Podcasts about physicians acp

Osteoporosis significantly impacts morbidity and mortality in the U.S., with approximately 12.3 million adults (USPSTF) in the United States aged 50 and over expected to be living with the disease. Osteoporotic fractures result in severe consequences such as functional impairment, chronic pain, reduced quality of life, and loss of independence. Furthermore, the clinical and economic burden of osteoporosis is substantial, with annual costs projected to be $25.3 billion by 2025 (AJMC).The U.S. Preventative Task Force (USPSTF) recommends screening and treatment of osteoporosis in adults. Accordingly, CommonSpirit Health, Physician Enterprise has adopted the evidence based guidelines of professional societies, including American College of Physicians (ACP), American Association of Clinical Endocrinologists (AACE), and Endocrine Society, on screening and treatment to prevent osteoporotic fractures. Speakers:Kavita Chawla, MD, MHA, FACP, Primary Care Physician, Kirkland Medical Center, Virginia Mason Franciscan HealthBryan C Jiang, MD, Internal Medicine Endocrinology, Diabetes and Metabolism, Baylor College of Medicine Houston, TexasPanelist:Anne Wright, DMSc, MPAS, PA-C, DFAAPA, System Director Advanced Practice Ambulatory Care, CommonSpirit Health

In this episode the incredible Dr Thomas Levy, Board Certified Cardiologist and Attorney, author of 13 books including: Curing the Incurable - the Vitamin C story and it's therapeutic effects The Hidden Epidemic - the story around dental infections, root canals and their affect on cardiovascular disease and breast cancer and beyond. Death by Calcium - the truth about calcium and why supplementing with calcium is a bad idea. Rapid Virus Recovery - all about dealing with viruses successfully  Magnesium: Reversing Disease  Dr Thomas has been on this show twice so make sure you also listen in to those episodes  Curing the Incurable all about IV and oral Vitamin C  (this one has had over 150,000 views/listens.    and Rapid Virus Recovery   In this episode we dive into Dr Thomas's latest learnings and his top 8 (affordable) supplements and why he thinks most people would benefit from these and how they work in the body.   We dive into his research on Methylene Blue and its ability to help those with mitochondrial dysfunction and energy problems.    We also get into why 100% of root canals are infected and the terrible effect that can have on your risks for developing heart disease and also breast cancer.    We dive again into the benefits and many faceted roles that vitamin C plays in the body as not only a powerful antioxidant but how it has the ability to get everywhere in the body and why that makes it much more powerful than many other antioxidants and we discuss it's roles in everything from cancer to covid to sepsis to cardiovascular disease and osteoporosis.   We also discuss his indepth research into why calcium is so detrimental when it is higher in the body than it should be and why just a small increase of calcium in the soft tissues outside of bone and teeth has such deleterious effects and why magnesium is so beneficial and how it counteracts calciums deleterious effects in the body.   We also look into iron and how it promotes cancer and why it can be elevated in people suffering with viruses and pathogens that are chronic. We also discuss copper toxicity and why so many have too much free copper which can be as toxic as mercury.   Antimony is another topic we get into and why it's so high in the population.   Lastly we dive into osteoporosis why it's actually focal scurvy and a lack of vitamin C.   This episode is a masterclass in health optimisation that you will want to repeat over and over again.   To subscribe to Dr Levy's newsletter and to read his articles, get copies of his books etc go to  https://www.tomlevymd.com/   You can also read many of his in depth articles on the Orthomolecular New Service at  https://www.tomlevymd.com/     BIO   Johns Hopkins University, 1968-72—B.A., Biology Tulane University School of Medicine, 1972-76—M.D. University of Denver College of Law, 1995-98—J.D. Post-Graduate Training: Internship and Internal Medicine Residency, 1976-79, Tulane University Affiliated Hospitals Fellowship in Cardiology, 1979-81, Tulane University Affiliated Hospitals LICENSURE AND CERTIFICATION: Federal Licensing Examination (FLEX), 1976 American Board of Internal Medicine, Internal Medicine Board Certification, 1979 Cardiovascular Diseases Subspecialty Board Certification, 1981 Admitted to Colorado Bar, 1998 Admitted to District of Columbia Bar, 1999 PROFESSIONAL ORGANIZATIONS: Advanced Amateur Radio Operator, 1974—present [WB5CTC] American College of Physicians (ACP), Member, 1980—2002 Louisiana State Medical Society, 1976-91 American College of Cardiology (ACC), Fellow, 1983—present American Society of Clinical Hypnosis (ASCH), Member, 1990-2000 El Paso County Medical Society (Colorado), 1991-1995 American Inn of Court, Judge William E. Doyle Inn, Pupil, 1997-8; Associate Barrister, 1999 to present Colorado Bar Association, 1998-2002 El Paso County Bar Association, 1999 American College of Forensic Examiners (ABFM), Member, 1999 American College of Forensic Examiners (ABFM), Diplomate, 1999 Induction into the Orthomolecular Medicine Hall of Fame, April 2016 PROFESSIONAL POSITIONS AND HOSPITAL AFFILIATIONS: Supervisor, Major Medical Emergency, Charity Hospital of New Orleans, 1980-83 Assistant Professor of Medicine, Tulane Medical School, 1981-83 Clinical Investigator, DDD Pacemaker, entitled "Clinical Study for Telectronics Model 2251, Dual Chamber Pulse Generator" Member, Formulary Review—Cardiovascular Section, Charity Hospital of New Orleans, 1981-83 Instructor in Radiology, Tulane Medical School, 1983-4 Clinical Assistant Professor of Medicine, Tulane Medical School, 1983-1986 Staff, Iberia General Hospital, New Iberia, Louisiana, 1984-91 Staff, Memorial Hospital, Colorado Springs, Colorado, 1991-present Staff, Denver General Hospital, Denver, Colorado, 1995-6 Medical Technical Advisor, International Tesla Society, Colorado Springs, Colorado, 1994-8 PUBLICATIONS Graybar, G., Goethe, J., Levy, T., Phillips, J., Youngberg, J., and Smith, D., "Transient Large Upright T-Wave During Multiple Monitored Electroconvulsive Therapy," Anesthesiology, 59(5):467-469 (1983). Levy, T., Trauma Rounds "Problem: Cardiac Contusion," Annals of Emergency Medicine, July 15, 1983. Levy, T. and Huggins, H., "Routine Dental Extractions Routinely Produce Cavitations," Journal of Advancement in Medicine, 9(4):235-249 (1996) Huggins, H. and Levy, T., "Cerebrospinal Fluid Protein Changes in Multiple Sclerosis After Dental Amalgam Removal," Alternative Medicine Review, 3(4):295-300 (1998) Huggins, H. and Levy, T., Uninformed Consent: The Hidden Dangers in Dental Care, Charlottesville, VA: Hampton Roads Publishing Company, Inc.; 1999 Levy, T., Optimal Nutrition for Optimal Health: The Real Truth About Eating Right for Weight Loss, Detoxification, Low Cholesterol, Better Digestion, and Overall Well-Being, New York, NY: McGraw-Hill (Keats Publishing); 2001 Kulacz, R. and Levy, T., The Roots of Disease: Connecting Dentistry and Medicine, Philadelphia, PA: Xlibris Corporation; 2002 Levy, T., Curing the Incurable: Vitamin C, Infectious Diseases, and Toxins, Henderson, NV: Medfox Publishing; 2002 Levy, T., Stop America's #1 Killer! Reversible Vitamin Deficiency Found to be Original of ALL Coronary Heart Disease, Henderson, NV: Medfox Publishing; 2006 Levy, T., GSH: Master Defender Against Disease, Toxins, and Aging, Henderson, NV: Medfox Publishing; 2008 Levy, T., Living in Your Right Mind, Henderson, NV: Medfox Publishing; 2010 Levy, T., Primal Panacea, Henderson, NV: MedFox Publishing; 2011 Levy, T., Death by Calcium, Henderson, NV: MedFox Publishing; 2013 Kulacz, R. and Levy, T., The Toxic Tooth, Henderson, NV: MedFox Publishing; 2014 Levy, T., Hidden Epidemic, Henderson, NV: MedFox Publishing; 2017 Levy, T., Magnesium: Reversing Disease, Henderson, NV: MedFox Publishing; 2019 Levy, T., Rapid Virus Recovery: No need to live in fear!, Henderson, NV: MedFox Publishing; 2021   Personalised Health Optimisation Consulting with Lisa Tamati Lisa offers solution focused coaching sessions to help you find the right answers to your challenges. Topics Lisa can help with:  Lisa is a Genetics Practitioner, Health Optimisation Coach, High Performance and Mindset Coach. She is a qualified Ph360 Epigenetics coach and a clinician with The DNA Company and has done years of research into brain rehabilitation, neurodegenerative diseases and biohacking. She has extensive knowledge on such therapies as hyperbaric oxygen,  intravenous vitamin C, sports performance, functional genomics, Thyroid, Hormones, Cancer and much more. She can assist with all functional medicine testing. Testing Options Comprehensive Thyroid testing DUTCH Hormone testing Adrenal Testing Organic Acid Testing Microbiome Testing Cell Blueprint Testing Epigenetics Testing DNA testing Basic Blood Test analysis Heavy Metals  Nutristat Omega 3 to 6 status and more  Lisa and her functional medicine colleagues in the practice can help you navigate the confusing world of health and medicine . She can also advise on the latest research and where to get help if mainstream medicine hasn't got the answers you are searching for whatever the  challenge you are facing from cancer to gut issues, from depression and anxiety, weight loss issues, from head injuries to burn out to hormone optimisation to the latest in longevity science. Book your consultation with Lisa    Join our Patron program and support the show Pushing the Limits' has been free to air for over 8 years. Providing leading edge information to anyone who needs it. But we need help on our mission.  Please join our patron community and get exclusive member benefits (more to roll out later this year) and support this educational platform for the price of a coffee or two You can join by going to  Lisa's Patron Community Or if you just want to support Lisa with a "coffee" go to  https://www.buymeacoffee.com/LisaT to donate $3   Lisa's Anti-Aging and Longevity Supplements  Lisa has spent years curating a very specialized range of exclusive longevity, health optimizing supplements from leading scientists, researchers and companies all around the world.  This is an unprecedented collection. The stuff Lisa wanted for her family but couldn't get in NZ that's what it's in her range. Lisa is constantly researching and interviewing the top scientists and researchers in the world to get you the best cutting edge supplements to optimize your life.   Subscribe to our popular Youtube channel  with over 600 videos, millions of views, a number of full length documentaries, and much more. You don't want to miss out on all the great content on our Lisa's youtube channel. Youtube   Order Lisa's Books Lisa has published 5 books: Running Hot, Running to Extremes, Relentless, What your oncologist isn't telling you and her latest "Thriving on the Edge"  Check them all out at  https://shop.lisatamati.com/collections/books   Perfect Amino Supplement by Dr David Minkoff Introducing PerfectAmino PerfectAmino is an amino acid supplement that is 99% utilized by the body to make protein. PerfectAmino is 3-6x the protein of other sources with almost no calories. 100% vegan and non-GMO. The coated PerfectAmino tablets are a slightly different shape and have a natural, non-GMO, certified organic vegan coating on them so they will glide down your throat easily. Fully absorbed within 20-30 minutes! No other form of protein comes close to PerfectAminos Listen to the episode with Dr Minkoff here:    Use code "tamati" at checkout to get a 10% discount on any of their devices.   Red Light Therapy: Lisa is a huge fan of Red Light Therapy and runs a Hyperbaric and Red Light Therapy clinic. If you are wanting to get the best products try Flexbeam: A wearable Red Light Device https://recharge.health/product/flexbeam-aff/?ref=A9svb6YLz79r38   Or Try Vielights' advanced Photobiomodulation Devices Vielight brain photobiomodulation devices combine electrical engineering and neuroscience. To find out more about photobiomodulation, current studies underway and already completed and for the devices mentioned in this video go to www.vielight.com and use code “tamati” to get 10% off     Enjoyed This Podcast? If you did, subscribe and share it with your friends! If you enjoyed tuning in, then leave us a review and share this with your family and friends. Have any questions? You can contact my team through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram and YouTube. For more episode updates, visit my website. You may also tune in on Apple Podcasts.  To pushing the limits, Lisa and team

