Podcasts about medical decision making

In this episode, CJ Wolf, MD, and E/M coding expert Sharisa Freeman discuss her journey and insights into mastering the complexities of E/M coding. Here's a quick look at what you can expect from this episode: - The Evolution of E/M Coding: Changes in guidelines that shifted the focus to Medical Decision Making. - Medical Decision Making Tips: Understanding the three essential sub-elements: number of problems, data reviewed, and risk. - Documentation Challenges: Common issues with lower-level visit documentation and how to address them. - Networking and Continuous Learning: The value of staying updated on coding changes and connecting with peers. - Advice for New Coders: Sharisa's top tips for those just starting in the field. Check out their conversation today – and thank you to Sharisa for sharing her time and insights on Compliance Conversations!

Serious illness communication is hard. We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. That's a hard enough task, given that most of us have never had any communication skills training. It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. On today's podcast, we try to stump three VitalTalk expert faculty, Gordon Wood, Holly Yang, Elise Carey, with some of the most challenging communication scenarios that we (and some of our listeners) could think up. During the podcast, we reference a newly released second-edition book that our guests published titled “Navigating Communication with Seriously Ill Patients: Balancing Honesty with Empathy and Hope.”  I'd add this to your “must read” list of books, as it takes readers through the VitalTalk method that our guests use so effectively when addressing these challenging scenarios. If you are interested in learning more about VitalTalk, check out their and some of these other podcasts we've done with three of the other authors of this book (and VitalTalk co-founders): Our podcast with Tony Back as well as Wendy Anderson on “Communication Skills in a Time of Crises” Our podcast with James Tulsky on “The Messiness of Medical Decision-Making in Advanced Illness.” Any one of our podcasts with Bob Arnold, including this one on the language of serious illness or this one on books, to become a better mentor. Lastly, I reference Alex's Take Out the Trash video, where he uses communication skills learned in his palliative care training at home with his wife.  The results are… well… let's just say less than perfect.  By: Eric Widera

In this engaging episode of the Performance Initiative Podcast, hosts Dr. Grant Cooper and Dr. Zinovy Meyler sit down with renowned Harvard psychologist Professor Daniel Gilbert to explore the complexities of happiness and how our choices affect our well-being. Delving into the psychology behind happiness, they discuss the common misconceptions about activities like volunteering, raising children, and owning pets. The conversation uncovers the significant role of social connections, the impact of sleep, and the importance of taking decisive actions in life. Through compelling examples and studies, Professor Gilbert sheds light on the counterintuitive nature of happiness, guiding listeners to understand what truly brings lasting satisfaction and joy.(00:00) Introduction(03:06) The Paradox of Choice(07:42) Medical Decision-Making and Heuristics(16:07) The Art and Science of Medicine(21:19) The Role of Psychology in Medicine(24:31) The Fallibility of Human Imagination(45:21) Gratitude and Perspective in Life(50:06) The Big Sort: Communities of Like-Minded Individuals(50:47) Political Ideologies and Media Siloing(52:12) Shared Experiences and the Melting Pot of America(53:03) The Challenge of Modern Isolation(54:42) The Paradox of Wealth and Happiness(56:50) Social Connections vs. Wealth: What Truly Brings Happiness?(59:21) Purpose and Happiness: Are They Interconnected?(01:01:34) The Role of Social Interaction in Fulfillment(01:09:41) Children and Happiness: A Complex Relationship(01:18:33) The Importance of Sleep and Health in Happiness(01:26:34) Action vs. Inaction: Regrets and Life Choices(01:30:36) Concluding Thoughts and TakeawaysProfessor Daniel Gilbert is a renowned social psychologist and a faculty member at Harvard University, best known for his research on affective forecasting, happiness, and decision-making. He is the author of the New York Times bestseller Stumbling on Happiness, which explores the quirks of human cognition and how we often mispredict our own emotional responses to future events. Gilbert's work has significantly influenced the field of psychology, offering profound insights into how people perceive happiness and the choices that lead to a fulfilling life. In this episode, he shares his expertise on the psychology of happiness, challenging common beliefs and providing a deeper understanding of what truly contributes to well-being.Thanks For ListeningSocials:YouTube: https://www.youtube.com/channel/UCKPNCI1-HBSZmiHNAlAjiIwWebsite: https://www.performanceinitiativepodcast.com/Instagram: https://www.instagram.com/performanceinitiative

This was a great live show! Sean was joined by Terry, Christine, and Paul to discuss Medical Decision-Making for levels of EM service when Rx Management is involved. There was a lot to unpack in this episode so don't miss this one!

Jess Adkins Murphy is an Emergency Medicine physician and a Harvard Health Policy and Social Emergency medicine Fellow.  Melissa Puffenbarger is a Pediatric Emergency Medicine physician.Both women had miscarriages in the last 6 months and because they live in Kentucky, they couldn't get Mifepristone, which is the standard of care, and both suffered consequences.  We walk through the history, safety profile, and the political turmoil around Mifepristone, and what you can do for women in similar situations. ******If you have feedback, criticism, show or interview recommendations, or want to collaborate on the show, please reach out!Email - Tama.TheMDM@gmail.com.Instagram - Tama.TheMDM******The MDM is a show about the ways Medical Decision Making is adapting to the modern world. Host: Tama Thé | Pediatric Emergency MedicineProducer: Melissa Puffenbarger | Pediatric Emergency MedicineCommunications Director: Katrianna Urrea | 2nd year medical student  

Send us a Text Message.Joe Finney is a Pediatric Emergency Medicine and EMS physician. He is the medical director of the Missouri EMS-C and host of the Pediatric EMS Podcast. In this episode, we talk about what it's like to practice medicine at the limits of Evidence-Based Medicine, what it's like to start a career in Academia, and why hosting a medical podcast is literally the most important thing one can do. ******If you have feedback, criticism, show or interview recommendations, or want to collaborate on the show, please reach out!Email - Tama.TheMDM@gmail.com.Instagram - Tama.TheMDM******The MDM is a show about the ways Medical Decision Making is adapting to the modern world. Host: Tama Thé | Pediatric Emergency Medicine physicianProducer: Melissa Puffenbarger | Pediatric Emergency MedicineCommunications Director: Katrianna Urrea | 2nd year medical student  

Brian Denton is the Stephen M. Pollock Professor of Industrial and Operations Engineering in the Department of Industrial and Operations Engineering at the University of Michigan. His research interests are data-driven decision-making and optimization under uncertainty with applications to healthcare delivery, semiconductor supply chain management, and other industrial systems. He has a cross-appointment in the School of Medicine. He is a member of the Cancer Center and the Institute for Healthcare Policy and Innovation (IHPI) at the University of Michigan. He served as department chair from 2018-2023. Before joining the University of Michigan, he worked at IBM, Mayo Clinic, and North Carolina State University. His honors and awards include the National Science Foundation Career Award, the INFORMS Daniel H. Wagner Prize, the Institute of Industrial Engineers Outstanding Publication Award, and the Canadian Operations Research Society Best Paper Award. He has served on the Editorial Boards of Health Systems, IISE Transactions, Interfaces, Manufacturing & Service Operations Management, Medical Decision Making, Operations Research, Optimization in Engineering, and Production and Operations Management. He served as the founding Medical Decision Making Department Editor for IISE Transactions on Healthcare Systems Engineering from 2008-2015. He has co-authored over 100 journal articles, conference proceedings, book chapters, and patents. He is an elected Fellow of INFORMS and IISE, past Chair of the INFORMS Health Applications Section, Secretary of INFORMS, and President of INFORMS. He currently serves as Chair-Elect of the Council of Industrial Engineering Academic Department Heads.

Send us a Text Message.Deepa Mokshagundam is a pediatric Heart Failure and Transplant cardiologist who has dedicated her career to advocacy and public policy. This episode is the first in an ongoing series about the socio-political tensions in medicine, and we begin by laying the foundation of advocacy. In this episode, Deepa describes her career as a health advocate and lobbyist, and how to get started with advocacy, ******If you have feedback, criticism, show or interview recommendations, or want to collaborate on the show, please reach out!Email - Tama.TheMDM@gmail.com. Instagram - Tama.TheMDM******The MDM is a show about the ways Medical Decision Making is adapting to the modern world. Tama Thé is an Assistant Professor in Pediatric Emergency Medicine.The co-host for this episode is Alexis Luedke, a Pediatric Emergency Fellow.

Welcome to Episode 69 of the Sustainable Clinical Medicine Podcast! In this solo episode, Dr. Smith delves into the theme of uncertainty in family practice, sharing insightful scenarios and thought-provoking perspectives. She explores the impact of negative thinking on clinical decision-making and presents a compelling case for changing thought patterns to transform outcomes. From navigating self-doubt and anxiety in medical practice to advocating for self-confidence and self-compassion, Dr. Smith offers practical advice for healthcare providers. Join us as we explore the transformative power of deliberate thought and its profound impact on sustainable clinical practice. Here are 3 key takeaways from this episode: 1️⃣ Thoughts and beliefs drive feelings, actions, and results – and they can be deliberately changed. Physicians can rewire their autopilot and build resilience in the face of uncertainty. 2️⃣ Coping with uncertainty in medical decision-making is crucial for maintaining strong doctor-patient relationships and managing stress. Learning to trust yourself and seeking support from colleagues can make a significant difference. 3️⃣ Embracing self-doubt and anxiety in clinical practice and redirecting them to self-compassion and self-confidence is essential. It's time to shift from seeking constant validation to fostering a positive mindset to create better patient outcomes. Tune in to gain valuable insights on managing uncertainty and reshaping your approach to clinical practice. Join the conversation and let's work towards creating sustainable and fulfilling clinical experiences! -------------- Would you like to view a transcript of this episode? Click here **** Charting Champions is a premiere, lifetime access Physician only program that is helping Physicians get home with today's work done. All the proven tools, support and community you need to create time for your life outside of medicine. Learn more at https://www.chartingcoach.ca **** Enjoying this podcast? Please share it with someone who would benefit. Also, don't forget to hit “follow” so you get all the new episodes as soon as they are released. **** Come hang out with me on Facebook or Instagram. Follow me @chartingcoach to get more practical tools to help you create sustainable clinical medicine in your life. **** Questions? Comments? Want to share how this podcast has helped you? Shoot me an email at admin@reachcareercoaching.ca. I would love to hear from you.

www.fivewishes.orgwww.TheConversationProject.org/nhdd/

Welcome to Alternative Dog Moms - a podcast about what's happening in the fresh food community and the pet industry.   Kimberly Gauthier is the blogger behind Keep the Tail Wagging, and Erin Scott hosts the Believe in Dog podcast.CHAPTERS:Dr. Jeff's origin story (0:54)Homeopathy for pet parents (7:55)Why mindset and happiness are the most important changes pet parents can make (16:59)What about the importance of diet? (23:07)The daily BEAM Check for your dog's health (27:22)BEAM for Kimberly's & Erin's dogs (31:20)The 4 Awesome A's of homeopathy and whether Ledum is helpful for tick bites (34:59)Homeopathic potencies and dog parks (40:10)How Dr. Jeff spent 3+ years with his dog after a terminal diagnosis (44:15)Holistic Actions! membership and the HMDM model for pet parents (47:58)LINKS DISCUSSED:Join Holistic Actions! (https://www.holisticactions.com/)Work with Dr. Jeff Feinman (https://www.homevet.com/)More about the Happiness Protocol and BEAM (https://www.holisticactions.com/happiness-protocol/)More about HMDM (Holistic Medical Decision Making) (https://www.holisticactions.com/hmdm/)Book: Guardians of Being by Eckhart Tolle, illustrated by Patrick McDonnell (https://www.amazon.com/gp/product/160868119X/)Dr. Leroy Hood P4 Medicine (https://www.youtube.com/watch?v=sinVPvW_ikE)OUR BLOG/PODCASTS...Kimberly: Keep the Tail Wagging, KeepTheTailWagging.comErin Scott: Believe in Dog podcast, BelieveInDogPodcast.comFACEBOOK...Keep the Tail Wagging, Facebook.com/KeepTheTailWaggingBelieve in Dog Podcast, Facebook.com/BelieveInDogPodcastINSTAGRAM...Keep the Tail Wagging, Instagram.com/RawFeederLifeBelieve in Dog Podcast, Instagram.com/Erin_The_Dog_MomThanks for listening to our podcast. You can learn more about Erin Scott's first podcast at BelieveInDogPodcast.com. And you can learn more about raw feeding, raising dogs naturally, and Kimberly's dogs at KeepTheTailWagging.com. And don't forget to subscribe to The Alternative Dog Moms.

