Podcasts about mksap

We're taking a break this week, but we'll be back next week with a brand-new episode.  Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments 00:00 Introduction  03:22 Case Presentation: Newly Diagnosed Heart Failure 07:26 Using Physical Exam Findings to Guide Diuresis 11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure 15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients 22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy 28:02 Consideration of Other Medications 40:02 Referral to Advanced Heart Failure Specialist 49:11 Optimizing Therapy and Follow-Up 55:33 Conclusion and Book Recommendation Credits Writer and Producer: Deborah Gorth MD, PhD Infographic and Cover Art: Zoya Surani Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Michelle Kittleson MD, PhD Sponsor: Mint Mobile  Get your summer savings and shop premium wireless plans at MINTMOBILE. com/CURB. Sponsor: American College of Physicians Order ACP MKSAP today at acponline.org. Curbsiders Listeners who use promo code  CORECS will receive a MKSAP gift pack with their subscription. Sponsor: Panacea Legal Learn more and schedule your free consultation at Panacea.Legal.

Don't skip a beat and join us  in part 1 of our conversation with cardiologist  Dr. Sanjeev Francis (@, Maine Medical Center)for acute coronary syndrome. First up, the basics on physical exam, how to interpret high-sensitivity troponin and how to think through the spectrum of acute coronary syndrome. Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Start Part 1 Intro Rapid fire questions/Picks of the Week Case 1 History and Physical ECGs  Definitions Risk Stratification Tools Non-invasive Testing Options End Part 1 Start Part 2 Case 2 Warranty on Non-invasive Testing Invasive Management of non ST elevation ACS  Medical Management of non ST elevation ACS  Case 3 Myocardial Injury Definitions Diagnostics to Consider for Myocardial Injury Transitions of Care Outro End Part 2 Credits Producer, Writer, Show Notes, Hosts: Meredith Trubitt, MD, MPH, Monee Amin MD Infographic, Cover Art: Caroline Coleman, MD Reviewer: Rahul Ganatra, MD, MPH Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Sanjeev Francis, MD Sponsor: Mint Mobile  To get your new 3-month premium wireless plan for just 15 bucks a month, go to mintmobile.com/CURB.  Sponsor: Freed You can try Freed for free right now by going to freed.ai. And listeners of Curbsiders can use code CURB50 for $50 off your first month.  Sponsor: American College of Physicians Preorder ACP MKSAP to receive discounted pricing plus free MKSAP 19 premium content you can use now at acponline.org/acpmksap

Listen as our esteemed guest Dr. Wanpen Vongpatanasin, @DrWanpen (https://twitter.com/DrWanpen) (UT Southwestern (https://profiles.utsouthwestern.edu/profile/17620/wanpen-vongpatanasin.html) ) discusses the nitty-gritty of blood pressure monitoring and hypertension treatment.  We review the thresholds for HTN diagnosis and how to accurately measure blood pressure levels at home and in the office.  Dr Vongpatanasin shares the latest guideline recommendations for first line pharmaceutical therapies as well as her pearls about how to treat special populations. Episodes (https://thecurbsiders.com/episode-list) | Subscribe (http://thecurbsiders.libsyn.com/feed) | Spotify (https://open.spotify.com/show/3SKlzOLxyztvA1BkJfnf67) | Swag! (https://www.teepublic.com/user/kashlakmemorial) | Top Picks (https://thecurbsiders.com/top-picks) | Mailing List (https://thecurbsiders.com/knowledgefood) | thecurbsiders@gmail.com (mailto:thecurbsiders@gmail.com) | Free CME! (http://curbsiders.vcuhealth.org) Credits Produced by: Deborah Gorth and Isabel Valdez, PA Written by: Deborah Gorth  Infographic and Cover Art: Edison Jyang Hosts: Stuart Brigham, MD; Matthew Watto, MD, FACP; Paul Williams, MD, FACP    Editor: Molly Heublein, MD (written materials); Clair Morgan of nodderly.com (https://www.nodderly.com/) Guest: Wanpen Vongpatanasin, MD Sponsor: ACP’s MKSAP18 MKSAP® is the most trusted resource for lifelong learning and Board prep for internal medicine physicians and residents. Learn more at www.acponline.org/curb2021 (https://www.acponline.org/featured-products/mksap-18?utm_source=curbsiders&utm_medium=banner&utm_campaign=CURB2021) . Sponsor: Provider Solutions and Development Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice:http://www.psdrecruit.org/curbsiders. CME Partner: VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education (https://cme.vcuhealth.org/) to offer FREE continuing education credits for physicians and other healthcare professionals. Visit http://curbsiders.vcuhealth.org. Time Stamps 00:00 Sponsors, Intro, disclaimer, guest bio 03:20 Guest one-liner 05:50 Sponsor - ACP’s MKSAP 18 (https://www.acponline.org/featured-products/mksap-18?utm_source=curbsiders&utm_medium=banner&utm_campaign=CURB2021) 07:05 Case from Kashlak; Defining hypertension and treatment thresholds 10:43 Measuring blood pressure (at home, in the office, validatebp.org) 16:46 Wrist BP cuff 19:50 Home monitoring and ambulatory BP monitoring; What time to take BP medication 31:23 Sponsor - Provider Solutions and Development (http://www.psdrecruit.org/curbsiders) 32:10 Approach to treatment; Combo pills; How to titrate meds 42:20 Treating resistant hypertension; hyperaldosteronism; Isolated systolic hypertension 52:04 Take home points and Outro