For this special episode recorded live at ASAM's Annual Conference, Kelly Ramsey, MD, MPH, MA, FACP, DFASAM, talks about her journey into the field of addiction medicine and how her early experience dispelled myths she previously heard about people who use drugs. She addresses stigma related to addiction, the prevalence of xylazine in the illicit drug supply*, and the need to recognize and treat appropriately polysubstance drug use and overdoses. Dr. Ramsey also discusses her thoughts about the future of addiction medicine and the importance of harm reduction and meeting patients where they are. She shares what she finds enjoyable about attending ASAM's conference and offers words of wisdom to the new generation of addiction medicine providers. Dr. Ramsey is a board-certified internal medicine and addiction medicine physician who has treated substance use disorder since 2004. She worked as medical director of an academic center-based opioid treatment program (OTP) in the South Bronx before working for nearly a decade for a large FQHC in the Hudson Valley where she created and grew a medication for addiction treatment (MAT) program for opioid use disorder (OUD) and alcohol use disorder (AUD) to 10 sites and 1500 patients. More recently, Dr. Ramsey worked as the chief of medical services at the NYS Office of Addiction Services and Supports (OASAS), in a policy, regulatory, and clinical role. Dr. Ramsey currently works as an addiction medicine and harm reduction consultant as well as providing low threshold clinical care and clinical supervision in addiction medicine in three drug user health hubs in New York. She has provided expert advice to the New York State Department of Health (NYSDOH) AIDS Institute and their Office of Drug User Health (ODUH), serving on numerous committees for about 15 years, providing expertise in addiction medicine, harm reduction, HIV care, and HCV care. Dr. Ramsey was the recipient of the New York State Commissioner's Special Recognition Award for contributions to drug user health in NYS in December 2018. She was the Distinguished Contributions to Behavioral Medicine Award Recipient, awarded by the American College of Physicians (ACP) in April 2023. Dr. Ramsey was awarded the Case Western Reserve University School of Medicine Special Medical Alumni Board Award in October 2023. Dr. Ramsey is the immediate past president of the New York Chapter of the American Society of Addiction Medicine (NYSAM) Board of Directors. In addition, she currently serves as Region I Director, representing NYS, on the national American Society of Addiction Medicine (ASAM) Board of Directors. Links: ASAM's Annual Conference information Finding Lifesaving Solutions to a Dangerous Trend American Society of Addiction Medicine   If you or someone you know is struggling with addiction, you are not alone. Treatment is available and recovery is possible. Visit ASAM's Patient Resources page for more information. The information shared in this podcast episode is for educational purposes only and should not be taken as medical advice. The views expressed in this podcast may not be those of the host or the management.   *The comments in the discussion alluding to 90% of syringes containing xylazine refer to the findings of the following study: The Emerging of Xylazine as a New Drug of Abuse and its Health Consequences among Drug Users in Puerto Rico - PMC (nih.gov).

Community-based organizations such as free and charitable clinics and advocacy groups serve a critical role in promoting health equity at the ground level. The webinar will be led by two such community leaders: a free and charitable clinic in Greenville, SC - Greenville Free Medical Clinic - and Michigan United. They will talk about how working at the grassroots level can make a major difference in health equity outcomes, including vaccinations. Join us in a conversation about how we can realize Dr. King's vision in each community. Moderator Laura Lee Hall, Ph.D. President Emeritus, Center for Sustainable Health Care Quality and Equity National Minority Quality Forum Dr. Laura Lee Hall brings 20 years plus of executive experience leading health advocacy, research, education, and quality improvement efforts. Dr. Hall founded the Center for Sustainable Health Care Quality and Equity (SHC) in 2016 as part of the National Minority Quality Forum to help translate data, geomaps, and educational efforts into improved health in underserved communities, through provider and community education and practice improvement. SHC has launched national initiatives in flu and COVID vaccination, diabetes, heart failure, and cancer screenings, working with FQHCs, other clinics, pharmacists, churches, and other community leaders. The work has led to freely available toolkits for clinicians and communications, including DRIVE QI modules (SHCDrive.org) and the health champions program (see: http://ai-healthnet.com/health-champi.... Prior to joining SHC, Dr. Hall founded and lead the Center for Quality and Office of Grants at the American College of Physicians (ACP), creating a network of more than 2000 primary care physicians in 19 states engaged in quality improvement (QI) activities along with the largest federally qualified registry for Medicare reporting. Panelists Suzie Foley Executive Director Greenville Free Medical Clinic Suzie Foley is a resident of Greenville, South Carolina and has been for 25 years. She became the Executive Director of the Greenville Free Medical Clinic in September of 1999 and has worked in the United Way system for 10 years. Prior to this, Suzie spent 8 years as an Executive Director in El Dorado, Arkansas, and 2 years in the Community Fund and Community Outreach departments at United Way of Greenville County. She gained recognition in 1995 as 1 of 2 national recipients for the United Way of America Small City Executives Award, in 1997 as ‘Arkansas Business' Nonprofit Executive of the Year finalist, and in 2007 as one of TALK Magazine's '25 Most Beautiful Women'. Suzie graduated Magna cum laude with a BA degree in Radio/TV/Film Management from Northeast Louisiana University with a Minor in Journalism. She holds Membership and volunteer service with the South Carolina Healthy Outcomes Program ‘Vision Council', Access Health Greenville County Advisory Board and with the Blue Ridge Institute of Community Service Executives (1995-present). She alsois a part of the Leadership Greenville Class 34, National Association of Free Clinics board member (2009-2017), South Carolina Free Clinic Association Chair (2009-2010 and 2022-2024), Riley Institute Diversity Leadership Initiative Class XVI, and the Junior League of Greenville Sustaining Member. Dr. Latressa Gordon DNP, RN Director of Public Health Nursing Navigator Program Dr. Latressa Gordon is a highly respected healthcare professional with a passion for nursing and patient care. With a Doctorate in Nursing Practice (DNP) and a background as a Registered Nurse (RN), she brings a wealth of knowledge and experience to the field. Dr. Gordon's commitment to excellence in healthcare is evident in her contributions to patient care, research publications, and her active involvement in healthcare organizations. She continues to be a driving force in advancing the nursing profession and making a positive impact on the lives of patients and their families.

Welcome to our 100th episode! This week we talked to the renowned Dr. David T. Rubin! Dr. Rubin is the Joseph B. Kirsner Professor of Medicine and a Professor of Pathology, Chief of the Section of Gastroenterology, Hepatology & Nutrition and the Co-Director of the Digestive Diseases Center at The University of Chicago Medicine. He also currently serves as an associate faculty member at the MacLean Center for Clinical Medical Ethics, an associate investigator at the University of Chicago Comprehensive Cancer Center and is a member of the University of Chicago Committee on Clinical Pharmacology and Pharmacogenomics. He is the chair of the National Scientific Advisory Committee of the Crohn's & Colitis Foundation, where he also serves as a Board of Trustees member. He is the deputy chair of the Executive Committee of the International Organization for the Study of Inflammatory Bowel Disease.  In 2018, Dr. Rubin completed the Harvard T.H. Chan School of Public Health Leadership Development Course for Physicians.Dr. Rubin is a Fellow of the American Gastroenterological Association (AGA), the American College of Gastroenterology (ACG), the American Society for Gastrointestinal Endoscopy (ASGE), the American College of Physicians (ACP), and the Royal College of Physicians (Edinburgh). He is on the Board of Trustees for the ACG. Among numerous awards and honors, Dr. Rubin was chosen by his peers as a member of Best Doctors (recognized for superior clinical ability) and America's Top Physicians (gastroenterology). Additionally, he twice received the ACG's Governor's Award of Excellence in Clinical Research (2003 and 2013), and the UChicago Postgraduate Teaching Award in recognition of significant contributions for fellowship education (2006). In 2012, he received the Crohn's & Colitis Foundation's Rosenthal Award, a national leadership award bestowed upon a volunteer who has contributed in an indisputable way to the quality of life of patients and families. He is an Associate Editor of the journal Gastroenterology and Editor-in-Chief of the ACG On-Line Education Universe. In 2020, Dr. Rubin received the Sherman Prize for Excellence in Crohn's and Colitis.Dr. Rubin is an editor of a best-selling book Curbside Consultation in IBD which is now in its 3rd edition and an author or coauthor of over 500 articles on treatment and management of IBD, cancer in IBD and novel paradigms, as well as the first author of the 2019 ACG Guidelines for ulcerative colitis. His current research is in the area of novel approaches to monitoring of IBD (wearables and point of care intestinal ultrasound), prevention of progressive complications from uncontrolled inflammation, and a variety of collaborative and translational studies related to the causes of IBD and its complications. Episodes from some of Dr. Rubin's UChicago's team: Dr. Alysse Bedell- Gastro PsychologistMichele Rubin, APN- JPouch surgical nurse extraordinaireMarita Kametas- Ostomy Specialist! Dr. David Choi- IBD PharmacistPlease keep in mind that the views and opinions expressed in this program are those of the speakers and should not be considered medical or legal advice. Please consult with your healthcare team on any changes to your disease, diet, or treatment.Let's get social!!Follow us on Instagram!Follow us on Facebook!Follow us on Twitter!

Event Objectives:Review current outcome evidence on health care transition (HCT) interventions.Discuss the American Academy of Pediatrics (AAP)/American Academy of Family Physicians (AAFP)/American College of Physicians (ACP) 6 core element approach and tools for pediatric practices.Describe key lessons learned from implementing HCT performance improvement program in 2 programs.Claim CME Credit Here!

In today's episode on National Rural Health Day, I speak with two physicians with extensive experience providing patient care in rural environments. We talk about human trafficking, the opioid epidemic, rural healthcare access, and more. Hanni Stoklosa, MD, MPH, Chief Medical Officer and Co-Founder of HEAL Trafficking, is an emergency physician at Brigham and Women's Hospital (BWH) with appointments at Harvard Medical School and the Harvard Humanitarian Initiative. She is an internationally-recognized expert, advocate, researcher, and speaker on the wellbeing of trafficking survivors in the U.S. and internationally through a public health lens. She has advised the United Nations, International Organization for Migration, U.S. Department of Health and Human Services, U.S. Department of Labor, U.S. Department of State, and the National Academy of Medicine on issues of human trafficking and testified as an expert witness multiple times before the U.S. Congress.  Eileen D. Barrett, M.D., MPH, SFHM, MACP, is Chair of the Board of Regents of the American College of Physicians (ACP), representing internal medicine physicians, related sub specialists, and medical students. She is a rural internal medicine hospitalist and Faculty with IHI. Dr Barrett She completed a Rural Faculty Development Fellowship through the University of Arizona in 2009 and a Medical Justice and Advocacy Fellowship through Morehouse School of Medicine and the American Medical Association in 2022.

