Podcasts about mayo clinic school

Host: Darryl S. Chutka, M.D. [@chutkaMD] Guest: Mark A. Frye, M.D. We have a variety of antidepressant medications available to us including SSRI's, SNRI's and others, and for the most part they're very well tolerated by our patients. They are much better tolerated compared to some of our older options such as the tricyclic antidepressants and MAO inhibitors. These older products often produced cardiovascular and anticholinergic adverse effects, not commonly seen with our newer medications.  However, our newer antidepressants do have a relatively common adverse effect. They tend to produce weight changes, usually a weight increase. Which antidepressants tend to produce the most weight gain? How much weight does the typical patient gain from these medications? Is the weight gained typically maintained or lost when the medication is stopped? In this podcast, I'll be discussing these questions and more with Mark A. Frye, M.D., a psychiatrist at the Mayo Clinic. To learn more about this topic: https://pubmed.ncbi.nlm.nih.gov/38950403/ Join us at the Swissotel in Chicago for two days of learning, networking, and advancing patient care. Seats are limited, so visit our website to register now! National Network of Depression Centers Best Practices for Mood Disorders in Collaboration with Mayo Clinic 2024 | Mayo Clinic School of Continuous Professional Development | CME Course Conference Connect with the Mayo Clinic's School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

We partnered with @HealthyWomen with support from Pfizer to answer some of the most popular questions about the difference between headaches and migraines.Our expert guest, Dr. Rashmi Halker Singh, shares real-time solutions to know the following:The difference between a headache and migraineHow to understand symptoms and why they are not the same for every womanWhy women of color are often misdiagnosed due to pain biasWhy clinical trials play a role in validating pain managementWhat you need to know when speaking with your doctorWhy you need a great girlfriend at your next appointment!Listen now and share your iTunes review with us!Follow now

BUFFALO, NY- January 10, 2024 – A new #editorial paper was #published in Oncotarget's Volume 14 on December 22, 2023, entitled, “One more step toward treatment of PARP inhibitor-resistant ovarian cancers.” Over 80% of ovarian cancer cases experience recurrence, resulting in roughly 12,000 annual deaths in the United States. While targeted therapies like poly (ADPribose) polymerase inhibitors (PARPis) have received FDA approval for both initial and recurrent treatments, extending median progression-free survival for individuals with homologous recombination repair (HRR) deficiency, the emergence of PARPi resistance remains a common challenge among patients. Consequently, addressing resistance to PARPi treatment in ovarian cancer has become a pressing therapeutic dilemma, necessitating innovative strategies. In this editorial, researchers Upasana Ray, Prabhu Thirusangu and Viji Shridhar from Mayo Clinic School of Medicine and Science responded to this unmet need with their current study, which unveiled promising findings related to the Pixatimod (PG545) drug, a sulfated small molecule compound. Engineered with a core structure mimicking heparan sulfate, this compound targets heparanase and heparin binding growth factor (HB-GF) signaling. “Our present study has revealed a previously unknown effect of PG545 in ovarian cancer cells, inducing DNA damage. The investigation unveiled that PG545 induces both single- and double-strand breaks in DNA while also promoting the autophagic degradation of RAD51, a critical DNA repair protein, thereby impeding the homologous recombination repair (HRR) pathway in cancer cells.” DOI - https://doi.org/10.18632/oncotarget.28545 Correspondence to - Viji Shridhar - Shridhar.Vijayalakshmi@mayo.edu Sign up for free Altmetric alerts about this article - https://oncotarget.altmetric.com/details/email_updates?id=10.18632%2Foncotarget.28545 Subscribe for free publication alerts from Oncotarget - https://www.oncotarget.com/subscribe/ Keywords - cancer, ovarian cancer, PARP inhibitors, PG545, DNA damage, cell death About Oncotarget Oncotarget (a primarily oncology-focused, peer-reviewed, open access journal) aims to maximize research impact through insightful peer-review; eliminate borders between specialties by linking different fields of oncology, cancer research and biomedical sciences; and foster application of basic and clinical science. To learn more about Oncotarget, please visit https://www.oncotarget.com and connect with us: SoundCloud - https://soundcloud.com/oncotarget Facebook - https://www.facebook.com/Oncotarget/ X - https://twitter.com/oncotarget Instagram - https://www.instagram.com/oncotargetjrnl/ YouTube - https://www.youtube.com/@OncotargetJournal LinkedIn - https://www.linkedin.com/company/oncotarget Pinterest - https://www.pinterest.com/oncotarget/ Reddit - https://www.reddit.com/user/Oncotarget/ Media Contact MEDIA@IMPACTJOURNALS.COM 18009220957

We talked with:Nicole Chung is the author of “A Living Remedy” and “All You Can Ever Know.” “A Living Remedy” was a New York Times Book Review Editors' Choice and has already been named a Best Book of 2023 by Time, Harper's Bazaar, Esquire, USA Today, and Booklist, among others. Chung's 2018 debut, the national bestseller “All You Can Ever Know,” landed on over 20 Best of the Year lists and has been translated into several languages.Brenda Ernst, M.D., is a hematologist and oncologist at the Mayo Clinic Comprehensive Cancer Center in Phoenix, Arizona. She cares for patients with various types of malignant cancers, especially breast and ovarian cancer. After earning her medical degree at St. George's University School of Medicine in Bay Shore, New York, Dr. Ernst completed an internal medicine residency at the Orlando Regional Medical Center and a fellowship in hematology/oncology at the Mayo Clinic School of Graduate Medical Education in Scottsdale, Arizona, where she was Chief Fellow.We talked about:In this episode, Dr. Millstine and her guests discuss:The high cost of illness — and healthcare. When Nicole's mother was diagnosed with breast cancer, Nicole was of course most worried about her mother's life. Only later did she realize the financial fallout: insurmountable medical debt.When care comes too late. Many people struggling with money and healthcare coverage put off receiving earlier treatment or preventive care. Nicole's father didn't receive crucial treatment until the last possible moment in his diabetes, and he needed to be on dialysis. What would her parent's lives have looked like if he had access to treatment years before?The tricky nature of caretaking for your caretakers. It's a struggle to try to help parents, especially when parents want to protect their children from their hardships. Dr. Ernst says that it can be hard to ask for help if your identity is “the caretaker” or “the parent.” When we come up against a crisis, we want to reassure ourselves that we are who we have always been, but crisis changes us and our roles.Can't get enough?Purchase “A Living Remedy.”From Bookshop.org.From Amazon.From Barnes & Noble.Want to read more on the topic? Check out our blog.Got feedback?If you've got ideas or book suggestions, email us at readtalkgrow@mayo.edu.We invite you to complete the following survey as part of a research study at Mayo Clinic. Your responses are anonymous. Your participation in this survey as well as its completion are voluntary.

Every Wednesday on MPR News with Angela Davis, you can listen to conversations about health and wellness.  MPR News host Angela Davis revisits highlights from three recent conversations. An infectious disease doctor and pediatric nurse talk about vaccine fatigue as the new COVID-19 booster rolls out. Plus, the increasing number of children who are nearsighted and how to prevent and treat kidney disease.  Guests:  Dr. Greg Poland is an internal medicine physician at the Mayo Clinic in Rochester, Minn., and an infectious disease expert. He's founder and director of the Mayo Vaccine Research Group and the Editor-in-Chief of the medical journal Vaccine.  Sheyanga Beecher is a pediatric nurse practitioner with Hennepin HealthCare. She's also medical director of the mobile pediatric clinic, which has provided thousands of vaccines against COVID-19 and childhood diseases, along with basic health care. Dr. Mary Gregory is a board-certified optometrist based in Monticello, Minn., who specializes in children's vision and learning. Dr. Derek Horkey is an ophthalmologist with St. Paul Eye Clinic who does comprehensive eye care for adults. He has additional expertise in treating glaucoma. Dr. Naim Issa is a nephrologist treating people with kidney disease and kidney transplants at Mayo Clinic in Rochester, Minn. where he's also an associate professor at Mayo Clinic School of Medicine. Jennifer Cramer-Miller has lived with kidney disease since her early 20s. Her memoir “Incurable Optimist: Living with Illness and Chronic Hope” describes her four kidney transplants, including a kidney from her mother and from a 25-year-old anonymous donor. She serves as board chair of the National Kidney Foundation (serving Minnesota).   Subscribe to the MPR News with Angela Davis podcast on: Apple Podcasts, Google Podcasts, Spotify or RSS.  Use the audio player above to listen to the full conversation. 

Dom's Bio:Domenic Fraboni is a Doctor of Physical Therapy and COO of The Mobility Method LLC. He earned his Doctorate in Physical Therapy from Mayo Clinic School of Health Sciences in Rochester, MN in 2018. He is a member of the American Physical Therapy Association (APTA) and regularly lobbies on behalf of MN and CA for increased reimbursement for preventative and rehabilitative care. For the past decade, Domenic has been an avid coach, unified partner, and volunteer coordinator for Special Olympics, and has assisted in coordinating events nationally for the NCAA and APTA. Since 2020, Domenic has acted as the Chief Operations Officer for The Mobility Method LLC where he is helping to create access to good, reliable, and affordable health and rehab information to all people through development of the Jen Health Platform. Domenic believes that true human healing happens through empowering individuals to independence in their health and wellness journey. As COO of The Mobility Method LLC and co-host of The Optimal Body Podcast (with his wife Dr Jen Fraboni), he always hopes to continue to get this message of empowerment out to the masses.Dr Domenic Fraboni PT DPT Jen's BioDr. Jen Fraboni, PT, DPT, is an internationally-renowned physical therapist who specializes in helping people overcome chronic pain and maximize physical performance. As the founder of the new platform and app, “Jen.Health,” she brings a unique, whole body approach to strength, mobility and pain-free living. In 2019, Jen was named one of the top 50 most influential healthcare professionals. Jen's easily accessible approach has garnered her more than half a million followers on social media and millions of views of her health and fitness videos. Jen has been featured in Shape Magazine, Self Magazine, Men's Fitness and Muscle and Fitness and in 2020, graced the cover of Oxygen Magazine. During the pandemic, she helped ease back pain with her feature on Good Morning America and NBC. Dr. Jen is the co-host with her husband, who is also a Doctor of Physical Therapy, to a popular podcast called "The Optimal Body Podcast.” 

Kidney failure is sometimes called a silent killer, since symptoms aren't noticeable until they're life threatening. About one in seven people have chronic kidney disease, or about 15 percent of Americans, and many of them don't know it.Treatments for kidney failure have improved — drugs, dialysis and kidney transplants are more successful than they used to be. But more than half of people who start dialysis still die within five years.MPR News host Angela Davis talks with a doctor about the need for prevention and early treatment, and a Minnesotan who lived through four kidney transplants.Guests Dr. Naim Issa is a nephrologist who treats people with kidney disease and kidney transplants at Mayo Clinic in Rochester, Minn. He's also an associate professor at Mayo Clinic School of Medicine.Jennifer Cramer-Miller has lived with kidney disease since her early 20s and has received four kidney transplants, including a kidney from her mother and from a 25-year-old anonymous donor. She serves as board chair of the National Kidney Foundation (serving Minnesota). She's just out with a new memoir, “Incurable Optimist: Living with Illness and Chronic Hope.”Subscribe to the MPR News with Angela Davis podcast on: Apple Podcasts, Google Podcasts, Spotify or RSS. Use the audio player above to listen to the full conversation.   

