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A group of nurses in Baltimore wants to bring basic care to every person in a neighborhood regardless of age, health, income or insurance.Can this idea from abroad take root in the United States?Guests:Dawn Alley, PhD, Head of Scale, IMPaCT CareAsaf Bitton, MD, MPH, Executive Director, Ariadne LabsRegina Hammond, Founder, Rebuild Johnston Square Neighborhood OrganizationChris Koller, President, Milbank Memorial FundTerry Lindsay, Community Health Worker, Sisters Together and Reaching, Inc. (STAR)Sarah Szanton, PhD, RN, FAAN, Dean, Johns Hopkins School of Nursing; Founder, Neighborhood NursingLearn more and read a full transcript on our website.Help us unlock a $5,000 match by becoming one of 200 new donors at tradeoffs.org/donate.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news. Hosted on Acast. See acast.com/privacy for more information.
“This is a time to reimagine public health and public health/healthcare system integration,” says Dr. Deb Houry, the former chief medical officer for the US Centers for Disease Control and Prevention. In this thoughtful Raise the Line conversation, Dr. Houry reflects on unprecedented federal action in vaccine guidance and other issues since her noteworthy resignation from the CDC in August, and sees a more decentralized landscape emerging where states and localities play a larger role in providing public health recommendations. And while she acknowledges upsides to this shift, she's also concerned what the absence of a national consensus on health standards could mean. “Diseases don't recognize borders, and it's also important that people have equitable access to preventative services, vaccines, and other things,” she tells host Lindsey Smith. Tune in for Dr. Houry's seasoned perspective on this consequential moment in public health, and her encouraging message for learners and early career providers considering a career in the sector.Mentioned in this episode:DH Leadership & Strategy Solutions If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
We're discussing Smarter Tech, Stronger Connections! Faisel and Dan are joined by Dr. Paulius Mui & Dr. Gina EngelOur conversation revolves around preserving human connection and clinical judgement in a digital landscape, enhancing care with responsible AI use, and treating technology as support rather than replacement.This episode was recorded live at FMX, the AAFP's premier Family Medicine conference! Learn more about FMX here: https://www.aafp.org/events/fmx/2026.html
This week, we look at new trials on glucocorticoids for pneumonia in Africa, shunting for normal-pressure hydrocephalus, and pegcetacoplan for two rare kidney diseases. We review updated vaccine evidence for Covid-19, RSV, and influenza, and present a case of respiratory decline and muscle weakness. Perspectives explore health care incentives, U.S. global health strategy, and bringing AI-enabled care to rural America.
Robert Huckman is a professor of business administration at Harvard Business School and a research associate at the National Bureau of Economic Research. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. D.M. Cutler and R.S. Huckman. Has Corporatization Met Its Match? The Challenge of Making Money by Keeping People Healthy. N Engl J Med 2025;393:2177-2180.
In this electrifying episode of the Will Power Podcast, we break down a historic legislative victory in Utah that designated Physical Therapists as primary care providers for all musculoskeletal (MSK) disorders—the first state in the nation to do so!Our guest, Brad Powell, Physical Therapist, entrepreneur, and host of "The Healthcare Revolution" podcast, was a key changemaker in this movement. He shares his incredible journey—from recovering from severe motocross injuries to leading the charge to elevate the physical therapy profession.Brad reveals the detailed strategies used to achieve this legislative success, overcome internal professional resistance, and build a thriving, mission-driven private practice, Foundation Physical Therapy.This is more than just a legislative update, it's a call to action for all physical therapists, occupational therapists (OT), and speech-language pathologists (SLP) to claim their rightful roles as doctors in the community and musculoskeletal leaders. Learn how embracing your value can create a profitable practice and change patients' lives on a greater scale.Key Takeaways from This EpisodeThe Utah Law: Learn the details of the groundbreaking bill that designates PTs as the initial point of entry for MSK disorders, effectively establishing them as primary care providers in this domain. Reclaiming PT's Role: Why physical therapists are uniquely positioned to lead the musculoskeletal industry and how this change benefits patients by avoiding unnecessary delays and costs. Overcoming Resistance: Brad discusses the challenge of getting buy-in, noting that the most resistance often came from within the physical therapy profession itself. Diagnostic Accuracy: Brad cites research showing PTs are highly accurate in diagnosing MSK conditions, nearly matching orthopedic surgeons, making a compelling case for Direct Access and primary care status. The Future is Prevention (Medicine 3.0): The shift towards focusing on prevention and longevity, where PTs play a critical role in proactive health management. Building a World-Class Practice: Strategies for scaling a practice, including creating internal growth pathways (Master Clinician, Clinic Director), unlimited C/E budgeting, and an employee NPS of 9.2. The Power of Serving: How focusing on genuinely serving people and creating an "attractive" company culture is the ultimate recruiting and marketing strategy. If you are a PT, OT, or SLP passionate about the future of your profession, share this episode on your social media and with your colleagues! Brad and the host issue a plea to amplify this message and help drive the national revolution in healthcare.Send us a textVirtual Rockstars specialize in helping support or replace all non-clinical roles.Learn how a Virtual Rockstar can help scale your physical therapy practice.Subscribe here to our completely free Stress-Free PT Newsletter for your weekly dose of joy.