NMQF's Center for Sustainable Health Care Quality and Equity launched a nationwide network of churches who are working to promote health equity in their congregations and communities – the Faith Health Alliance. The groups have implemented numerous educational and service-providing activities over the last two years, with impressive results in terms of improved health awareness and care. A survey of the participating churches conducted this summer revealed not only their characteristics and activities, but what they prioritize and need to adequately help nurture not only the spiritual health of their congregants, but their physical and psychosocial health as well. Join us in learning about how faith-based organizations can promote health and how you can join the effort. Moderator Laura Lee Hall, Ph.D. President, Center for Sustainable Health Care Quality and Equity National Minority Quality Forum Dr. Laura Lee Hall brings 20 years plus of executive experience leading health advocacy, research, education, and quality improvement efforts. Dr. Hall founded the Center for Sustainable Health Care Quality and Equity (SHC) in 2016 as part of the National Minority Quality Forum to help translate data, geo-maps, and educational efforts into improved health in underserved communities, through provider and community education and practice improvement. SHC has launched national initiatives in flu and COVID vaccination, diabetes, heart failure, and cancer screenings, working with FQHCs, other clinics, pharmacists, churches, and other community leaders. Prior to joining SHC, Dr. Hall founded and lead the Center for Quality and Office of Grants at the American College of Physicians (ACP), creating a network of more than 2000 primary care physicians in 19 states engaged in quality improvement (QI) activities along with the largest federally qualified registry for Medicare reporting. Panelists Chinonso Ukachukwu, MPH Director, Quality Improvement & Equity National Minority Quality Forum, Center for Sustainable Health Care Quality and Equity Chinnie is a passionate Public Health Specialist with over 10 years of progressive leadership experience in healthcare. She comes with a proven track record of accomplishments in health education, health promotion, growth strategy and high- level partnership creation. In addition to a Masters of Public Health degree from Southern New Hampshire University, she has over half a decade of results- oriented practical experiences working with statewide and national agencies to implement evidence-based practices grounded in quality improvement principles across different populations in Washington DC. She is currently the Director, Quality Improvement and Equity at the National Minority Quality Forum's Center for Sustainable Health Care Quality and Equity (SHC). Prior to joining the SHC team, she was the chronic disease manager at Metro Health clinic where she coordinated health activities to close care gaps for patients in different disease states including diabetes, HIV, hypertension, asthma etc. Reverend LaChaune Nicole Slater Lead Pastor Payne Chapel African Methodist Episcopal Church LaChaune Nicole Slater is a native of the Magic City - Birmingham, Alabama. Blessed with a servant's heart, Nicole is an ordained minister serving as Lead Pastor at Payne Chapel African Methodist Episcopal Church. With 15 years of experience in the death care industry at Davenport & Harris Funeral Homes, Inc, Nicole is credentialed with the International Conference of Funeral Service, and is a Licensed Funeral Director, Cremationist, and Pre-Need Salesperson. Driven by service and making a difference, Nicole volunteers with several civic organizations, and is a distinguished member of Delta Sigma Theta Sorority, Inc. She also serves as a member of the Board of Directors for F.I.R.E., Inc. and Davenport & Harris Funeral Homes, Inc.

This episode was originally released September 2021. Darilyn V. Moyer, MD, MACP, FRCP, FIDSA is the Executive Vice President and Chief Executive Officer of the American College of Physicians (ACP). She has served on ACP's Board of Regents, which manages the business and affairs of ACP and is the main policy-making body of the College, chaired ACP's Board of Governors, and served as Governor of ACP's Pennsylvania Southeastern Chapter. Prior to becoming ACP's EVP and CEO, Dr. Moyer was a Professor of Medicine, Executive Vice Chair for Education in the Department of Medicine, Internal Medicine Residency Program Director and Assistant Dean for Graduate Medical Education at Lewis Katz School of Medicine at Temple University. She was previously the Co-Faculty Advisor for the Temple University School of Medicine Internal Medicine Interest Group and for the Temple University School of Medicine Student Educating About Healthcare Policy Group. Dr. Moyer currently practices part time at the Temple University Internal Medicine Associates. In this episode we discuss her resets into medical education and then to advocacy with the ACP. She shares her thoughts on finding what you are meant to do in your career.  She discusses what supports her wellness and gives advice for women in medicine.  She ends with the mantra of "Bring your Best to Whatever You Do Everyday."  Pearls of Wisdom: 1. Take Care of Yourself- in whatever way works for you.  Know what Recharges you.  2. Reach Out to People to hear their story.  Be Curious and Listen.   3. Create Community inside and outside of medicine. 4. Write Down and Examine your short and long-term goals.

The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/au6V0o It was during the pandemic that Dr. Miriam Zylberglait Lisigurski realized that she had to spend more time being, and less time doing. Even her children would remind her that she was blurring the lines between work and family.  Now, by bringing mindfulness and intention into her life, she is spending more time being in the moment. Maybe you too need help with setting your Boundaries. If you do, perhaps a coach can help. Reach out to www.mymdcoaches.com Dr. Miriam Zylberglait Lisigurski (Dr. Z) is triple Board-Certified in Internal Medicine, Geriatrics, and Obesity Medicine. In addition, she has completed a Physician Leadership Academy (FMA), a Fellowship on Leadership Development and Education (AAMC) and has been certified as a Mental Health Ally. As a fellow of the American College of Physicians (ACP) she was selected to be part of the National Wellness and Professional Fulfillment Committee.   Today's Episode is brought to you by Doc2Doc Lending. Doc2Doc provides Match Day loans of up to $25,000 to fourth-year medical students and current residents. These loans are designed to help students cover personal expenses, such as moving costs, housing down payments, and living expenses before and during residency. With fixed interest rates, flexible repayment terms, and no prepayment penalties, Doc2Doc Match Day loans provide financial flexibility and allow students to focus on their exciting journey towards becoming a physician. Doc2Doc was founded for doctors, by doctors. They understand the challenges and hard work involved in becoming a doctor, and they support doctors throughout their careers. Using their in-house lending platform, Doc2Doc considers the unique financial considerations of doctors that are not typically considered by traditional financial institutions. So, Don't let financial stress hold you back from achieving your goals - Doc2Doc lending has you covered. Visit www.doc2doclending.com/mdcoaches to Learn more.       Join the Conversation! We want to hear from you! Do you have additional thoughts about today's topic? Do you have your own Prescription for Success? Record a message on Speakpipe     Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify --- Show notes at https://rxforsuccesspodcast.com/LCM014 Report-out with comments or feedback at https://rxforsuccesspodcast.com/report Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com Production assistance by Clawson Solutions Group, find them on the web at csolgroup.com    

Andrea Anampa-Guzmán was born in Lima, Peru. She is a medical student at Universidad Nacional Mayor de San Marcos. In 2017, she took a break from her medical studies to perform a research rotation at the University of Pennsylvania. In 2021, she became a permanent resident of the United States and moved to Buffalo, New York. She performs research for the Department of Medicine at the Roswell Park Comprehensive Cancer Center. Anampa-Guzmán is an assistant producer of the DEI shift, a podcast of the American College of Physicians (ACP). Nowadays, she volunteers for the Social Media Working Group of ASCO (American Society of Clinical Oncology). Additionally, she is part of the team of the Clinical Problem Solvers and the #HemOnc Fellows Network. She is interested in medical education, survivorship, global oncology, and lymphoma. Andrea Anampa-Guzmán has published over 25 research articles and numerous awards, including the MOLA-Michael Reese Foundation Scholarship, AACR Global Scholar-in-Training Award, and the ASCO Annual Meeting Research Award. Finally, Anampa-Guzmán is open about her experience living with Obsessive-Compulsive Disorder (OCD) and advocates for mental health, diversity, and equity. WEB PAGE: https://www.andreaanampag.com/ TWITTER: https://twitter.com/AndreaAnampaG LINKEDIN: https://www.linkedin.com/in/andreaanampag/

The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/rnqBej Dr. Miriam Zylberglait Lisigurski (Dr. Z) is triple Board-Certified in Internal Medicine, Geriatrics, and Obesity Medicine. In addition, she has completed a Physician Leadership Academy (FMA), a Fellowship on Leadership Development and Education (AAMC) and has been certified as a Mental Health Ally. As a fellow of the American College of Physicians (ACP) she was selected to be part of the National Wellness and Professional Fulfillment Committee.   Dr. Z is currently completing a Fellowship with the Creators Institute at Georgetown University while writing her first Book about well-being and growth. In addition, she is the former Associate Program Director at the Aventura Hospital Internal Medicine Residency Training Program and the Former Founding Internal Medicine Clerkship Director at Nova Southeastern University's (NSU) Dr. Kiran C. Patel College of Allopathic Medicine. Dr. Zylberglait has a supportive husband, parents, sister, friends, and two wonderful little boys that help her to integrate her personal and professional life.   Join the Conversation! We want to hear from you! Do you have additional thoughts about today's topic? Do you have your own Prescription for Success? Record a message on Speakpipe   All The Tools You Need To Build and Scale A Integrative Health Business Get a behind the scenes look at our playbook at Texas Center for Lifestyle Medicine to see the underpinnings of how they deliver health while keeping team members fulfilled. Find out more at https://rxforsuccesspodcast.com/IPB Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify --- Show notes at https://rxforsuccesspodcast.com/130 Report-out with comments or feedback at https://rxforsuccesspodcast.com/report Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com  

Very understandably, many insomnia patients try to self-medicate their condition with varied “sleep aids”. The tragedy us that most of them not only fail to help but actually make insomnia worse.  Most common among these is alcohol, which hurts your sleep in at least three different ways: 1) it sedates your brain, rather than generating naturalistic sleep 2) it increases the frequency of nighttime awakenings and makes it harder to fall back to sleep, and 3) it inhibits REM sleep.THC also inhibits REM sleep, and users can develop a dependency on and tolerance to it, requiring more to get the same sleep effect. Worse still, THC is associated with a severe withdrawal insomnia, which only leads to relapse use. Another ineffective tool is melatonin. Melatonin does not help people with insomnia sleep, as we discussed in the episode all about Melatonin. The other option is classic prescription sleeping pills. However, based on their safety concerns and their minimal effectiveness long-term, the American Academy of Sleep Medicine and the American College of Physicians (ACP) now state that classic sleeping should no longer be the first-line treatment for insomnia. Instead, the first line treatment for insomnia should be the non-drug approach called cognitive behavioral therapy for insomnia (CBTi), and the one that Matt typically advocates for.At a high level, CBTi involves working with a trained clinician for several weeks to change your habits, behaviors, mental beliefs, and stress around sleep. Many people with insomnia lose all confidence in their sleep and have terrible anxieties around not sleeping—in other words, their sleep controls them, and CBTI is designed to reverse that. Many clinical studies have shown that CBTi is just as effective as sleeping pills in the short term yet has no negative side effects. Unlike sleeping pills, its benefits can last for many years after stopping work with your therapist. Please note that Matt is not a medical doctor, and none of the content in this podcast should be considered medical advice in any way, shape, or form, nor prescriptive in any way.Today's podcast is supported by MasterClass - the online streaming platform where anyone can learn from the world's best about a variety of topics such as cooking, business, art, entertainment, and, of course, technology. When you sign up, you get access to all of the classes taught by such masters as Martin Scorsese, Venus Williams, Gordon Ramsay,  and Bill Clinton to name just a few of Matt's favorites. You may even find a masterclass from a familiar sleep scientist! So if you're curious and have a thirst for learning,  head on over to masterclass.com/mattwalker and you will get a discount when you sign up.Another sponsor of today's podcast is the biochemical electrolyte drink company LMNT, and they are very kindly offering eight free sample packs when you purchase any one of their orders at drinklmnt.com/mattwalker. LMNT is an electrolyte sports drink that I can fully get behind - it's created from the basis of science, and it has no sugar, no coloring, and no artificial ingredients – all qualities that are so important to maintaining your blood biochemical balance. So, make your way over to LMNT and MasterClass to take advantage of these incredible deals. And, as always, if you have thoughts or feedback you'd like to share, please reach out to Matt on Instagram.

