia or vulvar dysplasia. They also get referrals for difficult or extensive benign GYN surgery like difficult endometriosis patients, although they still see some benign gynecology in their practice as well as female pelvic cancers. Benign OB/Gyn or general OB/Gyn practitioners these days are jack of all trades as Brittany would describe it. They do a little bit of obstetrics and a bit of gynecologic surgery. But a lot of them don't operate enough these days to feel comfortable doing some of these very difficult GYN surgeries. And a lot of times, they don't have the volume to feel comfortable trying to do these surgeries. In terms of patients coming to her already diagnosed versus those she still had to diagnose, she'd give it a ratio of 50-50. They get a lot of referrals for ovarian masses to help triage whether this is high suspicion of cancer or not. They also see cancers of the uterus. Unfortunately, with ovarian cancers, the vast majority of them are diagnosed with advanced disease. They have a lot of symptoms as well as anxieties or evidence of metastasis on imaging. In short, they see a little bit of everything. [10:27] Typical Day and Percentage of Procedures As an academic OB-Gyn oncologist, they have some research time. She starts clinic at 8 AM and sees about 30 patients, running the gamut of diagnosis. Mostly, she sees patients who are post-menopausal, though she does see some younger women too especially for uterine cancers. "It's never a dull moment because each patient is different." On a surgical day, OR starts at 7 AM. Never a dull moment as well -- she could have a whole day of cancer cases. Some days, she could have benign days. Again, it's always something different that she truly enjoys. As to the percentage of patient ending up going to an operation room, Brittany says that one of the best things you can learn from their practice is when to decide to take someone to the operating room. Operating is not the right thing to do for everyone and sometimes, it can be really hard to make that decision especially there's a lot of grey area in the middle. Factors they consider are indications, other ways of diagnosis, and using the surgical risk calculator. And sometimes, not going to the operating room is the right answer. "One of the best things that they can learn from their practice is when to decide to take someone to the operating room." [13:25] Taking Calls and Work-Life Balance Brittany is in a practice of 7 Gyn Oncologists so she's on call once in every 6-7 weekends. On her call week, she rounds on the weekends, then she goes home and doesn't take in-patient call. Being an academic OB/Gyn oncologist, she works with fellows so they take the patient phone calls, not typical of academic practice. That said, it's very uncommon to get surgical emergencies in the middle of the night. At their institution, she takes 1-2 nights of benign gynecology call with the residents for cases like ectopic pregnancy and such. In terms of work-life balance, it's about trying to find the right spot on the work-life continuum. Balance is really a misnomer. There are challenges definitely and there's no right answer for everyone. But she's cognizant of the fact that this is very important. Nevertheless, she loves her job and she feels very fortunate to be passionate about her career. [16:00] Choosing Academics vs. Community Even as a resident, Brittany has always loved teaching as she finds it very rewarding. Her favorite part of the day as a Fellow was teaching. Coming into the specialty without a strong research background, she found some amazing research mentors and have found a niche and research passion. And this was where it all developed for her. She loves hos academics keeps her on her toes both from a data standpoint but also from the clinical practice perspective. "It's just fun to have trainees and it's one of the bright spots and one of the many great spots of my day." [17:22] The Residency Training Path and Competitiveness The OB/Gyn residency is four years and Gyn Oncology Fellowship is three years long. There are a few programs that incorporate an extra year of research totaling four years. You basically start your application as a 3rd-year resident then you match into your fellowship the October of your chief or last year. Sometimes, a cohort of residents doesn't realize they want to do oncology until much later on in their residency. Residency is fairly competitive with around 80 people a year that apply for a Gyn-Onc fellowship with maybe 40 spots. In order to be competitive, it helps to have some research background to show some research effort. Basically, you have to show passion and dedication to these amazing women you get to take care of. Gynecology fellowship is hard and the hours are long so having a degree of resiliency is important as well as flexibility. It's a different ball game compared to a surgical oncologist. So you have to be able to do that medical aspect as well. For further sub spec opportunities, you could get into clinical trials or some rare tumors and sort it out with your colleagues or institution based on the need and what your desires are. In terms of bias seen towards DOs, Brittany hasn't really seen this. If there were some bias, she thinks this has changed considering there are really amazing osteopathic candidates out there. [21:55] Working with Primary Care and Other Specialties Brittany wished primary care physicians knew that they exist. A lot of larger urban centers with academic institutions, gyn/onc may be well-known as a field. But in the more rural areas, this is not the case. So if you have a concern, then have them get a referral to see GYN/Oncologists. If you're doing pelvic exams and pap smears and the like where you run into problems, they're always happy to help out and they're available. "Patients with ovarian cancer and uterine cancer when they're cared for by GYN/Oncologists." Other specialties they work the closest with include palliative care (by far and away). In fact, she'd joke around that she'd do a palliative care fellowship if she had to do it again, as they help them a lot throughout the entire cancer continuum. After that, they'd work with medical oncologists. They'd see a lot of patients for repressed cancers who would need their ovaries removed as part of their breast cancer treatment. There could be some overlap in terms of rare tumors so they work closely with them as well. Unfortunately, palliative care is very under-utilized and under-appreciated while they work they do is amazing. Brittany admits it can be very hard to sell to get her patients to see the palliative care team. So it takes some convincing. [24:55] Special Opportunities Outside of Clinical Medicine You could join the pharmaceutical industry which they work closely with as they're trying