   Step into the boots of Army BG Jennifer A. Marrast Host, our guest on this episode of WarDocs, the Military Medicine podcast. From her origins in Grenada to her current role as Deputy Commanding General Professional Services for the 807th Medical Command deployment support, BG Marrast Host's journey will leave you astounded and inspired. The insights she shares about the battlefield hardships and the immense emotional toll of her profession are both gripping and poignant. Get a firsthand account of her time with the 452nd Hospital in Afghanistan and the graphic trauma cases she encountered. Feel the palpable intensity as she narrates the heartbreaking memory of a young burn victim she couldn't save, and how that experience informs her work today. As we traverse through her tenure as a battalion surgeon in Iraq and her time at Task Force Victory in Afghanistan, you'll get an insider view of the daunting challenges of military medical decision-making and how rank plays into it all. Towards the end of our discussion, BG Marrast Host turns the spotlight onto future military medics. She imparts her wisdom on maintaining balanced dedication between civilian and military commitments and shares invaluable leadership lessons. Wrapping up, she expresses her hopes for her legacy and the future of Army medicine. Regardless of whether you're considering a military medical career or are simply intrigued by the intricate world of military medicine, this episode promises a deeply insightful journey. Don't miss out!     Chapters: (00:00) Military Medicine and Leadership Lessons (09:00) 452nd Hospital Experiences in Afghanistan (13:14) Challenges in Afghanistan and Iraq (19:56) Challenges in Military Medicine and Readiness (39:03) Legacy of Military Medicine   Chapter Summaries: (00:00) Military Medicine and Leadership Lessons BG Jennifer A Marrast Host shares her journey from Grenada to medical school and the military, discussing the role of reserves in medical missions and leadership lessons for military medical careers.   (09:00) 452nd Hospital Experiences in Afghanistan BG Marrast Host shares her experiences of treating severe trauma in austere conditions in Afghanistan.   (13:14) Challenges in Afghanistan and Iraq Jennifer's experiences in Afghanistan and Iraq, including medical decision-making, care of soldiers, and setting up an MC4 system, are discussed.   (19:56) Challenges in Military Medicine and Readiness BG Jennifer A. Marrast Host shares her experience of a heartbreaking case in Afghanistan and how it taught her to debrief her team after trauma cases, as well as the challenges of balancing civilian and military jobs.   (39:03) Legacy of Military Medicine BG Marrast Host's legacy includes her passion for caring for soldiers and modernizing Army medicine. Listeners Will….. Embark on a journey from immigrant background to high-ranking military status. Gain a deep understanding of emotional and physical challenges encountered on the battlefield. Gain a complex perspective on military medicine, emphasizing the role of leadership, decision-making, and adaptability. Understand the role and significance of military reserves in medical missions and preparation for large-scale combat operations. Gain insight into the emotional strain of military medicine through the recounting of a young burn victim in Afghanistan. Understand the demanding balance between civilian careers and military obligations for reserve medical personnel. Learn valuable leadership lessons applicable in various contexts. Recognize the need for military medical personnel to maintain combat skills alongside medical expertise. Get a glimpse of the aspirations and dedication required to improve care and prepare the next generation of military medics. Use the podcast as an informative and inspiring resource for anyone considering a career in military medicine or interested in gaining insights into the demands of front-line healthcare. Episode Keywords: Military Medicine, Army Brigadier General, Jennifer A. Marrast Host, 807th Medical Command, 452nd Hospital, Afghanistan, Iraq, Trauma Cases, Burn Victim, Battalion Surgeon, Task Force Victory, Medical Decision-Making, Rank, MC4 System, Comfort, Pain Relief, Reserve Component, Modernize Army Medicine, Combat, Fighting Strength Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicine #BrigGenMarrastHost #WarDocsPodcast #BattlefieldMedicine #LeadershipLessons #TraumaCare #MilitaryHealthcare #CombatMedics #VeteranStories   Honoring the Legacy and Preserving the History of Military Medicine   The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.   WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: WarDocs-The Military Medicine Podcast

   Join the conversation with Lieutenant Colonel Dr. Jeanne Krick, as she brings the weighty world of medical ethics into focus, sharing her journey from Neonatology to being the Army Surgeon General's consultant for Medical Ethics. Our discussion orbits the moral quandaries that surface in military medicine, dissecting the intricate balance between patient autonomy and the rigors of military policy and regulations. Dr. Krick provides a riveting narrative on the daily impact of ethical decision-making and the burgeoning field of bioethics.  Join us for a candid discussion about what it takes to make life-and-death decisions when duty, honor, and humanity intersect.    As we unpack the layers of Dr. Krick's expertise, the fabric of military medical ethics is revealed in its full complexity. The establishment and significance of ethics committees take center stage, as we navigate through complex scenarios where commanders and medical professionals must align on treatment decisions for service members. Dr. Krick's role in shaping policies at a non-deployed level juxtaposes the high-stakes ethical calls required in active war zones, sparking a conversation on the critical need for robust ethical guidelines and training.     The forecast for military medical ethics is a combination of change, challenges, and innovation as we look to the horizon where artificial intelligence and human enhancement technologies promise to redefine the boundaries of healthcare. Dr. Krick's insights on the ethical dimensions of AI in medicine, the military's stance on pandemic responses, and the intricacies of cultural sensitivity within patient confidentiality offer a guide for navigating these uncharted waters. Her perspective underscores the importance of early ethicist involvement in policy-making and the role of shared decision-making in aligning medical actions with patients' values.  For medical professionals, ethicists, or anyone intrigued by the moral challenges of healthcare, this episode is an indispensable look into the courageous work of those who serve in medicine's toughest arenas.   Chapters: (00:00) Exploring Medical Ethics and Consultations (10:21) Military Medical Ethics and Committees (18:23) Ethics in Healthcare and Deployed Settings (30:28) Cultural Differences and Patient Confidentiality (36:19) AI Impact on Medical Ethics (44:54) Medical Ethics and Decision-Making Challenges (50:03) Future of Military Medical Ethics   Chapter Summaries: (00:00) Exploring Medical Ethics and Consultations Dr. Jeanne Krick discusses the impact of her bioethics training and education on her problem-solving approach in military medicine and the evolving horizon of medical ethics. (10:21) Military Medical Ethics and Committees Military medical ethics, diverse committees, and educational opportunities for ethical training within the military healthcare system. (18:23) Ethics in Healthcare and Deployed Settings Patient-centered care, organizational ethics, resource allocation, and treatment of enemy combatants in deployed environments. (30:28) Cultural Differences and Patient Confidentiality Cultural differences in medical ethics, patient autonomy, confidentiality, and military readiness are discussed with real-life scenarios. (36:19) AI Impact on Medical Ethics Ethical considerations in AI healthcare, human enhancement in the military, and balancing autonomy and mission readiness during pandemics. (44:54) Medical Ethics and Decision-Making Challenges Equipping medical students with ethical tools, understanding principles and care, reconciling legal constraints, and debating neonatology. (50:03) Future of Military Medical Ethics Future of medical ethics in military medicine, involving ethicists in policy-making, rapid decision-making in emergencies, and balancing guidance with patient wishes. Take Home Messages: Medical ethics in the military setting require balancing individual autonomy with military protocol, highlighting the unique ethical challenges faced by military medical professionals. The journey from neonatology to a consultant for the Army Surgeon General underscores the importance of interdisciplinary backgrounds and analytical thinking in navigating complex ethical decisions in military medicine. The role of ethics committees in military medical treatment facilities is critical, offering diverse perspectives and aiding in difficult decision-making processes when commanders and medics must align on service member treatment. Ethical training and guidelines are essential for military healthcare providers, particularly in deployed settings where high-pressure situations demand rapid and morally sound decision-making. Cultural sensitivity and confidentiality issues present unique ethical dilemmas in military medicine, necessitating careful consideration of cultural relativism and the intent behind sharing medical information within the command structure. The advent of artificial intelligence and human enhancement technologies in healthcare brings forth new ethical dimensions that require transparency and the involvement of ethicists to ensure moral foundations are integrated. The COVID-19 pandemic has highlighted the need for robust ethical frameworks in military medicine, particularly regarding vaccinations and individual autonomy versus mission readiness. Early ethicist involvement in policy-making and shared decision-making processes is key to aligning medical actions with patients' values, ensuring that care remains patient-centered even amidst rapid changes in the medical landscape. Medical students, especially those in military programs, must be equipped with a strong ethical toolkit to face the challenges of contemporary and future medical practice, including varying treatment approaches and legal constraints. The future of military medical ethics points towards an increase in formal ethics training and the early incorporation of ethical considerations in policy-making to better prepare for complex situations such as pandemics and large-scale combat operations.   Episode Keywords: Medical Ethics, Military Medicine, Bioethics, Ethical Decision-Making, Patient Autonomy, Military Protocol, Ethics Committees, Artificial Intelligence, Cultural Sensitivity, Patient Confidentiality, Healthcare, Ethics Consultations, Military Healthcare System, Ethical Training, Organizational Ethics, Resource Allocation, Combat Operations, Cultural Relativism, AI Algorithms, Human Enhancement, Informed Consent, Pandemic Response, Vaccinations, Harm Principle, Ethical Toolkit, Ethics of Care, Legal Constraints, Neonatology, Formal Ethics Training, Shared Decision-Making, Emergency Situations, Guidance Hashtags: #wardocs #military #medicine #podcast #MilMed #MedEd #MilitaryMedicalEthics #DrJeanneKrick #BioethicsInUniform #HealthcareOnTheFrontlines #EthicalDecisionMaking #ArtificialIntelligenceEthics #PatientAutonomy #MedicalEthicsTraining #NeonatologyEthics #CulturalSensitivityInMedicine   Other Medical Ethics Resources: -DoD Medical Ethics Center- https://www.usuhs.edu/research/centers/dmec The DMEC is situated out of USUHS and has several resources for those in uniform on medical ethics (I am a little embarrassed that I forgot to mention them in the actual interview last night...). Their website has a link to their internal training course, which is really a series of YouTube videos that cover some basic bioethics topics. They also have an app (I believe it's available through all the usual sources and on all devices) that is free to download and has plenty of resources. The app could be a great resource for folks looking for more material, especially in austere environments.    -American Society for Bioethics and Humanities- https://asbh.org/ This is the main organization for medical ethics within the US. There are links to many helpful resources on their site, including professional development, endorsed meetings, and guidelines/standards for clinical ethics consultation.    Honoring the Legacy and Preserving the History of Military Medicine   The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation.   Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/episodes Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm   WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you.   WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms.     Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast

Are you feeling overwhelmed with the responsibility of making medical decisions for a loved one with dementia? This episode sheds light on this challenging aspect of caregiving, offering insights and guidance to navigate these waters with confidence. As an Emergency Room physician, Dr. Lamb witnesses firsthand the overwhelm and stress that comes with being thrust into a sudden need to make medical decisions for someone you care about.   Recognizing the unique challenges that come with decisions in people living with dementia, Dr. Lamb felt compelled to extend her expertise beyond the walls of the hospital. To bridge the gap Dr. Lamb works online to empower medical decision makers with the knowledge and tools they need to make informed choices.  Through her free audio training, blog, and her comprehensive online program “Make Your Plan with Dr. Lamb,” she aims to alleviate the stress and uncertainty that comes with decision makers' desire to choose medical care that is both what the person living with dementia would want and is the best option for them. 0:07:07 Understanding capacity vs. competency in medical decision-making 0:12:26 Understanding the Medical Risks of Dementia 0:13:40 Frustrations with Doctors not Recognizing Lack of Capacity 0:18:15 Importance of Choosing the Right Doctor for Dementia Care 0:23:37 Medical Decision-Making and Surrogate Responsibilities 0:31:41 The Misconceptions of DNR and Active Dying 0:40:32 Course Overview: Flexibility and Reference Value 0:43:01 Accessing the Course and Limited-Time Discount Offer   Receive Brittany Lamb's weekly emails, and visit blambmd.com for full length videos and resources. Learn more and enroll in Make Your Plan with Dr. Lamb - An Online Self Paced Comprehensive Program to Create a Medical Decision Plan with an analysis of the person living with dementia's medical history from Dr. Lamb: https://blambmd.com/plan/ Add additional family members for $97 each. Use code  "Lizette" to take $100 off