National Breastfeeding Month – August 2022Dr. Allison Stiles, Chair of the Shelby County Breastfeeding CoalitionAugust is National Breastfeeding month and on this episode, my guest and I explore the health benefits to both mom and baby as well as the barriers to breastfeeding. Dr. Allison Stiles is a physician and advocate for breastfeeding and an advocate for underserved populations. Join us for this informative conversation. More About Dr. Stiles:Dr. Allison Stiles has been practicing Internal Medicine and Pediatrics, “Med-Peds” in Midtown Memphis since 2003 when she moved back to be closer to family. She had lived in Memphis from the age of 5 through high school at Central High. She attended the University of Missouri-Columbia where she received a BS in Biochemical Engineering in 1985. She worked for Procter and Gamble as an Engineer in Cape Girardeau, Missouri, Cincinnati, Ohio, Italy, and England. In 1995 she retired after 10 years and went to Medical School at the University of Cincinnati. Dr. Stiles did her Med-Peds (Internal Medicine and Pediatrics) residency at the University of Illinois- Chicago. She is double board certified in Pediatrics and Internal Medicine.Practicing in Pediatrics and her experience with her own children led to her interest in Breastfeeding and “Lactivism”. She is Chair of the Shelby County Breastfeeding Coalition and a TN AAP Chapter Breastfeeding Coordinator. She received her certification as a Lactation Consultant in 2016. She has lectured on Breastfeeding for UT Medical students, Family Practice Residents, Pediatric Residents, and Midwives. She was a lecturer for the TN Breastfeeding Symposium 3 times and has taught a class for new Parents every month for over 5 years. She is a contributing author of the article, “Breastfeeding Sisters that are Receiving Support: Community-Based Peer Support Program Created for and by Women of Color, published in the Journal of Breastfeeding Medicine on 2/21.Dr. Stiles has partnered with and supported OutMemphis, Friends for Life, and the Metamorphosis Center. She treats Transgender and Non-binary people to help them with their healthcare needs and to be their Primary Care doctor. She is one of the few Memphis providers of PrEP, to prevent HIV. She has been treating HIV for over 15 years.Dr. Stiles is a fellow of the American Academy of Pediatrics (AAP) and the American College of Physicians (ACP). She is a member of the Academy of Breastfeeding Medicine, the AAP Section on Breastfeeding Medicine, the US Lactation Consultant Association, the International Lactation Consultant Association, the Memphis Pediatric Society, and the Memphis Medical Society. She is a member of the WPATH – the World Professional Association for Transgender Health, and the Academy of Pediatrics –Section on LGBTQ.Her Midtown practice, called “Memphis Internal Medicine and Pediatrics” is nearly 20 years old. She takes care of people of all ages, from newborns to Geriatrics. Dr. Stiles believes in science and compassionate care for all people without boundaries.Resources:www.shelbycountybreastfeeding.orgwww.memphis-medpeds.com

This week on the KORE Women podcast, Dr. Summer Watson welcomes Dr. Miriam Zylberglait, MD aka Dr. Z, who is triple Board-Certified in Internal Medicine, Geriatrics, and Obesity Medicine, certified as a Mental Health Ally, and fellow of the American College of Physicians (ACP), who was selected to be part of the National Wellness and Professional Fulfillment Committee. Dr. Z is also currently completing a Fellowship with the Creators Institute at Georgetown University, while writing her first Book about well-being and growth. The Pre-Sale of her book is happening NOW! Her book, "The 3G Cycle of Life: The Secret of Achieving Joy, Meaning, and Wellbeing." Check it out at: 3G Cyhttps://www.3gcycle.live/my-bookcle - My book She is married, has two wonderful little boys and credits her family for their support and for helping her integrate her personal and professional life. We have so much to talk about Dr. Z, so let's get right into this and welcome!   *****You can follow Dr. Miriam Zylberglait on LinkedIn. Thank you for taking the time to listen to the KORE Women podcast and being a part of the KORE Women experience. You can listen to The KORE Women podcast on your favorite podcast directory - Pandora, iHeartRadio, Apple Podcast, Google Podcast, YouTube, Spotify, Stitcher, Podbean, JioSaavn, Amazon and at: www.KOREWomen.com/podcast. Please leave your comments and reviews about the podcast and check out KORE Women on Instagram, Twitter, and Facebook. You can also learn more about the host, Dr. Summer Watson and KORE Women at: www.korewomen.com  

Welcome to this week's Global Wellness for All Podcast episode with your host, Laleh Hancock. What is Wellbeing? What can we be and do that will create wellness and wellbeing in our lives and living? What questions can we ask when we desire to create from the space of wellbeing? Come join this fun conversation with my friend Dr. Miriam Zylberglait (Dr. Z) as we explore these questions and more. Dr. Miriam Zylberglait Lisigurski (Dr. Z) is triple Board-Certified in Internal Medicine, Geriatrics, and Obesity Medicine. In addition, she has completed a Physician Leadership Academy (FMA), a Fellowship on Leadership Development and Education (AAMC) and has been certified as a Mental Health Ally. As a fellow of the American College of Physicians (ACP) she was selected to be part of the National Wellness and Professional Fulfillment Committee. To find more on Laleh's upcoming events: https://globalwellnessforall.com/events/ For more information on private sessions with Laleh, click HERE

There is certainly isn't a shortage of passion and caring in the hearts and minds of fitness professionals. Simply put, people get into this profession out of an intense desire to help others improve their fitness, health, and wellbeing. While our motives may come from a very pure and altruistic place there can be a downside to this caregiving mentality. This downside can manifest itself in a proportionate reduction in our own self-care, relative to the amount of care we provide to others. This phenomenon is called by many names; caregiver fatigue, compassion fatigue, caretakeritis; but whatever name you call it by the outcome is every bit as deleterious for the caregiver. This will be the topic of conversation in episode 56 of the Wellness Paradox podcast with Dr. Miriam Zylberglait (or Dr. Z). As we'll discuss, she, like so many during COVID, started to rethink some of her fundamental paradigms about how she approached life both personally and professionally. In doing so, she realized her self-care, and ultimately her happiness and wellbeing, was suffering tremendously. As a result, she made a commitment to not only focus on her own self-care, but that of others in the caregiver professions. This conversation is an interesting examination of something we don't often think of as fitness professionals; our own wellbeing. Yes, many of us are very fit and strong externally, but more broadly speaking do we have a truly high level of wellbeing that matches our physical fitness? I would suspect the answer is likely no if this concept of caregiver fatigue is something you haven't considered. This is a very eye-opening conversation, particularly when you start to realize your own wellbeing is the true rate-limiter to how many other people you can truly help. Consider this to be a conversation that indirectly helps all the people you serve, by directly helping yourself focus on, and improve, your own wellbeing. Putting on your oxygen mask is, indeed, the only way to effectively help others!Show Notes Page: https://www.wellnessparadoxpod.com/podcast/episode/56Our Guest: Dr. Miriam Zylberglait, MD, FACPDr. Z is triple Board-Certified in Internal Medicine, Geriatrics, and Obesity Medicine. In addition, she has completed a Physician Leadership Academy (FMA), a Fellowship on Leadership Development and Education (AAMC) and has been certified as a Mental Health Ally. As a fellow of the American College of Physicians (ACP) she was selected to be part of the National Wellness and Professional Fulfillment Committee.    Dr. Z is currently completing a Fellowship with the Creators Institute at Georgetown University while writing her first Book about well-being and growth. In addition, she is the former Associate Program Director at the Aventura Hospital Internal Medicine Residency Training Program and the Former Founding Internal Medicine Clerkship Director at Nova Southeastern University's (NSU) Dr. Kiran C. Patel College of Allopathic Medicine. Dr. Zylberglait has a supportive husband, parents, sister, friends, and two wonderful little boys that help her to integrate her personal and professional life.

Today's guest, Dr. Ryan Mire, incoming president of the American College of Physicians (ACP), discusses mentorship, his upcoming leadership role with ACP, and his vision for medicine in the years to come. 

Shelby Harris, PsyD, DBSM: “We have this idea that you should have perfect sleep every single night, but a bad night here and there means that you're human.” Harris, a licensed psychologist and behavioral sleep doctor, joins mbg co-CEO, Jason Wachob, to discuss everything you need to know about getting a good night's sleep, plus: - How to fall back asleep after waking up in the middle of the night (~12:17) - Why you should exercise 4 to 6 hours before bed (~25:56) - The link between hydration and sleep (~27:47) - How to get back on track after night of poor sleep (~29:19) - How your sleep position can affect your quality of rest (~42:09) Referenced in the episode: - Harris' book, The Women's Guide to Overcoming Insomnia. - Learn more about the Sleep-Wake Disorders Center at Montefiore Medical Center. - Read more about the American College of Physicians (ACP) recommendation for cognitive-behavioral therapy as first-line therapy for insomnia. - CBT-i Coach app - Sleepio - mbg Podcast episode #245, with James Nestor & his book Breath. - Harris' grounding exercises on Instagram. Enjoy this episode! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com.

Cynthia (Daisy) Smith, MD, FACP, is Vice President of Clinical Education at the American College of Physicians (ACP) and an Adjunct Professor of Medicine at the Perelman School of Medicine. She received a medical degree from Columbia College of Physicians and Surgeons and completed her internal medicine training at the Massachusetts General Hospital. She is an experienced medical educator and a former internal medicine residency program director. In her current role at the ACP, she oversees the Instructional Design and Events Department (curriculum development and live meetings) and the Center for Quality (QI support, Well-being and Professional Fulfillment and Patient and Inter-professional Partnership Initiatives). She continues to see patients and teach medical residents at the University of Pennsylvania. She is married to an infectious diseases physician whom she met during residency and is the mother of three teen sons. In this episode Dr Smith describes resets at several stages in her life, how she has married being a doctor and a teacher. We discuss how self-reflection has helped her make pivots in positive directions in her life. Take Home Pearls for Well-Being: 1. Give Positive Feedback - it builds confidence of the receiver and feels good for the giver. 2. Practice Positive Self-Talk - it fights that inner critic 3. Stretch Yourself- take that next step and try something new even if you don't think you are ready 4. Self-Reflect Often- this helps you know your identity, where your energy is, and when it is time to move to your next chapter. If you would like to reach out, email us at resetmdpodcast@gmail.com

Dr. Fariha Shafi is is the Co-Founder of the ResetMD Podcast! She is an Associate Professor of Medicine at the University of Missouri Kansas City-School of Medicine. She is a Fellow of the American College of Physicians (ACP) and is an ACP Well-Being Champion, Chair of both the Wellness Committee and the Women in Medicine Committee of the Missouri Chapter of the ACP. She has served as the AMWA Mentor at the SOM for many years. She has a career in academic medicine at UMKC, serving in various leadership roles including Chairing the School of Medicine's Diversity Equity and Inclusion Council for eight years and being named as an inaugural “Noback” Docent. Dr. Shafi has been featured on podcasts such as KevinMD and Medicine Mentors. She is a busy mom of two, a full time physician and a heavily involved community leader. In this episode we discuss a time where she felt stuck, both with the struggle of being a mom and a professional and with trying to find the right venue for her passions. A conversation at her chapter ACP meeting and making peace with guilty feelings changed all that and gave her energy. Listen in to see how this worked for her an could work for you too. Pearls of Well-Being Wisdom: 1. Medicine is part of your life, not your entire life. 2. Always find something that fulfills you outside of medicine. 3. Journal your feelings- during times of success as well as the times when you are upset. Refer back to your successes more often. 4. Give back.

