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We usually explain regret as knowing better but lacking discipline. This episode argues something more useful: in a hot state, the values on your internal scoreboard change.I connect Epictetus with hot-cold empathy gaps, self-control replication research and implementation intentions. Then I give you a four-minute handover note: one specific if-then plan, written while you can still see clearly, for the version of you who will not realise their judgement has changed.Sources and further reading:- Epictetus, Discourses 1.28- Seneca, Letters 76.34-35- George Loewenstein, “Hot-Cold Empathy Gaps and Medical Decision Making” (2005)- Hagger et al., “A Multilab Preregistered Replication of the Ego-Depletion Effect” (2016)- Peter Gollwitzer and Paschal Sheeran, “Implementation Intentions and Goal Achievement” (2006)- Keith Stanovich, Richard West and Maggie Toplak, work on myside bias and rational thinking Free 7-Day Stoic Challenge: stoicchallenge.coThe Stoic Vault: stoicvault.com
What if the patient you discharged three years ago is still costing you money today? In this episode of The Disrupted Podcast, Scott Middleton pulls back the curtain on the mechanics of value-based care most providers never see — and the merger bringing it all into focus. With the July 15th closing date approaching, Scott walks through what the merger of Your Health with TCPA and Providence Care actually means on the ground: new contracts, new provider numbers, a reimbursement model built on RAF scores and revenue rather than guesswork, and a technology stack — from the Clini app to QR-coded patient wristbands — designed to capture what was previously left on the table. In this episode: Why patient attribution under value-based contracts follows you for years — and what hospice discharges are really costing the organization How the new bonus structure ties pay to billing, RAF scores, and quality measures (and why you can never be paid to put someone on hospice) The difference between care management, facilitated visits, and what providers have been under-billing all along How skilled nursing facilities became the highest-leverage opportunity in the entire model Why advanced care plans aren't just clinical — they're a 30% income increase hiding in plain sight If you've ever wondered why the "why" behind a process matters more than the process itself, this episode is the answer. Press play. www.YourHealth.Org
In this episode, Alix & Kayla explore stories from people who have transitioned and later detransitioned, unpacking the deeply personal, emotional, and complex experiences behind those journeys. From informed consent and puberty to trauma, social influence, and the evolving language around gender identity, they discuss how identity formation can shift over time—and why holding space for nuance matters.Through anonymous community stories and open conversation, they reflect on how gender, sexuality, and self-perception intersect with mental health, relationships, and the pressure to “figure it out” too quickly.This is a compassionate, layered conversation about gender identity, detransition stories, queer community belonging, and the reality that self-discovery isn't always linear.00:00 – Intro + Life Updates in Nicaragua 02:00 – Hyperfixations & Mormon Memoirs 04:20 – Marriage “Would You Rather” Game 15:20 – Today's Topic: Transition & Detransition Stories 16:00 – News Story: Malpractice Case & Gender-Affirming Care 20:00 – What “Detransition” Means 22:00 – Informed Consent & Medical Decision-Making 26:30 – Why This Conversation Matters in Queer Spaces 30:00 – Anonymous Story: Transition, Fertility & Identity 32:00 – Puberty, Body Changes & Gender Confusion 38:30 – Trauma, Identity & Transition Motivations 44:00 – Social Influence, Language & Self-Understanding 48:00 – Internalized Misogyny & Gender Expectations 52:00 – Does Transition Resolve Dysphoria? 55:00 – Therapy, Root Causes & Identity Exploration 58:30 – Growing Up Tomboy & Gender Expression 01:02:00 – The Complexity of Identity & Final Thoughts
Overdiagnosis and Medical Decision Making with Dr. Kathleen KerrIn this episode of The Girl Doc Survival Guide, Dr. Kathleen Kerr, a Professor of Biostatistics at the University of Washington, discusses overdiagnosis and medical decision making. Dr. Kerr delves into how patients perceive mammogram results, the difference between overdiagnosis and overcalling, and the challenges pathologists face in diagnosing cancer. She also shares findings from her research on the influence of prior opinions on second diagnoses and the cognitive processes involved in interpreting pathology images. The discussion highlights the complexities and subjectivity in pathology diagnoses and the implications for patient care.00:00 Introduction and Guest Welcome00:33 Personal Anecdote on Mammograms01:25 Understanding Screening and Its Limitations02:24 Exploring Overdiagnosis05:59 Research on Dermatopathologists' Perceptions08:20 Second Opinions in Medical Decision Making12:26 Pathologists' Diagnostic Process15:42 Final Thoughts on Diagnostic Criteria