Do you want to feel empowered and confident when making important medical decisions for your children? Wondering how you can ensure that your choices are based on solid evidence? Dr. Marty Makary, a renowned medical expert, joins Dr. Meg Meeker on this episode of Parenting Great Kids podcast to discuss the importance of taking an evidence-based approach to medical decision-making. His insights shed light on the need for open dialogue and critical thinking when it comes to medical decisions, urging parents to be proactive in seeking reliable information. By the end of the episode, you will feel empowered to navigate the complex world of medicine with confidence and make informed choices for your children's well-being. In this episode, you will learn how to: Gain a balanced perspective on the ongoing debate surrounding COVID-19 vaccines and make informed decisions for your child's health. Learn why considering diverse perspectives is crucial for making well-rounded decisions that prioritize your child's health and well-being. Discover how the limitations imposed on physicians can hinder their ability to provide the best care and how it affects your child's medical decisions. Understand the importance of relying on scientific evidence and research to make informed decisions about your child's health and well-being. TODAY'S GUEST: Dr. Marty Makary is a dynamic and highly respected figure in the field of medicine. As a professor, New York Times bestselling author, and health policy expert, he brings a unique blend of expertise and real-world experience to the table. Dr. Marty is known for his nonpartisan stance and his commitment to evidence-based medicine. With a track record of engaging with diverse perspectives, he challenges the politicization of important medical issues like COVID and vaccines. Dr. Marty's refreshing approach and dedication to scientific evidence make him a trusted voice in the field. Join us as we delve into the topic of evidence-based medicine with Dr. Marty Makary and gain valuable insights that can help inform our medical decisions for the well-being of our children. OUR SPONSOR A revolutionary baby monitor is born!  Masimo Stork is a new device to monitor your baby's health. Featuring SET technology which has been used in hospitals for nearly 25 years, Masimo Stork uses a silicone boot to track your baby's pulse rate, oxygen saturation and skin temperature.  While not a medical device, Masimo Stork can help you be a calmer, more confident parent.  Go to masimostork.com to learn more.  FROM THE PRODUCER Discover "How to Talk to Your Kids About Puberty & Sex" – a vital resource for parents with children aged 8 to 18. Equip yourself with the knowledge and confidence to have these essential conversations. Visit meekerparenting.com/courses to learn more.  Get social with us and take advantage of other resources here.  The key moments in this episode are: 00:00:00 - Introduction 00:00:42 - Distinguished Guest 00:03:08 - Politicization of COVID and Vaccines 00:06:45 - Medical Establishment and Opinion 00:07:25 - Arrogance and Groupthink 00:16:20 - The Harm of Giving Every College Student a Booster 00:16:52 - The FDA Approval of the COVID Vaccine 00:19:13 - Myocarditis and Vaccine Safety 00:21:25 - Politics and Medical Decision-Making 00:23:10 - Lack of Data on COVID Deaths and Risk-Benefit Analysis 00:31:26 - The Importance of Honesty in Vaccination Messaging 00:32:03 - Intense Paternalism in Medicine 00:33:45 - The Need for Trust in Medicine 00:34:24 - Trusting Pediatricians and Making Informed Decisions 00:37:21 - Parenting Out of Fear  Learn more about your ad choices. Visit megaphone.fm/adchoices

About AmyAmy is an Akashic Oracle, Channel & a Code Keeper of the Holographic Matrix. She brings down Multidimensional Lightcodes & translates them into English towards the restoration of the Original Divine Blueprint of Humanity. Amy is also the host of the Third Eye Awakening podcast, and she serves her community through her courses, programs & manifestation mentorship.Recording Date: August 23rd, 2023Amy's LinksWebsite: amybelair.comIG: @cosmic.oracleClayton's LinksWebsite: https://travelingtoconsciousness.com/Master Link: http://linktr.ee/claytoncuteriBook: https://travelingtoconsciousness.com/rstj-got-volume-1AI Description Of EpisodePicture this: you're stuck in a rut, bogged down by the overwhelming weight of unfulfilled dreams. Could the key to manifesting your desires lie in embracing tranquility and trust? This episode dives headfirst into the process of attracting what you yearn for by exploring a “trip wire” concept – the idea that if something isn't meant for you, it won't come to fruition. We'll share personal experiences on visualization and feeling the outcomes of our goals before seeing them materialize.But it's not just about dreams. We're also peeling back the layers of redemption, salvation, and the quest for inner peace. Drawing on the wisdom of Paramahansa Yogananda's book, Parma Hansa, we delve into the art of liberating oneself from energy and achieving unity with divine consciousness. From tackling moral dilemmas of invasive species to discussing the importance of inner peace and surrender, this episode is a profound exploration of the human condition.We conclude our deep dive with an analysis of medical decision-making and healthcare culture. Amidst the fear of litigation that often dictates actions, we weigh in on the struggle between quality and quantity of life. Ever wondered about the types of souls and their influences on our lives? We've got that covered, along with a discussion on the identification and energy of souls, including lupers and drip downs. Get ready for an enlightening conversation that will provoke thought, inspire introspection, and perhaps even shift your perspective.Timecodes(00:00:00) - Manifesting Dreams with Trust and Calmness(00:13:05) - Exploring Redemption, Salvation, and Inner Peace(00:17:36) - Inner Peace and Surrender(00:27:37) - Complex Human Actions and Perspectives(00:37:45) - Mother and Baby Care Risks(00:41:29) - The Dilemma of Medical Decision-Making(00:48:15) - Incarnations and Soul Control Concept(00:55:52) - Identification and Energy of SoulsIntro/Outro Music Producer: Don KinIG: https://www.instagram.com/donkinmusic/Spotify: https://open.spotify.com/artist/44QKqKsd81oJEBKffwdFfPSuper grateful for this guy ^Support the showPatreon Support Become an Episode Producer: https://patreon.com/travelingtoconsciousness

What if you could tap into the fascinating world of probability and statistics to make better informed health decisions? This week's MedEvidence Monday Minute, we unravel the intriguing Monty Hall paradox and its surprising implications on medical decision-making. Just as Monty Hall guided contestants towards the best odds without predetermining outcomes, our physicians too lead us towards the most favorable probabilities. Armed with data and statistics, they advise us on the best options without predicting exact results. It's a look into the mind-boggling world of probabilities and how it shapes our everyday health choices. So, gear up for a thrilling ride through the labyrinth of medical research, no lab coat required!Be a part of advancing science by participating in clinical researchShare with a friend. Rate, Review, and Subscribe to the MedEvidence! podcast to be notified when new episodes are released.Follow us on Social Media:FacebookInstagramTwitterLinkedIn Powered by ENCORE Research GroupMusic: Storyblocks - Corporate InspiredThank you for listening!

Making big health decisions can be overwhelming..  It can challenge our personal values and beliefs and lead to internal conflict and unrest. It can cause rifts in families. We can wonder “what is the right thing to do?” and have uncertainty when there is more than one way to proceed. Dr. Rebecca Greenberg is a  bioethicist who works with families to help reduce the stress and burden of medical decision-making and provides the necessary support  to make a difficult  decision with confidence. A Bioethicist is a healthcare professional trained to guide people who are unsure about what is the best choice or the right thing to do.   Dr. Rebecca Greenberg is a nurse and bioethicist who has been working in healthcare for the past two decades with a particular focus on pediatrics and women's health. She guides clients through making difficult decisions about their own health and  that of their loved ones. She approaches each unique situation with compassion, no judgements and supports people in getting to the right decision for them.    Rebecca's aim is to help all those struggling with medical decision making so they can reach  “lasting moral peace” in the face of tough choices.      Dr. Rebecca Shares: Making an ethical decision doesn't always ‘feel good' - how can we come to terms with this?  How to find clarity in making complex medical decisions How to navigate your own ethical dilemma about your health (i.e. should I have more kids, fertility treatment planning, should I have an abortion, do I want another round of chemo for my cancer)  How to make medical decisions on behalf of a loved one (i.e. child, partner or parent) How to manage conflict in families making difficult medical decisions (i.e. parents making decisions for children, or adult siblings making decisions for parents)   We discuss the following topics that can be especially challenging:  conflict within your family about your health planning pregnancy termination decisions  healthcare decisions pertaining to your baby while pregnant and as a newborn medical decisions for children and minors fertility treatment considerations   Show Notes:  For more of Dr. Rebecca, please visit  greenbergconsulting  on Instagram and https://www.greenbergconsulting.ca on the Web For more of We Go There Podcast, please visit instagram.com/wegotherepodcast on Instagram and wegotherepodcast.com on the Web *Warning- this podcast is completely unfiltered. If you are around young children, we suggest headphones.*

Welcome! and Thank you for listening.  I am a plant based practicing allopathic physician.  I see people in the office, the hospital, the nursing home, at home and virtually.  I am at my best in person.  My job is to educate and to support.  I graduated in 1987 and I have been a doctor everyday since then.  My goal is to help people heal and do no harm.  Practicing, observing, learning, and questioning.  It is not an algorithm or a protocol.  Everyone has their own health journey and their own life journey which makes them unique.  AI cannot understand the life experiences of a patient and understand what they may feel is best for them.   To do no harm is sometimes in the eye of the beholder.  Harm relative to what? Treat or not to treat? Who is ultimately responsible.  Medical decisions are never easy.  Everyone's path is unique.  Health span is a partnership and the journey is what you make of it.   Find someone that helps you define the health journey that supports your wishes.  You have more control than you think you do.   Email me a jami@doctordulaney.com with questions doctordulaney.com https://www.amazon.com/Plant-based-Wellness-Cookbook-Generations-Cooking/dp/1733967702/ref=sr_1_3?crid=1U4J4U0SZUXUF&dchild=1&keywords=plant+based+wellness+cookbook&qid=1621083696&sprefix=plant+based+well%2Caps%2C173&sr=8-3

 July 7, 2023 Mark, Ray, and Scott discuss the problem section of E/M medical decision making.  The following question was asked that sparked this discussion:Undiagnosed new problem with uncertain prognosis: When does a problem go from being new to chronic? For example, patient has an elevated PSA at their new patient appointment (new problem), some tests are ordered, then they follow up in one month. Could we use "undiagnosed new problem" again since we are still trying to diagnose and figure out what's going on? Or is it no longer a new problem because we have seen the patient before? InspiredCommentUrology Documentation, Coding, and Billing CertificationFor Urologists and APPs (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Fellowship - Urology (DCB-FS) For Coders, Billers, and Admins (Click Here for Pricing, More Information, and Registration)Documentation, Coding, and Billing Specialist Certification (DCB-SC)Documentation, Coding, and Billing Master Certification (DCB-MC)Urology Advanced Coding and Reimbursement SeminarClick Here to Register Now  Las Vegas, December 1 & 2, 20238 am - 4:30 pm Friday, 8 am - 3:30 pm SaturdayNew Orleans, January 26 & 27, 20248 am - 4:30 pm Friday, 8 am - 3:30 pm SaturdayReserve your spot and save!As a Urology Coding and Reimbursement Podcast listener, you get access to a discount (limited-time offer).Use code: 24UACRS733Get signed up today and get peace of mind knowing you will be prepared for all the upcoming changes.The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.Click Here to Start Your Free Trial of AUACodingToday.com 

What does medical decision-making mean, and what is involved?  What are pituitary specialists thinking about when faced with decisions on how to treat a patient?  This live talk session aims at answering these tough questions.  Dr. Blevins walks us through the case of a patient with high cortisol to illustrate the types of decisions physicians make and what those decisions are based on when trying to solve a medical mystery to best help patients.  This podcast will shed some light on what a physician does when making medical decisions.  Enjoy! To learn more, this book by Dr. Lewis Blevins, "The Art of Neuroendocrinology: A Case-Based Approach to Medical Decision-Making," provides additional reading. The book is available through Amazon. Click here to read more.

www.SCHouseCalls.comwww.HouseCallsGA.comwww.MainStreetPhysicians.comwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com

Dr. David Studdert is a professor of health policy at the Stanford University School of Medicine and a professor at Stanford Law School. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. D.M. Studdert and M.A. Hall. Medical Malpractice Law — Doctrine and Dynamics. N Engl J Med 2022;387:1533-1537.

"The scenario is preset, and hence based on a lot of constraints, but when it is run, there is freedom for everyone to operate. This freedom to take part in the defined context is the same as the spirit of the rules. The constraints and rules that we set define every problem. How we leverage scope determines how we can position ourselves for success. The prioritization becomes more critical as we engage with more complex and overarching challenges. The goal is to understand without running into infinite loops and endless rabbit holes." Carlo Mahfouz is a technology executive and author of Reality Check: In Pursuit of the Right Questions. He shares his story and discusses his KevinMD article, "Chaos and order: the simulated context." SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd GET CME FOR THIS EPISODE → https://earnc.me/VrK05i Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

Dr. Itiel Dror PhD is a senior cognitive neuroscience researcher at the University College London. He received his PhD in Psychology at Harvard University. He researches information processing involved in perception, judgment, and decision-making. Dr. Dror has dozens of research publications, which have been cited over 10,000 times. His academic theoretical work is complemented with applied worked in healthcare, policing and aviation --to improve human training and decision making. More information and publications are available here. Links to some papers: 1) Short piece from Science, 2) A bit more 'meat' explaining bias sources & fallacies, 3) A 'solution' too, and 4) 'Hot off the press', just published, a new paper on forensic pathology decisions. 