Gameplay and Game Design to Transform Learning - Laughter and Learning Outcomes in Medical Education (EP.22) With Michelle A. Nelsen, MS, HTL (ASCP) Incorporating games into your curriculum can be transformative. Games can be immersive and when constructed by learners, a game can move education from a passive endeavor to an active and engaging experience that promotes critical thinking teamwork experiential learning and empathy. Assistant Professor of Laboratory Medicine and Pathology and Program Director for the Mayo Clinic School of Health Sciences' Histology Technician Program, Michelle A. Nelsen, MS, HTL(ASCP), joins Stacy Craft to discuss concreate examples of leveraging the world of game design and gameplay to bring difficult content to life and build community in the virtual and in person classroom. Questions? Feedback? Ideas? Contact us at edufi@mayo.edu Additional Resources: Videos: Gamification in Higher Education | Christopher See | TEDxCUHK Articles: What does Game Based Learning Offer Higher Ed? Gonzaga University Game Design in the Classroom: 8 Steps to Get Started Xu M, Luo Y, Zhang Y, Xia R, Qian H, Zou X. Game-based learning in medical education. Front Public Health. 2023 Mar 3;11:1113682. doi: 10.3389/fpubh.2023.1113682. PMID: 36935696; PMCID: PMC10020233. Khanna A, Ravindran A, Ewing B, Zinnerstrom K, Grabowski C, Mishra A, Makdissi R. Escape MD: Using an Escape Room as a Gamified Educational and Skill-Building Teaching Tool for Internal Medicine Residents. Cureus. 2021 Sep 27;13(9):e18314. doi: 10.7759/cureus.18314. PMID: 34725586; PMCID: PMC8553278. Heim AB, Holt EA. From Bored Games to Board Games: Student-Driven Game Design in the Virtual Classroom. J Microbiol Biol Educ. 2021 Mar 31;22(1):22.1.19. doi: 10.1128/jmbe.v22i1.2323. PMID: 33884075; PMCID: PMC8012046. Powerpoint Presentation Games Templates

Dr. Lizette Warner is the CEO of Optimum Vobis.  She is a TedX speaker and the author of Power, Poise, and Presence: A New Approach to Authentic Leadership .  Lizette was previously a Senior Director of Clinical Science at Philips, focusing on MR Therapy (meditation relaxation), and she holds a PHD in Philosophy from the Mayo Clinic School of Medicine.  We discuss her approach to authentic leadership an how to harness the power of biomarkers to defeat doubt and fear.  

Editor-in-Chief Dr. Richard McCallum and Assistant Professor of Medicine at Mayo Clinic School of Medicine, Dr. Lucinda Harris, discuss stress and IBS, antibiotic treatment options, and new findings regarding IBS in females and military service members. Dr. Harris is also a consultant at the Division of Gastroenterology and Hepatology at Mayo Clinic Scottsdale and is a current member of the Gastroenterology Fellowship committee. Her special clinical and research interests include IBS, gastroparesis, chronic constipation, and pelvic floor disorders as well as celiac disease and autonomic disorders.

HRRP stands for Hospital Readmissions Reduction Program, by the way. I wanted to encore this episode with Dr. Rishi Wadhera because it's a great representation of a common root cause reason why quality metrics sometimes don't end well in real life. This root cause is otherwise known as Goodhart's Law, and we dig into Goodhart's law later on in this healthcare podcast. But the actual and ultimate impact of HRRP is also a pretty good representation of the consequences, what happens, when you create a blunt-force policy that assumes hospitals with very different circumstances are the same. Before we kick in to the episode, I asked Dr. Wadhera, my guest today as aforementioned, if there'd been any updates regarding HRRP since this show originally aired last year; and he told me that two key pieces have come out this past month in JAMA journals calling out CMS (Centers for Medicare & Medicaid Services) to move on from/retire this policy: A Decade of Observing the Hospital Readmission Reductions Program—Time to Retire an Ineffective Policy Readmission Reduction as a Hospital Quality Measure: Time to Move on to More Pressing Concerns? Thanks so much to Dr. Steve Schutzer and also BoneDoc66 for your really nice reviews this past month. So appreciated … thank you so much! And here is your encore. Today's guest is Rishi Wadhera, MD, MPP. Dr. Wadhera authored a retrospective analysis in the BMJ about the HRRP, which we will talk about in this healthcare podcast. Dr. Wadhera is a cardiologist at Beth Israel Deaconess Medical Center. He also has a master's in public policy at the Harvard Kennedy School of Government and also a master's in public health from the University of Cambridge. But here's the larger epiphany that pertains to all value-based care and all quality metrics which Dr. Wadhera brings up in this healthcare podcast and which my nerd heart could not love more: Goodhart's Law. This law is the root of so very many problems. Goodhart's Law is this (which I learned from Dr. Wadhera): “When a measure becomes a target, it ceases to be a good measure.” In other words, when we set a goal, people will try to take a shortcut to the goal, regardless of the consequences. And sometimes the consequences, paradoxically, are to do worse at the goal. Maybe because bean counters and admins and maybe even goal-oriented clinicians themselves will go right to the end goal, inadvertently skipping a whole bunch of (it turns out) rate-critical steps. For example, teaching to the test may not lead to students who deeply understand a subject. And anyone trying to achieve value-based care success, improve quality, form collaborations, or make sales might want to remember that old proverb, “Sometimes the shortest way home is the long way around.”   You can learn more at Dr. Wadhera's Harvard Catalyst profile and the Beth Israel Deaconess Medical Center Web site.   Rishi K. Wadhera, MD, MPP, MPhil, is an assistant professor of medicine at Harvard Medical School, a cardiologist at Beth Israel Deaconess Medical Center (BIDMC), and the associate program director of the cardiovascular medicine fellowship at BIDMC. He is also health policy and equity researcher at the Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology. Dr. Wadhera received his MD from the Mayo Clinic School of Medicine as well as an MPhil in public health as a Gates Cambridge Scholar from the University of Cambridge. He completed his internal medicine residency and cardiovascular medicine fellowship at Brigham and Women's Hospital in Boston. During this time, he also received a master's in public policy (MPP) at the Harvard Kennedy School of Government, with a focus on health policy. Dr. Wadhera's research spans questions related to healthcare access, quality, and disparities, as well as understanding how local, state, and national policy initiatives impact care delivery, health equity, and outcomes. Dr. Wadhera has published more than 80 articles to date, and he receives research support from the National Heart, Lung, and Blood Institute (NHLBI) and the National Institutes of Health (NIH)   03:30 What was the Hospital Readmissions Reduction Program intended to do? 05:22 Why did the Centers for Medicare & Medicaid (CMS) think some readmissions were preventable? 06:02 “The spirit of the Hospital Readmissions Reduction Program was to incentivize hospitals to improve … discharge planning, transitions of care, and post-discharge follow-up and care.” 06:58 How has research in the last few years changed the thoughts on the effectiveness of the Hospital Readmissions Reduction Program? 08:16 “The 30-day readmission measure—it's an incomplete measure.” 11:48 “I think patients … are smart, and they know what's going on.” 13:34 “What's happening is, we're just increasing the number of times they need to come back to the ER within that 30-day period.” 13:55 “The weird thing about the HRRP is that when it evaluates hospitals' 30-day readmission rates, it's a yes-no phenomenon.” 15:03 “What CMS does is, it risk adjusts … and that is what we should be doing.” 18:30 “This program has been incredibly regressive.” 19:04 “Poverty, neighborhood disadvantage, housing instability—these factors are out of hospitals' control.” 21:50 “Blunt policies like this that are rolled out nationally probably elicit mixed behavioral responses.” 22:06 “It just makes no sense to take resources away from hospitals.” 22:32 EP295 with Rebecca Etz, PhD. 23:47 What's the way to improve quality of care globally? 25:37 “CMS's approach to improving quality of care has really anchored … [that] to payment.” 26:08 “It's time for us to rethink what our approach to quality improvement should be.” 29:22 “Policy makers have an obligation to rigorously test the impact of these types of policies before they roll them out nationally.” 31:41 Can you scale healthcare nationally?   You can learn more at Dr. Wadhera's Harvard Catalyst profile and the Beth Israel Deaconess Medical Center Web site.   @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission What was the Hospital Readmissions Reduction Program intended to do? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission Why did CMS think some readmissions were preventable? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “The spirit of the Hospital Readmissions Reduction Program was to incentivize hospitals to improve … discharge planning, transitions of care, and post-discharge follow-up and care.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission How has research in the last few years changed the thoughts on the effectiveness of the Hospital Readmissions Reduction Program? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “The 30-day readmission measure—it's an incomplete measure.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “What CMS does is, it risk adjusts … and that is what we should be doing.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “Blunt policies like this that are rolled out nationally probably elicit mixed behavioral responses.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “It just makes no sense to take resources away from hospitals.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission What's the way to improve quality of care globally? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “It's time for us to rethink what our approach to quality improvement should be.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission Can you scale healthcare nationally? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission   Recent past interviews: Click a guest's name for their latest RHV episode! Ge Bai (Encore! EP356), Dave Dierk and Stacey Richter (INBW37), Merrill Goozner, Betsy Seals (EP387), Stacey Richter (INBW36), Dr Eric Bricker (Encore! EP351), Al Lewis, Dan Mendelson, Wendell Potter, Nick Stefanizzi, Brian Klepper (Encore! EP335), Dr Aaron Mitchell (EP382), Karen Root, Mark Miller, AJ Loiacono, Josh LaRosa, Stacey Richter (INBW35), Rebecca Etz (Encore! EP295), Olivia Webb (Encore! EP337), Mike Baldzicki, Lisa Bari, Betsy Seals (EP375), Dave Chase, Cora Opsahl (EP373), Cora Opsahl (EP372), Dr Mark Fendrick (Encore! EP308), Erik Davis and Autumn Yongchu (EP371), Erik Davis and Autumn Yongchu (EP370)

“It's the simple things done consistently that promote long-term health.” - Dr. Dom Fraboni How is mindset connected to chronic pain? Most people describe pain as scary, yet Dr. Jen Esquer and Dr. Dom Fraboni say it's an incredible cue our body is sending to say we need to shift in the way we're doing something. In today's episode, Dr. Jen and Dr. Dom – both physical therapists – explain why many people aren't getting down to the root causes of their pain and why many treatments are only passive to the body. They unpack some chronic pain myths and provide tips listeners can start doing that more actively (vs. passively) help the body correct itself and reverse the pain. They also share why learning “what to say to the body” is such an important tool and why encouraging fear around movement isn't the right path toward healing. About Today's Guests: Dr. Jen Esquer is a top-40 physical therapy influencer. With a Doctorate in physical therapy, she is ranked as one of the Best Fitness Trainers on Instagram by Shape Magazine and has been featured in Self Magazine, Men's Fitness, Muscle and Fitness as well as a select interview guest on CBS and on the RISE podcast with Mogul CEO Rachel Hollis. As a self-proclaimed “mover”, Jen has spent more than 2/3 of her life upside down. She graduated with a B.S. in Kinesiology and received her DPT degree from Lomo Linda University. Nowadays, she offers private sports therapy, online programs, workshops, and speaks at global engagements, attracting audiences from stay-at-home moms to Hollywood actors and Olympic athletes. Her mission is to help those who are willing to listen to their body, reverse aging, eliminate pain, and establish sustainable health. Dr. Domenic Fraboni is a Doctor of Physical Therapy and Certified Strength and Conditioning Coach. He earned this after graduating from Mayo Clinic School of Health Sciences in Rochester, Minnesota. He's an advocate for the advance of the physical therapy profession as well as accessibility to higher quality of care. He loves to focus his efforts on systemic healthcare change. He was an avid coach, unified partner, and volunteer coordinator for the Special Olympics. Today, he coaches clients by working with their mindset, movement, and meals through his company called The Wellness Destination. Mentioned in the Episode: Jen Health Platform Jen Health on Instagram (@jen.health) Find Jen on Instagram (@docjenfit) Find Dr. Dom on Instagram (@drdomdpt) The Optimal Body Podcast with Dr. Jen and Dr. Dom Quadrants of Well-Being Wellness on a Shoestring by Dr. Michelle Robin