The Impact of Gaze and Fatigue on Medical Decision-Making with Dr. Bulat IbragimovIn this episode of The Girl Doc Survival Guide, Christine interviews Dr. Bulat Ibragimov, an Associate Professor of Machine Learning and Medical Imaging at the University of Copenhagen. Dr. Ibragimov shares personal anecdotes and discusses his research on the role of artificial intelligence and eye tracking in medical decision-making. Key topics include the impact of gaze patterns and fatigue on diagnostic accuracy, the potential for AI to recognize when doctors may make errors, and how individualized gaze patterns can indicate the level of expertise and certainty in medical professionals. The conversation explores the implications of this research for improving the integration of AI in medical practices and enhancing training and decision-making processes for healthcare professionals.00:00 Introduction and Guest Introduction00:49 Personal Anecdote and Background01:46 Eye Tracking and Medical Decision Making03:18 Patterns in Gaze and Error Prediction11:00 Fatigue and Its Impact on Accuracy16:09 AI and Gaze Analysis in Medical Training20:07 Conclusion and Final Thoughts
Chaplains in healthcare settings are often called upon to work in clinical ethics. In this episode of the Neshamacast, Chaplain Karen Lieberman, Rabbi Jason Weiner and Rabbi Neal Loevinger discuss the intersection between the fields of chaplaincy and clinical ethics and challenges and opportunities that arise as a result.About the guests on this episodeChaplain Karen Lieberman, JD, MSJS, MA, BCC, serves as the Jewish Chaplain for the Midwest Region of Advocate Health. She is board-certified by NAJC and has worked in adult and pediatric hospital settings for over 15 years. Previously, Karen practiced law in both the public and private sectors and served as an adjunct law school faculty member at Marquette University. In addition to her law and Jewish studies degrees, Karen holds a master's degree in bioethics and health policy. She has served on multiple hospital ethics committees and is the immediate past co-chair of the ethics committee at Aurora Medical Center—Grafton. She has a special interest in the intersection of law, medicine, ethics and spirituality.Chaplain Lieberman is co-author of: “The Expanding Role of United States Healthcare Chaplains in Clinical Ethics,” from the Journal of Religion and Health, M. Jeanne Wirpsa, Nina Redl, Karen Lieberman & Krys Springer. She also contributed a chapter to Karen Pugliese & Jeanne Wirpsa, Eds., Chaplains As Partners in Medical Decision-Making, Jessica Kingsley Publishers, 2020. In addition, Chaplain Lieberman has published or been featured in a number of other articles in Plainviews, The APC Forum, The Journal of Legal Medicine, The Journal of Pastoral Care and Counseling, The Stanford Law Review, and The Wisconsin Jewish Chronicle.Rabbi Dr. Jason Weiner, BCC, is the senior rabbi and executive director of the Spiritual Care Department at Cedars-Sinai in Los Angeles, where he oversees the chaplaincy team and all spiritual care services across the health system. He also serves as rabbi of Knesset Israel Synagogue of Beverlywood and as a senior consultant to Ematai.Formerly the assistant rabbi at Young Israel of Century City, Rabbi Weiner holds two rabbinic ordinations, a doctorate in clinical bioethics, a master's in bioethics and health policy from Loyola University (Chicago), and a master's in Jewish history from Yeshiva University. He completed four units of clinical pastoral education and is a board-certified chaplain.He serves on the executive committee of the Cedars-Sinai Bioethics Committee and is a past president of the Southern California Board of Rabbis. He has received chaplaincy and rabbinic leadership awards from the Rabbinical Council of America, Orthodox Union, Chabad On-Call, Chai Lifeline, and Neshama: Association of Jewish Chaplains, where he chairs their ethics committee. In 2023, he donated a kidney to a stranger.Rabbi Weiner frequently lectures nationwide as a scholar-in-residence on Jewish medical ethics, pastoral care, and wellness, and teaches hands-on Jewish medical ethics to high school students throughout Los Angeles.In addition to dozens of articles and book chapters, he is the author of Guide to Observance of Jewish Law in a Hospital (Kodesh Press), Jewish Guide to Practical Medical Decision-Making (Urim Press), cited in a Supreme Court brief, and Care and Covenant: A Jewish Bioethic of Responsibility (Georgetown University Press), a finalist for the Rabbi Jonathan Sacks Book Prize. Rabbi Dr. Neal Loevinger, BCC, is the director of Spiritual Care and the Ethics Coordinator at Vassar Brothers Medical Center, in Poughkeepsie, New York, now part of Northwell Health. He has held rabbinic positions in Toronto, Massachusetts and New York, and has studied at both the Ziegler School of Rabbinic Studies and