to develop drugs to cure and treat these cancers. People have also left the field to go work in the industry. There are also some who have done palliative care training and now see patients as palliative care physicians. There are also some who have stopped operating and do strictly the medical side of it like the chemo. And vice versa, who only operate now and don't do the chemo anymore. "There is some latitude in terms of what your practice looks like." [26:00] What She Likes the Most About Being a Gyn/Oncologist Brittany loves being able to take care of these awesome women who are dealing with some hard stuff. She feels like she's able to learn so much from them. And she feels it's a great privilege. She's learning new skills constantly and there's never a dull moment. She's constantly adapting and thinking outside of the box. It keeps her on her toes. On the flip side, what she likes the least is charting, which is apparently a problem for most physicians. [28:18] Future Changes Coming Brittany says the treatment landscape is always changing which is a blessing as they have new therapeutic options for their patients and it keeps them on their toes. They've been fortunate in the last few years to get a few approvals for various GYN-related cancers. Surgical changes are a bit slower but they had a big study coming out this year that is going to change the practice potentially. If she had to do it all over again, Brittany would still choose the same specialty. The one change she would have made though is doing a palliative care fellowship right after doing a GYN/Oncology fellowship. It was hard but she loves her job! [30:10] Final Words of Wisdom Don't let any negative feedback deter you. There's always something to be said but when you're loving your job, and you love what you do, it doesn't feel like work. Find something you're really excited about then do it and don't let the naysayers get to you. "You've got to do what you love at the end of the day." Links: firstname.lastname@example.org
This podcast concerns sleep apnea as part of pre-operative patient optimisation. How important is it to evaluate patients for sleep disorders before surgery? Are patients with sleep apnea aware of their condition and are they using some form of treatment? What are the health problems associated with sleep disorders? How do you build a financial case for including this in your practice? A piece originally streamed live from Atlanta Georgia during TopMedTalk's coverage of "EBPOM-USA Masters Course, A Perioperative Care Practicum". Featuring hosts Desiree Chappell and Vicki Morton interviewing Dr Andrew R. Spector, Neurologist, Sleep Medicine Specialist at Duke Health. Join us on www.topmedtalk.com sign up for our email updates and never miss a live streamed conference again.
This past November, we launched the Voices of Duke Health podcast. We heard a lot of powerful stories, learned how to use a stress ball, and were reminded that every single member of the Duke Health community has something to share. You can find the first 6 episodes on our website, www.listeningbooth.info. You can also find us wherever you get your podcasts. And this is just the beginning! Stay tuned for more new episodes, starting Thursday, January 17.
As legal access to marijuana continues expanding across the US, more researchers are studying the effects of tetrahydrocannabinol, (THC), in teens, adults and pregnant women. New research from Duke Health suggests men in their child-bearing years should also consider how THC could impact their sperm and possibly the children they conceive during periods of Marijuana use. This is a tale of marijuana, sperm, and epigenetics! Data for this podcast came from the recently published study from Duke researchers, published in EPIGENETICS, 19 December 2018 (Murphey et al) and the medical news update from MDLinks (12/19/18).
The Voices team — Karishma, Anton, Jon, and Susannah — sat down in the listening booth to introduce ourselves and have a conversation about what we hope Voices of Duke Health can be for our colleagues across Duke University and Health System.
In the laboratory setting, feedback (or the lack thereof) extends beyond self-improvement and ultimately impacts patient care. In this CAPcast, Duke Health pathologist Dr. Sara Jiang discusses how to give and receive feedback effectively. Dr. Jiang and her Duke Pathology colleague Dr. Sarah Bean will once again teach their popular course, “Can You Hear Me Now?: Giving and Receiving Feedback Effectively” at CAP18 in October. More information on CAP18 can we found online at capannualmeeting.org.
Where should sleep apnea be on the perioperative surgeon's priority list? A fascinating introduction to the topic, sleep disorders affect every area of life but in the perioperative sphere it brings significantly higher risks of complications following surgery. How important is it that such conditions are picked up during pre-operative optimisation? Furthermore, why do the evaluation at all - if no action at all is taken as a result? A piece originally streamed live from Atlanta Georgia during TopMedTalk's coverage of "EBPOM-USA Masters Course, A Perioperative Care Practicum". Featuring hosts Desiree Chappell and Vicki Morton interviewing Dr Andrew R. Spector, Neurologist, Sleep Medicine Specialist at Duke Health. This piece originally featured here in a longer form: http://www.topmedtalk.com/sleep-disorders-in-surgical-patients-ebpom-usa/ Join us on www.topmedtalk.com sign up for our email updates and never miss a live streamed conference again. Remember; the Relief Trial results will be here tomorrow, the 10th of May 2018, with Monty Mythen coming to you from Sydney Australia.
What does the future hold for mobile health? That was the question posed by Rick Smith, Editor of the WRAL TechWire to some of the most innovative and visionary digital health companies in the Triangle. From individuals monitoring their daily steps via a wearable device to scientists gaining the ability to harness the power of big data on a massive scale, advances in mobile health are both exciting and a bit unnerving. On September 27, 2016, WRAL TechWire invited senior executives of Axial Health, Valencell, Validic, MobileSmith, Medfusion and RelyMD the Executive Exchange to share their thoughts. During the second panel on data security and legal issues, we heard from executives from Parker Poe, MCNC, Wyrick Robbins and Duke Health. I had the pleasure of live-Tweeting the program and also captured some audio from some of the speakers and attendees. Give a listen to the voice of The Future of Mobile Health. Podcast Guests (in order of appearance): Brent Anthony, Practimage Kim Labow, Medfusion Chris Beal, Chris Edwards, Validic Elizabeth Johnson, Wyrick Robbins Rob Leandro, Parker Poe Rick Smith, WRAL TechWire