What is high blood pressure? How many people have high blood pressure? What things contribute to high blood pressure? What lifestyle changes can we make to treat or prevent high blood pressure? What is the benefit of aerobic exercise? What about strength training? What is the impact of stress on blood pressure? What is Afib? What is the impact of salt on blood pressure? What should we know about baby aspirin? Thank you to our sponsor, InsideTracker. Listeners get 20% off here. Dr. Robert Todd Hurst is a board-certified preventive cardiologist and founder of HealthspanMD. He spent 12 years as a Consultant in Cardiovascular Diseases at Mayo Clinic, where he was an Associate Professor of Medicine in the Mayo Clinic School of Medicine & Founding Director of the Heart Health and Performance Program. He shares everything we need to know about blood pressure from how to treat and prevent high blood pressure, what lifestyle behaviors are contributing factors, the impact of salt, whether we should be taking baby aspirin, and more. “Blood pressure can have a devastating effect on our health when it's not treated well.” “High blood pressure is the second biggest contributor to the number one cause of death and disability which is heart disease. It also is the primary contributor to stroke and the second strongest factor for kidney failure, as well as diabetes.” “We don't need to spend another dime on research to understand how to best treat high blood pressure. And yet, this condition, which kind of flies under the radar from doctors and from patients, accounts for 1,100 deaths a day in the United States. 1,100 preventable deaths a day.” “People that are over the age of 74, 85% of them have high blood pressure.” “In my estimation, about 75% of blood pressure can be treated and even  mostly cured without medications.” “I've come to have an amazing amount of respect for how impactful stress is for a lot of people and for many it is the primary driver of their blood pressure, of their heart disease, of their weight issues. They can't get where they need to go until they figure out how to manage stress better.” “Afib is an epidemic now in the country. It's the number one heart rhythm problem cardiologists deal with. Any cardiologist that works in a hospital will tell you that they are overrun by people with Afib.” Listen to the SuperAge podcast wherever you get your pods. Call in to the podcast and have your comment or question answered on air: (801) 871-5291Connect with Dr. Hurst:Website

What are Mayo Clinic Cardiologist Dr. Hurst's 10 factors that help promote health? What are the factors that prevent heart disease? What is the importance of our blood pressure, blood sugar, & cholesterol on our heart health? Statins? What is cardiometabolic disease and how do you know if you have it? How do you change your behavior to prevent cardiometabolic disease? How does community and purpose impact our health? Thank you to our sponsor, InsideTracker. SuperAge listeners receive 20% off here. Robert Todd Hurst is a board-certified preventive cardiologist and founder of HealthspanMD. He spent 12 years as a Consultant in Cardiovascular Diseases at Mayo Clinic, where he was an Associate Professor of Medicine in the Mayo Clinic School of Medicine & Founding Director of the Heart Health and Performance Program. Dr. Hurst and David discuss the factors that contribute to heart disease and cardiometabolic disease, the behaviors that are shown to prevent these diseases, the importance of creating a partnership with your doctor to work towards better health, and more. Timestamps: 00:00:00 Welcome to the SuperAge podcast00:00:34 David's update00:02:18 Watch our Hot or Not? Instagram Lives. Monday's at 3:15pm PT / 6:15pm ET00:04:14 Call in to the SuperAge podcast00:05:07 Thank you to our sponsor InsideTracker00:06:25 Welcome to our guest, Dr. R. Todd Hurst00:06:39 Dr. Hurst's background00:07:57 The 7 factors to prevent heart disease00:20:57 Statins00:31:20 Cardiometabolic disease 00:36:22 Dr. Hurst's “Healthspan 10”00:37:26 The importance of our behaviors on our health outcomes00:45:46 Team based approach to heath00:51:44 The importance of connection, community, and purpose on our health00:59:16 How to connect with Dr. Hurst“Unfortunately, heart disease is still the number 1 cause of death and disability worldwide. That's a terrible thing in and of itself but when we realize that most of that heart disease is preventable with pretty simple interventions, it makes it even more tragic.” “The biggest problem in healthcare is that about 60% of us have diseases that are preventable and oftentimes curable, we're just not doing that.”“87.8% of adults in the United States have at least one sign of cardiometabolic disease. And even more shocking, 78% of teenagers had at least one sign of cardiometabolic disease.” “People don't resist change, they resist being changed.” “If your strategy as a doctor is to say ‘You need to exercise, lose weight, eat better, and quit smoking and I'll see you in 3 months,' we can't be surprised that in 3 months, our patients haven't changed.”“If somebody is not losing the weight that they want to lose, they're eating well, they're being active, and they're still not losing that weight, I almost universally will say it's one of three things. 1. They're not sleeping well. 2. Their stress levels are through the roof and they're not managing that well. 3. Insulin resistance. They're not handling glucose well.” “One benefit leads to another benefit. You start exercising so then you sleep better which makes your stress levels better.” Connect with Dr. Hurst:Website

Editor-in-Chief Dr. Richard McCallum and Assistant Professor of Medicine at Mayo Clinic School of Medicine, Dr. Lucinda Harris, discuss stress and IBS, antibiotic treatment options, and new findings regarding IBS in females and military service members. Dr. Harris is also a consultant at the Division of Gastroenterology and Hepatology at Mayo Clinic Scottsdale and is a current member of the Gastroenterology Fellowship committee. Her special clinical and research interests include IBS, gastroparesis, chronic constipation, and pelvic floor disorders as well as celiac disease and autonomic disorders.

This episode's Community Champion Sponsor is Catalyst. To virtually tour Catalyst and claim your space on campus, or host an upcoming event: https://www.catalysthealthtech.com/ (CLICK HERE) --- On a mission to transform healthcare for the good of patients, providers, and payers, our next guest is paving the way to finally connect both sides of healthcare's fax machine. Dr. Jeremy Friese, President of Payer Market at Olive, joins us to discuss how he and his team are building the only artificial intelligence and process automation company designed specifically for healthcare. Join us for this inspiring conversation to discover how Dr. Friese and the Olive team are rapidly growing their Payer business in coordination with their established Provider business to deliver value across the healthcare ecosystem as they continue their march in creating the Internet of Healthcare.  Let's go! Episode Highlights: The importance of Dr. Friese's journey at Mayo Clinic that helped enable him to be a successful entrepreneur  Olive's mission of connecting providers, payers, and patients to create the Internet of Healthcare What automation means for the healthcare industry Dr. Friese's plans for Olive to play an increasing role in making the healthcare industry more interconnected About Our Guest:  Dr. Jeremy Friese, M.D., M.B.A., is a physician executive with a demonstrated passion for improving healthcare, first as a physician executive at Mayo Clinic and then as a successful entrepreneur. Prior to Olive, Jeremy started or invested in dozens of healthcare companies and most recently founded and led Verata Health, a venture-backed AI technology company acquired by Olive in 2019. Prior to his transition to entrepreneurship, Jeremy was an internationally recognized physician and executive at Mayo Clinic and Harvard. During his Mayo career, he held executive leadership positions for Mayo's most profitable business, the Mayo Clinic Strategic Investment Fund, and for Global Business Development. Additionally, Jeremy served as a director on several U.S. and international boards for leading venture firms, the International Monetary Fund, and the American Cancer Society. As Olive's President, Payer Market, Jeremy is on a mission to transform healthcare for the good of patients, providers, and payers. His responsibilities span all activities related to Olive's rapidly growing Payer business and coordination with Olive's established Provider business to deliver value across the healthcare ecosystem. Jeremy earned his M.D. at Mayo Clinic School of Medicine and his M.B.A. at Harvard Business School. Links Supporting This Episode: Olive website: https://oliveai.com/ (CLICK HERE) Dr. Jeremy Friese LinkedIn page: https://www.linkedin.com/in/jeremyfriese/ (CLICK HERE) Olive Twitter page: https://twitter.com/oliveai__ (CLICK HERE) Clubhouse handle: @mikebiselli Mike Biselli LinkedIn page: https://www.linkedin.com/in/mikebiselli (CLICK HERE) Mike Biselli Twitter page: https://twitter.com/mikebiselli (CLICK HERE) Visit our website: https://www.passionatepioneers.com/ (CLICK HERE) Subscribe to newsletter: https://forms.gle/PLdcj7ujAGEtunsj6 (CLICK HERE) Guest nomination form: https://docs.google.com/forms/d/e/1FAIpQLScqk_H_a79gCRsBLynkGp7JbdtFRWynTvPVV9ntOdEpExjQIQ/viewform (CLICK HERE)

Episode 121 is a great conversation with wife and husband team, Doctors Jen and Dom Fraboni, about creating an agile career, as well as a flexible and healthy body in 2022. Jen and Dom both work as physical therapists with both in-person and online clients, while also maintaining a strong presence as social media influencers and podcasters. We discuss basic guidelines around improving mobility and managing chronic pain, as many people are struggling with the stress and anxiety of being stuck at home and are in great need of simple strategies to stay healthy and fit. Dr. Jen Fraboni is a top-40 physical therapy influencer. With a Doctorate in physical therapy, she is ranked as one of the Best Fitness Trainers on IG by Shape Magazine and has been featured in Self Magazine, Men's Fitness, Muscle and Fitness as well as well as a select interview guest on CBS and on the RISE podcast with Mogul CEO Rachel Hollis.Dr. Domenic Fraboni is a Doctor of Physical Therapy and Certified Strength and Conditioning Coach. He earned this after graduating from Mayo Clinic School of Health Sciences in Rochester, MN IN 2018. He is a member of the American Physical Therapy Association (APTA), attending many events nationwide to advocate for the advance of the physical therapy profession as well as accessibility to higher quality of care. You can find out more information on both Dr Jen and Dr Dom via the following links:Instagram: https://www.instagram.com/docjenfit/https://www.instagram.com/drdomdpt/Websites: https://www.docjenfit.com/https://www.docjenfit.com/podcast/Facebook: https://www.facebook.com/docjenfit/https://www.facebook.com/dfraboniThe D&D Fitness Radio podcast is available at the following locations for downloadable audio, including: iTunes – https://itunes.apple.com/us/podcast/d-d-fitness-radio-podcast/id1331724217iHeart Radio – https://www.iheart.com/podcast/dd-fitness-radio-28797988/Spreaker.com – https://www.spreaker.com/show/d-and-d-fitness-radios-showSpotify – https://open.spotify.com/show/5Py2SSPA4mntNwYRm0OpriYou can reach both Don and Derek at the following locations: Don Saladino: http://www.DonSaladino.com Twitter and Instagram - @DonSaladino YouTube - http://www.youtube.com/donsaladino Derek M. Hansen: http://www.SprintCoach.comTwitter and Instagram - @DerekMHansen YouTube - http://youtube.com/derekmhansen

On this week's episode of Beauty Bytes, I am talking all about regenerative medicine and exosomes with transplant cardiologist Dr. Atta Behfar. Dr. Behfar received his M.D. from the Mayo Clinic School of Medicine and a Ph.D. in stem cell biology and molecular pharmacology and therapeutics from the Mayo Clinic Graduate School of Biomedical Sciences. He gives us an insider look into his cutting-edge research on exosomes, their function, and possible benefits. Exciting results have been coming out of the Mayo Clinic and his company, RION, in the clinical application of exosomes for cardiovascular injuries, wound healing, orthopedics, and anti-aging. Could exosomes be the next foundational pillar in skincare? Listen on to find out more! Click HERE to check out Rion Click HERE to follow me on Instagram Click HERE to purchase KD Skincare Click HERE to listen to more podcasts

Ally Lopes is a 24-year-old National Board-Certified Health and Wellness Coach (NBC-HWC) and kindergarten teacher from the New Jersey Lyme belt. Ms. Lopes' Lyme disease journey began with severe vertigo and flu-like symptoms the day before she flew to Walt Disney World for her high school senior class trip. She was initially diagnosed with a stomach virus and a sinus infection. During the following 2 years, her symptoms progressed forcing her to seek treatment from so many doctors she finally lost count. She was finally diagnosed with Lyme disease using a Western Blot blood test by the doctor that diagnosed her mother with Lyme disease one year earlier. Ms. Lopes treated with her mother's practitioner for 1 year and then decided to take responsibility for building her own treatment team. Blazing her own trail introduced her to eastern and western treatment tools and practitioners resulting in Ms. Lopes making sufficient health gains to allow her to complete her undergraduate degree in elementary education. Inspired by her health journey and a desire to assist others overcome chronic Lyme disease, Ms. Lopes studied Wellness Coaching at the prestigious Mayo Clinic School of Continuous Professional Development. If you would like to learn more about how Lyme disease inspired an elementary school teacher to diversify her professional skills to bring her lessons from her personal journey to other people battling Lyme disease, then tune in now!