the Reconstructionist Rabbinical College. Neal also holds a Master of Environmental Studies from York University in Toronto, a Doctor of Ministry degree from Hartford Seminary, now called Hartford International University, and a Certificate in Clinical Ethics from Albert Einstein College of Medicine, where he is slowly working on a Master's Degree in clinical ethics. He currently also serves as the rabbi of Congregation Temple Beth-El, in Kauneonga Lake, NY, the heart of the Borscht Belt, and is the kosher supervisor for the Vassar College kosher kitchen. About our host:Rabbi Edward Bernstein, BCC, is the executive producer and host of NeshamaCast. He serves as Chaplain at Boca Raton Regional Hospital of Baptist Health South Florida. He is a member of the Board of Neshama: Association of Jewish Chaplains. Prior to his chaplain career, he served as a pulpit rabbi in congregations in New Rochelle, NY; Beachwood, OH; and Boynton Beach, FL. He is also the host and producer of My Teacher Podcast: A Celebration of the People Who Shape Our Lives. NeshamaCast contributor Chaplain David Balto is a volunteer chaplain at Washington Hospital Center in Washington, D.C. and Western Correctional Insitution, Maryland's maximum security prison. He coordinated the annual National Jewish Healing Conference. Support NeshamaCast and NAJC with a tax deductible donation to NAJC. For sponsorship opportunities as either an individual or institution, please write to Rabbi Ed Bernstein at NeshamaCast@gmail.com Thank you to Steve Lubetkin and Lubetkin Media Companies for producing this episode. Transcripts for this episode and other episodes of NeshamaCast are available at NeshamaCast.simplecast.com and are typically posted one week after an episode first airs. Theme Music is “A Niggun For Ki Anu Amecha,” written and performed by Reb-Cantor Lisa Levine. Please help others find the show by rating and reviewing the show on Apple Podcasts or other podcast providers. We welcome comments and suggestions for future programming at NeshamaCast@gmail.com. And be sure to follow NAJC on Facebook to learn more about Jewish spiritual care happening in our communities.
Minister of Climate Change and Environmental Coordination Dr. Musadiq Malik comes on the Pakistan Experience to discuss the Floods, Climate Change, Early Warning Systems, the Hybrid Regime, Balochistan, PTI vs the Writ of the State, Imran Khan's sisters being mishandled, deforestation, accountability, electric vehicles, and more.Dr. Musadik Malik holds a BS in Pharmacy from the University of the Punjab.He then went to University of Illinois, where he earned an MBA, an M.S. and a Ph.D. in Healthcare Administration and Policy.In addition, he completed a post-doctoral fellowship in Health Economics and Medical Decision Making at the University of Illinois College of Medicine.The Pakistan Experience is an independently produced podcast looking to tell stories about Pakistan through conversations. Please consider supporting us on Patreon:https://www.patreon.com/thepakistanexperienceTo support the channel:Jazzcash/Easypaisa - 0325 -2982912Patreon.com/thepakistanexperienceAnd Please stay in touch:https://twitter.com/ThePakistanExp1https://www.facebook.com/thepakistanexperiencehttps://instagram.com/thepakistanexpeperienceThe podcast is hosted by comedian and writer, Shehzad Ghias Shaikh. Shehzad is a Fulbright scholar with a Masters in Theatre from Brooklyn College. He is also one of the foremost Stand-up comedians in Pakistan and frequently writes for numerous publications. Instagram.com/shehzadghiasshaikhFacebook.com/Shehzadghias/Twitter.com/shehzad89Join this channel to get access to perks:https://www.youtube.com/channel/UC44l9XMwecN5nSgIF2Dvivg/joinChapters:0:00 Karachi and Motorways6:38 Climate Change, Housing Societies and RUDA25:00 Floods, Early Warning Systems and GLOF34:00 RUDA and Flood prevention Systems44:00 Deforestation, Cutting Trees and Accountability 52:10 Siyaasi Majbooriyan and Petroleum 1:02:12 Balochistan and the Hybrid Regime1:19:00 Military Courts, Institution Strengthening and Writ of the State1:29:40 Imran Khan's sisters being manhandled and writ of the state1:35:20 Gandapur and PTI's incitement to violence1:40:15 Audience Questions
Minister of Climate Change and Environmental Coordination Dr. Musadiq Malik comes on the Pakistan Experience to discuss the Floods, Climate Change, Early Warning Systems, the Hybrid Regime, Balochistan, PTI vs the Writ of the State, Imran Khan's sisters being mishandled, deforestation, accountability, electric vehicles, and more.Dr. Musadik Malik holds a BS in Pharmacy from the University of the Punjab.He then went to University of Illinois, where he earned an MBA, an M.S. and a Ph.D. in Healthcare Administration and Policy.In addition, he completed a post-doctoral fellowship in Health Economics and Medical Decision Making at the University of Illinois College of Medicine.The Pakistan Experience is an independently produced podcast looking to tell stories about Pakistan