AI in healthcare is only going to get bigger and new Macquaire University research reveals how to do it better.In this short podcast we hear from Associate Professor Paul Formosa from Macquarie University. He's been researching how patients respond to AI making their medical decisions compared to how they respond if a human is involved.Professor Formosa says that patients see humans as appropriate decision makers and that AI is perceived as dehumanizing even when the decision outcome is identical.“There's this dual aspect to people's relationship with data. They want decisions based on data and they don't like it when data is missing. However, they also don't like themselves to be reduced merely to a number,” Professor Formosa says.There are key takeaways for designers and developers in the research.“It's important that people feel they're not dehumanized or disrespected as that will have bad implications for their well-being. They may also be less likely to adhere to treatments or take diagnosis seriously if they feel that way,” Professor Formosa says.The kind of data that is captured could provide the nuance required to shift negative perceptions AI decision making. Professor Formosa says that we also need to think about the broader context in which these data systems are being used.“Are they being used in ways that promote good health care interactions between patients and healthcare providers? Or are they just automatically relied on in a way that interferes with that relationship?” Professor Formosa asks. Hosted on Acast. See acast.com/privacy for more information.

Terry Fletcher, Christine Hall, Stephanie Allard, and Scott Kraft Join Sean to discuss Auditing, Billing, Coding and Compliance in this 45-minute roundtable! Topics Include: 1. Modifier 25 Audits (what is Cigna, Aetna and BCBS doing?) 2. Taking credit for interpretations (Impact on Medical Decision-Making) 3. Rheumatology Insights - Who do you need to listen to on infusions... 4. Templates and their impact on Level V EM Services Don't miss this outstanding panel of industry leaders! Thank you for making us a Top 25 Podcast: https://lnkd.in/g3H9EH5w The Compliance Guy has been Nominated in 2 categories (Andy Curry Award and The Business Category) for a People's Choice Award. The voting has now opened. Simply go to https://lnkd.in/grYHk-8P and register then it will take you to the nominations page for you to vote... Once you click on the "Andy Curry" and "Business" categories and you will find "The Compliance Guy" half way down... Click on it, then submit and you are done!

“Medical gaslighting” of women and other groups has been described in popular media. As a physician, I never want to think that I am gaslighting, or purposefully dismissing, patients and their concerns. From a sociological perspective, medical decision-making has built-in bias or schemas or mental representations, and there are entire systems around this that need to be addressed for more equitable care. Listen in to a sociological analysis of medical decision-making and how more awareness of bias within systems can be beneficial. Dr. Karen Luftey Spencer, MA PhD is a Professor of Health and Behavioral Sciences at the University of Colorado Denver. She researches medical decision making, health disparities, and patient-provider relationships. She received her BA in Sociology/Anthropology from Gustavus Adolphus College in 1993, and her MA and PhD in Sociology from Indiana University in 1995 and 2000. She was recently quoted in a NYT article titled, “Women Are Calling Out ‘Medical Gaslighting'” (https://www.nytimes.com/2022/03/28/well/live/gaslighting-doctors-patients-health.html). Link to her article on social foundations of health care inequality and treatment bias https://www.researchgate.net/profile/Karen-Spencer-5/publication/303482505_Social_Foundations_of_Health_Care_Inequality_and_Treatment_Bias/links/57ffd3a308aec3e477eac646/Social-Foundations-of-Health-Care-Inequality-and-Treatment-Bias.pdf. 

Decisions made by doctors and their patients can be some of the most complicated, difficult decisions to make. They cover choices of treatment, medications, desired outcomes, and a host of complex variables that play a role in a person's health. It is perhaps one of the least understood aspects of the doctor-patient relationship. This session focuses on the factors that influence medical decision-making, the impacts those decisions carry, and how the practical clinical aspects of these choices affect our everyday lives. We also cover interesting examples from Dr. Blevins' clinical practice and other essential elements such as non-medical factors like insurance and other payor issues, the role of computers and artificial intelligence, treatment guidelines, and the ever-present Google search.

In the 5th episode of the POCUS Journal podcast, Editor-In-Chief Dr. Benjamin Galen and Global Health Section Editor Dr. Gordon Johnson are joined by Dr. Michelle Fleshner and Dr. Steve Fox to discuss their article entitled "Impact of Point-of-Care Ultrasound in Medical Decision Making: Informing the Development of an Internal Medicine Global Health POCUS Curriculum", recently published in POCUS Journal Vol 07 Iss 01, released April 2022. You can find the full issue at the link below: https://pocusjournal.com/issue/vol-07-iss-01-2022/. Edited by Braeden Hill.

How do you know if your patient has the capacity to make complex medical decisions? Sometimes it can be hard to tell. Do you need to consult psych? Can you determine it yourself? Come learn very specific questions to ask so that you can feel confident determining if you should be asking your patient, or their family member, to sign a consent or decide about code status.  Come join our community! Sign up at www.tiipm.orgWhen your patient is crying do you know just what to do? Can you confidently help patients manage anxiety or pain without controlled medications? Come learn with Dr. Chiaramonte and improve your integrative symptom management skills!- evidence supported patient care skills- self care for you- patient resources for your office- group case-based discussionswww.integrativepalliative.com/training

------------------Support the channel------------ Patreon: https://www.patreon.com/thedissenter PayPal: paypal.me/thedissenter PayPal Subscription 1 Dollar: https://tinyurl.com/yb3acuuy PayPal Subscription 3 Dollars: https://tinyurl.com/ybn6bg9l PayPal Subscription 5 Dollars: https://tinyurl.com/ycmr9gpz PayPal Subscription 10 Dollars: https://tinyurl.com/y9r3fc9m PayPal Subscription 20 Dollars: https://tinyurl.com/y95uvkao ------------------Follow me on--------------------- Facebook: https://www.facebook.com/thedissenteryt/ Twitter: https://twitter.com/TheDissenterYT Anchor (podcast): https://anchor.fm/thedissenter This show is sponsored by Enlites, Learning & Development done differently. Check the website here: http://enlites.com/ Dr. Talya Miron-Shatz is an author, consultant, speaker, and researcher, who studies medical decision-making in a humanistic way, aiming to guarantee that people understand, and are genuinely part of, their care. She has a Ph.D. in psychology and is an internationally acclaimed expert in medical decision making, with notable experience in both academia and in the healthcare industry, which has led to significant public outreach. She is the author of Your Life Depends on It: What You Can Do to Make Better Choices About Your Health. In this episode, we focus on Your Life Depends on It. We talk about the psychology of decision-making; social, commercial, and legal factors that influence it; the role of patients; how doctors can improve their communication; political nudges; personal responsibility in medical outcomes; and AI systems. -- A HUGE THANK YOU TO MY PATRONS/SUPPORTERS: KARIN LIETZCKE, ANN BLANCHETTE, PER HELGE LARSEN, LAU GUERREIRO, JERRY MULLER, HANS FREDRIK SUNDE, BERNARDO SEIXAS, HERBERT GINTIS, RUTGER VOS, RICARDO VLADIMIRO, CRAIG HEALY, OLAF ALEX, PHILIP KURIAN, JONATHAN VISSER, JAKOB KLINKBY, ADAM KESSEL, MATTHEW WHITINGBIRD, ARNAUD WOLFF, TIM HOLLOSY, HENRIK AHLENIUS, JOHN CONNORS, PAULINA BARREN, FILIP FORS CONNOLLY, DAN DEMETRIOU, ROBERT WINDHAGER, RUI INACIO, ARTHUR KOH, ZOOP, MARCO NEVES, COLIN HOLBROOK, SUSAN PINKER, PABLO SANTURBANO, SIMON COLUMBUS, PHIL KAVANAGH, JORGE ESPINHA, CORY CLARK, MARK BLYTH, ROBERTO INGUANZO, MIKKEL STORMYR, ERIC NEURMANN, SAMUEL ANDREEFF, FRANCIS FORDE, TIAGO NUNES, BERNARD HUGUENEY, ALEXANDER DANNBAUER, FERGAL CUSSEN, YEVHEN BODRENKO, HAL HERZOG, NUNO MACHADO, DON ROSS, JONATHAN LEIBRANT, JOÃO LINHARES, OZLEM BULUT, NATHAN NGUYEN, STANTON T, SAMUEL CORREA, ERIK HAINES, MARK SMITH, J.W., JOÃO EIRA, TOM HUMMEL, SARDUS FRANCE, DAVID SLOAN WILSON, YACILA DEZA-ARAUJO, IDAN SOLON, ROMAIN ROCH, DMITRY GRIGORYEV, TOM ROTH, DIEGO LONDOÑO CORREA, YANICK PUNTER, ADANER USMANI, CHARLOTTE BLEASE, NICOLE BARBARO, ADAM HUNT, PAWEL OSTASZEWSKI, AL ORTIZ, NELLEKE BAK, KATHRINE AND PATRICK TOBIN, GUY MADISON, GARY G HELLMANN, SAIMA AFZAL, ADRIAN JAEGGI, NICK GOLDEN, PAULO TOLENTINO, JOÃO BARBOSA, JULIAN PRICE, EDWARD HALL, HEDIN BRØNNER, DOUGLAS P. FRY, FRANCA BORTOLOTTI, GABRIEL PONS CORTÈS, URSULA LITZCKE, DENISE COOK, SCOTT, ZACHARY FISH, TIM DUFFY, AND TRADERINNYC! A SPECIAL THANKS TO MY PRODUCERS, YZAR WEHBE, JIM FRANK, ŁUKASZ STAFINIAK, IAN GILLIGAN, LUIS CAYETANO, TOM VANEGDOM, CURTIS DIXON, BENEDIKT MUELLER, VEGA GIDEY, THOMAS TRUMBLE, AND NUNO ELDER! AND TO MY EXECUTIVE PRODUCERS, MICHAL RUSIECKI, ROSEY, JAMES PRATT, MATTHEW LAVENDER, SERGIU CODREANU, AND BOGDAN KANIVETS!

Beyond the daily decisions of what to eat, what to wear, how many times to hit snooze on the alarm, there are many big impactful decisions that affect each of our lives.  But even though these big decisions may seem more important, small decisions over time can impact the future too.  Check out episode 32 of The MedEdWell Podcast to hear about what goes into good decision making, personally and with patients.  Then get your work done faster with 10 tips from my free PDF guide, Maximize Your Clinical Efficiency! Click to get your guide NOW! Today's sponsor: White Coat Investor courses - Get CME and financial, wellness education today!

Kender du det at have gjort noget, hvor du bare slet ikke kan genkende dig selv i det? I denne episode taler vi om varme og kolde følelser og hvad det betyder for vores evne til at føle empati.Vores referencer er:George Loewenstein: Hot-Cold Empathy Gaps and Medical Decision Making.J. Woodzicka & M LaFrance: Competence undermined: Effects of gender harassment on job interview performanceThe Hidden Brain podcast: In the heat of the Moment. (Podcast vært: Shankar Vedantam).

Anyone who cares for individuals with serious illness must live in a messy space where tough conversations about treatment decisions are common and complicated.   On today's podcast we talk with James Tulsky about living in this messy space of medical decision making and the challenges that come with communication around advanced treatment decisions.  We talked about James' path to the work that he has done, including early studies he did that included audio recording DNR discussions between physicians and patients, to his most recent study looking at the “Triadic agreement about advanced cancer treatment decisions.”      In this last study, James' group surveyed 70 triads of patients, caregivers, and their oncologists shortly after making a cancer treatment decision and found that only 40% of triads completely agreed on the goal of treatment. In all of the remaining cases, at least one member of the triad disagreed about the goal of treatment.  So take a listen and also check out this wonderful ACP article that James did with Joshua Lakin and Rachelle Bernacki titled “Time Out Before Talking: Communication as a Medical Procedure” which we also discuss on the podcast. 

Talya Miron-Shatz, PhD, is a leader in research at the intersection of medicine and behavioral economics. She is professor and founding Director of the Center for Medical Decision Making at Ono Academic College in Israel, senior fellow at the Center for Medicine in the Public Interest in New York, and a visiting researcher at the Winton Centre for Risk and Evidence Communication at the University of Cambridge. Miron-Shatz was a post-doctoral researcher at Princeton University, and a lecturer at Wharton, the University of Pennsylvania. She is the author of over 60 academic papers on medical decision making. She is CEO of CureMyWay, an international health consulting firm whose clients include Johnson & Johnson, Pfizer, and Samsung.   She wrote the book Your Life Depends on It: What You Can Do to Make Better Choices About Your Health. She wrote it for patients and clinicians alike. We discuss how patients are frequently overwhelmed with the information we give them. How to give it to them in a more digestible way, while still being time efficient, how we can tell if they are understanding us and how to tell if they don't plan on following our recommendations. She also teaches us how to increase the chances that a patient will choose us as their doctor. Find her at www.talyamironshatz.com   Today's Sponsor is Locumstory. To find out more visit: doctorpodcastnetwork.com/locumstory  

An Indiana University expert offers insight into helping doctors make better decisions under pressure, and IU and Regenstrief Institute researchers look at how to treat cancer symptom clusters.