Our topic in this episode is the power and potential of good data for improving patient care. In a broad ranging interview with our guests Dr. Cole Stanley and Gayle Grout from Health Data Coalition (HDC), we hear about the origins and goals of HDC and how the aggregation of primary care electronic medical record data can provide Primary Care providers reassurance and drive improvements in care. We talk about the importance of feedback loops, the benefits and dangers of comparison and how such data can support a whole system quality approach. HDC is a great example of a how a non-profit, collaborative, physician-led and governed data coalition can drive better patient care whilst maintaining privacy. Health Data Coalition – Better Information. Better Care. Better Patient Outcomes. HDC Bright Spots: Bright Spots – Health Data Coalition HDC MD's Corner: MD's Corner – Health Data Coalition LinkedIn: Health Data Coalition of BC | LinkedIn
Shawn Martin, executive vice president and CEO of the American Academy of Family Physicians (AAFP), joins Josh Israel, MD, and Sean Cavanaugh to discuss challenges with the future of primary care, particularly independent primary care practices. Martin believes that value-based care has helped sustain rural health care practices and that the Medicare Shared Savings Program (MSSP) will serve as the foundation for value-based care moving forward. Martin stresses the benefits of partnering with support organizations, like accountable care organizations (ACOs), in succeeding in value-based care and outlines opportunities for the AAFP to partner with ACOs to support physician independence, provide value-based care training and advocate for rural health care funding.
In this episode of the Integrated Care Podcast from the Collaborative Family Healthcare Association, production editor Grace Pratt and her team of experts discuss the integral role of integrated behavioral health in primary care. Despite challenges and misconceptions from healthcare administrators, the team emphasizes that behavioral health is a core function of primary care. Key themes include the importance of gratitude, organizational challenges, slot utilization pressures, and the need for a shared mental model to improve healthcare outcomes. Special segments feature discussions on leadership competencies, mental health integration, and empirical approaches to healthcare administration.
If you've been waiting for a GLP-1 weight loss medication that doesn't require injections, special timing, or refrigeration—this episode is for you. Learn about the groundbreaking oral pill that could hit the market as early as 2026. For years, effective obesity medications have meant needles. But Orforglipron could change everything. In this episode, I break down the science, clinical trial results, and approval timeline for this first-of-its-kind once-daily pill that delivers GLP-1 benefits without the injection barriers. Whether you're needle-averse, struggle with injection site reactions, or simply want more convenient options, this new medication could expand access to life-changing obesity treatment. Episode Highlights: What makes Orforglipron different from Wegovy, Zepbound, and oral semaglutide Clinical trial results: 12.4% average weight loss over 72 weeks Why this oral pill doesn't require fasting or special timing like other oral GLP-1s The FDA accelerated review process and potential 2026 approval timeline Who benefits most: patients with needle phobia, injection site reactions, or seeking maintenance therapy What to expect regarding insurance coverage and access once approved Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Dr. Natalie Bessom is a board-certified family medicine physician at Hamilton Primary Care - Dalton. She treats mild illnesses and injuries and performs preventive care. For more information about Hamilton Physician Group-Primary Care-Dalton call 706-226-9355 or visit www.vitruvianhealth.com/locations/hamilton-primary-care-daltonThis program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.