Join us as we demystify the world of pulmonary nodules & lung cancer screening. During this episode, Dr. Denitza Blagev (@mybetterdoctor) makes her triumphant return to The Curbsiders to help us tackle this topic. She is currently the Medical Director for Quality/Specialty-Based Care at Intermountain Healthcare and a Pulmonary & Critical Care physician. We learn to take command of the recommendations for lung cancer screening, disambiguate the terms used by pulmonologists and radiologists, and appreciate some of the nuances of lung cancer screening all with the hope of making YOU a better primary care physician! Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com Credits Written and Produced by:  Cyrus Askin MD & Leah Witt, MD Infographic: Leah Witt, MD Cover Art: Dr. Kate Grant MBChB DipGUMed CME/MOC: Cyrus Askin, MD Hosts: Cyrus Askin MD; Leah Witt, Matthew Watto MD, FACP; Paul Williams MD, FACP    Editors: Matthew Watto MD, FACP (written materials); Clair Morgan of Nodderly.com (audio) Guest: Denitza Blagev, MD Sponsor ACP’s Medical Knowledge Self Assessment Program, MKSAP 18. MKSAP provides the latest and most comprehensive educational content needed by internists today. It’s THE internal medicine go-to resource for continuous learning and Board preparation. Visit http://www.acponline.org/mksapcurbsiders to place your order! Time Stamps 00:00 Sponsor -ACP’s MKSAP 18 http://www.acponline.org/mksapcurbsiders 00:15 Intro, disclaimer, guest bio 02:15 Guest one-liner; Picks of the Week*: Educated (book) by Tara Westover; Cheer, Netflix series; The Witcher, Netflix series; Uptime /  Downtime -album by The 06:24 Sponsor -ACP’s MKSAP 18 http://www.acponline.org/mksapcurbsiders 07:25 Case: Incidental pulmonary nodules; Defining terms: mass vs nodule 15:20 Spiel/Counseling a patient with an  incidental lung nodule; Analogy about skin findings and lung nodules 20:50 Types of nodules, duration of monitoring; Tracking nodules; Recap on incidental pulmonary nodules 27:54 Case: Lung cancer screening (USPSTF, NLST criteria and CMS guidelines); Shared decision making 41:56 Lung-RADS and lung cancer screening; Types of CT scan; When to refer 48:22 Take home points on Lung Cancer screening 52:35 Outro *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on my Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goal Listeners will develop an approach to incidentally found pulmonary nodules, lung cancer screening and what to do with the suspicious lung nodule or mass. Learning objectives After listening to this episode listeners will...   ...be familiar with the differences between nodules & masses and some of the common etiologies for these findings.   ... appreciate the difference between the incidental pulmonary nodule and those found during lung cancer screening and thus the different systems (Fleischner vs. Lung-Rads) used to assess nodules. ... have a framework for how to approach incidental pulmonary nodules, particularly with respect to the 2017 Fleischner Society Guidelines . ... be able to educate peers & patients regarding who qualifies for lung cancer screening and who does not. ... understand what makes a patient “high risk” vs. “standard risk” with respect to incidentally found pulmonary nodules. ... appreciate the background and reasoning behind the current recommendation for lung cancer screening ... discover how to determine follow up of a lung nodule found as part of a lung cancer screening CT using Lung-Rads. ... learn strategies regarding how to discuss incidental nodules and nodules found on screening CTs with patients, as well as how to approach the discussion of whether or not to screen with the use of various readily available resources .     Disclosures Dr. Blagev has received research grants from Astra Zeneca, Zebra Medical and GSK through grants to Intermountain Healthcare and joint publications. We did not discuss any of these products or services during this recording. The Curbsiders have no relevant financial disclosures. Citation Askin C, Witt L, Blagev D, Williams PN, Watto MF. “#197 Pulmonary Nodules and Lung Cancer Screening with Denitza Blagev MD”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list. March 2, 2020.