Episode 70: HIV Prevention. Prevention is key in controlling HIV-AIDS. Listen to ways to prevent HIV, mainly by using condoms, PrEP and PEP.Introduction: HIV and AIDSBy Robert Dunn, MS3.Introduction: The Human Immunodeficiency Virus (HIV) is a retrovirus that is primarily transmitted via sex, needles or from mother to fetus. Once infected, the virus increases in its copies and decreases the individual's CD4+ cell count, thus leading to an immunocompromised state known as Acquired Immune Deficiency Syndrome (AIDS). Once with AIDS, the patient is susceptible to opportunistic infections. Prevention from AIDS includes several options. Condoms for safe sex practices are the least invasive and most readily accessible option for all patients. Pre-exposure prophylaxis (PrEP) is also an option for men who have sex with men (MSM) and transgender women. If the patient is also exposed to HIV, post-exposure prophylaxis (PEP) may also be an option to prevent infection but must be administer ideally 1-2 hours after exposure but no later than 72 hours after. Today we will briefly discuss how to prevent HIV infection.This is Rio Bravo qWeek, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California. Our program is affiliated with UCLA, and it's sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home.___________________________HIV Series IV: HIV Prevention. By Robert Dunn, MS3.Participation by Huda Quanungo, MS3; Bahar Hamidi, MS3; and Hector Arreaza, MD.  HIV PreventionIntroductionThe Human Immunodeficiency Virus (HIV) is a retrovirus that is primarily transmitted via sex, needles or from mother to fetus. Once infected, the virus increases in its copies and decreases the individual's CD4+ cell count, thus leading to an immunocompromised state known as Acquired Immune Deficiency Syndrome (AIDS). Once with AIDS, the patient is susceptible to opportunistic infections. Prevention from AIDS includes several options. Condoms for safe sex practices are the least invasive and most readily accessible option for all patients. Pre-exposure prophylaxis (PrEP) is also an option for men who have sex with men (MSM) and transgender women. If the patient is also exposed to HIV, post-exposure prophylaxis (PEP) may also be an option to prevent infection, but it must be administered ideally 1-2 hours after exposure but no later than 72 hours after. We will concentrate in prevention during this episode.   What is HIV?The Human Immunodeficiency Virus (HIV) is a retrovirus. When the virus gains access to our body via cuts on the skin or mucosa:The virus injects its 10kb sized RNA genome into our cells. The RNA is transcribed to DNA via viral reverse transcriptase and is incorporated into our cellular DNA genome. This causes our cells to become a virus producer. Viral proteins translated in the cell are transported to the edge of the cell and can bud off into new viruses without lysing the cell.  Acute HIV symptoms. Some potential early symptoms of HIV can include fever, chills, rash, night sweats, muscle aches, sore throat, fatigue, lymphadenopathy, and mouth ulcers. The most common acute symptom is NO SYMPTOM. Many people do not feel sick with the acute infection of HIV. Some people can live years with HIV in “clinical latency” without knowing they are infected, but they can still be contagious during this time. As viral load (the amount of virus copies you have in your blood stream) increases, the CD4+ cells that contribute to our adaptive immunity continues to fall. That's why the best test during this period is not going to be HIV antibody but you should test for antigens. Specifically, the 4th Generation HIV test, which tests for both antibody and p24 antigens.Chronic symptoms. Once patients begin to present with opportunistic infections (i.e. Pneumocystis pneumonia – PCP), or have a CD4 count below 200, the patient is considered to have Acquired Immune Deficiency Syndrome (AIDS) and makes them susceptible to more serious infections. Without treatment, patients with AIDS typically survive about 3 years. Epidemiology of HIVHIV incidence: In 2019, there were 34,800 new HIV infections in the United States. This is an 8% decline from 2015. Amongst age groups: Age 25-34 had the highest rate of incidence (30.1 per 100,000)Age 35-44 had the second highest rate (16.5 per 100,000)Age 45-54 remained stableAge 13-24 had decreasing rates of incidence Amongst ethnic groups: Black/African-American groups has the highest rate of incidence (42.1 per 100,000)Hispanic/Latino had the second highest rate (21.7 per 100,000)Person of multiple races had the third highest (18.4 per 100,000) Amongst sex: Males had the highest rate of incidence (21 per 100,000)Females had the lowest rate of incidence (4.5 per 100,000) HIV Prevalence:In 2019, 1.2 million people (Ages 13 and older) in the US have HIV and 13% of them do not even know it. In 2020, there were an estimated 1.5 million people worldwide that acquired a new HIV infection. This is a 30% decline since 2020. An estimated 66% are receiving some HIV care and 57% were virally suppressed. Mortality: In 2019, there were 15,815 deaths among adults and adolescents diagnosed with HIV in the US. Preventative ScreeningThe USPSTF gives a Grade A recommendation for HIV screening for: Pregnant people and everyone between 15-65 years of age. All pregnant people at any point of their pregnancy, including those who present in labor or delivery and have an unknown status of HIV.The USPSTF only recommends a one-time screening and shows no benefit of repeat screening thereafter. Women may also be screened for subsequent pregnanciesAlso screen all Adolescents and adults ages 15-65.  An effective approach is routine opt-out HIV screening. This approach includes HIV screening as part of the standard preventive tests. This approach removes the stigma associated with HIV testing, it promotes earlier diagnosis and treatment, reduces risk of transmission, and it is cost-effective. The determination for repeated screening of individuals should take into account the following risk factors: -Men who have sex with men (MSM)-Individuals who live in areas with high prevalence of HIVIncluding attending to tuberculosis clinics, stay in a correctional facility, or homelessness-Injection drug use-Transactional/commercial sex work-1 or more new sexual partners -History of previous STIs Annual screening for HIV is reasonable, however, clinicians may want to screen patients every 3-6 months if they have an increased risk of HIV.  CondomsA simple and very effective method in HIV prevention is the use of condoms for safe sex practices. In 2009, the American College of Physicians (ACP) and the HIV medicine Association called for the wider availability of condoms and education to minimize HIV transmission. A meta-analysis of 12 HIV studies amongst heterosexual couples demonstrated the use of condoms in all penetrative sex acts reduced the risk of HIV transmission 7.4 times in comparison to those who never used condoms. Other studies show a 90-95% effectiveness in HIV prevention when “consistently” using condoms. A Cochrane review shoed that the use of a male latex condom in all acts of penetrative vaginal sex reduced HIV incidence by 80%. Overall, condoms are effective in HIV prevention.Pre-Exposure Prophylaxis (PrEP)Truvada and Descovy:Another option for prevention amongst HIV negative individuals is the use of Pre-Exposure Prophylaxis (PrEP). It is an anti-retroviral pill that is taken daily to maintain a steady-state level of the medication in the blood stream. The medication specifically a combination of 2 antiretroviral medications – Tenofovir and Emtricitabine. Both medications are nucleoside reverse transcriptase inhibitors (NRTIs) that work by blocking the viral reverse transcriptase from HIV and prevent the enzyme from copying the RNA genome into DNA. Therefore, it stops viral replications. There are 2 formulations of PrEP: Truvada and Descovy. Truvada's primary side effects are renal and bone toxicity with long-term use. Descovy's primary side effects are mild weight gain and dyslipidemia. Truvada is the most commonly prescribed PrEP because it has the most data since it has been around the longest. However, extra consideration should be taken for: Adolescents should weigh at least 35 kg before being prescribed PrEPDescovy may be preferred for adolescents by the prescribing physician as it is not associated with reduction in bone density, as Truvada is. Estimated GFR between 30 – 60Truvada is associated with acute and chronic kidney disease whereas Descovy is safe for patients with a GFR greater than 30Patients with osteoporosisTruvada is associated with bone toxicity, whereas Descovy is not. It is important to note that PrEP has only been studied in men or people who were assigned men at birth. So, its efficacy in vaginal sex and with vaginal fluids cannot be generalized at this time. Future of PrEP: In May 2020, the HIV Prevention Trials Network (HPTN) 083 randomized trial demonstrated the potential of an injectable PrEP. Carbotegravir, is an integrase inhibitor, which prevents the HIV integrase from incorporating the HIV genome into the cellular genome. This study demonstrated its efficacy as PrEP in comparison to Truvada with few new infections (13 versus 39, respectively). Carbotegravir would be given via injection once every 8 weeks. In September 2021, the pharmaceutical company Moderna will begin 2 human clinical trials for an HIV vaccine that use mRNA technology. Previous studies conducted with non-mRNA vaccines demonstrated that B cells can be stimulated to create antibodies against HIV. Since HIV becomes integrated in the cellular genome within 72 hours of transmission, a high level of antibodies must be produced and present in the body to offer an adequate level of immunity. Post-Exposure Prophylaxis (PEP)If an individual is exposed to blood or bodily fluids with high risk of HIV via percutaneous, mucus membrane or nonintact skin route, post-exposure prophylaxis (PEP) may be an option. PEP is indicated when the HIV status of the exposure source is unknown and are awaiting test results, or if the exposure source is HIV positive. Therapy should be started within 1 or 2 hours of exposure and it is not effective after 72 hours of initial exposure. The recommended duration of therapy is 4 weeks but no evidence has been shown for an optimal duration. Occupational exposure. There are 2 regimens for PEP: Truvada with Dolutegravir Truvada  with Raltegravir Both Doltegravir and Raltegravir are integrase inhibitors which block the integration of the viral genome into the cellular DNA. The regiments are chosen based on efficacy, side effects, patient convenience, and completion rates. Dolutegravir is chosen because it is given once daily. While Raltegravir is taken twice daily, most experience with PEP has been with Raltegravir. Other risk with Raltegravir are potential skeletal muscle toxicity and systemic-cutaneous reactions resembling Steven-Johnson syndrome. One final word about prevention of vertical transmission is making sure pregnant women are treated during pregnancy and if the baby is delivered from a patient whose viral load is “detectable”, the baby needs to be treated, but we'll let that topic for another time to discuss. Joke: What do you call the patient zero of HIV? First Aids.HIV incidence is decreasing thanks to many prevention measures taken globally, and we discussed screening, condoms, PrEP and PEP as part of this prevention efforts. Stay tuned for more relevant medical information in our next episode. ____ Now we conclude our episode number 70 “HIV Prevention.” Robert, Huda and Bahar explained some ways to prevent HIV, mainly by screening those at risk, using condoms, PrEP (pre-exposure prophylaxis) and PEP (post-exposure prophylaxis). Let's also remember that having a monogamous relationship and avoiding high risk sexual behaviors confer significant protection against HIV. Even without trying, every night you go to bed being a little wiser.Thanks for listening to Rio Bravo qWeek. If you have any feedback about this podcast, contact us by email RBresidency@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. This podcast was created with educational purposes only. Visit your primary care physician for additional medical advice. This week we thank Hector Arreaza, Robert Dunn, Huda Quanungo, and Bahar Hamidi. Audio edition: Suraj Amrutia. See you next week!   References:About HIV. Center for Disease Control and Prevention, CDC.gov, June 1, 2021. https://www.cdc.gov/hiv/basics/whatishiv.html . Accessed September 21, 2021. Simon V, Ho DD, Abdool Karim Q. HIV/AIDS epidemiology, pathogenesis, prevention, and treatment. Lancet. 2006 Aug 5;368(9534):489-504. doi: 10.1016/S0140-6736(06)69157-5. PMID: 16890836; PMCID: PMC2913538. [https://pubmed.ncbi.nlm.nih.gov/16890836/]   US Statistics. HIV.gov, June 2, 2021. https://www.hiv.gov/hiv-basics/overview/data-and-trends/statistics . Accessed September 21, 2021.  The global HIV/AIDS Epidemic. HIV.gov, June 25, 2021. https://www.hiv.gov/hiv-basics/overview/data-and-trends/global-statistics. Accessed September 21, 2021.  Human Immunodeficiency Virus (HIV) Infection: Screening. U.S. Preventative Services Task Force, June 11, 2019. https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/human-immunodeficiency-virus-hiv-infection-screening. Accessed September 21, 2021.  Holmes KK, Levine R, Weaver M. Effectiveness of condoms in preventing sexually transmitted infections. Bull World Health Organ. 2004 Jun;82(6):454-61. PMID: 15356939; PMCID: PMC2622864. [https://pubmed.ncbi.nlm.nih.gov/15356939/] Weller S, Davis K. Condom effectiveness in reducing heterosexual HIV transmission. Cochrane Database Syst Rev. 2002;(1):CD003255. doi: 10.1002/14651858.CD003255. PMID: 11869658. [https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD003255/full] Mayer, Kenneth H, MD, and Douglas Krakower, MD. Administration of pre-exposure prophylaxis against HIV infection. UpToDate, June 24, 2020. Accessed September 21, 2021. [https://www.uptodate.com/contents/administration-of-pre-exposure-prophylaxis-against-hiv-infection?search=8)%09Administration%20of%20pre-exposure%20prophylaxis%20against%20HIV%20infection&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1] Zachary, Kimon C, MD. Management of health care personnel exposed to HIV. UpToDate, June 07, 2019. Accessed September 21, 2021. [https://www.uptodate.com/contents/management-of-health-care-personnel-exposed-to-hiv?search=9)%09Management%20of%20health%20care%20personnel%20exposed%20to%20HIV&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1]