“Your life becomes fused to what we do and it's very hard, especially for physicians or healthcare workers, to say, ‘Well, you know, I've done this all my life and maybe that's not what I need to do now.'” -Simon Maltais M.D Ph.D.   In today's episode, Dr. Jen Barna has a very honest conversation about burnout and recovery with Cardiac Surgeon and author of the upcoming book, Healthcare Anonymous: Put Yourself First to Avoid Anxiety, Addiction, and Burnout, Dr. Simon Maltais. You would be hard pressed to find someone more driven or accomplished in his field than Dr. Maltais. At the top of his game and publishing a new article nearly every two weeks, Dr. Maltais realized that he was experiencing burnout. Dr. Maltais shares his story of taking a step back, considering leaving medicine, changing his definition of success, and ultimately creating a hybrid way to continue the work that he loves while making more time for himself and his family. Tune in to hear an honest and candid story of burnout and recovery and hear what Dr. Maltais believes is the future of medicine.    For more information about Healthcare Anonymous: Put Yourself First to Avoid Anxiety, Addiction, and Burnout and offerings, please go to healthcareanonymous.com    Dr. Simon Maltais is an active cardiac surgeon in the United States. He is French Canadian and board-certified in Canada in cardiac surgery. He is an internationally recognized leader in the field of heart transplantation, mechanical heart devices, and alternative cardiac interventions. Before 40, Maltais had led two world-renowned programs in his specialty and has pioneered numerous novel approaches for advanced cardiac surgery interventions. At the age of 35, he was among the youngest promoted associate professors at a nationally recognized institution. He is a frequent keynote speaker, has published more than 160 articles and has contributed to numerous books. As he worked in two different countries and health systems, Maltais has a unique perspective on the delivery of care and its inherent challenges for healthcare workers.    Dr. Simon Maltais earned his Medical Degree from Sherbrooke University, his Master's Degree in Physiology from Sherbrooke University, completed his Adult Cardiac Surgery Residency at Montreal Heart Institute, Montreal University. He completed two fellowships, one at Buffalo University and the second, a fellowship in Heart Transplant and Mechanical Support at Mayo Clinic School of Medicine. He obtained his Doctoral Degree in Biomedical Sciences (Ph.D.) at Montreal Heart Institute, Montreal University. He currently works at HCA Healthcare in California.    Find full transcripts of DocWorking: The Whole Physician Podcast episodes on the DocWorking Blog    How many coaches do you think your favorite actors and athletes have worked with over the years in order to achieve such extraordinary success?   What if you had a team of trusted thinking partners, experienced coaches who have helped hundreds of physicians overcome obstacles and who know what works?    What if you were part of a community of like-minded physicians from across the nation, across specialties and career stages? Your collective brain trust, sharing ideas and experiences, so you would no longer feel like an island, surrounded by people yet alone?   What if you had small group coaching sessions, could interact with your coaches and community as often as you wish, and had virtual courses at your fingertips 24-7 that could help you with things like time and stress management, resilience, and mapping out your future to achieve what matters most to you?   What if you could have all of this for less than the cost of a single 1:1 coaching session per month?   DocWorking THRIVE is the Physician Coaching and Community Subscription Package that Guides You as a Doctor to Embrace Life in the way that is most meaningful to you, integrate that with your work so you can truly thrive, and be a valued member of our growing private community of doctors from across the nation. Join the DocWorking mailing list by clicking here.   At DocWorking, our specialty is Coaching Physicians to achieve the best in life and medicine.    Doctors devote their lives to caring for others. But does that mean they must sacrifice their own health and wellbeing? Absolutely not!   At DocWorking, we have developed a unique way to embrace it all.   The caring for others that you do so selflessly AND the caring for YOURSELF AND YOUR FAMILY that you crave in order to bring it all into the perfect balance specific to YOU.   What if we told you that you CAN have it all? The career you dreamed of when you decided to become a doctor AND the life outside of medicine that you desire?   DocWorking empowers physicians to get back on the path to achieving their dreams.   Ace the Boards and Max Your CME Preparing for your board exam or looking for a quick and convenient way to earn CME? Study for your board exam and fulfill your CME requirements with BoardVitals. BoardVitals is the leading online board review platform, with question banks and CME activities available in more than 50 medical and healthcare specialties.   Save Money Now: Refinance Your Student Loan Debt   Take Back Your Time: Get a Virtual Assistant Working in the medical field is fulfilling but it can also be exhausting. Physicians often sacrifice their personal time to carry out their duties. They want to go on vacations, start passion projects, or start side businesses but finding the time seems impossible. Recently, more and more physicians are giving outsourcing a try. Outsourcing allows you to delegate tasks to virtual assistants so you can free up your time and finally do whatever it is you've been wanting to do.   Become a Medical Legal Consultant We at DocWorking are excited to collaborate with Dr. Armin Feldman to bring you this opportunity to develop a side income or even a full time income while using your clinical skills!   Achieve Financial Independence with a Financial Planner/Advisor Change your trajectory: build financial independence and strength by working with our trusted resources. Working with a trusted financial planner and/or financial advisor can help you to create a specific plan that works for you. The right advisor can help you stay on track to reach your financial independence goal and your next vision.   Protect Yourself and Your Family with the Right Insurance Doctors and their families need many types of insurance–and inadequate coverage can cost you dearly. Connecting with trusted insurance professionals in your area is recommended to be sure you're appropriately covered.   Are you a physician who would like to tell your story? Please email Amanda, our producer, at Amanda@docworking.com to be considered. And if you like our podcast and would like to subscribe and leave us a 5 star review, we would be extremely grateful! We're everywhere you like to get your podcasts! Apple iTunes, Spotify, iHeart Radio, Google, Pandora, PlayerFM, ListenNotes, Amazon, YouTube, Podbean You can also find us on Instagram, Facebook, LinkedIn and Twitter.    Some links in our blogs and show notes are affiliate links, and purchases made via those links may result in payments to DocWorking. These help toward our production costs. Thank you for supporting DocWorking: The Whole Physician Podcast! Occasionally, we discuss financial and legal topics. We are not financial or legal professionals. Please consult a licensed professional for financial or legal advice regarding your specific situation.   Podcast produced by: Amanda Taran

To claim credit for this episode, visit: Mayo Clinic Talks Podcast: Genes & Your Health Guests: Stephanie S. Faubion, M.D., M.B.A. (@StephFaubionMD); Kejal Kantarci, M.D. (@KejalKantarciMD); Juliana (Jewel) M. Kling, M.D., M.P.H. (@DrJewelKling) Host: Denise M. Dupras, M.D., Ph.D. Is hormone therapy good or bad for women? What are the myths surrounding it? Is the varying experience of menopause genetic? Join the sixth episode of Mayo Clinic Center for Individualized Medicine's Genes & Your Health Edition to dive into women's health and hormones and what you need to know for your practice.   Additional resources: • USPSTF Recommendations Statement for Breast Cancer: Medication Use to Reduce Risk https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/breast-cancer-medications-for-risk-reduction  • Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine  Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

To claim credit for this series, visit: Mayo Clinic Talks Podcast: Genes & Your Health Guest: Purna C. Kashyap, M.B.B.S. (@KashyapPurna); Marina R. Walther-Antonio, Ph.D. Host: Denise M. Dupras, M.D., Ph.D. What is the microbiome? How does the microbiome interact with our body? How much of us is nurture, how much is nature? The whole concept of microbiome may be a new idea but have no fear this fifth episode of the Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine is here to help answer those questions and more! Additional resources: Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine  Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd. 

Guest: Christina A. Dilaveri, M.D. (@CDilaveri) Host: Darryl S. Chutka, M.D. (@ChutkaMD)   Breast cancer is very treatable when detected early. Therefore, early detection becomes very important as it significantly reduces a patient's risk of developing metastases and death. Breast imaging plays an extremely important role in the detection of early breast cancer, and we now have several modalities of breast imaging available, each with its advantages and disadvantages. Our guest for this podcast is Christina Dilaveri, M.D. a breast disease specialist, from Mayo Clinic's Rochester Campus. We'll discuss mammography, ultrasound, MRI, and molecular breast imaging, when they're indicated, and the advantages of each. You'll hear which patients should have more than a mammogram and how often it should be performed. Specific topics discussed: The various types of mammography available Indications for breast ultrasound Benefits of breast MRI When breast MRI should be performed Benefits of molecular breast imaging When molecular breast imaging should be performed Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

To claim credit for this series, visit: Mayo Clinic Talks Podcast: Genes & Your Health   Guest: Niloy Jewel J. Samadder, M.D. (@J_Samadder)   Host: Denise M. Dupras, M.D., Ph.D.   Can we find the cause of a patient's cancer? Is it possible to provide targeted treatment to prevent future cancers by understanding what genetic predispositions a patient or their family members have? In a recently published study, nearly one in six to one in eight cancer patients, depending on which type of cancer they had, carried a genetic predisposition to the development of their cancer. How can we translate these findings into our practice for the benefit of our patients and their families? Tune in to episode four of our Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine. Additional resources: Samadder NJ, Riegert-Johnson D, Boardman L, et al. Comparison of universal genetic testing vs guideline-directed targeted testing for patients with hereditary cancer syndrome. JAMA Oncol. 2021;7(2):230–237. doi: 10.1001/jamaoncol.2020.6252 Uson, PLS. Riegert-Johnson, D. Boardman, L. Kisiel, J. et al. Germline cancer susceptibility gene testing in unselected patients with colorectal adenocarcinoma: a multicenter prospective study. Clin Gastroenterol Hepatol. 2021 April 20; doi: 10.1016/j.cgh.2021.04.013 Mayo Clinic's Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine  Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Guest: Matthew J. Binnicker, Ph.D. (@DrMattBinnicker) Host: Amit K. Ghosh, M.D. (@AmitGhosh006)   In this podcast Matthew J. Binnicker, Ph.D. discusses the development of different types of testing available to diagnose SARS-CoV2 infection. Binnicker discusses the test characteristics of the rapid antigen tests and RT-PCR test and its variability based on the time when the test was performed. He also discusses the optimal timing of diagnostic testing (rapid testing, RT-PCR) and the role and limitations of antibody testing in COVID-19.   Additional resources: Shah AS, Tande AJ, Challener DW, O'Horo JC, Binnicker MJ, Berbari EF. Diagnostic stewardship: An essential element in a rapidly evolving COVID-19 pandemic. Mayo Clin Proc. 2020;95(9):S17-S19. DOI: https://doi.org/10.1016/j.mayocp.2020.05.039   Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

To claim credit for this episode, visit: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-podcast-genes-your-health#group-tabs-node-course-default1 Guest: Jessica A. Wright, Pharm.D., R.Ph. Host: Denise M. Dupras, M.D., Ph.D. Pharmacogenomics helps to identify how your patients' DNA may affect their response to medications. But there's a lot of different genes! How do we get started? What resources are out there? Do we have to worry about every drug a patient is on? Find out these answers and more in episode three of the Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine. Additional resources: PharmGKB: pharmgkb.org Clinical Pharmacogenetics Implementation Consortium (CPIC®): cpicpgx.org Basic Pharmacogenomics Nomenclature: https://www.pharmgkb.org/page/glossary NIH's National Human Genome Research Institute: Healthcare Provider Resources: https://www.genome.gov/For-Health-Professionals/Provider-Genomics-Education-Resources Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Guest: David G. Lott, M.D. Host: Amit K. Ghosh, M.D. (@AmitGhosh006) About 60,000 Americans have had their vocal cords removed due to disease or trauma necessitating a laryngectomy. Post-laryngectomy, patients are unable to speak, are at risk for aspiration, and many suffer from significant anguish resulting in depression. Fortunately, there are several treatment options available, the first being laryngeal transplant. While laryngeal transplantation allows patients to smell, taste, swallow, and communicate, it has drawbacks. Currently only a small number of larynx transplants are done in the U.S., and only a select few patients with laryngectomy qualify for larynx transplant. In this episode, Dr. David Lott, division chair of laryngology at Mayo Clinic's Arizona campus, discusses the role of regenerative medicine, which has shown promise in using 3D printing and a patient's stem cells in creating a larynx. Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Despite some biosimilars, including those for filgrastim, trastuzumab, and bevacizumab, achieving a greater US market share than their originators, other biosimilar categories, such as pegfilgrastim and infliximab, are still trailing behind. Some biosimilar companies are becoming more savvy, developing new ways to make a bigger statement in the market. We sat down with Kirollos Hanna, PharmD, the manager of Oncology Pharmacy at the University of Minnesota Medical Center, an associate editor for the Journal of the Advanced Practitioner in Oncology, and an assistant professor at the Mayo Clinic School of Medicine, to discuss what tactics biosimilar companies are using to better compete alongside originator manufacturers.