Develop your approach to refugee health in the primary care setting.  We discuss important considerations for primary care of the refugee patient with Dr. Tanuja Devaraj (Penn State), an internist with expertise in migration health.  We review barriers to primary care, how to take a migration history, and common health concerns that occur in this patient population.  We also discuss strategies for screening for trauma and mental health issues, which are common among patients who have gone through migration. Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com Credits Producer: Paul Williams MD, FACP Writer: Tanuja Devaraj MD and Paul Williams MD, FACP Infographic: Emi Okamoto MD Cover Art: Paul Williams MD, FACP Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP    Editor: Clair Morgan of Nodderly.com (audio), Emi Okamoto MD (written) Guest: Tanuja Devaraj MD Sponsor ACP’s Medical Knowledge Self Assessment Program, MKSAP 18. MKSAP provides the latest and most comprehensive educational content needed by internists today. It’s THE internal medicine go-to resource for continuous learning and Board preparation. Visit http://www.acponline.org/mksapcurbsiders to place your order! Time Stamps 00:00 Sponsor -ACP’s MKSAP 18 http://www.acponline.org/mksapcurbsiders  00:15 Intro, disclaimer, guest bio 02:08 Guest one-liner, book recommendations, career advice 07:12 Picks of the Week*: Full Catastrophe Living - Jon Kabat-Zinn (book); Exit West: A novel - Mohsin Hamid; Ad Astra (film); Snuff - Terry Pratchett (book) 09:36 Sponsor -ACP’s MKSAP 18 http://www.acponline.org/mksapcurbsiders  10:30 Defining terms refugee, asylee, migrant 12:08 Bhutan and The Buthanese refugee population 15:08 The overseas medical examination (prior to arrival in the US) 17:28 The initial domestic medical examination, primary care visit; Vaccinations; Initial lab testing 21:54 Barriers to refugee health 26:12 Taking a migration history 29:25 Who’s paying for refugee care? 31:08 Mental health and the refugee population 34:20 Screening and addressing past trauma, torture 40:14 Recap; Quick discussion of parasitic infections 45:08 Audience questions: Visits with multiple family members; Additional resources available for refugee health 47:50 Outro *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goal Listeners will develop an approach for the management of the refugee patient in the primary care setting. Learning objectives After listening to this episode listeners will…   Describe the differences between refugees, asylees, and migrants. Recognize the exposure to healthcare and health screenings that have occurred prior to the initial primary care visit. Be able to obtain a thorough and relevant migration history. Navigate the potential barriers that can arise during the refugee primary care visit. Demonstrate the ability to screen for trauma and common mental health concerns in the refugee population. Disclosures Dr. Devaraj reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Citation Devaraj T, Williams PN, Brigham SK, Okamoto E, Watto MF. “#196 LIVE! Refugee Health with Tanuja Devaraj MD”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list February 24, 2020.