Strengthening service line performance requires a strong foundation in primary care, which remains central to delivering effective value-based care. Yet, the landscape of primary care delivery is marked by significant challenges including workforce shortages, provider burnout, administrative burdens, and increasing barriers to patient access. In this episode of Value-Based Care Insights, host Daniel J. Marino kicks off a new series exploring specialty service lines by starting with the primary care service line. He is joined by Dr. Sarita Soares, Program Director for the Yale Primary Care Internal Medicine Residency Program, and Dr. Brad Richards, Executive Director of the Yale Primary Care Internal Medicine Residency Program and Associate Professor of Medicine at the Yale School of Medicine. Together, they discuss the shifting dynamics of primary care, the growing integration of behavioral health, the role of technology in improving access, and what healthcare leaders can do to better support providers and patients in this changing environment.
La Dra. Natalie Bessom es médica de medicina familiar certificada por la junta en Hamilton Primary Care - Dalton. Trata enfermedades y lesiones leves y realiza cuidados preventivos.Para obtener más información sobre Hamilton Physician Group-Primary Care-Dalton, llame al 706-226-9355 o visite www.vitruvianhealth.com/locations/hamilton-primary-care-dalton/. Este podcast de ninguna manera busca diagnosticar o tratar enfermedades o reemplazar la atención médica profesional. Consulte a su proveedor de atención médica si tiene un problema de salud. La versión en español es una traducción del original en inglés. En caso de discrepancia, prevalecerá el original en inglés (Health for Life: https://health-for-life.captivate.fm/listen).This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem. The Spanish version is a translation of the original in English. In case of a discrepancy, the English original (Health for Life: https://health-for-life.captivate.fm/listen) will prevail.
Episode 141 - Reimagining Primary Care Service Lines to Drive Growth and Value Strengthening service line performance requires a strong foundation in primary care, which remains central to delivering effective value-based care. Yet, the landscape of primary care delivery is marked by significant challenges including workforce shortages, provider burnout, administrative burdens, and increasing barriers to patient access. On this episode Dan kicks off a new series exploring specialty service lines by starting with the primary care service line. He is joined by Dr. Sarita Soares, Program Director for the Yale Primary Care Internal Medicine Residency Program, and Dr. Brad Richards, Executive Director of the Yale Primary Care Internal Medicine Residency Program and Associate Professor of Medicine at the Yale School of Medicine. Together, they discuss the shifting dynamics of primary care, the growing integration of behavioral health, the role of technology in improving access, and what healthcare leaders can do to better support providers and patients in this changing environment. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
Explore how advanced practice pharmacy is reshaping primary care—through prevention-first strategies, tech-enabled workflows, and moving care closer to home. Learn how pharmacists are leading supervision, driving innovation, and building new models that transform patient outcomes. A full transcript of this episode is available on our website - https://www.england.nhs.uk/long-read/advanced-practice-weekly-podcast-pharmacy-reshaping-primary-care/ Please get in touch if you have any questions regarding this episode - england.acpenquirieslondon@nhs.net
This week, we look at new studies on early aspirin discontinuation after myocardial infarction, an antiviral pill for dengue prevention, and CRISPR-based gene editing for lipid disorders. We review bedside clinical teaching and present a complex case of seizures and visual disturbances. Perspectives explore antidepressant safety in pregnancy, restoring trust in public health, academic medical centers' venture investments, and a young physician's wrinkled white coat.
Nishant Uppal is an instructor in medicine at Massachusetts General Hospital. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. N. Uppal and Z. Song. Venture Capital Investments by U.S. Academic Medical Centers. N Engl J Med 2025;393:2077-2080.
The primary care clerkship is a key component of a medical student's clinical training. In this episode, we delve into everything you need to know about this vital rotation. From understanding the day-to-day responsibilities to tips for excelling in patient care, we break down the expectations, challenges, and rewards that come with this pivotal experience. Whether you're a medical student about to start your rotation or simply curious about what goes on behind the scenes in primary care, this episode will provide valuable insights. Listen in as we talk with experienced students, faculty, and practicing physicians who share their personal tips and lessons learned during this critical part of medical education. Featuring M4 Gerald Chang.