To claim credit for this series, visit: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-podcast-genes-your-health#group-tabs-node-course-default1 Guests: Andrew D. Badley, M.D. (@BadleyAndrew); Matthew J. Binnicker, Ph.D. (@DrMattBinnicker) Host: Denise M. Dupras, M.D., Ph.D. COVID-19. Variants. The future. Does one test fit all?  Will the vaccine continue to provide protection against future variants? What makes the Delta variant more transmissible? Join the second episode of our Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine to learn how viral genetics influence transmission, diagnosis, and severity of COVID-19. Additional resources: Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

To claim credit for this episode, visit: https://ce.mayo.edu/online-education/content/mayo-clinic-talks-podcast-genes-your-health#group-tabs-node-course-default1 Guests: Matthew J. Ferber, Ph.D. (@Matt_Ferber); Teresa M. Kruisselbrink, M.S., CGC (@T_Kruisselbrink); William C. Palmer, M.D. (@williampalmermd) Host: Denise M. Dupras, M.D., Ph.D. For so long we've heard Genetic Testing is coming. Well guess what, it's here!  We have over 25 million people who have chosen to participate in direct-to-consumer testing alone. What does this mean for primary care, and does it matter? Find out in the first episode of our Genes & Your Health Edition from the Mayo Clinic Center for Individualized Medicine. Additional resources: TAPESTRY Study: https://www.mayo.edu/research/clinical-trials/cls-20477323?_ga=2.268706548.460922620.1627479724-1519128218.1623079535 Mayo Clinic Center for Individualized Medicine: https://www.mayo.edu/research/centers-programs/center-individualized-medicine Connect with the Mayo Clinic School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Here's the context, friends: As you may have noticed over the past few episodes, we have been digging into value-based care here at Relentless Health Value corporate work-from-home headquarters. Many lessons have been learned, and it's important that we sit back and think hard every now and then about how we are going to use these learnings to improve. While this show tackles the Hospital Readmissions Reduction Program (HRRP)—and wow, I was glued to my seat during this interview—the show is really about more than that, which I'll get into in 30 seconds. But let's start here: HRRP was originally part of the Affordable Care Act in 2010. In 2012, HRRP began imposing penalties on hospitals with higher-than-expected 30-day readmission rates for three conditions: heart failure, myocardial infarction, and pneumonia. Spoiler alert: More recently, CABG, THA/TKA, and COPD were added to the list. So basically, if a patient is in the hospital for any of these six things and then is readmitted to the hospital for any reason within 30 days, penalties can happen. Today's guest is Rishi Wadhera, MD, MPP. Dr. Wadhera authored a retrospective analysis in the BMJ about the HRRP, which we will talk about in this health care podcast. His findings are fascinating and relevant on a number of levels.  Dr. Wadhera is a cardiologist at Beth Israel Deaconess Medical Center. He also has a master's in public policy at the Harvard Kennedy School of Government and also a master's in public health from the University of Cambridge. Dr. Wadhera works on policy at the Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology.  But here's the larger epiphany that pertains to all value-based care and all quality metrics which Dr. Wadhera brings up in this health care podcast and which my nerd heart could not love more: Goodhart's Law. This law is the root of so very many problems. Goodhart's Law is this (which I learned from Dr. Wadhera): “When a measure becomes a target, it ceases to be a good measure.” In other words, when we set a goal, people will try to take a shortcut to the goal, regardless of the consequences. And sometimes the consequences, paradoxically, are to do worse at the goal. For example, teaching to the test may not actually lead to students who deeply understand a subject. Here's another example, and Rebecca Etz, PhD, talks about this in EP295: If you want PCPs to do an amazing job managing diabetes, for example, the best measures are ones that quantify the doctor's relationship with the patient and the amount of trust between them. The second you start using their panel's average A1C as the performance metric, A1Cs at best don't improve. Why? Bean counters and admins and maybe even goal-oriented clinicians themselves will go right to the end goal, inadvertently skipping a whole bunch of (it turns out) rate-critical steps. It doesn't go well. It's like salespeople who try to close before they build a relationship. Time to goal counterintuitively is slower, and performance is poorer. Anyone building value-based care or quality programs might really want to include Goodhart's Law in their thinking. And anyone trying to achieve value-based care success, improve quality, form collaborations, or make sales might want to remember that old proverb, “Sometimes the shortest way home is the long way around.” You can learn more at Dr. Rishi's Harvard Catalyst profile and the Beth Israel Deaconess Medical Center Web site. Rishi K. Wadhera, MD, MPP, MPhil, is an assistant professor of medicine at Harvard Medical School, a cardiologist at Beth Israel Deaconess Medical Center (BIDMC), and the associate program director of the cardiovascular medicine fellowship at BIDMC. He is also health policy and equity researcher at the Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology. Dr. Wadhera received his MD from the Mayo Clinic School of Medicine as well as an MPhil in public health as a Gates Cambridge Scholar from the University of Cambridge. He completed his internal medicine residency and cardiovascular medicine fellowship at Brigham and Women's Hospital in Boston. During this time, he also received a master's in public policy (MPP) at the Harvard Kennedy School of Government, with a focus on health policy. Dr. Wadhera's research spans questions related to health care access, quality, and disparities, as well as understanding how local, state, and national policy initiatives impact care delivery, health equity, and outcomes. Dr. Wadhera has published more than 80 articles to date, and he receives research support from the National Heart, Lung, and Blood Institute (NHLBI) and the National Institutes of Health (NIH). 03:10 What was the Hospital Readmissions Reduction Program intended to do? 05:05 Why did the Centers for Medicare & Medicaid (CMS) think some readmissions were preventable? 05:46 “The spirit of the Hospital Readmissions Reduction Program was to incentivize hospitals to improve … discharge planning, transitions of care, and post-discharge follow-up and care.” 06:54 How has research in the last few years changed the thoughts on the effectiveness of the Hospital Readmissions Reduction Program? 08:14 “The 30-day readmission measure—it's an incomplete measure.” 12:12 “I think patients … are smart, and they know what's going on.” 14:01 “What's happening is, we're just increasing the number of times they need to come back to the ER within that 30-day period.” 14:22 “The weird thing about the HRRP is that when it evaluates hospitals' 30-day readmission rates, it's a yes-no phenomenon.” 15:30 “What CMS does is, it risk adjusts … and that is what we should be doing.” 19:16 “This program has been incredibly regressive.” 19:51 “Poverty, neighborhood disadvantage, housing instability—these factors are out of hospitals' control.” 22:56 “Blunt policies like this that are rolled out nationally probably elicit mixed behavioral responses.” 23:12 “It just makes no sense to take resources away from hospitals.” 25:22 What's the way to improve quality of care globally? 27:19 “CMS's approach to improving quality of care has really anchored … [that] to payment.” 27:49 “It's time for us to rethink what our approach to quality improvement should be.” 31:28 “Policy makers have an obligation to rigorously test the impact of these types of policies before they roll them out nationally.” 34:05 Can you scale health care nationally? You can learn more at Dr. Rishi's Harvard Catalyst profile and the Beth Israel Deaconess Medical Center Web site. @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission What was the Hospital Readmissions Reduction Program intended to do? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission Why did CMS think some readmissions were preventable? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “The spirit of the Hospital Readmissions Reduction Program was to incentivize hospitals to improve … discharge planning, transitions of care, and post-discharge follow-up and care.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission How has research in the last few years changed the thoughts on the effectiveness of the Hospital Readmissions Reduction Program? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “The 30-day readmission measure—it's an incomplete measure.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “What CMS does is, it risk adjusts … and that is what we should be doing.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “Blunt policies like this that are rolled out nationally probably elicit mixed behavioral responses.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “It just makes no sense to take resources away from hospitals.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission What's the way to improve quality of care globally? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission “It's time for us to rethink what our approach to quality improvement should be.” @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission Can you scale health care nationally? @rkwadhera of @BIDMChealth discusses #HRRP on our #healthcarepodcast. #healthcare #podcast #digitalhealth #vbc #hospitalreadmission

Join MitoAction and Dr. Jerry Vockley from University of Pittsburgh Children’s Hospital on Friday, May 14, 2021 for our monthly expert series presentation! About the Speaker Gerard Vockley, MD, PhD, is an internationally recognized leader in medical genetics and the field of inborn errors of metabolism. He joined Children’s Hospital of Pittsburgh as chief of the Division of Medical Genetics in 2004 and was named professor of pediatrics at the University of Pittsburgh School of Medicine and professor of human genetics at the university’s Graduate School of Public Health. Dr. Vockley, a native of Homestead, Pa., earned a bachelor’s degree in biology from Carnegie Mellon University in 1978 and completed his medical degree and a doctorate in genetics at the University of Pennsylvania School of Medicine, Philadelphia, in 1984. Following his residency in pediatrics at the Denver Children’s Hospital in 1987, he completed a fellowship in pediatrics and human genetics at Yale University School of Medicine. In 1991, Dr. Vockley joined the faculty of the Mayo Clinic School of Medicine, where he was engaged in teaching, clinical service and research until he moved to Children’s Hospital of Pittsburgh. At Mayo, he earned a reputation as an exceptional clinician, establishing Mayo’s Inborn Errors of Metabolism Clinic, which is internationally recognized for excellence in the diagnosis and care of patients with those disorders. At the Mayo Clinic School of Medicine, he served as an assistant professor in medical genetics and as an associate professor of medical genetics before being named professor of medical genetics and chair of the Department of Medical Genetics in 1999. Among his accomplishments as an educator, Dr. Vockley initiated the development of a continuing education curriculum to update all staff physicians at Mayo in molecular biology and genetics and encouraged them to incorporate genetic information into their routine clinical practice. Dr. Vockley’s long record of groundbreaking research has earned him distinction in his field. His integrated approach to the study of inborn errors of fatty acid beta-oxidation and branched chain amino acid metabolism has led to the discovery of several new genes in the metabolic pathways and redefined these critical cellular processes. His laboratory has identified and characterized the molecular basis of three new inborn errors of metabolism in recent years. Dr.Vockley has been awarded continuous National Institutes of Health (NIH) RO1 funding since his earliest days as an independent investigator. He currently holds three NIH grants. Dr. Vockley is board-certified in pediatrics, clinical genetics and biochemical/molecular genetics. He has published more than 70 articles in leading genetic and biochemical journals and has received numerous honors for his work. His professional and scientific society memberships include the American Society for Clinical Investigation, Society for Inherited Metabolic Disorders, American Society of Human Genetics, American Academy of Pediatrics, American Association for