In this episode, Dr. Talya Miron-Shatz is my guest. She’s the author of a book called Your Life Depends on It: What You Can Do to Make Better Choices About Your Health. Today, we talk about our relationships with doctors and health care providers—and the specifics of navigating these relationships. I hear from a lot …

In this episode, Dr. Talya Miron-Shatz is my guest. She’s the author of a book called Your Life Depends on It: What You Can Do to Make Better Choices About Your Health. Today, we talk about our relationships with doctors and health care providers—and the specifics of navigating these relationships. I hear from a lot …

October 22, 2021Mark, Ray, and Scott discuss the PHE, telehealth place of service update, and urology Coding Month finale.Free E&M Training - 4 Sessions (30 minutes each)Session #1 - Why E&M 2021 is So Important [10/25/21 at 3-3:30 pm EST]Session #2 - Medical Decision Making 2.0: Problem, Risk and Data [10/27/21 at 2-2:30 pm EST]Session #3 - Time, Shortcut Tools, and Best Practices [10/28/21 at 1-1:30 pm EST]Session #4 - Case Study [#1 of 22]: Elective Sterilization (Vasectomy) [10/29/21 at 12-12:30 pm EST]Register NowUrology ResidentsCoding and Documentation for Urology ResidentsMore Information and RegistrationUrology Advanced Coding and Reimbursement SeminarREGISTRATION OPENLive In-Person EventsInformation and RegistrationLas Vegas, December 3-4, 2021New Orleans, January 28-29, 2022 Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom. Click Here to Start Your Free Trial of AUACodingToday.com 

October 15, 2021Mark, Ray, and Scott revisit a question from Episode 068 about an Implantable Penile Prosthesis. Also, they discuss several additional IPP questions.  Finally, they had a question about PTNS that sparked an "Incident To" clarification discussion.Free E&M Training - 4 Sessions (30 minutes each)Session #1 - Why E&M 2021 is So Important [10/25/21 at 3-3:30 pm EST]Session #2 - Medical Decision Making 2.0: Problem, Risk and Data [10/27/21 at 2-2:30 pm EST]Session #3 - Time, Shortcut Tools, and Best Practices [10/28/21 at 1-1:30 pm EST]Session #4 - Case Study [#1 of 22]: Elective Sterilization (Vasectomy) [10/29/21 at 12-12:30 pm EST]Register NowUrology ResidentsCoding and Documentation for Urology ResidentsMore Information and RegistrationUrology Advanced Coding and Reimbursement SeminarREGISTRATION OPENLive In-Person EventsInformation and RegistrationLas Vegas, December 3-4, 2021New Orleans, January 28-29, 2022 Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom. Click Here to Start Your Free Trial of AUACodingToday.com  

My guest today is Talya Miron-Shatz, PhD., a leader in research at the intersection of medicine and behavioral economics. She is professor and founding Director of the Center for Medical Decision Making at Ono Academic College in Israel, senior fellow at the Center for Medicine in the Public Interest in New York, and a visiting researcher at the Winton Centre for Risk and Evidence Communication at the University of Cambridge. The topic is her book Your Life Depends on It: What You Can Do to Make Better Choices About Your Health. In this episode of Trend Following Radio we discuss: Vaccination and Public Trust COVID-19 Vaccination Wearing Masks Against COVID-19 Delta Variant Treatment for Obesity Israel's COVID-19 Vaccination Coronavirus Disease Statistics Risk Factors for COVID-19 HIV and COVID-19 Medical Decision Making Jump in! --- I'm MICHAEL COVEL, the host of TREND FOLLOWING RADIO, and I'm proud to have delivered 10+ million podcast listens since 2012. Investments, economics, psychology, politics, decision-making, human behavior, entrepreneurship and trend following are all passionately explored and debated on my show. To start? I'd like to give you a great piece of advice you can use in your life and trading journey… cut your losses! You will find much more about that philosophy here: https://www.trendfollowing.com/trend/ You can watch a free video here: https://www.trendfollowing.com/video/ Can't get enough of this episode? You can choose from my thousand plus episodes here: https://www.trendfollowing.com/podcast My social media platforms: Twitter: @covel Facebook: @trendfollowing LinkedIn: @covel Instagram: @mikecovel Hope you enjoy my never-ending podcast conversation!

Dr. Talya Miron-Shatz is a Ph.D. in psychology, as well as an internationally acclaimed expert in medical decision-making. This week, she breaks down her new book, Your Life Depends on It: What You Can Do to Make Better Choices About Your Health, teaching us how to ensure that information is conveyed thoroughly and clearly, our choices are constructed as intelligently as possible, and our interactions with our medical professionals are handled in a way that optimizes our health for the best possible outcomes. This episode might save your life one day.Guest Links:The new book: Your Life Depends on ItWebsite: https://talyamironshatz.comTwitter: https://twitter.com/talyamironshatzLinkedIn: https://www.linkedin.com/in/talya-miron-shatzFor 25% off The Fitness App by Jillian Michaels, go to www.thefitenssapp.com/podcastdealFollow us on Instagram @JillianMichaels and @MartiniCindyEmail your questions to JillianPodcast@gmail.comThis Week's Sponsors:SKILLSHARE.com/JILLIAN, for a 1-month, free trial of Premium MembershipYou can find new episodes of Keeping It Real: Conversations with Jillian Michaels, completely ad free, on Wondery+ https://wondery.app.link/jillianSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In recent years, we have gained unprecedented control over choices about our health. But these choices are hard and often full of psychological traps. As a result, we're liable to misuse medication, fall for pseudoscientific cure-alls, and undergo needless procedures. Talya Miron-Shatz explores the preventable ways we make bad choices about everything from nutrition to medication, from pregnancy to end-of-life care. She reveals how the medical system can set us up for success or failure and maps a model for better doctor-patient relationships. Full of new insights and actionable guidance, Miron-Shatz is a guide to making good choices when you can't afford to make a bad one. Bio: Talya Miron-Shatz, PhD., is a leader in research at the intersection of medicine and behavioral economics. She is professor and founding Director of the Center for Medical Decision Making at Ono Academic College in Israel, senior fellow at the Center for Medicine in the Public Interest in New York, and a visiting researcher at the Winton Centre for Risk and Evidence Communication at the University of Cambridge. In this episode of Trend Following Radio: Vaccination and Public Trust COVID-19 Vaccination Wearing Masks Against COVID-19 Delta Variant Treatment for Obesity Israel's COVID-19 Vaccination Coronavirus Disease Statistics Risk Factors for COVID-19 HIV and COVID-19 Medical Decision Making

We're less rational, less logical, and less deliberate than we like to believe. We have biases and regularly use heuristics, or mental shortcuts, to make our decisions. Most of the time we aren't even aware it's happening. Every actor in healthcare has these tendencies. Health systems have biases that influence doctors. Doctors have biases that influence patients. And of course, patients have biases too.  These compounding biases create challenges when presenting information, defining care pathways, or trying to help patients find their optimal path. On this episode, we talk with Talya Miron-Shatz, PhD, who is a leader in research at the intersection of medicine and behavioral economics, and the professor and founding director of the Center for Medical Decision-Making at Ono Academic College in Israel. Talya is the author of the new book Your Life Depends on It: What you can do to make better choices about your health. In it, Talya shines a light on the barriers we all face when making health and medical choices and provides actionable solutions for patients, doctors, and policymakers.  We'll explore these solutions to help you make better and more informed decisions for yourself and your family. And for you builders out there, we'll also share guidance on how to better present information, whether it be to doctors or administrators or to the patients themselves. For full show notes and links: https://thehcbiz.com/173-communicating-healthcare-to-humans-with-talya-miron-shatz

This week we take a break from #zercovid to give you another episode that's a deep dive into COVID-19. We start with an interview with epidemiologist and infectious disease expert Dr. Daniel Morgan of the University of Maryland School of Medicine; we talk about cognitive errors in medical decision-making and how it relates to COVID-19 health policy. After that, we have a series of thoughts for you on COVID vaccine mandates for schools, President Biden's vaccine plan, the FDA's vote on boosters, John Ioannidis' new paper on vaccinating students, the Pfizer results for vaccines in kids 5-11, and accepting that COVID is here to stay. Back us on Patreon! www.patreon.com/plenarysession Check out our YouTube channel: www.youtube.com/channel/UCUibd0E2kdF9N9e-EmIbUew

I recently sat down with Talya Miron-Shatz, PhD, a researcher, speaker, consultant, organizational psychologist, behavioral economist, science communicator, and author of the book “Your Life Depends on It: What You Can Do to Make Better Choices about Your Health”. The book (link to order it: https://talyamironshatz.com/your-life-depends-on-it/) has received glowing reviews so far: Nobel laureate Daniel Kahneman - “People who expect to stay healthy forever need not read this wonderful book. The rest of us should. With a fine combination of humor, compassion and vast knowledge, Talya Miron-Shatz offers clear and useful guidance for the hardest decisions of life.”; Next Big Idea Club (Adam Grant, Malcolm Gladwell, Daniel Pink, Susan Cain) “The past year has shown that confusion exists prominently in our medical conversations. We need a new guide to navigating these complex decisions, and psychology professor Miron-Shatz is here to provide one.” Talya has spent two decades as a researcher – including at Princeton University where she worked with the Nobel Prize laureate Daniel Kahneman, as well as a lecturer at Wharton University. She is now a full professor at Ono Academic College and a Visiting Researcher at Cambridge University. Miron-Shatz also has extensive industry experience, as she consults numerous pharmaceutical companies, including Pfizer, Abbvie, Boehringer-Ingelheim, Bristol-Myers Squibb, Novartis, and others on projects around leading physician advisory boards, designing patient outreach, and sales rep training. Talya has worked with technology giants, such as NantMobile, where she led teams of engineers in introducing an entire layer of psychological drivers to facilitate adherence to medication and she has helped multiple startups – from Healarium to Glucome to hone their operating mechanisms in conveying health information to change patient behavior. Here are some of the highlights from our discussion with its timeline: 2:47 – Why Talya pursued researching Medical Decision Making 3:32 – Gap between knowledge and understanding in genetic counseling, organizational psychology 4:28 – Work with Nobel Prize Laureate Daniel Kahneman 5:43 – What do we mean by “Healthcare Consumers” 6:44 – Real world cancer treatment example of the impact of medical decision-making 7:24 – Why Healthcare Consumerism is a “hit or miss” 7:36 – Patients now demand medical treatments – 2017 research from Dr. Heather Lu showing physicians prescribe medications/treatments they do not believe in themselves 10:35 – Key factors in Patient Outcomes: Comprehension of and Adherence to Treatment 11:50 – Health Literacy & Ability to Ask healthcare providers 12:24 – 90 Million Americans indicate low health literacy – e.g. role and probability of prenatal testing, hereditary cancer 13:47 – 2007 Exercise with Genetic Counselors 16:07 – Medication Adherence, errors, and patient education rooms in doctor's offices 19:29 – Problem with Continuity of Care across health insurance plans (payers), providers, hospital systems, polypharmacy 21:02 – Role of the Patient-Doctor relationship 22:24 – A trusted healthcare profession – pharmacy 23:40 – The real world value of physician's empathy from Mount Sinai Hospital's palliative care oncologist 26:42 – Why medical credentials and personality equally critical 28:16 – The definition of making “Every Effort” in a Medical Decision – case: unplanned cesarean section deliveries 32:08 – Specific Tips to make better, more informed medical decisions 33:24 – Ask physicians what matters to you first – 1) risks, then 2) benefits, and finally 3) alternatives 36:14 – Final Conclusions for patients and healthcare professionals 39:48 – How to contact Dr. Miron-Shatz 41:00 – New book release details – available for pre-order now, officially to be release on September 28, 2021 --- Support this podcast: https://anchor.fm/alloutcoach/support

Earlier this year the Centers for Medicaid and Medicare implemented a new evaluation and management coding system for outpatient visits, which was meant to ease documentation burdens. Contemporary Pediatrics sat down with Andrew J. Schuman, MD, FAAP, to discuss the levels of Medical Decision Making and offers examples of what types of visits would account for those levels.