Darilyn V. Moyer, MD, FACP, FRCP, FIDSA is the Executive Vice President and Chief Executive Officer of the American College of Physicians (ACP). She has served on ACP's Board of Regents, which manages the business and affairs of ACP and is the main policy-making body of the College, chaired ACP's Board of Governors, and served as Governor of ACP's Pennsylvania Southeastern Chapter. She currently serves on the Board of Directors for the Council of Medical Subspecialty Societies and is the President, and also serves as the Chair of the Board of Directors of the Primary Care Collaborative. Prior to becoming ACP's EVP and CEO, Dr. Moyer was a Professor of Medicine, Executive Vice Chair for Education in the Department of Medicine, Internal Medicine Residency Program Director and Assistant Dean for Graduate Medical Education at Lewis Katz School of Medicine at Temple University. She was previously the Co-Faculty Advisor for the Temple University School of Medicine Internal Medicine Interest Group and for the Temple University School of Medicine Student Educating About Healthcare Policy Group. Dr. Moyer currently practices part time at the Temple University Internal Medicine Associates. Dr. Moyer received the Temple University School of Medicine Women in Medicine Mentoring Award in 2012. She is a member of Women of Impact and is the 2020 Recipient of the American Medical Women's Association Elizabeth Blackwell Award, as well as the recipient of the 2020 Lewis Katz School of Medicine at Temple University Alumni Achievement Award. We are excited to have a conversation with her during #WomenInMedicineMonth. In this episode we discuss her resets into medical education and then to advocacy with the ACP. She shares her thoughts on finding what you are meant to do in your career. She discusses what supports her wellness and gives advice for women in medicine. She ends with the mantra of "Bring your Best to Whatever You Do Everyday." Pearls of Wisdom: 1. Take Care of Yourself- in whatever way works for you. Know what Recharges you. 2. Reach Out to People to hear their story. Be Curious and Listen. 3. Create Community inside and outside of medicine. 4. Write Down and Examine your short and long-term goals.

Dr. Diana McNeill is Professor of Medicine at Duke University Medical Center in Durham, North Carolina. She was the program director of the Duke Internal Medicine Residency program from 2001-2011 and became the inaugural Director of Duke AHEAD (Academy of Health Professions Education and Academic Development) in 2014. She has won numerous teaching awards , including Master Clinician Educator at Duke in 2006. She is a Master in the American College of Physicians (ACP) and in 2020 received the Dema Daley Award from the Alliance for Academic Internal Medicine , honoring a member recognized nationally as an education leader. She was recognized in 2021 with the North Carolina ACP Laureate Award. In this episode we discuss what has worked for her to support work-life harmony, her self-entitled "End of Career Miracle" and her family successes. She has heard "You Made it Look Fun" and "You Made it Look Easy." Listen in to see how this happened for her and to learn so much more from this educator and mentor. Pearls of Wisdom: 1. Be Happy- this is a different definition for everyone. 2. Be Open to Opportunities. Never say "I can't." Say "I'll try." 3. Be Flexible and Support Flexibility for Others.

In this episode Dr. Eeks chats with the obesity doctor, Dr. Fatima Cody Stanford, about all things obesity. In the first part of the podcast, they discuss why obesity is a disease and why every public health measure fails to lower obesity rates in the US. Dr. Stanford will explain the relationship between obesity and sleep, what a set point is and why that is so important, and the relationship between obesity and stress. They also discuss what to do for people who are "doing everything right" but still unable to lose weight. In the last part of the podcast they discuss how addressing obesity fits in with the Body Positive and Fat Acceptance movements, both prominent in society and on social media, and where her message about obesity intersects with theirs and where it deviates."Dr. Stanford, MD, MPH, MPA, MBA, FAAP, FACP, FAHA, FAMWA, FTOS practices and teaches at Massachusetts General Hospital (MGH)/ Harvard Medical School (HMS) as one of the first fellowship-trained obesity medicine physician in the world. Dr. Stanford received her BS and MPH from Emory University as a MLK Scholar, her MD from the Medical College of Georgia School of Medicine as a Stoney Scholar, her MPA from the Harvard Kennedy School of Government as a Zuckerman Fellow in the Harvard Center for Public Leadership, and her executive MBA as a merit-based scholarship recipient from the Quantic School of Business and . She completed her Obesity Medicine & Nutrition Fellowship at MGH/HMS after completing her internal medicine and pediatrics residency at the University of South Carolina. She has served as a health communications fellow at the Centers for Disease Control and Prevention and as a behavioral sciences intern at the American Cancer Society. Upon completion of her MPH, she received the Gold Congressional Award, the highest honor that Congress bestows upon America's youth. Dr. Stanford has completed a medicine and media internship at the Discovery Channel. An American Medical Association (AMA) Foundation Leadership Award recipient in 2005, an AMA Paul Ambrose Award for national leadership among resident physicians in 2009, she was selected for the AMA Inspirational Physician Award in 2015. The American College of Physicians (ACP) selected her as the 2013 recipient of the Joseph E. Johnson Leadership Award and the Massachusetts ACP selected her for the Young Leadership Award in 2015. She is the 2017 recipient of the HMS Amos Diversity Award and Massachusetts Medical Society (MMS) Award for Women's Health. In 2019, she was selected as the Suffolk District Community Clinician of the Year and for the Reducing Health Disparities Award for MMS. She was selected for The Obesity Society Clinician of the Year in 2020. In 2021, she has been awarded the MMS Grant Rodkey Award for her dedication to medical students and the AMA Dr. Edmond and Rima Cabbabe Dedication to the Profession Award which recognizes a physician who demonstrates active and productive improvement to the profession of medicine through community service, advocacy, leadership, teaching, or philanthropy." Follow Dr. Eeks on Instagram Or Facebook here.Or TwitterOr YoutubeSubcribe to her Newsletter here!Listen to her parody, Yours in Wellness, here

Neste episódio do podcast da PEBMED, a editora médica associada do Portal, Dayanna Quintanilha, especialista em Clínica Médica, conversa com o médico intensivista Filipe Amado sobre os principais destaques do Internal Medicine Meeting 2021, congresso de Medicina Interna da American College of Physicians (ACP). Para o podcast, eles selecionaram alguns temas principais para comentar: telemedicina, crises hipertensivas, screening cardiovascular, profilaxia de enxaqueca, intoxicações agudas, cannabis medicinal e kiwi para constipação intestinal. Outros destaques você encontra no Portal PEBMED.

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-213   Overview: Join us as we discuss the American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) newly released clinical guideline on the non-pharmacologic and pharmacologic management of acute pain from non-low back musculoskeletal injuries in adults.   Guest: Jill Terrien PhD, ANP-BC   Music Credit: Richard Onorato

Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-213   Overview: Join us as we discuss the American College of Physicians (ACP) and American Academy of Family Physicians (AAFP) newly released clinical guideline on the non-pharmacologic and pharmacologic management of acute pain from non-low back musculoskeletal injuries in adults.   Guest: Jill Terrien PhD, ANP-BC   Music Credit: Richard Onorato

Christine Laine, MD, MPH is Editor-in-Chief , Annals of Internal Medicine and Senior Vice President, American College of Physicians. She is a general internist and Professor of Medicine at Sidney Kimmel Medical College, Thomas Jefferson University where she remains active in clinical medicine and teaching. Yonathan Freund is the editor in chief of the European Journal of Emergency Medicine  an emergency physician and professor at Sorbonne University, Paris France. His research focuses on pulmonary embolism, fragile populations,. suboptimal care, and Medical errors in the ED.  Established in 1927 by the American College of Physicians (ACP), Annals of Internal Medicine is the premier internal medicine journal. The journal publishes a wide variety of original research, review articles, practice guidelines, and commentary relevant to clinical practice, health care delivery, public health, health care policy, medical education, ethics, and research methodology. In addition, the journal publishes personal narratives that convey the feeling and the art of medicine.  ​​​​​​​​​​​​​​​The European Journal of Emergency Medicine is the official journal of the European Society for Emergency Medicine. It is devoted to serving the European emergency medicine community and to promoting European standards of training, diagnosis and care in this rapidly growing field. The new Impact Factor for EJEM is at 2.17 This is the highest score the journal has reached. EJEM is now the 10th out of 31 journals in Emergency Medicine.

Marion Mull McCrary MD FACP is an experienced primary care Internal Medicine Physician in Durham NC. She is also certified as an Integrative Health Coach trained at Duke. She proudly serves as the Well-Being Champion for the NC Chapter of the American College of Physicians (ACP) where she provides wellness coaching and well-being resources for physicians. She provides coaching for the “whole you” and assists clients on crafting the change they want to cultivate their health and wellness. She enjoys traveling, being active, spending time with family, and writing. Her blog can be found on her website www.marion-wellness.com and she is on IG and FB as marionmccrarywellness and Twitter as marionmccrarymd

Dr George Abraham, President-elect of the American College of Physicians (ACP), currently serves as the Chief of Medicine and Emeritus President of the Medical Staff at Saint Vincent Hospital in Worcester, Massachusetts, and a Professor of Medicine at the University of Massachusetts Medical School. Dr. Abraham earned his medical degree from the Christian Medical College in India, completed his residency and chief residency at Saint Vincent Hospital, and received his master's degree in public health from the Johns Hopkins Bloomberg School of Public Health. He has authored over 100 publications, abstracts and book chapters, and has received several awards including the Leadership Award of the MA chapter of the ACP, among others. Dr. George Abraham's career is equal parts hard work, and deliberate decision-making.  He built his successful career by figuring out what he was good at, looking for opportunities for growth, and planning his next steps. Dr. Abraham shares important wisdom on how to deal with a conflict. It is important that we take a step back, observe and listen, rather than react in haste in any such situation. He adds that in order to continue to grow, we must embrace change. Pearls of Wisdom: 1. Be comfortable with the decisions you make, but also stay flexible in case you need to change course. When one door closes, another one opens. 2. Be a good observer, an avid listener, and don't be so quick to react. This helps to make better decisions. 3.  When deciding what opportunities to take, consider: what you're good at, where mutual professional growth can occur, and what can serve as a stepping stone in your career path. 4. When a mentor is deciding whether to invest their time in helping a mentee be successful, the best traits a mentee can have are  initiative, being flexible, and being a team player.

In 2018, the NRA tweeted, “Someone should tell self-important anti-gun doctors to stay in their lane,” in response to a paper released by the American College of Physicians (ACP) about Reducing Firearm Injuries and Death in the United States. Soon after, medical professionals from around the country responded with their stories using the hashtag #ThisIsOurLane. Episode 4 of (Re)Search for Solutions reflects on the crucial role emergency medicine physicians, who are on the front lines of responding to firearm injuries, play in developing solutions. We spoke with Dr. Megan Ranney, an emergency physician and faculty at Brown University and co-founder of the AFFIRM Research collective. She tells us how AFFIRM includes the perspectives of more than 40,000 healthcare professionals, public health experts, and researchers to find ways to reduce gun violence. Additionally, Dr. Ameera Haamid, an emergency medicine physician at Cook County Hospital in Chicago and the Assistant Medical Director of the Chicago West EMS System, as well as Dr. Garth Walker,  an emergency medicine physician at Jesse Brown Veteran Affairs Medical Hospital in Chicago and a health equity fellow with the Northwestern Emergency Department and Northwestern Buehler Center for health economics and policy, share their experiences treating gun violence victims. Talk to us on Twitter using the hashtag #R4S!Learn more about AFFIRM and find additional resources on the webpage for this episode: https://researchforsolutions.com/episode-4Production Team: Azsaneé Truss, Joe Riina-Ferrie, Sonali Rajan, and Lalitha VasudevanEditing: Azsaneé Truss with the help of the (Re)Search for Solutions teamMusic: “Research Area” by Poitr PacynaWebsite: ResearchforSolutions.comThe views expressed in this episode are solely those of the speaker to whom they are attributed. They do not necessarily reflect the views of the faculty, administration, staff or Trustees either of Teachers College or of Columbia University.