Episode 49: Dementia in Primary Care. Dr Ryan Townley explains what to do when a patient reports “memory problems”, including labs, imaging, and more. Question of the month: Fever and Cough.Introduction: DementiaBy Hector Arreaza, MDToday is April 26, 2021.Dementia is an umbrella term that includes many conditions that have in common a cognitive decline affecting ADLs. It is an acquired condition that presents after the brain is fully developed. As our population ages, the topic of dementia has become more pertinent. Recently we had an introduction about the link between poor sleep and dementia, episode 42. The next two episodes will be about dementia.Today we would like to discuss further this relevant topic. We talked with Dr Ryan Townley, who is an assistant professor in the Department of Neurology at the University of Kansas Medical Center, and the director of the Cognitive and Behavioral Neurology Fellowship. We will discuss dementia screening, how to evaluate our patients who report “memory problems”, including additional testing and imaging, when to send to a neurologist or neuropsychologist, and some things we can do for prevention of dementia. This episode is not intended to be a comprehensive lecture about dementia, but it may motivate you to keep learning about this topic. I hope you enjoy it.This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it’s sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home.  Question of the MonthWritten by Hector Arreaza, MD, read by Terrance McGill, MDThis is a 69-yo male patient, with controlled hypertension. He comes to an urgent care clinic for acute onset of fever (102 F), cough, and shortness of breath which has progressively worsened over the last 3 days. He does NOT smoke tobacco, but smokes recreational marijuana once a month, and drinks 1-2 beers a week. He goes to the doctor once a year for check-ups. He takes benazepril 10 mg daily for his hypertension. He does not believe in vaccines and his last shot was a tetanus shot 5 years ago. No surgical history. He retired as an accountant 5 years ago. Vital signs are normal except for tachycardia of 110 (his baseline is 85) and temperature of 101.5 F (38.6 C). He has bibasilar crackles on auscultation. You perform labs in clinic and he has a white count of 13.5, and a chest x-ray shows a right lower lobe consolidation. He has a negative rapid COVID-19 test. What are your top 3 differential diagnoses and what is the acute management of this patient’s condition?Let’s repeat the question: What are your top 3 differential diagnoses and what is the acute management of a 69-year-old male, non-smoker, who has fever, cough, shortness of breath, tachycardia, bibasilar crackles, elevated WBCs, a right lower lobe consolidation, and a negative rapid COVID-19 test?Send us your answer before May 7, 2021, to rbresidency@clinicasierravista.org and the best answer will win a prize!____________________________Dementia in Primary Care. With Ryan Townley, MD, and Hector Arreaza, MD.Ryan Townley, M.D., is an assistant professor in the Department of Neurology at the University of Kansas Medical Center and is the director of the Cognitive and Behavioral Neurology Fellowship. He is also the Alzheimer's Clinical Trials Consortium Associate Director and Primary Investigator at the University of Kansas Alzheimer's Disease Center. Dr. Townley is certified by the American Board of Psychiatry and Neurology. He joined the KU Medical Center faculty in August 2019. Prior to medical school, he earned a bachelor of science in neurobiology from the University of Kansas. He graduated from the University of Kansas School of Medicine, where he earned the 2013 Dewey K. Ziegler Award for Excellence in Neurology presented by the KU Department of Neurology and was honored with the American Academy of Neurology's Outstanding Neurology Medical Student Award. He then completed his neurology residency, an internal medicine internship, and a two-year cognitive behavioral fellowship at the Mayo Clinic School of Graduate Medical Education. He is the author of many publications and has presented more than two dozen lectures and posters nationally and around the world. His clinical and research interests include atypical Alzheimer's diseases, normal pressure hydrocephalus, frontotemporal lobar degeneration and dementia with Lewy bodies. He also has interests in patient, resident and medical student education, and preventative health against neurodegenerative disease.Questions discussed during this episode:What to do when someone complains of "memory problems" in primary care?When should a primary care doctor refer a patient to Neurology for evaluation of dementia?Dementia vs Normal aging. What are the types of dementia?When should a primary care doctor start medications for Alzheimer's disease? First-line pharmacologic treatment of Alzheimer's disease. Prevention of Alzheimer's disease:    Resources mentioned in this episode:AD8 Dementia Screening Interview: It is a tool given to an informant (ideally) or to the patient. It can be self-administered or administered by someone in clinic or by phone.AD8 in English: https://www.alz.org/media/Documents/ad8-dementia-screening.pdfAD8 in Spanish: https://championsforhealth.org/wp-content/uploads/2017/01/AD8-Screening-Spanish.pdf Mini-Cog: It is a 3-minute instrument that can increase detection of cognitive impairment in older adults. It can be used effectively after brief training in both healthcare and community settings. It consists of two components, a 3-item recall test for memory and a simply scored clock drawing test. It does not substitute for a complete diagnostic workup.Mini-Cog in English: http://mini-cog.com/wp-content/uploads/2018/03/Standardized-English-Mini-Cog-1-19-16-EN_v1-low-1.pdfMini-Cog in Spanish: http://mini-cog.com/wp-content/uploads/2018/03/SPANISH-Mini-Cog.pdf Montreal Cognitive Assessment (MoCA): Dementia screening tool, no longer free, it requires training and certification. Available in several languages: https://www.mocatest.org/ Saint Louis University Mental Status Examination (SLUMS): Screening tool for dementia, training advised and available for free, available in Epic.Training video: https://www.youtube.com/watch?v=z4ctoWU-qzwSLUMS in English: https://health.mo.gov/seniors/hcbs/hcbsmanual/pdf/4.00appendix8slumsform.pdfSLUMS in Spanish: https://www.slu.edu/medicine/internal-medicine/geriatric-medicine/aging-successfully/pdfs/spanish-pr.pdf Short Test of Mental Status, The University of Oklahoma Health Science Center, https://www.ouhsc.edu/age/Brief_Cog_Screen/documents/STMS.pdfDementia prevention, intervention, and care: 2020 report of the Lancet Commission, The Lancet, Vol 396, Issue 10248, P413-446, AUGUST 08, 2020. https://www.thelancet.com/article/S0140-6736(20)30367-6/fulltext Dementia Update Course: July 23, 2021, and September 3, 2021. Register at: https://www.eeds.com/portal_live_events.aspx?ConferenceID=634196____________________________ Conclusion.Now we conclude our episode number 49 “Dementia in Primary Care”, Dr Ryan Townley explained different tools we have to assess patients with “memory problems” and explained some interesting concepts in the assessment of cognitive impairment. Talking about dementia, don’t forget to answer our question of the month. Send us your top 3 differential diagnosis and acute management of a 69-year-old male with fever, cough, tachycardia, and right lower lobe consolidation. Send your answer before May 7, 2021, and win a prize! Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Ryan Townley, Ariana Lundquist, and Terrance McGill. Audio edition: Suraj Amrutia. See you next week! 

Episode Notes Dr. Natalie H. Strand, MD. Assistant Professor of Clinical Anesthesiology and Pain Medicine, Mayo Clinic, Arizona Dr. Natalie Strand is a double board certified pain physician at Mayo Clinic in Arizona. She is the director of neuromodulation and the director of pain research. She was awarded the Lisa Stearns Legacy Diversity Award this year by ASPN. She lives with type 1 diabetes, and was awarded Woman of the Year by Diabetes Sisters and Advocate of the Year by Juvenile Diabetes Research Foundation for her work promoting equity and opportunity for those living with diabetes. Dr. Strand went to Mayo Clinic School of Medicine, did her transitional year at Mayo Clinic, completed anesthesiology residency at UCLA, and completed her pain medicine fellowship at Mayo Clinic. She has authored over 20 peer reviewed articles, several book chapters, and one book. She has lectured nationally and internationally at several pain society meetings. She also won CBS's The Amazing Race in 2010, becoming part of the first all female team to win. Twitter @DrNatStrand strand.natalie@mayo.edu This podcast is powered by Pinecast.

In this episode of “This Mayo Life,” you’ll hear from Abigail, a nurse at Mayo Clinic in Rochester, and Lisa, a nurse midwife at Mayo Clinic Health System in Mankato, Minnesota, as they reflect on their experiences as students in nurse midwifery at Mayo Clinic School of Health Sciences. Abigail shares her perspective on life as a … Continue reading On always being a student of your profession →

Connecting with Learners - Learner Centered Approaches (EP:18) With  Dr. Cheryll Albold, Ph.D.  Learner-Centered instructional approaches ask educators to shift their focus from traditional, teacher-centric approaches, where instructors push information at learners, to one that asks learners to actively co-create knowledge and participate in their learning. This transition from "Sage on the Stage" to "Guide on the Side" is not always a simple one and requires that educators connect with their learners.  In this episode, Stacy Craft chats with Dr. Cheryll Albold, an assistant professor of medical education in the Mayo Clinic College of Medicine and Science and Administrator and Designated Institutional Administrator for the Mayo Clinic School of Graduate Medical Education, about why connecting with learners is so important, principles and foundations for learner-centered approaches, and pedagogically-sound practices and simple design recommendations to help you start incorporating more learner-centered strategies in your education Questions? Feedback? Ideas? Contact us at edufi@mayo.edu Additional Resources: A visual list of 28 Learner Centered Instructional Strategies Infographic  Learner-Centered Approaches: Why They Matter and How to Implement Them Teacher Centered Vs Learner Centered Warm Demander: Irvine, J.J. & Fraser, J.W. (1998). Warm demanders. Education Week, 17(35), 56. Kleinfeld, J. (1975). Effective teachers of Eskimo and Indian students. School Review, 83, 301-344. Unconditional Positive Regard Rogers, C.R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Consulting Psychology, 21, 95-103 Challenge and Support Sanford, N. (1962). Developmental status of the entering freshman. In N. Sanford (ED.), The American College: A psychological and social interpretation of higher learning (pp.253-282. New York: Wiley Mattering Rosenberg, M., & McCullough, B. C. (1981). Mattering: Inferred significance and mental health among adolescents. Research in Community & Mental Health, 2, 163-182. Schlossberg, N. K. (1989). Marginality and mattering: Key issues in building community. New Directions for Student Services, 48, 5-15. doi: 10.1002/ss.37119894803 Belonging Hurtado, S., Cuellar, M., & Guillermo-Wann, C. (2011). Quantitative measures of students' sense of validation: Advancing the study of diverse learning environments. Enrollment Management Journal: Student Access, Finance, and Success in Higher Education, 5(2), 53-72. Meeuwisse, M., Severiens, S., & Born, M. (2010). Learning environment, interaction, sense of belonging and study success in ethnically diverse student groups. Research in Higher Education, 51, 528–545. National Center Hurtado, S., & Carter, D. F. (1997). Effects of college transition and perceptions of the campus racial climate on Latino stu­dents' sense of belonging. Sociology of Education, 70, 324-345.