Episode Summary: New medical documentation guidelines for Outpatient Office visits were implemented on January 1, 2021 as part of the “Patient's over Paperwork” initiative by Medicare with input from the American Medical Association. These new documentation guidelines require a “medically appropriate” history and physical exam and are billed by either Total Time or Medical Decision Making. Host Neal Sheth interviews Dr. Piyush Sheth regarding these guidelines including benefits and pitfalls and their impact on healthcare economics. Resources: AMA 2021 E/M Office visit changes: E/M office visit changes (ama-assn.org) AMA updated document regarding Outpatient Office visits: Code and Guideline Changes | AMA (ama-assn.org) Don't forget to subscribe to this podcast. Full Transcript Available at www.unravelingmedicalcoding.com

June 11, 2021Ray, Mark, and Scott welcome Dr. John Lin to discuss Medical Decision Making.  When it seems like a level 4 but MDM will only get you to a level 3, what can you do?Question from Michael:I'm still having a hard time with less straight forward #MDM. I had a patient with left testicular pain x 3 mos. He fell from a ladder and had back pain with radicalar pain down into his leg and likely testis. GU exam is unremarkable. UA is normal. I have ordered an MRI of the lumbar spine. The best I seem to get is a level 3, but it seems to be more complex. Thoughts and justifications? Dr. Lin is the administrator of The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/REGISTRATION OPENUrology Advanced Coding and Reimbursement Seminar - Live In-Person EventsInformation and RegistrationLas Vegas, December 3-4, 2021New Orleans, January 28-29, 2022Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom. Click Here to Start Your Free Trial of AUACodingToday.com _____________________________________________________________________

This episode is a continuation of episode #2, part 1, that focused on activities that may be included in time-based scoring of evaluation and management codes (E & M). We discuss the recent E & M clarifications published by the American Medical Association (AMA) that provide further guidance on the use of Medical Decision Making as a factor for leveling E & M services. These clarifications were published on March 9th, 2021 and effective on January 1, 2021 We will review several key Medical Decision Making (MDM) factors that providers will need to understand for scoring Evaluation & Management Services The key clarifications that will be discussed include: Presenting Problems & Risk The term, “Analyzed” for reporting a test in the data column The term, “Unique” Test when factoring the number of tests ordered and or reviewed The term, “Discussion” between providers, how it can be counted towards MDM and the criteria necessary to factor discussions into MDM Factoring in Social Determinants of Health into the table of risk of complications Factoring in tests considered but not ordered into the test results category for MDM Find out in this timely episode and subscribe for future #RevCycle updates with RevDive.For more information on critical RCM updates, be sure to follow RevDive on our social channels:- Website - Facebook - LinkedIn - Twitter - YouTube

Terry discusses the recent CMS alerts and new coding questions relating to the 2021 EM Rules. Medical Decision Making has everyone confused. Can vaccines and immunizations be considered in the management of a patient? Where does a pre-op visit for surgery fall in the presenting problems addressed? Terry discusses these topics and more in this […] The post PHE Extended and more EM2021 MDM Clarifications appeared first on Terry Fletcher Consulting, Inc..

We talk about the essentials to web Hosting with Michael Babcock and his guest Damashe Thomas. Brock Richardson of The Neutral Zone brings us our weekly Sports Update, and tells us about his experience being vaccinated for COVID-19. We check in with Grant Hardy, AMI Reporter in Vancouver, about the special he's hosting called Road to Inclusion. Silk Road Institute is hosting a two-day forum to delve deeper into the layered challenges faced by newcomer communities in Canada. We learn more about this with Programs and Development Manager, Mariam Zaidi. Danielle McLaughlin speaks with her guest Alexi Wood about the Rasouli case, and issues around medical decision making for people with disabilities.Find Kelly & Company on YouTube! About AMI AMI is a media company that entertains, informs and empowers Canadians with disabilities through three broadcast services — AMI-tv and AMI-audio in English and AMI-télé in French — and streaming platform AMI+. Our vision is to establish AMI as a leader in the offering of accessible content, providing a voice for Canadians with disabilities through authentic storytelling, representation and positive portrayal. To learn more visit AMI.ca and AMItele.ca. Find more great AMI Original Content on AMI+ Learn more at AMI.ca Connect with Accessible Media Inc. online: - X /Twitter @AccessibleMedia - Instagram @AccessibleMediaInc / @AMI-audio - Facebook at @AccessibleMediaInc - TikTok @AccessibleMediaInc - Email feedback@ami.ca

Danielle McLaughlin speaks with her guest Alexi Wood about the Rasouli case, and issues around medical decision making for people with disabilities.Find Kelly & Company on YouTube! About AMI AMI is a media company that entertains, informs and empowers Canadians with disabilities through three broadcast services — AMI-tv and AMI-audio in English and AMI-télé in French — and streaming platform AMI+. Our vision is to establish AMI as a leader in the offering of accessible content, providing a voice for Canadians with disabilities through authentic storytelling, representation and positive portrayal. To learn more visit AMI.ca and AMItele.ca. Find more great AMI Original Content on AMI+ Learn more at AMI.ca Connect with Accessible Media Inc. online: - X /Twitter @AccessibleMedia - Instagram @AccessibleMediaInc / @AMI-audio - Facebook at @AccessibleMediaInc - TikTok @AccessibleMediaInc - Email feedback@ami.ca

Why do we make the decisions we do? What influences our decision making process? In this episode we bring back Dr. Erin Blake and discuss how the decision making process is shaped by our healthcare environment. We also look at an airline accident and analyze some of the factors influencing the decisions of the crew which sadly resulted in a terrible crash. 

In this podcast, Dr. Blevins discusses growth hormone replacement, growth hormone deficiency tests, and some of the implications that affect medical decision making

In this episode, Erdest Jenkins and Doctor John Torontow provide a deeper dive into the simplified documentation requirements for physician office visit coding. Previously, the CMS requirements for medical decision making have been widely criticized by physicians for requiring documentation that is not clinically relevant. CMS reduced the required elements of the Medical Decision Making documentation starting in January 2021. Tune in to learn about these important changes!You can find the link to the one pager for this podcast below:https://sway.office.com/pkqEW1ecwzU9s9cv?ref=LinkThank you to all of our loyal listeners, or as we call them, Smarties! Send us a picture of you listening to sharon@villagemd.com, and you will be entered for a chance to win Working Smarter merch.If you enjoy the podcast, we want your help in spreading the word! Share this episode with your friends and colleagues. We are now available on Apple, Spotify, or wherever you get your podcast. Our references and other show notes are on our website: https://vmdworkingsmarter.com/conversations/

ASCO: You’re listening to a podcast from Cancer.Net. This cancer information website is produced by the American Society of Clinical Oncology, known as ASCO, the world’s leading professional organization for doctors who care for people with cancer. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Cancer research discussed in this podcast is ongoing, so data described here may change as research progresses. In today’s podcast, Dr. Paul Appelbaum, Dr. Allison Magnuson, and Dr. Jonathan Marron, will discuss their article “Medical Decision-Making in Oncology for Patients Lacking Capacity,” from the 2020 ASCO Educational Book. They discuss what it means for someone to be unable to make significant medical decisions for themselves, known as “decisional capacity,” and offer practical tips for families and caregivers. Published annually, the Educational Book is a collection of articles written by ASCO Annual Meeting speakers and oncology experts. Each volume highlights the most compelling research and developments across the multidisciplinary fields of oncology. Dr. Paul Appelbaum is a psychiatrist at Columbia University Medical Center, where he researches decisional capacity and decision-making in medical contexts. Dr. Allison Magnuson is a geriatric oncologist at the University of Rochester, where she researches older adults with cancer and older adults with preexisting cognitive impairments. Dr. Jonathan Marron is a pediatric oncologist, bioethicist, and researcher at the Dana-Farber Cancer Institute and Boston Children's Hospital. View disclosures for Dr. Appelbaum, Dr. Magnuson, and Dr. Marron at Cancer.Net. Dr. Marron: Hi. We wanted to welcome you to this Cancer.Net podcast. Today we're going to discuss our article in the 2020 ASCO Educational Book which is entitled “Medical Decision-Making in Oncology for Patients Lacking Capacity.” What we hope to focus on today specifically is what this means for patients, for families, for caregivers, and provide some practical guidance not just for oncologists but for patients, families, and caregivers specifically. My name is Jonathan Marron. I am a pediatric oncologist, bioethicist, and researcher at the Dana-Farber Cancer Institute and Boston Children's Hospital. Dr. Appelbaum: And I'm Paul Appelbaum. I'm a psychiatrist at Columbia University Medical Center where I do research on, among other things, decisional capacity and decision making in medical contexts. Dr. Magnuson: And I'm Allison Magnuson. I'm a geriatric oncologist at the University of Rochester, and my research focuses in older adults with cancer and more specifically in older adults with preexisting cognitive impairments. Dr. Marron: We should point out that none of the 3 of us have any relevant conflicts to disclose. Dr. Applebaum, can you tell us a little bit about what capacity is and why it matters to patients and their families? Dr. Appelbaum: So capacity is both an ethical concept and a legal construct. And it refers to those decision-making abilities that we require people to have, in order to make decisions that are binding decisions, valid and worthy of respect by others. Over the years, this notion of decisional capacity has evolved in a more focused way. So it was once the case that people were considered to be capable of making all decisions or no decisions. And now we recognize that people may be capable of making some decisions but not others. Moreover, we recognize that this capacity taken as a whole can change over time. So if you're sick, in pain, anxious, or of course unconscious, you may lack capacity to make decisions at that point. But the following day, when you are feeling better, no longer in pain, or have consciousness, you'll be quite capable of doing it for yourself. And then we focus in on 4 components of capacity which is what we look to assess when somebody is concerned that a patient may lack capacity. We ask whether the person can understand the information that's relevant to the decision, can appreciate what that information means for their decision-making context, can reason about the decision in a more or less rational way, and can make a choice and decide whether or not they want a particular treatment or want to be hospitalized or desire a diagnostic procedure. So in a nutshell, that's what we mean by this thing that we call decisional capacity. Dr. Marron: And so you just mentioned there a couple of different types of decisions that an individual might have to make. Might capacity vary according to each individual decision? Dr. Appelbaum: Yeah. But capacity is usually thought of as task-specific. So that even within the domain of medical decisions, a very simple decision like should you have a flu shot, like I did last week, is probably not one that requires a great deal of capacity. Indeed, they didn't give me any hard time when I asked for a flu shot. But if you're making a decision that has potentially life-saving or life-changing consequences, whether to accept, for example, or reject potentially life-saving treatment, more capacity may be required. So it depends on the decision that's at hand. Dr. Marron: So it sounds like as it relates to decisions that an individual with cancer might face, or those who care for individuals with cancer, this could end up being a relatively challenging process. Dr. Magnuson, what are some of the aspects of cancer and cancer care that might affect an individual's ability to have capacity for these kinds of decisions? Dr. Magnuson: Sure. I think that's a great question. So as Dr. Appelbaum mentioned, certainly the complexity of the decision can come into play. We know that with cancer treatment, some of the treatments that we consider are high risk types of therapies, potentially high benefit but also high risk. And if patients have some type of preexisting cognitive impairment, perhaps some of those more complex decisions may be more challenging and require more support. There are also scenarios with a cancer diagnosis, for example brain metastases, that may impact capacity for certain patients as well. Dr. Marron: And then back to Dr. Applebaum. So if there's questions about whether or not an individual has capacity, what should patients and family members expect that their clinicians will do in order to assess that? Dr. Appelbaum: Yeah. I think it's important to say, first of all, that if family members believe that their loved ones may lack capacity, and sometimes they know much better than a doctor or any other member of the medical team who has just met the patient what their baseline functioning is and how different they may look and behave today, that if they suspect that that's something that they ought to communicate to the medical team. If that happens or if the team itself suspects that the person may have some impairment of their decision-making abilities, an assessment will take place. It can be performed by some member of the medical team itself or sometimes it will be done by a consultant. Typically, a consulting psychiatrist who's called in to see the patient and do the evaluation. Unlike blood tests for anemia, let's say, there's no definitive medical test that can be done to determine whether somebody is decisional and capable or not. The assessment is based on an interview. The interview typically will review what the patient understands about their condition and its nature, the treatment that's been proposed, the risks and benefits, and the alternatives along with their risks and benefits. It will assess whether the patient appreciates their own situation, that is recognizes the nature of their illness and its severity and what the likely consequences of either accepting treatment or refusing treatment might be. It will assess their ability to weigh the risks and benefits and come out with a decision. Typically, a decision that in some way reflects their assessment of those risks and benefits. That sort of interview can take 20 to 30 minutes. It's done at the bedside and the person doing it will integrate that information with information from the family if that's available with a review of the medical chart to see what other problems the person may be having or what variant behaviors or thoughts they may have manifested and will come up with a conclusion. What's important to underscore as we mentioned earlier is that conclusion is valid for that point in time. If the patient's condition changes, somebody who was competent yesterday may not be today and somebody who lacked that competence yesterday may have recovered it by today, and again if family members are aware of substantial changes in their loved one's condition, that's important to call to the team's attention as well. Dr. Marron: And that last point that you mention is particularly poignant in my area of practice in pediatrics, since children by definition legally don't have capacity. So we have to think about things in a little bit of a different fashion where typically the child's parents are the ones who are tasked with making decisions on behalf of the child. But we try to integrate the child's voice as best that we can and the age and developmentally appropriate way while understanding that until the age of majority, in most cases an individual doesn't have the legal ability to make a decision for themselves. That's not to say, however, that just because they can't make a legal decision doesn't mean that they shouldn't have a voice. In your practice, Dr. Magnuson, how do you try to approach patients that don't have capacity or have perhaps waxing and waning capacity? Dr. Magnuson: Yeah. It's interesting kind of hearing your pediatrics perspective. Because of the area of my interest, many of my patients do come to see me with a new cancer diagnosis and they have preexisting either mild cognitive impairment or dementia. And just as we've been talking about how the complexity of the decision at hand really is an important thing to consider. Often patients may retain the capacity for some of the more straightforward decisions but may need more involvement of caregivers, health care proxy, and such for the more complex, maybe treatment-focused decisions. Thinking through different options, cancer treatment options that have different risk profiles to them. Those are complex decisions and so often how I try to approach it is to really get a sense from patients, as Dr. Applebaum described, what is their understanding about their diagnosis? Some patients with advanced cognitive impairment may not recall that they have cancer even though they've been to several appointments prior to me where the diagnosis has been discussed. Those are more extreme cases certainly, but kind of getting that level of understanding using a lot of interview techniques in the office visit to gauge people's understanding of the different options that we're talking about. What are the goals and preferences that they're coming to this decision with? Just to get a sense of how are they reasoning through these options and certainly engaging their family and their support. But really emphasizing that they may retain capacity for certain decisions. So we don't want to ignore as you said their voice and their input, even for those more complex decisions. Often patients I'm seeing are older and they've had many life experiences that have informed their decisions, so their family does come with that knowledge. And so it's important to really kind of evaluate those aspects as well. Dr. Marron: And with that in mind, is there any advice that you might give to a family member of a patient who will be coming in to the oncology clinic with the expectation that decisions you're going to have to be made, but that the patient him or herself is not thought to have capacity presently? How can families and caregivers help to prepare for meetings like that and decisions like those? Dr. Magnuson: That's a great question. So sometimes I do see family struggle with kind of really wanting the patient to make the decision themselves. But they're just unable to kind of retain all the detailed information that would go into that decision. And I can see that sometimes be challenging for patients, especially if there's the level of cognitive impairment wasn't maybe previously appreciated to the degree that it's actually present. And so I definitely try to work with patients and families to kind of all be on the same page at kind of where that level of decisional support is needed and try to engage everyone together. I guess as far as advice. certainly as Dr. Appelbaum said, if there's concerns that you as a family member have in this regard sharing that with the team is always helpful and really kind of helps us to make sure that we're assessing at each point kind of that level of understanding. Dr. Appelbaum: It’s probably worth noting that in most cases, unless the patient him or herself has designated another decision maker, it will be the family that the treatment team will turn to to make decisions for an incapable patient. And one of the ways the family can prepare for that in advance is to try to ascertain as early as possible in the process what the patient's desires are, how aggressive they want to be about treatment, how they feel about issues like do not resuscitate orders and other choices that they may have to make, for example, with regard to palliative care or facilities where they may want to be if they get towards the end of their lives. Dr. Magnuson: Yes, I agree with that Dr. Applebaum. Kind of that ongoing discussion with families about what people's goals and preferences are and they definitely evolve over time, too, I think. So kind of having that open dialogue is important. Dr. Marron: Seems like a common theme here is how much this can change both for a given individual and then over time and according to different scenarios and different decisions. We certainly see that in the pediatric space as well as children get older and they move through the illness experience, they may develop a greater degree of ability to participate in decisions even if they're still under the age of majority and/or if they get sicker. As Dr. Magnuson mentioned, it's possible that any involvement they had may decrease over time. Any other pieces of advice that either of you would want to provide to a friend, a family member or a patient who might be coming to clinic and be faced with some of these challenges? Dr. Appelbaum: So family members are often uncomfortable with their role as decision makers. I know this from my own life, my own experience when I made decisions for my mother at the end of her life and it wasn't easy, and I still think about those choices. But there's general agreement among bioethicists today that the best way to think about these decisions is to try to ascertain what the patient would have done in that circumstance and rather than making a decision for the patient, see yourself as making the decision that the patient would have made if the patient were capable of doing that. Now sometimes we just have no evidence of what the patient would have wanted, and we have to do the best we can and we make a choice in their best interests. But in so far as we can actually reflect desires, that I think is generally acknowledged to be preferable and is part of the point of those advance discussions that we were talking about a few minutes ago. Dr. Marron: It's such an interesting and important point because I think that brings up one of the important distinctions in a practical fashion between adults and children and adolescents in this area because children don't have that sort of experience to show parents what they would want. So we have to work as a team to try to integrate both what we feel is in the best interest of the child but also in a way if we can integrating any values or preferences that we're able to elicit from the child or more often the adolescents when making decisions on their behalf. Well, before we close are there any other additions that are giving you Dr. Appelbaum or you Dr. Magnuson would like to add? Dr. Appelbaum: I think we've covered the points that [crosstalk] I wanted to make sure we did today [laughter]. Dr. Magnuson: Yes. Dr. Marron: All right. Well, thank you both and thank you to everybody for joining us with this podcast. Okay. If you're interested in learning more about any of the things that we've talked about today you can visit ASCO.org/edbook. And there you can find the paper that we dive into this in a little bit more depth. ASCO: Thank you, Dr. Appelbaum, Dr. Magnuson, and Dr. Marron. Please visit ASCO.org/edbook to read the full article. And if this podcast was useful, please take a minute to subscribe, rate, and review the show on Apple Podcasts or Google Play. This Cancer.Net podcast is part of the ASCO Podcast Network. This collection of 9 programs offers insight into the world of cancer care, covering a range of educational, inspirational, and scientific content. You can find all 9 shows, including this one, at podcast.asco.org. Cancer.Net is supported by Conquer Cancer, the ASCO Foundation, which funds breakthrough research for every type of cancer, helping patients everywhere. To help fund Cancer.Net and programs like it, donate at conquer.org/donate.