Dismantle alcohol use disorder with some evidence based tools for your toolbelt! We cover everything from ways to screen patients for risky drinking, to all the different treatment options with our guest expert Dr. Marlene Martin, @MarleneMartinMD, Director of the Addiction Care Team and Assistant Professor of Clinical Medicine at the UCSF. We learn how to initiate medications such as naltrexone and acamprosate for the treatment of alcohol use disorder, how to define treatment success, if psychosocial interventions such as Alcoholics Anonymous are effective, and what’s the deal with baclofen and gabapentin? After listening to this episode, listeners will feel ready to start prescribing medications such naltrexone to treat alcohol use disorder.  Your patients need you! ACP members can claim CME-MOC credit at https://www.acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date).  Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com Credits Written and Produced by: Carolyn Chan, MD Cover Art and Infographic: Carolyn Chan, MD Hosts: Carolyn Chan, MD; Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP    Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of Nodderly.com (audio) Guest: Marlene Martin, MD Sponsor ACP’s Medical Knowledge Self Assessment Program, MKSAP 18. MKSAP provides the latest and most comprehensive educational content needed by internists today. It’s THE internal medicine go-to resource for continuous learning and Board preparation. Visit http://www.acponline.org/mksapcurbsiders to place your order! Time Stamps 00:00 Sponsor -ACP’s MKSAP 18 http://www.acponline.org/mksapcurbsiders  00:45 Intro, guest bio 01:30 Guest one-liner, book recommendation, favorite failure, career advice Picks of the week*: Project Runway (TV show); The Quiet Place (film); Tattoos on the Heart: The Power of Boundless Compassion (book) by: Gregory Boyle; Cats (film) 08:20 Sponsor -ACP’s MKSAP 18 http://www.acponline.org/mksapcurbsiders  09:05 Case of Mr Hops; Defining unhealthy alcohol use 13:37 Screening and diagnosis; assessing for tolerance; stratifying severity of AUD 16:56 Spiel and first steps after diagnosing a patient with unhealthy alcohol use; Motivational interviewing; Exploring motivation to change 22:12 Pharmacologic treatment options: Naltrexone, acamprosate, disulfiram 26:40 How effective are medications for alcohol use disorder; Defining success 29:41 Naltrexone prescribing, dose titration 34:25 Acamprosate prescribing; Naltrexone in advanced liver disease 38:05 Off label use of baclofen, gabapentin and topiramate 43:39 Risk stratifying for inpatient versus outpatient treatment; Non-pharmacologic interventions 49:26 Deciding duration of therapy 52:24 Take home points; Plug for AMERSA conference 53:57 Outro *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Disclosures Dr Marlene Martin reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Citation Martin M, Chan, C, Williams PN, Brigham SK, Watto MF. “194 Treatment of Alcohol Use Disorder”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list. February 10, 2020.