Join us as Dr. Dom dives into his personal journey with injuries as an athlete. Listen as he explains that, although a physical therapist, he still has functional limitations within his own body. He explains what type of injuries he has ran into, what he did in the past for them, and how he treats them now. Listen as we dive in to male pelvic floor control issues, knee injuries, and neck injuries with Dr. Dom and what he has learned from it all; explaining how daily practices are so important for the body. 15% OFF VivoBarefoot Shoes with code “OPTIMAL15” at checkout: https://bit.ly/3cDHcAx What You Will Learn in this PT Pearl: 03:17 – Dr. Dom’s athletic background 05:45 – Dr. Dom’s first injury and physical issues he ran into early on - How it was handled 07:55 – Dr. Dom’s recovery, post surgery - Why fixing the symptoms don’t always fix the cause 10:01 – Why pelvic floor control issues are not just limited to pregnant women - What it entails 13:23 – Misconceptions of gaining pelvic floor control - What helps Dr. Dom gain pelvic floor control 14:59 – Why this limitation within Dr. Dom may have caused other functional limitations 15:52 – Dr. Dom’s knee injuries explained - How they affected Dr. Dom’s athletic performances 17:43 – What Dr. Dom is doing to gain his athletic abilities back 19:03 – Dr. Dom’s mobility journey - How one tight joint led to compensation of others 21:25 – When Dr. Dom started to find his neck to be problematic - Why he decided to get an MRI 24:48 – Where Dr. Dom has mentally landed with his neck injury - His daily breathwork routines 28:42 – What Dr. Dom does to help guide him foundationally, from the feet up - How long he’s been doing it and what to be aware of To Watch the PT Pearl on YouTube, click here: https://youtu.be/jOppkJFRKV8 About Dr. Dom: Domenic Fraboni is a Doctor of Physical Therapy and Lifestyle Coach. He earned his doctorate from Mayo Clinic School of Health Sciences in Rochester, MN in 2018. He is a member of the American Physical Therapy Association (APTA) and recent APTASA Board of Director member. In this position he was an active advocate for the advance of national healthcare quality and access to care in the USA. Domenic was an avid coach, unified partner, and volunteer coordinator for Special Olympics, and has assisted in coordinating events nationally for the NCAA and APTA. He has recently relocated to Los Angeles where he coaches people into their bodies using a unique approach of Health and Lifestyle consulting in the areas of mindset, movement, and meals. Domenic believes that true human healing happens through empowering individuals to independence in their journey. As cohost of The Optimal Body Podcast, he always hopes to continue to get this message of empowerment out to the masses. Items mentioned in this episode include: Vivo Barefoot Shoes: https://bit.ly/3cDHcAx The Optimal Body: https://docjenfit.com/theoptimalbody To see this episode's full shownotes and check out the rest of Doc Jen's website, click here: https://docjenfit.com/podcast/episode30/ --- Send in a voice message: https://anchor.fm/TOBpodcast/message

Dr. Allen Weiss graduated from Columbia University’s College of Physicians and Surgeons and is board certified in Rheumatology, Internal Medicine, and Geriatrics. He is a Fellow of the American College of Physicians and the American College of Rheumatology.In 2017, Dr. Weiss became an Assistant Professor of Medicine at the Mayo Clinic School of Medicine and was also elected to the American Hospital Association Board. He’s been named to Becker’s Top 100 Outstanding Physician leaders of healthcare systems several times now.John Marchica is a veteran health care strategist and COO of Darwin Research Group, a health care market intelligence firm specializing in health care delivery systems. He’s a two-time health care entrepreneur, and his first company, FaxWatch, was listed twice on the Inc. 500 list of fastest-growing American companies. John is the author of The Accountable Organization and has advised senior management on strategy and organizational change for more than a decade.John did his undergraduate work in economics at Knox College, has an MBA and M.A. in public policy from the University of Chicago, and completed his Ph.D. coursework at The Dartmouth Institute. He is a faculty associate in the W.P. Carey School of Business and the College of Health Solutions at Arizona State University and is an active member of the American College of Healthcare Executives.About Darwin Research Group   Darwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

Taylor is currently an Upper Extremity Fellow with ATI Physical Therapy. He graduated with his Bachelor's degree from the University of Minnesota and his Doctorate of Physical Therapy from Mayo Clinic School of Health Sciences. He completed a sports physical therapy residency with Fairview Health Services last year and dove straight into the fellowship program. His clinical interests include shoulder and elbow rehabilitation, return to throwing programs, sports rehabilitation and performance, and knee injuries. Outside of work, Taylor enjoys watching any and all sports, reading, and hiking with his wife and dog.Athletes With Asthma Course Link:https://boldbaseperformance.thinkific.com/courses/athleteswithasthma

We at Health Matters suspect you are having a bad month. It could be worse – the Mayo Clinic School of Medicine sent acceptance letters to everyone they interviewed, 10 times their normal class-size, and had to notify applicants that there was a mistake. We review the top 10 causes of death in good ol’ 2018, discuss drug prices and fish oil, and keep you company, virtually holding your hand during your quarantine.

On this episode of the Healthy, Wealthy and Smart Podcast, Jenna Kantor guests hosts and interviews Domenic Fraboni on content creation for social media.  Domenic Fraboni is a physical therapist in Los Angeles, California and lifestyle consultant focusing on mindset, movement and meals through online coaching. In this episode, we discuss: -How to choose the right social media platform for your target audience -The importance of developing engagement with your content -How to stay authentic and avoid the negativities of social media use -And so much more! Resources: Domenic Fraboni Instagram Domenic Fraboni Twitter A big thank you to Net Health for sponsoring this episode!  Check out Optima’s Top Trends For Outpatient Therapy In 2020!   For more information on Domenic: Domenic Fraboni is a Doctor of Physical Therapy and Certified Strength and Conditioning Coach. He earned this after graduating from Mayo Clinic School of Health Sciences in Rochester, MN IN 2018. He is a member of the American Physical Therapy Association (APTA), attending many events nationwide to advocate for the advance of the physical therapy profession as well as accessibility to higher quality of care. As a recent member of the APTA Student Assembly Board of Directors and active advocate for healthcare reform, Domenic likes to focus his efforts on systemic healthcare change. He was an avid coach, unified partner, and volunteer coordinator for Special Olympics. He now has relocated to Los Angeles where he coaches people into their bodies using a unique approach of Health and Lifestyle consulting in the areas of mindset, movement, and meals through his company, The Wellness Destination. Domenic focuses his services on the true and authentic connection he hopes to create with patients, clients, or those who looking for help on their health journey. Then he may be able to help empower individuals overcome some barriers and create true progress and independence in their lifelong healing journey!    For more information on Jenna: Jenna Kantor (co-founder) is a bubbly and energetic girl who was born and raised in Petaluma, California. Growing up, she trained and performed ballet throughout the United States. After earning a BA in Dance and Drama at the University of California, Irvine, she worked professionally in musical theatre for 15+ years with tours, regional theatres, & overseas (www.jennakantor.com) until she found herself ready to move onto a new chapter in her life – a career in Physical Therapy. Jenna is currently in her 3rd year at Columbia University’s Physical Therapy Program. She is also a co-founder of the podcast, “Physiotherapy Performance Perspectives,” has an evidence-based monthly youtube series titled “Injury Prevention for Dancers,” is a NY SSIG Co-Founder, NYPTA Student Conclave 2017 Development Team, works with the NYPTA Greater New York Legislative Task Force and is the NYPTA Public Policy Committee Student Liaison. Jenna aspires to be a physical therapist for amateur and professional performers to help ensure long, healthy careers. To learn more, please check out her website: www.jennafkantor.wixsite.com/jkpt   Read the full transcript below: Jenna Kantor (00:01): Hello, this is Jenna Kantor with healthy, wealthy and smart, super excited to be here at Graham sessions 2020 with Domenic Fraboni, who I know from student assembly running for that, the board of directors and then also now on social media, which is our big focus because he has been putting a lot of work specifically on Instagram. So I wanted to have a discussion on this journey, I'm going to call you Dom now. Let's make it casual with Dom, so, first of all, thank you so much for coming on. Domenic Fraboni (00:37): Thanks for having me and being interested in what I might have to say. It's been kind of a journey this past six months with a lot of changes for me, especially career-wise, location-wise, and the social media thing. You just want me to dive in a little bit. Jenna Kantor (00:50): Actually first, let's start with why you chose Instagram, because when choosing a social media platform that you're thinking of a specific audience, so would you mind diving into that so people can start picking their brain and thinking, even if Instagram is where their audience is? Domenic Fraboni (01:06): I think my choice in platform had a little less to do with what I was wanting and just have more by chance. You know, I started dating somebody who has a big following and notice some of them started taking a liking in me or an interest in me. And it was at that point that I realized, Hey, Instagram, I've wanted to find a place I can start creating some content, whether it's recording exercises, whether it's just putting out thoughts, thought provoking things for potential clients or potential humans. I'm all about getting access to good information out to the humans so that they can make the decisions for themselves. And we know in this online era and the age of information, I would love to be contributing to what I think can be, you know, more trustworthy information that's online. So I started getting this Instagram following and I'm like, okay, let's do this. Let's put out some content. And I think it worked great for that because a lot of times people go to Instagram for content of that sort. So I'm like, Hey, great marriage. So that's kind of how choosing Instagram as a platform came about more by chance than by my direct choice. Jenna Kantor (02:12): How did you figure out what your content would be on? Domenic Fraboni (02:19): Yeah, that's another great question. I'm kind of in my purpose moving into this career as a professional. I always said I want to empower people to independence in their journey, right? And then kind of my themes that came out of that were movement. I'm a doctor of physical therapy. So clearly movement is huge to me and how I deal with clients and patients. Mindset. Cause I do also understand that in the psychosocial realm of how we treat humans and how we deal with humans, our mindset, our emotions, our mental state has a lot to do with how we feel physically and how we move and meals. So I'm like, Hey, maybe if my content surrounded those three themes, that can be my stick mindset, the movement and the meals. And it had a little, a little bit of a ring with the three M's there. Domenic Fraboni (03:03): So that's where I just started with those three things in mind and trying not to question myself was the biggest thing going in where you asked, Hey, how'd you know what kind of content to put out? I knew I had these people following me and that they might be interested in what I have to say. So my first step was just doing, it was starting to put out content and asking questions. If you ever have a time online where you have people following you and you don't know what they want, ask them. And so I started asking questions. I was very lucky to have people around me who had kind of gone through a transition like this into putting themselves out there. And a lot of what they said is just do it. You know what you're good at, you know what you're passionate about. These people have started following you for a reason, the ones that need to hear it will resonate and the ones that want certain things, we'll let you know when you ask. So I started asking questions to the people that were following me and they also just started putting out content and realizing what it was that people resonated well with. Jenna Kantor: (04:04): And for you, what were your measures that you are using to go, Oh, this is what they want to see from you?   Domenic Fraboni: So I like to say that and a lot of people in social media want to try to separate the success of their posts and their media from the likes and the comments and that stuff. And it can get really kind of cloudy in our head as, Oh, why did this not have as many likes as this? And so really early on when I started doing this, I tried separating myself from likes. Everyone wants a lot of likes on their stuff and it really is not likes on your posts that mean people are engaging with it or connecting with it. The things that I really started to realize is the more direct messages, the more DMs or the more comments that people are connecting with are saying like, Hey, I love this. Domenic Fraboni (04:56): I tried it. It feels this way or I'm glad you shared that. Thanks so much for sharing more about yourself, whatever that means that I'm connecting with them personally in some manner. And so I liked to kind of dive into those ones that got a lot of personal direct messages or comments. And I'm big when it comes to feel and the energy between an interaction with people. So when I got interactions back from people that fueled that same purpose or energy, that was the reason I put that post out. There we go. Like those are my metrics. And I live in more of a subjective world myself because research makes me cringe a little bit sometimes. But it's the field that you can't get away from. So when I had people responding to me that made me feel something, I understood that maybe they took something away from that that made them feel something inside. Domenic Fraboni (05:43): So try to steer away from becoming obsessed with likes or comments and really steer towards and into the things that, you know, people feel something when they read it and will connect with it and reach out because of that. And I feel like I've helped to engage my audience a little more.   Jenna Kantor: I love that. And with all the content that you're doing, how did you figure out how often you're going to be posting?   Domenic Fraboni: Yeah, so like the frequency is huge too because consistency breeds trust, you know, people, although we are putting out this free content and it does take time to put together, you know, people like following, you know, people are content providers that they know are going to be there for them or that they know are going to be there and continue to put that out. So I'd say the first thing was like, okay, I need to be consistent. Domenic Fraboni (06:35): And initially when I was starting this, I had a little more time on my hands and I was, I decided, okay, I can take Sundays off and I'll post six times a week. And then I realized as I started getting more coming onto my schedule that that was a bit tough and so I landed on doing something about three times a week, three to four times a week and making sure I'm very consistent in that, but then also engaging when possible and making sure that those connections that are made aren't just done because I need to make my three posts a week again is all has to come from this intention inside me, so whether it ends up being two times a week or six times a week, I know that it's all still coming from this great energy that I trust and in behind what I'm putting out. Domenic Fraboni (07:18): Again to create those relationships, whether online or whether in person or whether just through DMs or comments. We are creating relationships and connections with these people in some way and so if the post I can put out has a slight influence on that energy that might drive them to be open to different options, then that's what I'm going to put out. I've landed somewhere in that realm of three or four days just based on how much other work I have in my collective sphere right now. But I think that's plenty for me to continue that frequency of engagement to make sure people know that I'm going to show up. Domenic Fraboni (07:54): Do you have to know everything to start something on Instagram? Yes. If you're not an absolute expert, then you no, absolutely not. And I think if you look through Instagram pretty quickly, you'll realize that not everybody is an absolute expert or knows everything in what they're posting. And I hear a lot of PTs or specifically younger PTs who will see other pages and be like, what the heck is this? Like, this isn't how it is or this isn't how you should do that exercise. Or like, wow, they aren't even paying attention to this. And my thing to them is like, we'll record an exercise and put it out or record a video of yourself doing it and say like, this is how I do it. Not to bash or be against that person. I'm very, very much so against calling people out. I put my air quotes over that even though we're on audio, but calling people out or having turf Wars with other people because you don't agree with them. We don't have to agree. We do also just have to understand that there are a lot of people that are open to those other routes. And this isn't for PTs. Jenna Kantor (08:56): This is for people. Domenic Fraboni (08:57): Yeah. So leave your ego at the door, leave your ego away from your phone and put out great content that you know you can stand behind and you won't have to worry about that as much. Jenna Kantor (09:10): I love that so much. What has been the biggest lesson you've learned since really diving into your consistency and all your content on Instagram? Domenic Fraboni (09:19): Yeah. Be authentic and trust yourself. It's really empowering. Well one, when you find that empowerment within you just to say like, I know what I know and I know where that comes from. And when you sit in that space, no matter what you put out or what someone says about it can impact that. And so yeah, I spend time on posts that I put out and they don't go anywhere. Maybe I have a slight bid or a question in my head like what happened there? Why did that not get that following? But I don't emotionally attach myself to any expectation on that. So the biggest challenge is the expectation of yourself or the comparison bug that might come out. Instagram's doing this thing where they're taking away the ability to see likes on a lot of posts now, which I think in a lot of aspects is great cause there are a lot of people in these younger generations that are going through anxieties and depressions because of this technology addiction, which is a whole nother topic. Domenic Fraboni (10:17): And that's the initial reason I never wanted to get into this cause I knew technology draws on these very addictive processes to get people to continue to use and to continue to abuse those processes until literally we are physiologically addicted. And that's why I stayed away from it. And instead knowing that that can happen and the intent from where I'm coming, I know that we can use these processes that may be addictive to get great information out to people and to help them understand and have access to that kind of stuff. So yeah, my biggest challenge, a challenge is going back to your initial question was you know, comparison and seeing what other people are doing, which is why I brought up the likes and like, Oh they got that many likes and they have this many followers and this and that. You know, like you start wanting to do that in your head again, shut those things down right away because you don't know what their purposes are, where the people that follow them are coming from or what they're looking for. And so be authentic and try not to get that comparison bug on your shoulder. Jenna Kantor (11:18): Boom, Shaka Laka I love that. So where can people find you on the Instagram? Domenic Fraboni (11:24): So if you type in doctor, just drDomDPT, it's drDomDPT, you can find me. I put out stuff on movement, mindset and meals. And my goal is to empower you to independence in your journey. Cause everybody could use a little bit of good information to maybe open up what other possibilities could be on your path. Jenna Kantor (11:45): I love that. So thank you for everyone who tuned in to listen to this podcast. You can also get that information on where to find Dom in the bio as well. Dom, thank you so much for coming on. Domenic Fraboni (11:56): Thanks. This has been amazing. Jenna. I love getting to see you here at Graham sessions and thanks for interviewing me.   Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram  and facebook to stay updated on all of the latest!  Show your support for the show by leaving a rating and review on iTunes!