Robert Centor, MD, is a Professor Emeritus of Medicine at the University of Alabama at Birmingham and Chair-Emeritus of the ACP Board of Regents. He has served as Dean of Huntsville Regional Medical Campus as well as Chief of the Division of General Internal Medicine at UAB. Dr. Centor has held many prestigious positions in national organizations and has been the president for The Society for Medical Decision Making, The Association of Chiefs of General Internal Medicine and The Society of General Internal Medicine. He has over 100 publications including his widely read publication from which the “Centor Score” was developed to identify the likelihood of a bacterial infection in an adult with sore throat. There's a Yiddish word called Kvell. It refers to the special pride you get when your offspring achieves something great. Dr. Robert Centor—referred to by many as the Ultimate Mentor—shares what it means to be a good mentor, and a good mentee. He firmly believes the mark of a good mentor is not one that seeks more fame and recognition. Today, we are urged to focus on our strengths rather than aim to fix all of our weaknesses first. And that we never truly know something until we're able to explain it to others. And, to pay it forward whenever possible. Dr. Centor leaves us with this advice: When you are looking for a good mentor (or mentors), look for the people that encourage you, support you, and sincerely want you to succeed. A good mentor knows that when a mentee is successful, it makes the whole team stronger. Pearls of Wisdom: 1. Build on your strengths and work with others in areas of weakness. 2. Pass on what you have received to others. Seek to pay it forward wherever and whenever you can. 3. Good mentors have KVELL (A Yiddish word for special pride in success of your mentee). They are not looking for more fame or recognition, only that you succeed.  

There is so much going on in the world of science and medicine. Coronavirus cases continue to climb in the US while pharmaceutical companies race to find a treatment and vaccine. But as with any medical treatment, a decision must be made: take the new vaccine or to not take the vaccine. This week’s podcast episode we interviewed Dr. Tayla Miron-Shatz about how we make medical decisions. Link to Episode Transcript: https://www.justnascience.com/show-notes/episode-39-medical-decision-making Get information about Dr. Miron-Shatz's book here. You can support our show by becoming a Patreon member - your support helps keep our show ad-free. Want to interact with us live? Follow us on Twitch! Click here to watch our channel trailer. Visit our website for blog posts, YouTube videos, and more! Find us on social: @justnascience for Twitter, Instagram, and Facebook Have a question, episode idea, or another business inquiry? Email us at: justnapodcast@gmail.com Podcast theme song: Like an Idiot by Sven Karlsson Music licensed through Epidemic Sound --- Support this podcast: https://anchor.fm/justnascience/support

Medical Decision Making specifically refers to the complexity of establishing a diagnosis and/or selecting a management option. Medical necessity refers to the appropriateness of the service provided for a certain condition. Problems can arise with training and documentation, when MDM and medical necessity are used interchangeably, or when practices and payers define medical necessity differently. […] The post Understanding the difference between medical necessity and MDM appeared first on Terry Fletcher Consulting, Inc..

Medical decision-making (MDM) and medical necessity are not the same thing. MDM specifically refers to the complexity of establishing a diagnosis and/or selecting a management option. Medical necessity refers to the appropriateness of the service provided for a certain condition. But which determines how you get reimbursed, when many healthcare professionals use these terms interchangeably? The live broadcast will also feature these other segments:Mental Health Report: H. Steven Moffic, MD, one of America’s foremost psychiatrists, returns to the broadcast to report on how best to test your survival skills during this challenging time in our daily lives.Tuesday Focus: Susan Gatehouse, founder and CEO of Axea Solutions, reports on the Families First Coronavirus Response Act enacted on March 18, the Act was passed in response to the COVID-19 pandemic. The Coding Report: Laurie Johnson has an update on the deadly coronavirus that continues to dominate international as well as domestic news headlines.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, returns to the broadcast to answer many of the COVID-19 coding questions that came in from previous broadcasts.

I'm fairly new to the work of straight talking naturopath Dr Pam Popper and her company Wellness Forum Health which offers educational programs to both consumers and providers that facilitate informed medical decision-making, diet and lifestyle intervention, and improved long-term health outcomes. So heads up dear listeners, if you're new to Pam too – you might well find some of what we ... READ MORE The post E674: Food Over Medicine and The Need For Informed Medical Decision Making with Dr Pam Popper. appeared first on Healthification.

JOWMA interviews Dr. Jonathan Howard, NYU neurologist, acclaimed critical thinker, and published expert on cognitive biases in medicine. This podcast is powered by JewishPodcasts.org. Start your own podcast today and share your content with the world. Click jewishpodcasts.fm/signup to get started.

JOWMA interviews Dr. Jonathan Howard, NYU neurologist, acclaimed critical thinker, and published expert on cognitive biases in medicine.

Interview with Bradley Block, M.D. on Medical Decision Making  Podcast: Physician's Guide to Doctoring  If you want to take your practice to the next level, join the private Facebook group for physicians only --> The Private Practice Accelerator, click the link below to join now! The Private Practice Accelerator Facebook Group Private Practice Matters - Dr. Phil Boucher

BackgroundJohn Lynch bio John Lynch research Center for Research on Consumer Financial Decision Making Academic Research Council, Consumer Financial Protection Bureau Financial EducationFernandes, Lynch, J.G., & Netemeyer, R.G. 2013. “Financial Literacy, Financial Education, and Downstream Financial Behaviors.” forthcoming in Management Science.“Examining Financial Education: How Literacy and Interventions Affect Financial Behaviors,” National Endowment for Financial Education, 2014. “Financial Literacy: Just-in-Time Is the Ticket,” Christine Benz and John Lynch, Morningstar.com, March 12, 2016. Thaler, R. 2013. “Financial Literacy: Beyond the Classroom.” The New York Times, Oct. 5, 2013. Kitces, M. 2016. “Financial Literacy Effectiveness and Providing Just-in-Time Training by Financial Advisors.” Nerd’s Eye View, Sept. 21, 2016. Ward, A.F. & Lynch, J.G. 2019. “On a Need-to-Know Basis: How the Distribution of Responsibility Between Couples Shapes Financial Literacy and Financial Outcomes.” Journal of Consumer Research, Vol. 45, No. 5, P. 1013.  Retirement Planning and Financial OutcomesSammer, J. “Retirement Plans Are Leaking Money. Here’s Why Employers Should Care.” Society of Human Resources Management, Oct. 17, 2017. Nudge theory definition Thaler, R. & Sunstein C. 2008. “Nudge: Improving Decisions About Health, Wealth, and Happiness" (New Haven: Yale University Press).Wright, O. 2013. “How Organ Donation Is Getting Nudge in the Right Direction.” The Independent, Dec. 24, 2013. “How America Saves,” Vanguard, 2019.  Financial Decision-Making and Well-Being“Four-Year Myth,” Lumina Foundation.Hunter, W.G., Zhang, C.Z., Hesson, A., et al. 2016. “What Strategies Do Physicians and Patients Discuss to Reduce Out-of-Pocket Costs? Analysis of Cost-Saving Strategies in 1,755 Outpatient Clinic Visits.” Society for Medical Decision Making, Vol. 36, No. 7, P. 900. Netemeyer, R., Warmath, D., Fernandes, D. & Lynch. J. 2017. “How Am I Doing? Financial Well-Being, Its Potential Antecedents, and Its Relation to Psychological/Emotional Well-Being.” Advances in Consumer Research, Vol. 45, P. 780. “Complaint Snapshot: Debt Collection,” Consumer Financial Protection Bureau, May 2018. Nova, A. 2019. “A $1,000 Emergency Would Push Many Americans Into Debt,” CNBC.com, Jan. 23, 2019.  