Join us as we discuss how to approach “The Struggling Learner” with Dr. Melissa McNeil (@missydoc0128), Professor Medicine and Associate Chief of General Internal Medicine at the University of Pittsburgh Medical Center (UPMC), recorded LIVE in Pittsburgh, PA!  In this episode, we discuss how to approach the struggling learner, highlighting the 5-Step process discussed in a recent article co-written by Dr. McNeil (Merriam 2019).  This episode is not intended to give educators a roadmap for how to develop and implement a corrective action plan, but was put together to provide a common toolset on how to approach a struggling learner.  As such, the topics discussed can be applied to all kinds of learners that struggle, not just in medicine. However, the techniques discussed involve a common framework routinely taught in medical education (assessment, diagnosis, and referral) and, therefore, is communicated using this shared language. Show Notes | Subscribe | Spotify | Schwag! | Top Picks | Mailing List | thecurbsiders@gmail.com Credits Written and Produced by: Stuart Brigham MD Infographic: Matthew Watto MD, FACP Cover Art: Stuart Brigham MD Hosts:  Matthew Watto MD, FACP; Paul Williams MD, FACP; Stuart Brigham, MD Editor: Stuart Brigham MD (written materials); Clair Morgan at Nodderly.com Guest: Melissa McNeil MD, MACP Special thanks to Dr. William Kelly, FACP, FCCP Sponsor ACP’s Medical Knowledge Self Assessment Program, MKSAP 18. MKSAP provides the latest and most comprehensive educational content needed by internists today. It’s THE internal medicine go-to resource for continuous learning and Board preparation. Visit http://www.acponline.org/mksapcurbsiders to place your order! Time Stamps 00:00 Sponsor - ACP’s MKSAP 18! 00:15 Intro, disclaimer, guest bio 05:50 Guest one-liner, favorite failure 10:30 Picks of the Weeks*: Book: Radical Candor; Movie: Clue (1985); Book: Awareness by Anthony De Mello; TV Series:  The Expanse (Season 4) on Amazon Prime 13:28 Sponsor - ACP’s MKSAP 18! 14:14 Case of a struggling learner; defining terms 20:24 Gathering data; Clarifying questions; Timing and feedback 28:30 Develop a differential diagnosis; Naming the behavior 37:42 SRL tool to evaluate deficits 42:55 Case of an overconfident learner 48:40 Concern for substance use in a struggling learner 52:02 Educational handoffs 54:53 Identifying learners who struggle with empathy 56:36 Outro *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goal Listeners will identify practical tools, tips, and techniques using skills developed for patient care and appreciate what they can do when a learner is struggling. Learning objectives After listening to this episode listeners will…   Develop an appreciation for how to approach the struggling learner  Recognize how to “diagnose” learners using clinical reasoning skills Appreciate the importance that timely, specific feedback plays in identifying why a learner struggles Identify why lack of insight can make addressing these struggles more difficult Disclosures Dr. McNeil reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Citation McNeil M, Brigham SK, Williams PN, Watto MF. “#193 The Struggling Learner with Dr Melissa McNeil”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list. February 3, 2020.

This week we sit down with Dr. Jeremy Cetnar, director of the Oregon Health & Science University Hematology & Oncology Fellowship Program. In this far-ranging interview, we discuss what he is looking for when reviewing applications to the fellowship program. We also have two questions of the week: one from Dr. Derrick Tao, inspired by the MKSAP; and one from Dr. Sven Olson on hematology and oncology. Tweetorials: http://doi.org/10.1056/NEJMp1906790 Back us on Patreon! www.patreon.com/plenarysession

After a hiatus from our segment on reviewing recent trials, we return to discuss the need for randomized controlled trials (RCTs). In the wake of the 2019 World Conference on Lung Cancer, we focus on whether a phase III trial of selpercatinib (LOXO-292) in RET rearranged lung cancer is feasible, practical, and ethical. We also have two questions of the week in this episode -- one from Dr. Derrick Tao, inspired by the MKSAP; and one from Dr. Sven Olson on hematology and oncology -- as well as an interview with Dr. Adam Duvall of OHSU on his career in the field of adolescent and young adult (AYA) oncology. Back us on Patreon! patreon.com/plenarysession

We have three questions for you this week: one from Ian Straehley, inspired by the USMLE Step 2 CK; one from Dr. Derrick Tao, inspired by the MKSAP; and one from Dr. Sven Olson on hematology and oncology. Back us on Patreon! www.patreon.com/plenarysession

We have three questions for you this week: one from Dr. Derrick Tao, inspired by the MKSAP; one from Ian Straehley, inspired by the USMLE Step 2 CK; and one from Audrey Tran, inspired by her journey through medical school. Back us on Patreon! www.patreon.com/plenarysession