Unlocking Optimal Health: The Role of Cell SignalingIn this episode of The Healthy CEO, host Jason Wright speaks with Dr. Gus Vickery about the critical role of cell signaling in health and wellness. They explore the foundational importance of cellular communication for longevity and overall well-being. Dr. Vickery breaks down the science behind cell signaling, highlighting how disruptions can impact everything from mental clarity to energy levels. The discussion also delves into practical ways to identify and enhance cell signaling, including the significance of maintaining healthy mitochondrial and cell membranes. The duo introduces their essential nutrients stack, specifically designed to support these cellular processes, and emphasize the importance of both adding necessary nutrients and eliminating harmful elements from one's lifestyle. Whether you're looking to boost your energy, improve mental focus, or simply understand the cellular mechanisms that underpin good health, this episode offers valuable insights and actionable advice.00:00 Introduction and Guest Introduction00:16 Understanding Cell Signaling01:16 Practical Importance of Cell Signaling02:41 Engagement and Social Media Call to Action03:50 Foundational Health Stack05:18 Deep Dive into Cell Signaling10:19 Mitochondrial Health and Dysfunction25:07 Genetics and Lifestyle Factors29:13 Primary Care vs. Integrative Health32:50 Introduction to Cell Membrane Test33:05 Understanding Red Blood Cell Membrane Composition33:39 Omega-3 and Omega-6 Fatty Acids34:33 Implications of Membrane Composition on Health36:19 Universal Recipe for Healthy Membranes37:13 Phospholipids and Mitochondrial Function42:11 Formulating F2 for Membrane Health51:30 Real-World Applications and Nutrient Optimization58:58 Conclusion and Final Thoughts
In this episode, Deepon and Amrit break down the pediatric binocular vision skills every new grad needs to confidently crush a primary care eye exam. We cut through the noise and highlight the handful of BV tests that matter most when you're tight on time but want meaningful clinical data. You'll learn: The essential BV tests every primary care OD should prioritize in a pediatric exam When BV findings signal something deeper, including the red flags that warrant a neurology referral Practical management strategies you can confidently use in-office before deciding on VT or referral This is the episode we wish we had as new grads—simple, actionable, and clinically game-changing! The Four Eyes Podcast is brought to you by YoungOD Connect
The average American gains 5-10 pounds during the holidays—weight that rarely comes off afterward. As we officially enter what I call "the holiday stretch," I'm giving you practical strategies to enjoy your celebrations without derailing your health goals. Here's the truth: Thanksgiving, Christmas, and New Year's are just ONE DAY each—not two months of non-stop eating. In this episode, I'm sharing seven evidence-based strategies that work in real life—whether you're dealing with pushy relatives, office parties, or emotional eating triggers. I'll show you how to enjoy your holiday traditions while protecting your progress. You'll learn the biggest mistake people make, master my simple plate method for balanced holiday meals, and get word-for-word scripts for setting boundaries when family pushes food on you. Episode Highlights: The one mindset shift that makes holiday eating manageable Why "saving calories" for the big meal sabotages your control The plate method: A simple visual guide for balanced holiday portions How to handle relatives who pressure you to eat more Smart drink strategies that cut hundreds of hidden calories Why one indulgent day won't undo your progress (but giving up might) Movement tips that don't require gym time during busy holiday schedules Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Dr. Natalie Bessom is a board-certified family medicine physician at Hamilton Primary Care - Dalton. She treats mild illnesses and injuries and performs preventive care. For more information about Hamilton Physician Group-Primary Care-Dalton call 706-226-9355 or visit www.vitruvianhealth.com/locations/hamilton-primary-care-daltonThis program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem.