Links/Resources: https://chw.princeton.edu/people/laura-kahn   https://www.amazon.com/One-Health-Politics-Antimicrobial-Resistance-ebook/dp/B01HQ4DF04   https://www.amazon.com/Leadership-Epidemics-Bioterror-Security-International-ebook/dp/B0876F2FFZ Dr. Laura H. Kahn is a physician and research scholar with the Program on Science and Global Security at the Princeton University School of Public and International Affairs.  Her education and training span nursing, medicine, public health, and public policy. She is the author of Who's in Charge? Leadership during epidemics, bioterror attacks, and other public health crises. Originally published in 2009 by Praeger Security International, a second edition has been issued in 2020 with a new preface discussing leadership during the COVID-19 pandemic. (https://www.amazon.com/Leadership-Epidemics-Bioterror-Security-International-dp-144087817X/dp/144087817X/ref=mt_other?_encoding=UTF8&me=&qid=)   She published Confronting Zoonoses, Linking Human and Veterinary Medicine in April 2006 in the Center for Disease Control and Prevention's (CDC) Journal of Emerging Infectious Diseases that helped launch the One Health Initiative (http://www.onehealthinitiative.com) which seeks to improve the health of all species by increasing communication and collaboration between human, animal, and environmental/ecosystem health specialists. She writes online columns for the Bulletin of the Atomic Scientists (https://thebulletin.org/biography/laura-h-kahn/) and has published in many peer-reviewed journals. Her second book, One Health and the Politics of Antimicrobial Resistance, was published in June 2016 by Johns Hopkins University Press. An April 2017 book review in CDC's journal Emerging Infectious Diseases described the book as “an essential primer for anyone who chooses to grapple with this challenging but crucial public health issue.” (https://www.amazon.com/One-Health-Politics-Antimicrobial-Resistance/dp/142142004X)   Princeton University awarded her course, Hogs, Bats, and Ebola: An Introduction to One Health policy, with a 250th Anniversary Fund for Innovation in Undergraduate Education. Recently, the course has been released as a free, online Coursera course, Bats, Ducks, and Pandemics. (https://www.coursera.org/learn/onehealth) A native of California, Dr. Kahn holds a B.S. degree in Nursing from UCLA, an M.D. from Mt. Sinai School of Medicine, a Master's degree in Public Health from Columbia University and a Master's degree in Public Policy from Princeton University. Dr. Kahn is a fellow of the American College of Physicians (ACP) and is a recipient of the New Jersey Chapter's Laureate Award. In 2014, she received a Presidential Award for Meritorious Service from the American Association of Public Health Physicians, and in 2016, the American Veterinary Epidemiology Society (AVES) awarded her with their highest honor for her work in One Health: the K.F. Meyer-James H. Steele Gold Head Cane Award.                           

This week we sit down with Fatima Cody Stanford, MD, MPH, MPA, FAAP, FACP, FAHA, FTOS, an Obesity medicine physician, to discuss Obesity in the Black community.  Topics Include:The issue of labeling people with Obesity as well as the shame that it causesThe bias of the very doctors tasked to treat patients with ObesityTreating Obesity as the disease it is and doing more than saying eat less Treatments available for Obesity including surgery and prescription medicineThe high amount of Black women with ObesityThe evidence supporting Obesity leading to a higher chance of mortality in COVID-19 patientsMentioned In this Episode Facing Overweight And Obesity: In Children And Adults Dr. Stanford practices and teaches at Massachusetts General Hospital (MGH)/ Harvard Medical School (HMS) as one of the first fellowship-trained obesity medicine physician in the world. Dr. Stanford received her BS and MPH from Emory University as a MLK Scholar, her MD from the Medical College of Georgia School of Medicine as a Stoney Scholar, and her MPA from the Harvard Kennedy School of Government as a Zuckerman Fellow in the Harvard Center for Public Leadership. She completed her Obesity Medicine Nutrition Fellowship at MGH/HMS after completing her internal medicine and pediatrics residency at the University of South Carolina. She has served as a health communications fellow at the Centers for Disease Control and Prevention and as a behavioral sciences intern at the American Cancer Society. Upon completion of her MPH, she received the Gold Congressional Award, the highest honor that Congress bestows upon America's youth. Dr. Stanford has completed a medicine and media internship at the Discovery Channel. An American Medical Association (AMA) Foundation Leadership Award recipient in 2005, an AMA Paul Ambrose Award for national leadership among resident physicians in 2009, she was selected for the AMA Inspirational Physician Award in 2015. The American College of Physicians (ACP) selected her as the 2013 recipient of the Joseph E. Johnson Leadership Award and the Massachusetts ACP selected her for the Young Leadership Award in 2015. She is the 2017 recipient of the HMS Amos Diversity Award and Massachusetts Medical Society (MMS) Award for Women's Health. In 2019, she was selected as the Suffolk District Community Clinician of the Year and for the Reducing Health Disparities Award for MMS.Yo This Cant Be Life Podcast - Instagram @yothiscantbelifeFacebook YoThisCantBeLifeTwitter @YoThisCantBLifeOf course, we are available for your listening pleasure on all the major platforms including Apple Podcasts, Spotify, Stitcher, and Google. Go ahead and subscribe so you won't miss an episode. Please consider giving us a rating or review on Apple Podcasts or sharing your favorite episode on social media.

In 2018, the NRA tweeted, “Someone should tell self-important anti-gun doctors to stay in their lane,” in response to a paper released by the American College of Physicians (ACP) about Reducing Firearm Injuries and Death in the United States. Soon after, medical professionals from around the country responded with their stories using the hashtag #ThisIsOurLane. Episode 4 of (Re)Search for Solutions reflects on the crucial role emergency medicine physicians, who are on the front lines of responding to firearm injuries, play in developing solutions. We spoke with Dr. Megan Ranney, an emergency physician and faculty at Brown University and co-founder of the AFFIRM Research collective. She tells us how AFFIRM includes the perspectives of more than 40,000 healthcare professionals, public health experts, and researchers to find ways to reduce gun violence. Additionally, Dr. Ameera Haamid, an emergency medicine physician at Cook County Hospital in Chicago and the Assistant Medical Director of the Chicago West EMS System, as well as Dr. Garth Walker, an emergency medicine physician at Jesse Brown Veteran Affairs Medical Hospital in Chicago and a health equity fellow with the Northwestern Emergency Department and Northwestern Buehler Center for health economics and policy, share their experiences treating gun violence victims. Talk to us on Twitter using the hashtag #R4S! Learn more about AFFIRM and find additional resources on the webpage for this episode: researchforsolutions.com/episode-4 Production Team: Azsanee Truss, Joe Riina-Ferrie, Sonali Rajan, and Lalitha Vasudevan Editing: Azsanee Truss with the help of the (Re)Search for Solutions team Music: “Research Area” by Poitr Pacyna Website: ResearchforSolutions.com The views expressed in this episode are solely those of the speaker to whom they are attributed. They do not necessarily reflect the views of the faculty, administration, staff or Trustees either of Teachers College or of Columbia University.

In 2018, the NRA tweeted, “Someone should tell self-important anti-gun doctors to stay in their lane,” in response to a paper released by the American College of Physicians (ACP) about Reducing Firearm Injuries and Death in the United States. Soon after, medical professionals from around the country responded with their stories using the hashtag #ThisIsOurLane. Episode 4 of (Re)Search for Solutions reflects on the crucial role emergency medicine physicians, who are on the front lines of responding to firearm injuries, play in developing solutions. We spoke with Dr. Megan Ranney, an emergency physician and faculty at Brown University and co-founder of the AFFIRM Research collective. She tells us how AFFIRM includes the perspectives of more than 40,000 healthcare professionals, public health experts, and researchers to find ways to reduce gun violence. Additionally, Dr. Ameera Haamid, an emergency medicine physician at Cook County Hospital in Chicago and the Assistant Medical Director of the Chicago West EMS System, as well as Dr. Garth Walker, an emergency medicine physician at Jesse Brown Veteran Affairs Medical Hospital in Chicago and a health equity fellow with the Northwestern Emergency Department and Northwestern Buehler Center for health economics and policy, share their experiences treating gun violence victims. Talk to us on Twitter using the hashtag #R4S! Learn more about AFFIRM and find additional resources on the webpage for this episode: https://researchforsolutions.com/episode-4 Production Team: Azsanee Truss, Joe Riina-Ferrie, Sonali Rajan, and Lalitha Vasudevan Editing: Azsanee Truss with the help of the (Re)Search for Solutions team Music: “Research Area” by Poitr Pacyna Website: ResearchforSolutions.com The views expressed in this episode are solely those of the speaker to whom they are attributed. They do not necessarily reflect the views of the faculty, administration, staff or Trustees either of Teachers College or of Columbia University.

Credits: 0.25 AMA PRA Category 1 Credit™ Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-182 Overview: About 20% of men older than 60 experience low testosterone; however, the prevalence of low testosterone with sexual dysfunction symptoms is significantly lower. Although there is an association between advancing age, testosterone levels, and other quality of life factors, the exact causal relationship remains challenging. This latest guideline from the American College of Physicians (ACP) examines the evidence regarding testosterone replacement recommendations. Guest: Robert Baldor, MD, FAAFP Music Credit: Richard Onorato

Credits: 0.25 AMA PRA Category 1 Credit™ Claim CME/CE Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-182 Overview: About 20% of men older than 60 experience low testosterone; however, the prevalence of low testosterone with sexual dysfunction symptoms is significantly lower. Although there is an association between advancing age, testosterone levels, and other quality of life factors, the exact causal relationship remains challenging. This latest guideline from the American College of Physicians (ACP) examines the evidence regarding testosterone replacement recommendations. Guest: Robert Baldor, MD, FAAFP Music Credit: Richard Onorato

This week, Mary and Alex interview Dr. Merry Jennifer Markham. Dr. Markham is the Interim Chief of the Division of Hematology & Oncology and an associate professor in the Department of Medicine. She is a clinical investigator and educator with a focus on gynecologic malignancies. She serves as the Associate Director for Medical Affairs for the UF Health Cancer Center and the Research Lead for the Gynecologic Cancers Disease Site Group at UF Health Cancer Center. She is a member of the American Society of Clinical Oncology (ASCO), the Society of Gynecologic Oncologists (SGO), and the American College of Physicians (ACP), and numerous clinical trial cooperative groups. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app

Host Cyrus Webb welcomes back Dr. Robert m. Mclean and Robert B. Doherty of American College of Physicians (ACP) to talk about their newest announcement about health care and why the organization is calling for change.  Find out more at www.acponline.org. 