Demystify chronic wound care management with high yield pearls from wound care expert Dr. Elizabeth (Foy) White-Chu. She takes us through a simple yet thorough approach to manage complex chronic wounds. We discuss everything from selecting a dressing, to pain management, and what kind of water should you really use when cleansing a wound. Answers to all of these burning questions and more await you, so don’t waste anymore time! Press play and let Dr. White-Chu take you on a journey through evidence based practices for the management of chronic wounds. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written by: Carolyn Chan MD CME questions by: Justin Berk MD Produced by: Matthew Watto MD Hosts: Matthew Watto MD, Paul Williams MD, Carolyn Chan MD Guest: Dr. Elizabeth (Foy) White-Chu Sponsor Check out the ACP's Medical Knowledge Self Assessment Program, MKSAP 18. Time Stamps 00:00 Sponsor - ACPs MKSAP 18 00:25 Disclaimer, intro, guest bio 03:58 Guest one-liner, movie recommendation, favorite failure, career advice 11:40 Picks of the week 15:58 Sponsor - ACPs Medical Knowledge Self Assessment 18 17:50 Clinical case of lower extremity ulcer; describing a wound 21:04 Taking a wound focused history 26:28 Differentiating wound types 29:04 Edema and compression therapy; Should diuretics be used? 36:43 Description of the multi-component wrap 38:10 Counseling a patient about wound care and setting expectations for healing 41:29 High value options for each wound type 44:35 Gardening and wound bed preparation 51:32 A bit on silver therapy 53:40 Back to the case; Red flags in wound care 55:40 Culturing a wound 58:17 Instructions on how to write wound care orders 62:00 Rundown of topical therapies for wound care 65:04 Negative pressure wound therapy aka “wound vac” 66:14 How often are dressing changes needed? 68:27 Take home points 70:20 Outro 71:30 Carolyn gives a wound care PUN!

Dive deep into the psychopharmacology of depression with Dr Patrick Finley, PharmD at UCSF. Learn practical tips including how to switch from one antidepressant to another, what to expect with SSRI and SNRI withdrawal, and how to choose a second (or third) antidepressant for refractory depression. We also summarize the safety around antidepressants in the peripartum period. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Full show notes available at http://thecurbsiders.com/podcast. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written and produced by: Molly Heublein, MD CME questions by: Molly Heublein, MD Hosts: Matthew Watto MD, Paul Williams MD, Stuart Brigham MD, Molly Heublein, MD Edited by: Matthew Watto MD Guest Presenter: Patrick Finley, PharmD BCPP Sponsor Check out the ACP's Medical Knowledge Self Assessment Program, MKSAP 18. Time Stamps 00:00 Sponsor ACP’s MKSAP 18 00:25 Disclaimer, intro and guest bio 04:33 Guest one-liner, book recommendation, and first patient complaint 08:04 Picks of the week 12:10 Sponsor ACP’s MKSAP 18 14:03 Clinical case of depression; assessing target symtpoms to characterize depression; choice of initial SSRI 17:49 Discussion of iron, ferritin, folate and L methylfolate as they relate to treatment refractory depression 20:12 Postpartum depression, iron, genetics and environmental factors 22:35 How to switch from one SSRI to another; Cross-titration from SNRI to SSRI or from SSRI to SNRI 26:05 Withdrawal symptoms from SSRIs or SNRIs and a bit more on switching and cross titration 31:33 Is paroxetine ever a good idea? 33:03 Ultra-rapid metabolizers of SSRIs and pharmacogenomics 34:43 Postpartum depression and treatment with antidepressants during pregnancy and lactation 39:25 Monitoring response to therapy with antidepressants ie PHQ-9 40:53 Augmentation for partial response; bupropion for augmentation and sexual side effects; 43:58 Counseling patients about discontinuation of therapy 47:00 How to choose an agent for augmentation of antidepressant therapy 51:02 Mirtazapine 52:41 Vortioxetine 53:24 Atypical antipsychotics for augmentation 55:37 Pregabalin and gabapentin for augmentation 57:42 Dr Finley’s take home points 60:48 Outro