La Dra. Natalie Bessom es médica de medicina familiar certificada por la junta en Hamilton Primary Care - Dalton. Trata enfermedades y lesiones leves y realiza cuidados preventivos.Para obtener más información sobre Hamilton Physician Group-Primary Care-Dalton, llame al 706-226-9355 o visite www.vitruvianhealth.com/locations/hamilton-primary-care-dalton/. Este podcast de ninguna manera busca diagnosticar o tratar enfermedades o reemplazar la atención médica profesional. Consulte a su proveedor de atención médica si tiene un problema de salud. La versión en español es una traducción del original en inglés. En caso de discrepancia, prevalecerá el original en inglés (Health for Life: https://health-for-life.captivate.fm/listen).This program in no way seeks to diagnose or treat illness or to replace professional medical care. Please see your healthcare provider if you have a health problem. The Spanish version is a translation of the original in English. In case of a discrepancy, the English original (Health for Life: https://health-for-life.captivate.fm/listen) will prevail.
Nurses Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – Integrative primary care reshapes medicine by merging traditional treatment with holistic, root-cause healing. Jaimeé Arroyo, FNP-BC, shares how she listens deeply, explores nutrition, environmental triggers, stress, and lifestyle, and supports informed, compassionate care for families. She offers a balanced pediatric approach while empowering patients to take an active role in...
Nurses Out Loud with Melissa Schreibfeder, BSN, RN, BC-FMP – Integrative primary care reshapes medicine by merging traditional treatment with holistic, root-cause healing. Jaimeé Arroyo, FNP-BC, shares how she listens deeply, explores nutrition, environmental triggers, stress, and lifestyle, and supports informed, compassionate care for families. She offers a balanced pediatric approach while empowering patients to take an active role in...
In this episode, I sat down with Angela Diaz who is a physical therapist and business leader that saw the opportunity for PTs to be integrated into primary care... a long time ago! She has worked with accountable care organizations (ACOs) which help primary care doctors learn strategies to optimize patient care delivery in order to reduce cost under value-based payment arrangement. We broke down what all of this means and highlighted the tremendous opportunities for PTs to work for and/or partner with ACOs to manage musculoskeletal conditions effectively and efficiently to reduce unnecessary utilization outside of primary care. Check it out! Here's how to get in touch with Angela: LinkedIn: https://www.linkedin.com/in/angela-diaz-pt-mba-4b6ab867/
Send us a textGrab your trainers, your dog lead, or your drink of choice and join us for some free CPD as we have another relaxed round up of recent Red Whale primary care Pearls of wisdom. In the second of two episodes this month, Fi and Nik discuss: Genital warts: spotting, treating and referring. Are you confident to diagnose? Do you know what additional screening should be offered? Are you comfortable with what can be managed in primary care and what should be referred?Addictive behaviours. The word ‘addiction' conjures specific images for each of us. Perhaps it is a person struggling to stop smoking, or a person who uses IV drugs? Or perhaps it is a behaviour more ‘normalised' and ubiquitous in our society – alcohol or social media use? All can impact health. We share our article on addictive behaviours, and consider: The difference between addiction and impulse control. How we can identify addictive behaviour. Factors that make individuals more susceptible. Listen as soon as you can to ensure you have full access to all the free resources. Links:Genital wartsBASHH - genital wartsRed Whale byte: HPV and genital warts Problematic social media use or addiction?UK Rehab – social media addiction (includes a free 24/7 helpline)Boggled Docs episode covering "The Social Dilemma" on Netflix GP Trainee Essentials support package information, and the Red Whale Calendar for November 2025Send us your feedback podcast@redwhale.co.uk or send a voice message Sign up to receive Pearls here. Pearls are available for 3 months from publish date. After this, you can get access them plus 100s more articles when you buy a one-day online course from Red Whale OR sign up to Red Whale Unlimited. Find out more here. Follow us: X, Facebook, Instagram, LinkedInDisclaimer: We make every effort to ensure the information in this podcast is accurate and correct at the date of publication, but it is of necessity of a brief and general nature, and this should not replace your own good clinical judgement, or be regarded as a substitute for taking professional advice in appropriate circumstances. In particular, check drug doses, side-effects and interactions with the British National Formulary. Save insofar as any such liability cannot be excluded at law, we do not accept any liability for loss of any type caused by reliance on the information in this podcast....