As a racial/ethnic group, Asian Americans have the highest rates of Hepatitis B virus (HBV) infection, a leading cause of liver cancer. Nearly 50% of those affected by HBV today in the U.S. are of Asian descent, of which more than 70% are foreign-born. How could the prevalence of HBV be so disproportionately high in the Asian community? In this episode, we sound the alarm on this critical public health issue with Dr. Elisa Choi, Internist and Infectious Disease Specialist, and Chief of Internal Medicine at her medical practice. Her concern over health disparities and commitment to providing culturally competent care to ethnic-specific populations have made her a champion and advocate of Hep B awareness. While Hepatitis B is not curable, it is both treatable and preventable with proper screening and vaccination. Additional Resources: 1. American College of Physicians: Massachusetts Chapter: https://www.acponline.org/about-acp/chapters-regions/united-states/massachusetts-chapter/news-meetings 2. Hepatitis and Asian Americans: https://minorityhealth.hhs.gov/omh/browse.aspx?lvl=4&lvlid=50 3. HepBMD.com: https://hepbmd.com/ About Dr. Elisa Choi, MD Dr. Elisa Choi is the current Governor of the MA Chapter of the American College of Physicians (ACP), becoming the first female and only Asian-American woman to be elected to the Governorship in the history of the MA ACP Chapter. She is Board Certified in Internal Medicine and Infectious Diseases, and practices both as an Internist and as an Infectious Disease, HIV, and Hepatitis infection specialist. Dr. Choi has a particular interest in healthcare disparities, and in providing culturally competent care addressing health issues affecting Asian American/Pacific Islander (AAPI) and minority populations. Dr. Choi is on the faculty at Harvard Medical School and holds clinical and educational leadership positions in her healthcare organization. She serves as a Chief of the Internal Medicine Department at her practice. She has extensive experience in healthcare and public health advocacy efforts at Capitol Hill, Washington, DC, and has also been actively involved in the planning and organization of an annual Advocacy Day at the MA State House for the MA ACP Chapter since 2016.”

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-129 Overview: Multiple organizations have issued guidelines on breast cancer screening, but these guidelines are often conflicting. Recently, the American College of Physicians (ACP) reviewed the data supporting seven different guideline recommendations and issued new guidance on breast cancer screening for average-risk women. Join our discussion of the recommendations to help develop a consistent approach to breast cancer screening in your practice.  Guest: Alan M. Ehrlich, MD, FAAFP Music Credit: Richard Onorato 

Credits: 0.25 AMA PRA Category 1 Credits™ Claim CME/CE credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-129 Overview: Multiple organizations have issued guidelines on breast cancer screening, but these guidelines are often conflicting. Recently, the American College of Physicians (ACP) reviewed the data supporting seven different guideline recommendations and issued new guidance on breast cancer screening for average-risk women. Join our discussion of the recommendations to help develop a consistent approach to breast cancer screening in your practice.   Guest: Alan M. Ehrlich, MD, FAAFP Music Credit: Richard Onorato 

Shari Erickson, MPH is our guest this week. She with us about the proposed rules recently released by CMS that would drastically change how physicians bill, especially in primary care, how these proposed changes could help decrease administrative burdens on physicians, and where ACP, the largest physician advocacy organization in the US, landed on these policy proposals. Shari is the VP of Governmental Affairs and Medical Practice with the American College of Physicians (ACP). Among other things, Shari manages ACP’s overall advocacy and policy initiatives relating to federal regulatory agencies, including HHS, CMS, CMMI, and other federal bodies. Click here for ACP’s statement on the proposed billing rule changes, and the rules overall. If you enjoy the show, please rate, review & subscribe to us wherever you listen, it helps others find the show, and share us on social media and with our friends and colleagues. We’d love to hear feedback and suggestions, so you can tweet at us @RoSpodcast or @HMSPrimaryCare or @audreymdmph or drop me a line at contact@rospod.org.

Electric cars, virtual reality, nanotechnology, and now… telemedicine? We chat with Dr. Ana María López MD, FACP about the future of telehealth, how to implement it in your practice, and the challenges you might face in doing so. Dr. López is immediate past president of the American College of Physicians (ACP) as well as Vice Chair of Medical Oncology and Chief of New Jersey Division Sidney Kimmel Cancer Center of Thomas Jefferson University. Her main areas of professional interest and expertise include cancer prevention and equity, integrative oncology, implementation of innovations in health care including telemedicine, and women’s health. We learned immensely from our talk with her and we hope you will, too! ACP members can claim free CME & MOC credit at https://acponline.org/curbsiders. Download Dr Brigham’s telehealth cheat sheet as a PDF at http://thecurbsiders.com/podcast. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written and produced by: Hannah Abrams, Stuart Brigham MD Cohosts: Matt Watto MD, Stuart Brigham MD, Paul Williams MD, Hannah Abrams Guest: Ana María López MD Time Stamps 00:00 Disclaimer, intro and guest bio 04:20 Guest one line, poetry recommendations, favorite failure 12:00 Defining telemedicine 14:12 What kind of services exist in telemedicine? How can the technology make your practice easier? 20:18 Is there good evidence for telehealth and telemedicine? 24:20 Concerns about telehealth and the loss of touch as part of the doctor-patient relationship; haptics and the remote physical exam 30:17 Providing telehealth across state lines 34:35 Consultation codes for telehealth and ECHO (remote consultations) 40:20 Basic steps and best practices to start implementing telehealth 44:30 Stuart’s shares some preliminary data on use of telehealth and workforce satisfaction 49:12 Adding access by using telehealth in primary care 51:40 Take home points 54:42 Stuart shares a pun  

Create a successful partnership and career withs tips from Wonder Woman, Sue Hingle MD of ACP.  Work-Life Balance: is it a myth, or attainable if we could just find the right fit? In this episode, we chat with Dr. Susan Hingle about identifying our work-life priorities and re-evaluating these priorities throughout our lives. We strategize about achieving personal and professional goals (pro tip: stop worrying about what others think!). Dr. Hingle is Professor in the Department of Internal Medicine and Vice Chair of Education and Faculty Development and Associate Internal Medicine Residency Program Director at Southern Illinois University. She is also the Immediate Past Chair of the Board of Regents of the American College of Physicians (ACP). She has served at the ACP in a variety of ways, including as a member of the ACP Women’s Task Force. Her clinical expertise is in women’s health, health promotion, and disease prevention. Enjoy the episode! 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. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written and produced by: Nora Taranto MS4, Shreya Trivedi MD, Leah Witt MD, Sarah P. Roberts MPH. CME Questions by: Shreya Trivedi MD Editors: Matthew Watto MD and Chris Chiu MD Hosts: Shreya Trivedi MD, Paul Williams MD, Leah Witt MD Guest: Susan Hingle MD Time Stamps 00:00 Disclaimer, intro and guest bio 02:52 Guest one liner, WIM Moment of awakening, advice for her younger self 07:45 Picks of the week 10:30 Physician with family and caregiver responsibility; How to plan for personal and professional goals 18:20 What to look for in a partner, how to work with them to achieve work life fit, and non-traditional roles 28:35 Advice on family planning 31:40 Residency programs and life events 32:55 Should you go part-time? 39:43 Work life balance? Or work life fit? And some examples/tips for success 49:54 Take home points 50:45 Outro 52:22 Bonus story

ACP guidelines? What are those? Dealing with low back or neck pain? There is a good chance that you have visited your medical doctor  to discuss treatment options for your back or neck pain. The American College of Physicians (ACP) is the second largest medical organization in the US behind only the AMA. It is comprised of medical doctors that are internists or internal medicine doctors. Internal medicine doctors are typically your primary care physician that takes care of adults only. And if you have a specialist doctor like a cardiologist or an orthopedist, there is a great chance that their initial training was in internal medicine. Definition of Guideline: a general rule, principle, or piece of advice. Guidelines for physicians are designed to help them with decision making when dealing with a certain condition like headaches or lower back pain. It gives them a synopsis of the latest research and the recommended best way to treat that condition. The ACP released an update to the previous guideline for treating low back pain in February 2017 and it was published in the journal The Annals of Internal Medicine. The update stated the following: What should be tried first are non-drug therapies such as superficial heat, massage, acupuncture, or spinal manipulation. Did they say SM the bread and butter the treatment of choice of chiropractors? Physicians should avoid prescribing unnecessary tests (x-rays for example) and costly and potentially harmful drugs, especially narcotics. The bottom line is if your primary care physician is not recommending or referring you out to a chiropractor, they are doing you a disservice. Gone are the days of just medicating someone with stronger and stronger pain killing medications that treat only symptoms and never fix the cause. Have a listen, and as always, I’d like to hear from you. Reach out to me at todd@backtalkinghelp.com

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  

Solidify your knowledge of osteoporosis and osteopenia in this discussion with Endocrinologists and osteoporosis guideline authors, Dr. Rachel Pessah-Pollack, and Dr. Dan Hurley from the American Association of Clinical Endocrinologists (AACE). Learn when to start therapy after an acute hip fracture, how to use bone turnover markers to assess fracture risk, more on how to dose calcium and vitamin D, and finally, we discuss the new American College of Physicians (ACP) guidelines and how they differ from the AACE guidelines on osteoporosis. For a more basic talk on osteoporosis check out episode #18 w/Dr. Pauline Camacho. Full show notes available at http://thecurbsiders.com/podcast Join our newsletter mailing list. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Time Stamps 00:00 Intro 03:00 Picks of the week 07:31 Guest and topic intro 10:25 Rapid fire questions 14:45 Clinical Case and defining osteoporosis 17:00 FRAX score 20:35 Secondary evaluation for cause of bone loss 20:54 Bone turnover markers (telopeptides) 23:17 Alkaline phosphatase 26:30 Calcium and Vit D 29:35 Recap of teaching points so far 31:25 Antiresorptive versus anabolic therapy 32:40 Aromatase inhibitors increase fracture risk 34:28 When to start therapy after fracture 35:44 Mechanism of action recombinant PTH 41:38 Vitamin D assay and dosing 46:53 Calcium intake, and formulations 49:45 Take home points 50:54 Recap and discussion of AACE vs ACP guidelines by The Curbsiders 59:42 Outro Tags: bone, osteoporosis, anabolic, osteopenia, vitamin D, calcium, fracture, density, AACE, guidelines, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, medicine, medical, primary, physician, resident, student

Summary of the December 15, 2015 issue, including articles on lactation and incident diabetes after pregnancy with gestational diabetes, direct-acting antiviral treatment of hepatitis C virus infection, nucleoside reverse transcriptase inhibitors and HIV infection, bladder cancer, and radial versus femoral access in acute coronary syndromes, as well as a discussion about the American College of Physicians (ACP) at the close of its centennial year, a Beyond the Guidelines grand rounds discussion on HIV preexposure prophylaxis, and an ACP position paper on the patient care implications of "concierge" and other direct patient contracting practices.

Host: Brian P. McDonough, MD, FAAFP The American College of Physicians (ACP) has issued new clinical guidelines recommending against screening pelvic examination in asymptomatic, nonpregnant adult women. The college describes the recommendation as strong, with moderate-quality evidence. What are the new guidelines? What does this mean for the general practitioner? Joining host Dr. Brian McDonough is Molly Cooke, MD. FACP, Professor of Medicine and inaugural Director of Education for Global Health Sciences at UCSF. Dr. Cooke serves on the ACP Clinical Guidelines Committee. She reviews the guidelines from the perspective as a general practitioner and the choices she must make during the time she has with patients. The guidelines were published online July 1 in the Annals of Internal Medicine.

Host: Maurice Pickard, MD Gun violence continues to be a major health care issue. What can physicians and other health care providers do to reduce firearms-related violence? Host Dr. Maurice Pickard welcomes Dr. David Fleming, the 2014-2015 President of the American College of Physicians (ACP), the nation's largest medical specialty organization. Dr Fleming discusses the ACP's new policy paper, Reducing Firearm-Related Injuries and Deaths in the United States, published in the Annals of Internal Medicine. This paper offers strategies to address the societal, health care, and regulatory barriers to reducing firearms-related violence, injuries, and deaths in the United States. Dr. Fleming is Professor of Medicine at the University of Missouri School of Medicine, where he also serves as Chairman of the Department of Medicine and Director of the MU Center for Health Ethics.