through conversations. Please consider supporting us on Patreon:https://www.patreon.com/thepakistanexperienceTo support the channel:Jazzcash/Easypaisa - 0325 -2982912Patreon.com/thepakistanexperienceAnd Please stay in touch:https://twitter.com/ThePakistanExp1https://www.facebook.com/thepakistanexperiencehttps://instagram.com/thepakistanexpeperienceThe podcast is hosted by comedian and writer, Shehzad Ghias Shaikh. Shehzad is a Fulbright scholar with a Masters in Theatre from Brooklyn College. He is also one of the foremost Stand-up comedians in Pakistan and frequently writes for numerous publications. Instagram.com/shehzadghiasshaikhFacebook.com/Shehzadghias/Twitter.com/shehzad89Join this channel to get access to perks:https://www.youtube.com/channel/UC44l9XMwecN5nSgIF2Dvivg/joinChapters:0:00 Karachi and Motorways6:38 Climate Change, Housing Societies and RUDA25:00 Floods, Early Warning Systems and GLOF34:00 RUDA and Flood prevention Systems44:00 Deforestation, Cutting Trees and Accountability 52:10 Siyaasi Majbooriyan and Petroleum 1:02:12 Balochistan and the Hybrid Regime1:19:00 Military Courts, Institution Strengthening and Writ of the State1:29:40 Imran Khan's sisters being manhandled and writ of the state1:35:20 Gandapur and PTI's incitement to violence1:40:15 Audience Questions
In this second episode of their comprehensive healthcare planning series, Absolute Trust Talk hosts Kirsten Howe and Ariana Flynn tackle the critical medical orders that work alongside your legal documents: DNR (Do Not Resuscitate) orders and POLST (Physician Orders for Life Sustaining Treatment) forms. Unlike the legal documents discussed in Part 1, these are doctors' orders that emergency responders must follow—but only if they can see them. The attorneys reveal the shocking legal reality that paramedics are required to perform CPR on anyone they find unconscious unless they have a valid DNR order in hand. They explain why POLST forms are printed on hot pink paper (it's a genius design for emergency visibility), where to keep these life-saving documents so they're accessible when seconds count, and why you need both medical orders AND legal documents working together. This episode could save your life by ensuring your emergency medical wishes are honored when you can't speak for yourself. Time-stamped Show Notes: 0:00 Introduction 1:15 DNR (Do Not Resuscitate) explained - emergency medical protective orders for EMS 2:33 Who can sign DNR orders, and how they become part of your medical record 3:25 The paramedic dilemma - why emergency responders MUST perform CPR unless they see a DNR 4:28 The "lying on the sidewalk" scenario that reveals the shocking legal requirement 5:00 Why your DNR needs to be accessible - it's not tattooed on your forehead 5:45 Where to get DNR forms and the California Medical Association resource 5:58 POLST forms explained - going beyond DNR with comprehensive medical orders 8:21 Real-world POLST placement in assisted living and skilled nursing facilities 8:54 Why these are doctors' orders, not legal documents, attorneys can prepare 9:15 The essential combination - why you need DNR, POLST, AND healthcare directives working together
Dr. Tony Ebel shares a comprehensive 5-step framework for advocating for your child in hospital and medical intervention settings. Drawing from his personal experiences with his son Oliver's 6-week NICU stay and recent emergency room visits, Dr. Tony provides practical strategies for parents to navigate medical decisions with confidence. He emphasizes the importance of slowing down, asking the right questions, trusting parental instincts, and thorough documentation when facing medication decisions, surgeries, or medical interventions.The episode covers the paradox of modern medicine - its life-saving emergency capabilities versus its role in chronic illness - and empowers parents to take control of healthcare decisions for their children. Dr. Tony provides real-world examples and teaches parents how to avoid being "upsold" unnecessary medical interventions while still receiving appropriate care.Key Topics & Timestamps[00:01:00] - Introduction to the 5-Step Advocacy Framework [00:04:00] - Oliver's NICU Story and Medical "Upselling" [00:06:00] - Step 1: Slow Down the Decision [00:11:00] - Step 2: Ask for Full Explanation (Risks, Benefits, Alternatives) [00:13:00] - Step 3: Get Clarity on Urgency [00:18:00] - Step 4: Trust Your Gut and Seek Second Opinion [00:20:00] - Step 5: Document Everything [00:27:00] - Bonus Step 6: Bring an Advocate-- Follow us on Socials: Instagram: @pxdocs Facebook: Dr. Tony Ebel & The PX Docs Network Youtube: The PX Docs For more information, visit PXDocs.com to read informative articles about the power of Neurologically-Focused Chiropractic Care. Find a PX Doc Office near me: PX DOCS DirectoryTo watch Dr. Tony's 30 min Perfect Storm Webinar: Click HereSubscribe, share, and stay tuned for more incredible episodes unpacking the power of Nervous System focused care for children!