“My most powerful content is when I lead with my voice as a mom because I have the same concerns about keeping my kids safe as my audience does. It's a powerful and effective way to find common ground with people,” says Dr. Jess Steier, a popular public health scientist and science communicator seeking to bridge divides and foster trust through empathetic, evidence-based communication. Dr. Steier has several platforms from which to do this work, including Unbiased Science -- a communication hub that uses multiple social media platforms and other communications channels to share validated health and science information -- and as executive director of the Science Literacy Lab, a nonprofit organization dedicated to reaching a diverse audience seeking clarity and reliable information on scientific topics. “The science is less than half the battle,” she explains. “It's about how to communicate with empathy.”Join Raise the Line host Lindsey Smith for a valuable conversation that explores:What sources Dr. Steier relies on to validate informationHow she uses “escape room” exercises to train clinicians on empathetic communicationWhy tailored, story-driven messages reach audiences more effectively than facts.Mentioned in this episode:Unbiased Science If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
This week on Faisel and Friends, we are discussing Reclaiming the Human Interaction in The Age of AI. Faisel and Dan are talking with Dr. Steven Waldren & Dr. Jay Lee.Our conversation explores empowering clinicians with technology, optimizing team collaboration with AI, and reclaiming the narrative around primary care physicians as trusted voices of wellness.This episode was recorded live at FMX, the AAFP's premier Family Medicine conference! Learn more about FMX here: https://www.aafp.org/events/fmx/2026.html
This week, we look at new research on potassium optimization in patients with defibrillators, reducing antihypertensive therapy in nursing homes, an mRNA influenza vaccine, and belzutifan for rare neuroendocrine tumors. We review long QT syndrome and present a case of abnormal behavior and seizures in a young man. We also explore perspectives on primary care reform, tobacco cessation in HIV and tuberculosis care, corporate control in health care, and the simple power of compassion with ice cream.
Jane Zhu is an associate professor of medicine in the Division of General Internal Medicine at Oregon Health and Science University. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. J.M. Zhu and H. Rooke-Ley. Regulating Corporate Control in Health Care — Oregon's Attempt to Revive the CPOM Doctrine. N Engl J Med 2025;393:1972-1974.
Doctors Lisa and Sara talk to Consultant Nephrologist Dr Darren Green about patients with Type 2 Diabetes who also have Chronic Kidney Disease and Heart Failure. We go through a hypothetical case to illustrate some of the finer points of management that can commonly get missed or might not be appreciated. A really detailed talk full of useful practice enhancing tips for this complex group of patients. Disclaimer: This episode was supported by Greater Manchester NHS who received support from Boehringer. You can use these podcasts as part of your CPD - we don't do certificates but they still count :) Resources: Dr Kevin Fernando counselling diabetic patients starting an SGLT2 Inhibitors like Dapagliflozin or Empagliflozin: https://www.youtube.com/watch?v=pc99SdtlsyU Diabetes UK counselling sheets on SGLT2 inhibitors: https://www.diabetes.org.uk/about-diabetes/looking-after-diabetes/treatments/tablets-and-medication/sglt2-inhibitors Kidney Care UK Patient Booklets: https://kidneycareuk.org/get-support/free-resources/patient-information-booklets/ Pumping Marvellous Heart Failure Charity with patient resources: https://pumpingmarvellous.org/ International Society for Nephrology Toolkit for Initiating or Changing RAASi - Renin Angiotensin Aldosterone System Inhibitors (like ACEis such as Lisinopril or Ramipril, or ARBs like Candesartan on Losartan): https://www.theisn.org/initiatives/toolkits/raasi-toolkit/ Royal College of General Practitioners Acute Renal Failure Toolkit: https://elearning.rcgp.org.uk/course/info.php?id=899 CONFIDENCE trial: Finerenone with Empagliflozin in Chronic Kidney Disease and Type 2 Diabetes | New England Journal of Medicine: https://www.nejm.org/doi/full/10.1056/NEJMoa2410659 ATLAS trial: Efficacy and safety of high-dose lisinopril in chronic heart failure patients at high cardiovascular risk, including those with diabetes mellitus: https://pubmed.ncbi.nlm.nih.gov/11071803/ Metformin lactic acidosis Metformin in Patients With Type 2 Diabetes and Kidney Disease: A Systematic Review: https://jamanetwork.com/journals/jama/article-abstract/2084896 UK AKI Summit report UKKA AKI Summit Report + Recommendations: https://share.google/7uw1GPQ5sV2riJtiV RCGP AKI follow up post discharge recommendations: https://bjgpopen.org/content/early/2020/06/15/bjgpopen20X101054/tab-figures-data?versioned=true ___ We really want to make these episodes relevant and