Listen as host Danny Scalise and Dr. Jeannie Sperry talk about cognitive behavioral therapy in the treatment of pain & addiction from the site of the Appalachian Addiction & Prescription Drug Abuse Conference in Morgantown, WV.Dr. Jeannie A. Sperry (PhD, LP, ABPP) is a Clinical Health Psychologist and Consultant in the Department of Psychiatry and Psychology at Mayo Clinic in Rochester, Minnesota. She serves as Co-Chair of the Division of Addictions, Pain, and Transplant. Dr. Jeannie A. Sperry completed her Doctorate in Clinical Psychology at Ohio University in Athens, Ohio. For over two decades she has worked in academic medicine settings training health care providers in the interdisciplinary care of chronic pain, opioid use reduction, and prevention of pain-related disability. Her research interests focus on communication skills for physicians and evidence-based practices for chronic pain. Her work at Mayo Clinic is in the Pain Rehabilitation Center where patients are tapered off of opioids and instructed in self-management techniques for chronic pain. She has served on Mayo’s Opioid Stewardship Subcommittee on Patient and Provider pain and opioid education, the ICSI MN Health Collaborative work group on pain and opioid addiction, and chairs Mayo Clinic School of Medicine Curriculum Subcommittee on Pain and Opioid Addiction.

Bias in health care by Dr Poole. Dr. Kenneth Poole, Jr. was born and raised in St. Louis, MO. He earned his bachelor’s degree from Tennessee State University, his M.D. from Northwestern University, and his MBA from Washington University in St. Louis. Dr. Poole completed his residency training in internal medicine at Mercy Hospital in St. Louis and went into solo medical practice thereafter. In 2014 Dr. Poole joined the staff at Mayo Clinic Arizona, where he is Medical Director of Patient Experience, an Assistant Professor of Medicine in Mayo Clinic College of Medicine and Science, and chair of the Mayo Clinic Enterprise Health Information Coordinating Subcommittee, which oversees informatics policy. His academic interests include health economics and policy, innovation in health care delivery, and clinical informatics, and he sits on the Admissions Committee for the Mayo Clinic School of Medicine. Dr. Poole is a member of the Mayo Clinic Arizona Clinical Practice Committee and several practice-based subcommittees charged with improving care and quality throughout Mayo Clinic. He has spent time on the Mayo Clinic Arizona Space and Capital Committee and has previously chaired diversity efforts across all Mayo Clinic School of Medicine sites nationally. Dr. Poole also consults for Blue Cross Blue Shield of Arizona’s Medicare Advantage plan in a medical director capacity. Dr. Poole is a fellow of the American College of Physicians and is a Certified Physician Executive through the American Association of Physician Leadership. He sits on the board of directors for the Maricopa County Medical Society and is president of the Arizona Society of Black Physicians. He is also a member of the National Medical Association; the Arizona Medical Association; Kappa Alpha Psi Fraternity, Inc.; and Sigma Pi Phi Fraternity, Gamma Mu Boule. --Dr. Kenneth Poole, Jr. is the Medical Director of Patient Experience for Mayo Clinic Arizona. He also chairs the Mayo Clinic Enterprise Health Information Coordinating Subcommittee, which oversees informatics policy; sits on the Mayo Clinic Arizona Clinical Practice Committee; and is an Assistant Professor of Medicine in Mayo Clinic College of Medicine and Science. His academic interests include health economics and policy, innovation in health care delivery, and clinical informatics, and he sits on the Admissions Committee for the Mayo Clinic Alix School of Medicine.

Guest: Mitchell R. Humphreys, M.D. (@MayoMitch)Host: Darryl S. Chutka, M.D. (@ChutkaMD)Our topic for discussion today is benign prostatic hyperplasia, or BPH. By age 60, it’s estimated that 50% of men will have some symptoms of BPH. While BPH is not a life-threatening condition, and only rarely does it result in serious health consequences, it commonly causes symptoms affecting men’s lifestyle. Our guest today is Dr. Mitchell Humphreys, chair of the Department of Urology at Mayo Clinic Arizona and Dean of the Mayo Clinic School of Continuous Professional Development.Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

In this two-part podcast, John Marchica speaks with NCH Healthcare System’s president and CEO, Dr. Allen Weiss. Dr. Weiss breaks down how they have changed the mindset of community health at the health system level with astounding statistics and fruitful outcomes. Here are some of the highlights we cover: Part 1 - 17 min. Present day history of NCH Healthcare System Focus on community health with Blue Zones project Behavioral economics for reducing health care costs Part 2 - 13 min. Health System trends Other health care systems going the same path as NCH Healthcare Advice to new physician residents Speaker Bios Dr. Allen Weiss graduated from Columbia University’s College of Physicians and Surgeons and is board certified in Rheumatology, Internal Medicine, and Geriatrics. He is a Fellow of the American College of Physicians and the American College of Rheumatology. In 2017, Dr. Weiss became an Assistant Professor of Medicine at the Mayo Clinic School of Medicine and was also elected to the American Hospital Association Board. He’s been named to Becker’s Top 100 Outstanding Physician leaders of healthcare systems several times now. John Marchica is a veteran health care strategist and CEO of Darwin Research Group. He was the founder and CEO of FaxWatch, a leading business intelligence and medical education company and two-time member of the Inc. 500 list of America's fastest growing companies. John is the author of The Accountable Organization and has advised senior management on strategy and organizational change for more than a decade. John earned his B.A. in economics from Knox College, an MBA and M.A. in public policy from The University of Chicago, and completed his Ph.D. coursework and doctoral exams in clinical epidemiology and health economics at The Dartmouth Institute for Health Policy and Clinical Practice. He is a faculty associate in the W.P. Carey School of Business and the College of Health Solutions at Arizona State University. About Darwin Research Group Darwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

In this two-part podcast, John Marchica speaks with NCH Healthcare System’s president and CEO, Dr. Allen Weiss. Dr. Weiss breaks down how they have changed the mindset of community health at the health system level with astounding statistics and fruitful outcomes. Here are some of the highlights we cover: Part 1 - 17 min. Present day history of NCH Healthcare System Focus on community health with Blue Zones project Behavioral economics for reducing health care costs Part 2 - 13 min. Health System trends Other health care systems going the same path as NCH Healthcare Advice to new medical residents Speaker Bios Dr. Allen Weiss graduated from Columbia University’s College of Physicians and Surgeons and is board certified in Rheumatology, Internal Medicine, and Geriatrics. He is a Fellow of the American College of Physicians and the American College of Rheumatology. In 2017, Dr. Weiss became an Assistant Professor of Medicine at the Mayo Clinic School of Medicine and was also elected to the American Hospital Association Board. He’s been named to Becker’s Top 100 Outstanding Physician leaders of healthcare systems several times now. John Marchica is a veteran health care strategist and CEO of Darwin Research Group. He was the founder and CEO of FaxWatch, a leading business intelligence and medical education company and two-time member of the Inc. 500 list of America's fastest growing companies. John is the author of The Accountable Organization and has advised senior management on strategy and organizational change for more than a decade. John earned his B.A. in economics from Knox College, an MBA and M.A. in public policy from The University of Chicago, and completed his Ph.D. coursework and doctoral exams in clinical epidemiology and health economics at The Dartmouth Institute for Health Policy and Clinical Practice. He is a faculty associate in the W.P. Carey School of Business and the College of Health Solutions at Arizona State University. About Darwin Research Group Darwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

Dr. Jonathan Finnoff is the medical director of the Mayo Clinic Sports Medicine Center and the Program Director for the Mayo Clinic Primary Care Sports Medicine Fellowship in Minneapolis, MN. His clinical interests are broad and include multiple sports medicine topics. He has published over 70 articles in peer reviewed journals, authored multiple book chapters, and co-edited the book, Sports Medicine: Study Guide and Review for Boards. He serves as a Professor in the Department of Physical Medicine and Rehabilitation at the Mayo Clinic School of Medicine. He has been a team physician for the United States Ski Team and also is a team physician for the Timberwolves NBA basketball team, and Lynx WNBA basketball team. A member of the American Academy of Physical Medicine and Rehabilitation Board of Governors and the Board of Directors for the American Medical Society for Sports Medicine, his medical degree is from the University of New England. He did his residency in Physical Medicine and Rehabilitation at the University of Utah and completed a Sports Medicine fellowship at the Mayo Clinic. Dr. Finnoff is board certified in Physical Medicine and Rehabilitation.

"Regulatory Changes in the SFA" with Dr. Sanjay Misra, Associate Professor of Radiology, Mayo Clinic School of Medicine