Welcome back to Ditch the Labcoat, the show where we challenge assumptions in medicine and seek out the systems, stories, and science that truly shape healthcare. In today's episode, we're joined by Martin Bromiley: airline captain, human factors champion, and founder of the Clinical Human Factors Group.But before he became a global advocate for patient safety, Martin faced unimaginable tragedy when his wife, Elaine, died following what was supposed to be a routine surgical procedure in 2005.Martin's journey isn't just about personal loss—it's about his relentless quest to understand why a well-trained, technically proficient medical team could still fall short in a critical moment. Drawing lessons from aviation, where errors spark investigation and learning rather than resignation, Martin became a pivotal force in bringing the science of human factors—a field all about understanding how people interact with their environment, teams, and tools—into the world of healthcare.In this conversation, we explore not just the events that launched his mission, but the broader issues of humility, communication, and system design. We talk about “can't intubate, can't ventilate” scenarios, reflect on the evolution of patient safety culture, and crack open the stubborn problem of medical hierarchy. Martin's story isn't just one of systemic frustration; it's also one of hope and tangible change.So whether you're a healthcare professional, a patient, or just someone curious about how lives can be saved not simply by skill, but by safer systems—this episode is a gripping, essential listen. Plug in and prepare to have your ideas about medicine, teamwork, and learning turned upside down.Episode HighlightsHumility in Healthcare – Humility is vital for professionals to learn, grow, and stay open to feedback, ultimately improving patient safety.Communication Saves Lives – Miscommunications in critical situations can be fatal; clear, assertive dialogue and defined roles are essential in emergencies.Teamwork Over Hierarchy – Breaking down rigid medical hierarchies empowers every team member to speak up for patient safety.Design Smarter Systems – Systems must be created to make errors less likely, whether via technology, checklists, or better equipment design. Independent Case Reviews – Conducting external, impartial reviews after adverse events helps identify root causes and leads to improvements.Small Changes, Big Impact – Reducing steps in processes, standardizing equipment, or tweaking procedures can greatly decrease error risks.Continuous Improvement Mindset – Perfection isn't possible, but aiming to get a little better every day is the key to safer healthcare for all.Episode Timestamps 6:15 — Turning Point: Embracing Human Factors 7:19 — "Science Overlooked in Healthcare" 11:01 — Intensive Care Transfer Decision 14:51 — Receptionist Sparks Important Meeting 18:11 — Evolution of Case Review Processes 22:27 — "Human Factors in Healthcare Initiative" 25:02 — Origin of Aviation Safety Protocols 28:28 — Enhancing Safety in Drug Handling 30:30 — Medication Errors and Design Flaws 33:49 — Promoting Human Factors in Healthcare 38:04 — Team Leadership in Medical Procedures 42:51 — Healthcare Pressures and Consequences 44:47 — "Concerns Over Arrogant Healthcare Professionals" 50:16 — Striving for Continuous Improvement in Healthcare 52:36 — Progress in Healthcare Culture ShiftDISCLAMER >>>>>> The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions. >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests. Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University.
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.
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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.
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!
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.
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 …
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!
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
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.
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.
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.