helpful: if you have any questions or want any particular areas covered then contact us on Twitter @PCKBpodcast, or leave a comment on our quick anonymous survey here: https://pckb.org/feedback Email us at: primarycarepodcasts@gmail.com ___ This podcast has been made with the support of GP Excellence and Greater Manchester Integrated Care Board. Given that it is recorded with Greater Manchester clinicians, the information discussed may not be applicable elsewhere and it is important to consult local guidelines before making any treatment decisions. The information presented is the personal opinion of the healthcare professional interviewed and might not be representative to all clinicians. It is based on their interpretation of current best practice and guidelines when the episode was recorded. Guidelines can change; To the best of our knowledge the information in this episode is up to date as of it's release but it is the listeners responsibility to review the information and make sure it is still up to date when they listen. Dr Lisa Adams, Dr Sara MacDermott and their interviewees are not liable for any advice, investigations, course of treatment, diagnosis or any other information, services or products listeners might pursue as a result of listening to this podcast - it is the clinicians responsibility to appraise the information given and review local and national guidelines before making treatment decisions. Reliance on information provided in this podcast is solely at the listeners risk. The podcast is designed to be used by trained healthcare professionals for education only. We do not recommend these for patients or the general public and they are not to be used as a method of diagnosis, opinion, treatment or medical advice for the general public. Do not delay seeking medical advice based on the information contained in this podcast. If you have questions regarding your health or feel you may have a medical condition then promptly seek the opinion of a trained healthcare professional.
Maine Family Planning clinics treat STDs, bronchitis and tick bites. Because they also provide abortions, they've been hit by a new federal law that cuts them out of Medicaid. Now, they're cutting back on services to try to survive.For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org. Email us at considerthis@npr.org.This episode was produced by Connor Donevan and Ava Berger, with audio engineering by Jimmy Keeley. It was edited by Diane Webber and Courtney Dorning. Our executive producer is Sami Yenigun.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy
If you've ever been told to "just eat less and move more," or struggled with weight despite doing everything "right," this episode will validate your experience and challenge the harmful myths that still exist—even in medicine. In this deeply personal episode, I will share what happened when a colleague dismissed obesity as "lifestyle driven" rather than a chronic disease. Her response is a powerful reminder that this condition is far more complex than willpower. I will also open up about my own decades-long journey—including training for two full Ironmans and seven marathons—and why even with extreme dedication, I never reached a "normal" BMI. My story, combined with my clinical expertise, will reveal the biological, genetic, environmental, and social factors that make obesity a chronic disease affecting millions. Episode Highlights: Why 40-70% of obesity cases are driven by genetics, not lifestyle choices The real struggles patients face: severe calorie restriction, exercising 6-7 days a week, and still not losing weight Medical conditions and medications that cause weight gain—from PCOS to antidepressants How food deserts, safety concerns, and financial barriers create obstacles beyond personal control Four practical ways to show compassion to someone living with obesity Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
In this episode, we tackle the challenge of separating allergy fact from fiction in an age of rampant online misinformation. Dr. Zachary Rubin, a double board-certified pediatrician and allergist, shares insights on common allergy myths circulating on social media. We explore misconceptions about food allergies vs. intolerances, respiratory allergies, eczema management, anaphylaxis treatment, and allergy testing interpretation. Learn how to navigate patient conversations about gluten sensitivity, pet allergies, and "natural" allergy cures. This episode provides primary care clinicians with practical strategies to address patient concerns rooted in online misinformation and optimize allergy diagnosis and management in clinical practice.
(REWIND) Season 1, Episode 14: Dr. Chiti Parikh is an author and integrative medicine physician at New York Presbyterian – Weill Cornell Medical Center. Listen to Chiti talk about the definition of integrative medicine, the types of patients who seek out integrative care and the importance of addressing spirituality during patient visits.Check out Dr. Parikh's book Intentional Health here.