Join us at the forefront as we talk genetic testing in primary care with Dr Dallas Read, esteemed gynecologist and **the only** medical geneticist at Tufts Medical Center. Topics include: what internists should be comfortable testing for in the office, how and when to refer for screening, what tests to order, how to interpret test results, how to handle direct-to-consumer results or requests, and so much more! For years, the medical community has been talking about the immense potential for genetic testing to guide diagnosis and treatment. But has it realized its full potential? The answer to that seems to be a resounding no at the moment--but the days of ubiquitous genetic testing to identify disease and disease risk may not be so far off after all. ACP members can visit https://acponline.org/curbsiders to claim free CME-MOC credit for this episode and show notes (goes live 0900 EST). Coming to you from the Curbsiders, we hope you’ll enjoy this latest episode about the genes you wear, whether you want to put them on or not. Genes, Genes, they’re (maybe) good for your heart. But do patients want to know if they are, or if they aren’t? Full show notes available at http://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written and produced by: Nora Taranto MS4 CME questions by: Nora Taranto MS4 Hosts: Stuart Brigham MD, Matthew Watto MD, Nora Taranto MS4 Images and infographics: Beth Garbitelli MS1 Edited by: Matthew Watto MD, Chris Chiu MD Guest: Dr. Dallas Reed MD Sponsor  Check out the ACP's Medical Knowledge Self Assessment Program, MKSAP 18. Time Stamps 00:00 Announcement 00:37 Sponsor: ACP’s MKSAP 18 01:04 Disclaimer, intro, guest bio 06:31 Guest one liner, book recommendations, career advice 12:23 Cohost picks of the week 16:22 Sponsor: ACP’s MKSAP 18 18:12 Dr Reed walks us through the genetic machinery from the top down (genome, chromosomes, exons, genes, SNPs, and epigenetics) 26:18 A clinical case of Jeanne Sequence; What are the indications for genetic testing? 29:54 What is actually being tested? 33:57 What is the turnaround time for testing? What resources are available for counseling? Why is this challenging in primary care? 38:58 Variant of Uncertain Significance 41:22 Direct to consumer genetic testing 44:54 Back to our case of Jeanne Sequence; How to take a history for patients with family history of breast cancer. 50:41 Guidelines on use of genetic testing; Deciding which family member to test 59:49 Laws about genetic testing and discrimination; How does this effect life insurance or disability insurance eligibility 63:47 Is routine whole genome testing practical? Will this be commonplace in the future? 68:22 What genetics resources are useful for primary care practitioners? 72:13 Cost of genetic testing 77:32 Take home points 82:57 Outro

Learn expert tips for the diagnosis and management of inflammatory bowel disease (IBD) from Dr. Adam Ehrlich, Assistant Professor of Medicine and co-director of the Inflammatory Bowel Disease Program at Temple University Hospital.  In this episode, we learn about the initial work-up, general principles of management, and important primary care considerations for Crohn’s disease and ulcerative colitis (ie endoscopic surveillance, immunizations, bone health/osteoporosis, and more!). Full show notes available at https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written and produced by: Paul Williams MD Edited by: Matthew Watto MD Hosts: Matthew Watto MD, Stuart Brigham MD, Paul Williams MD Guest: Adam Ehrlich MD Sponsor Check out the ACP's Medical Knowledge Self Assessment Program, MKSAP 18.   Time Stamps 00:00 Sponsor: MKSAP 18 00:32 Disclaimer, Intro, guest bio 04:05 Guest one-liner, Adam’s movie rec - RBG (documentary), career advice, Paul’s movie rec - Edge of Tomorrow 09:25 Sponsor: ACP’s MKSAP 18 11:25 Definitions and pathophysiology of inflammatory bowel disease (IBD) Ulcerative Colitis 13:40 A case of ulcerative colitis; Classic symptoms; Initial approach and basic differential diagnosis 19:10 Smoking and ulcerative colitis 21:17 Initial workup for suspected IBD; Fecal calprotectin 25:50 A bit more on CRP and IBD 26:55 When to refer for colonoscopy 27:58 Back to the case; a typical colonoscopy reports in ulcerative colitis (UC) 30:33 Extraintestinal manifestations of UC 34:50 Initial counseling for newly diagnosed IBD; natural history of IBD, prognosis 39:50 Treatment of ulcerative colitis 43:02 Some specifics on steroids, plus topical therapies Crohn’s disease 47:05 A case of Crohn’s disease; initial approach and differential diagnosis 50:25 Initial diagnostic testing; colonoscopy findings in Crohn’s; IBD trivia 53:58 Treatment of Crohn’s disease 58:26 Specifics about biologic therapy for IBD; Endpoints 62:25 Steroid sparing agents, immunomodulators like azathioprine, 6-mercaptopurine 64:48 Can drug therapy be stopped or tapered in IBD? 66:50 Prognosis in Crohn’s and initial patient counseling Primary Care considerations 68:35 Surveillance endoscopy, 71:47 Do diet and lifestyle changes for IBD work? What about pregnancy? 76:31 Immunizations 79:25 Bone health, osteoporosis and IBD, screening for iron and nutritional deficiencies 82:27 Take home points 86:28 Outro