Rebecca Sudore MD is a geriatrician, palliative medicine physician, and health services researcher. She also is Professor of Medicine in the Division of Geriatrics at UCSF (University of California San Francisco). In addition, Dr. Sudore directs the Vulnerable Populations for Aging Research Core of the UCSF Older Adults Independence (Pepper) Center and co-directs the Innovation and […]

Rebecca Sudore MD is a geriatrician, palliative medicine physician, and health services researcher. She also is Professor of Medicine in the Division of Geriatrics at UCSF (University of California San Francisco). In addition, Dr. Sudore directs the Vulnerable Populations for Aging Research Core of the UCSF Older Adults Independence (Pepper) Center and co-directs the Innovation and […]

Doug is the Vision Source co-administrator in Indiana, and he is also a CodeHead for the American Optometric Association.  We discussed common pitfalls that he sees offices making when it comes to billing and coding, as well as common questions he gets as a CodeHead.  I think our discussion on Medical Decision Making is likely the most helpful! Please enjoy our conversation, and as always, if you want to get the most current episodes, be sure to subscribe to the podcast and give us a 5-star review.  If there is a topic or person you would like to hear on the podcast, please email me at cwolfe@visionsource.com  

About two years ago, a group of highly talented senior researchers from a startup named Unanimous approached Dr. Matthew Lungren, assistant professor of pediatric radiology at Stanford University Medical Center, with an inquiry: in what ways, if any, could technology designed to harness the power of collective human intelligence benefit the world of radiology or medicine in general? A collaboration between these researchers and Dr. Lungren commenced soon after, around the time when Stanford researchers released data showing that the detection of pneumonia on x-ray could be accomplished by AI with the same level of accuracy as human radiologists. The investigative question then became whether or not collective human intelligence could outperform the independent power of both AI and human radiologists.   So, what exactly is collective or ‘swarm' intelligence and how is it better than just having a conversation with colleagues about a particular problem or decision? Dr. Lungren describes it like this: “If you can imagine a puck on ice that can be slid around, and each person has a magnetic force that they can apply to that puck to pull it toward the answer they believe is correct…eventually a decision is reached…and it's fascinating to see how accurate they end up being as a group.” Unlike sitting around a table with your colleagues and eventually coming to a conclusion, no one knows the identity of anyone else in the swarm, which immediately eliminates the hierarchical and sociological influences of decision-making processes that involve perceived leaders or people of power; even if subtle, the dynamics that emerge from such heterogeneous groups often play influential roles on the final decisions that are made. Swarm intelligence removes that influence, and replaces it with distributed anonymity in decision making.   The possible use cases of this technology extend far beyond the world of radiology and hold promise for a future filled with better, more accurate diagnoses and decision making in medicine, but that's not to say it's not without its challenges and drawbacks. Press play to hear the full conversation, learn more by visiting the web page of the ones who started it all (unanimous.ai) and feel free to email your questions to Dr. Lungren at mlungren@stanford.edu.

In this episode we look at the arc of medical decision making. And journey with a medical student through some personal insights. Credits: This episode was produced by Bigyan Mainali, Chase Edward Cox, and Corey Duke with help from Elena Gibson and John Pounders. Special thanks to Drs. Alan Schwartz, Tom Huddle, and Nicholas Van[...]

In this episode of Compliance Conversations, I chatted with Charla Prillaman, the Regional Vice President of Audit Services and 30-year compliance veteran, about the crucial differences between Medical Necessity and Medical Decision Making (MDM). Prillaman pointed out that both terms are incorrectly used interchangeably, though they have distinctly different meanings. “Medical Necessity is the foundation for payment for all medical services. We find the original or the beginning statement about medical necessity being the overarching criteria all the way back into the social security act…Now the complexity of medical decision making is that it’s intended to somehow or another quantify a provider’s cognitive work in a specific encounter with the patient.” Said Prillaman. In this highly requested conversation, Prillaman breaks down how to properly document medical necessity and medical decision making and how to quantify something as difficult as “cognitive effort” for MDM. Tune into this episode of Compliance Conversations, “Recognizing the Differences Between Medical Necessity and Medical Decision Making” with me, CJ Wolf, and Charla Prillaman for the full scoop on Medical Necessity and MDM, including: The History of Both Medical Necessity and MDM Key Differences of Medical Necessity and MDM Ways to Properly Quantify and Document MDM

Muir Gray’s paper of the week: Decision Making for Healthcare Resource Allocation Reference: Decision Making for Healthcare Resource Allocation: Joint v. Separate Decisions on Interacting Interventions Helen Dakin and Alastair Gray. Medical Decision Making 2018, Vol. 38(4)476–486 More information here: bettervaluehealthcare.net/paper-of-the…ek-27-06-18/

Developed in partnership with the Canadian Paediatric Society (CPS), this podcast reviews the recently published CPS position statement on medical decision making.  This podcast was developed by Dr. Allyson Shorkey, a first year pediatrics resident from the Hospital for Sick Children and the University of Toronto and Dr. Kevin Coughlin, a Neonatologist and Bioethicist, from Children’s Hospital at London Health Sciences and the University of Western Ontario. 

Michael Warner, an Osteopathic physician, board certified in family medicine, turned patients’ rights advocate has a lot say about a patient’s rights to access. Warner is passionate about empowering patients to co-author their medical record. Through his research, Warner has found that giving patients the opportunity to take control of their information greatly increases accuracy, efficiency, and patient satisfaction. In a post-study follow-up survey, most patients reported that they “appreciated being given the chance to co-author” their medical records. For any healthcare organization, this is music. Listen to this episode, Patients Empowered: Improving Accuracy Through Co-Authorship, to learn how to: Collect patient data before their visit to maximize efficiency. Share history, exam, and Medical Decision Making with patients for accuracy. How HIPAA’s privacy rule allows patients to amend their records.

Are medical decision-making and medical necessity one in the same? Often, bad advice tends to circulate regarding how to select the correct evaluation and management (E&M) codes.Healthcare attorney David Glaser was the first to break a news story involving Highmark’s recent policy – evidently recently rescinded – that required physicians to use medical decision-making as a key component of coding. Reporting our lead story during this edition of Talk Ten Tuesdays is David Glaser, who is joined by Betsy Nicoletti, a national consultant on physician coding and founder of Coding Intel.Other segments to be featured on the broadcast include:News Desk: Larry Field, DO, anchors the Talk Ten Tuesdays News Desk with the very latest healthcare news. Field is the treasurer of the American College of Physician Advisors. CDI Report: Nationally recognized clinical documentation improvement (CDI) expert Stefani Daniels returns to Talk Ten Tuesdays with yet another CDI report. Daniels is the founder and partner of Phoenix Medical Management, Inc. RegWatch: Leading healthcare technology consultant Stanley Nachimson returns with his popular segment, RegWatch, through which he reports on the latest regulatory changes coming out of Washington, D.C.Talk Ten Tuesdays. More than just talk.™

On today’s episode of the NP Dude podcast I reply to a Facebook thread regarding Medical Decision Making (MDM) and give some of my tips as to how I, as an attorney and practicing FNP chart to cover my backside.  Keep in mind this isn’t going to give you a how-to manual but allows you […] The post Episode 105 – The Skinny on Medical Decision Making and My CYA Charting Tips! first appeared on The NP Dude.

Medical Decision Making and the Medical Necessity Link with Laurie Desjardins of Coding Strategies. The post Medical Decision Making and the Medical Necessity appeared first on First Healthcare Compliance.

Medical Decision Making and the Medical Necessity Link with Laurie Desjardins of Coding Strategies. The post Medical Decision Making and the Medical Necessity appeared first on First Healthcare Compliance.

How do you work through your caregiving situations at work? Geri Lynn Baumblatt, Executive Director of Patient Engagement at Emmi Solutions, will share her perspectives on how caregiving affects the workplace, drawing on her experiences as she cared for her dad and now cares for her mom. Geri will also share her perspectives as a panelist at our Caregiving and the Workplace Summit on June 2 in Chicago. Register to join us in person or virtually. About Geri Geri Lynn Baumblatt, MA is the Executive Director of Patient Engagement at Emmi Solutions, which produces interactive programs and calls to empower, engage and educate patients and family caregivers. She regularly speaks at patient experience, health literacy, shared decision making, and patient advocate conferences and panels for organizations like AHRQ, The Institute for Healthcare Advancement, Stanford Medicine X, the Society for Medical Decision Making, the Cleveland Clinic, the Beryl Institute, Duke, the Brookings Institute, the ONC, and the Center for Plain Language. She is on the editorial board for the Journal of Patient Experience, a regular contributor to the Association for Patient Experience, hosts an annual Health Literacy blog series, and is an advisor for Roobrik and Helpsy Health. --- Send in a voice message: https://anchor.fm/caring-conversations/message

How do you work through your caregiving situations at work? Geri Lynn Baumblatt, Executive Director of Patient Engagement at Emmi Solutions, will share her perspectives on how caregiving affects the workplace, drawing on her experiences as she cared for her dad and now cares for her mom. Geri will also share her perspectives as a panelist at our Caregiving and the Workplace Summit on June 2 in Chicago. Register to join us in person or virtually. About Geri Geri Lynn Baumblatt, MA is the Executive Director of Patient Engagement at Emmi Solutions, which produces interactive programs and calls to empower, engage and educate patients and family caregivers. She regularly speaks at patient experience, health literacy, shared decision making, and patient advocate conferences and panels for organizations like AHRQ, The Institute for Healthcare Advancement, Stanford Medicine X, the Society for Medical Decision Making, the Cleveland Clinic, the Beryl Institute, Duke, the Brookings Institute, the ONC, and the Center for Plain Language. She is on the editorial board for the Journal of Patient Experience, a regular contributor to the Association for Patient Experience, hosts an annual Health Literacy blog series, and is an advisor for Roobrik and Helpsy Health. --- Send in a voice message: https://anchor.fm/caring-conversations/message

Join us as we go inside the Doctor’s bag and explore two aspects of childhood obesity: bariatric surgery and heart disease. We will also offer some tips on making medical decisions for yourself and family. Finally we will burst another … Continue reading →

Join us as we go inside the Doctor’s bag and explore two aspects of childhood obesity: bariatric surgery and heart disease. We will also offer some tips on making medical decisions for yourself and family. Finally we will burst another … Continue reading →

Despite medical advances and the application of scientific principles to modern medicine, there seems to be increasing controversy about the "right" diagnostic and treatment choices, even for very common medical issues – such as how best to treat high blood pressure and elevated cholesterol; whether to take vitamins, and who should be screened for cancer with mammograms and PSA. Doctors Jerome Groopman, chair of Harvard Medical School, and Pamela Hartzband, assistant professor at Harvard Medical School, discuss why experts disagree, why there isn't a clear "right" answer, and what patients need to know to make decisions in the face of conflicting information.

How do you get from the classroom to the clinic or hospital ward? How do you translate knowledge into clinical practice? Using cognitive strategy techniques can help you understand the medical decision making process. But beware of bias… Original release date: Jan 19, 2015

The Mental Health and Aging series is offered as a part of an educational initiative on Clinical Challenges in Primary Care and Aging supported by the New Jersey Geriatric Education Center (NJGEC). This episode focuses on the process of capacity assessment in medical decision making using clinical case scenarios. Strategies for risk reduction and providing support to the patient as well as caregivers are also discussed.

The Mental Health and Aging series is offered as a part of an educational initiative on Clinical Challenges in Primary Care and Aging supported by the New Jersey Geriatric Education Center (NJGEC). This episode focuses on the process of capacity assessment in medical decision making using clinical case scenarios. Strategies for risk reduction and providing support to the patient as well as caregivers are also discussed.

Talya Miron-Shatz, PhD., is a social psychologist specializing in medical decision making. She has over 60 academic publications on the topic, and vast industry experience. Her book ' YOUR LIFE DEPENDS ON IT: What You Can Do to Make Better Choices About Your Health (And How to Get Help With the Rest)' will be published by Basic Books in 2021. Website: https://talyamironshatz.com If you love this show, please leave us a review. Go to:- https://ratethispodcast.com/rate and follow the simple instructions. Support this podcast at — https://redcircle.com/the-dave-pamah-show/donations