Met professor Schutgens, ter voorbereiding op het MKSAP onderwijs van woensdag 13 juni 2018. Mijn differentiaal diagnose m.b.t. trombocytopenie Pseudo-trombocytopenie, congenitaal (waaronder von Willebrand ziekte type 2b), virale infectie (EBV, CMV, rubella, dengue, HIV, HCV), toxisch medicamenteus (waaronder quinine [bitter lemon], heparine [HIT]), foliumzuur of vitamine B12 deficiëntie, hypo- of hyperthyreoïdie, redistributie bij hypersplenisme, myelodysplastisch … "Trombocytopenie" verder lezen

Met Marielle Emmelot-Vonk, ter voorbereiding op het MKSAP onderwijs van woensdag 2 mei 2018.

Met Anna van Rhenen, ter voorbereiding op het MKSAP onderwijs van woensdag 4 april 2018. De tabellen met diagnostische criteria voor de verschillende myeloproliferatieve ziekten zijn te vinden in The 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia.

Office Hours With Schivo - MKSAP Pulmonary by Mountainlion

How to individualize learning for yourself, and your learners with tips from Dr. Philip A. Masters, editor-in-chief of MKSAP and IM Essentials, Vice President of Membership/International Programs at the American College of Physicians (ACP) and an Adjunct Professor of Medicine at the University of Pennsylvania School of Medicine. Dr. Masters schools us on work life balance, how to recognize and diagnose struggling learners, what resources to use, teaching exercises, and how to generate a study plan. Full show notes available at http://thecurbsiders.com/podcast Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Time Stamps 00:00 Intro 01:50 Listener feedback 04:18 Announcements 04:58 Picks of the Week 10:37 Guest bio and credentials 12:36 Getting to know our guest 18:05 Wellness and work life balance 22:55 How medical education has changed 28:55 Choosing resources as a learner 38:00 Case of a struggling learner 41:50 Learners with knowledge deficits and the role of the clinician (non-professional educator) 47:56 Resources to improve your skills as a medical educator 51:01 Take home points  Tags: study, resources, MKSAP, acp, learner, educator, academic, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, meded, medical, medicine, primary, physician, resident, student  

Voltaire Sinigayan and Sandhya Venugopal discuss MKSAP questions with UC Davis medical students.

Voltaire Sinigayan and Sandhya Venugopal discuss MKSAP questions with UC Davis medical students.

Voltaire Sinigayan and Sandhya Venugopal discuss MKSAP questions with UC Davis medical students.

Voltaire Sinigayan and Sandhya Venugopal discuss MKSAP questions with UC Davis medical students.

Voltaire Sinigayan and Sandhya Venugopal discuss MKSAP questions with UC Davis medical students.

Voltaire Sinigayan and Sandhya Venugopal discuss MKSAP questions with UC Davis medical students.

Office hours

Vu-Donsanjh-Molla

questions 6-10 of IM Essentials Rheum section

Questions 1-5 Rheum Section 1

9 MKSAP for students questions presented in conversational format between a real live medical student and 3 different medical educators at UC Davis School of Medicine.

9 MKSAP for students questions presented in conversational format between a real live medical student and 3 different medical educators at UC Davis School of Medicine.

9 MKSAP for students questions presented in conversational format between a real live medical student and 3 different medical educators at UC Davis School of Medicine.

9 MKSAP for students questions presented in conversational format between a real live medical student and 3 different medical educators at UC Davis School of Medicine.

9 MKSAP for students questions presented in conversational format between a real live medical student and 3 different medical educators at UC Davis School of Medicine.

9 MKSAP for students questions presented in conversational format between a real live medical student and 3 different medical educators at UC Davis School of Medicine.

9 MKSAP for students questions presented in conversational format between a real live medical student and 3 different medical educators at UC Davis School of Medicine.

9 MKSAP for students questions presented in conversational format between a real live medical student and 3 different medical educators at UC Davis School of Medicine.

9 MKSAP for students questions presented in conversational format between a real live medical student and 3 different medical educators at UC Davis School of Medicine.