Now, despite all of us learning to sneeze and cough into our elbow during the pandemic, new research has emerged with different advice. A study from the University of Utah has shown that coughing into your shirt or jumper actually prevents more germ molecules from escaping.Joining Ciara to discuss the findings is Brendan O'Shea, a GP, Adjunct Assistant professor of Public Health and Primary Care at Trinity College, and Medical Director of KDOC – the out-of-hours emergency care service.
“I realized that rather than talking one-to-one with patients in the exam room, you could talk one-to-many on social media,” says Dr. Kevin Pho, explaining the origins of KevinMD, the highly influential information sharing site he created for physicians, medical students and patients twenty years ago. Since then, KevinMD has become a valuable space for clinicians and patients to share stories and perspectives on topics from burnout and moral injury to technology and trust. In this conversation with Raise the Line host Michael Carrese, Dr. Pho reflects on the dual paths that have defined his career: as a practicing internal medicine physician and as one of healthcare's most trusted online voices. And despite the challenges of doing so, Dr. Pho encourages other medical providers to follow his lead. “Patients are going online, and if physicians are not there, they're going to get information that's perhaps politically-driven or simply inaccurate.”This thoughtful conversation also explores: How social media has reshaped health communicationThe risks and rewards for clinicians of having an online presence Why medical schools should teach negotiating skillsMentioned in this episode:KevinMDEstablishing, Managing and Protecting Your Online Reputation If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
PeerView Family Medicine & General Practice CME/CNE/CPE Video Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/APA/IPCE information, and to apply for credit, please visit us at PeerView.com/SMZ865. CME/MOC/NCPD/CPE/AAPA/APA/IPCE credit will be available until November 5, 2026.Brain Health Morning Report: Adapting Primary Care Practice and Workflows to Meet the Needs of an Aging Population In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/APA/IPCE information, and to apply for credit, please visit us at PeerView.com/SMZ865. CME/MOC/NCPD/CPE/AAPA/APA/IPCE credit will be available until November 5, 2026.Brain Health Morning Report: Adapting Primary Care Practice and Workflows to Meet the Needs of an Aging Population In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.
PeerView Neuroscience & Psychiatry CME/CNE/CPE Audio Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/APA/IPCE information, and to apply for credit, please visit us at PeerView.com/SMZ865. CME/MOC/NCPD/CPE/AAPA/APA/IPCE credit will be available until November 5, 2026.Brain Health Morning Report: Adapting Primary Care Practice and Workflows to Meet the Needs of an Aging Population In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/CPE/AAPA/APA/IPCE information, and to apply for credit, please visit us at PeerView.com/SMZ865. CME/MOC/NCPD/CPE/AAPA/APA/IPCE credit will be available until November 5, 2026.Brain Health Morning Report: Adapting Primary Care Practice and Workflows to Meet the Needs of an Aging Population In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.
In this episode, we look at new trials on deferring arterial catheterization in shock, beta-blocker use after myocardial infarction, and a treatment for triple-negative breast cancer. We review acromegaly. A case describes a man with dyspnea, edema, and pacemaker lead displacement. We explore perspectives on the burdens of primary care, the erosion of harm reduction, child health policy, and the meaning of hospice.
Joshua Barocas is an associate professor of medicine at the University of Colorado Anschutz Medical Campus. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. J.A. Barocas. The Erosion of Harm Reduction. N Engl J Med 2025;393:1865-1867. B.A. Barsky, A. Caplan-Bricker, and C. Robertson. Religious Liberty as a Shield for Public Health — The Case of Overdose-Prevention Centers. N Engl J Med 2025;393:1867-1869.
“We've created this ecosystem where the vast majority of information on social media, particularly in nutrition science, is inaccurate or misleading,” says Dr. Jessica Knurick, a registered dietitian and Ph.D. in nutrition science specializing in chronic disease prevention. As you'll learn on this episode of Raise the Line with host Lindsey Smith, countering that trend has become Dr. Knurick's focus in the past several years, and her talent for translating complex scientific information into practical guidance has attracted a large following on social media. Beyond equipping her audience with the tools to think critically and make informed choices for themselves, she also wants them to make the connection between the generally poor health status of most Americans with public policies on food and health and advocate for more beneficial approaches. “We can create systems that put the most people in the position to succeed versus putting the most people in the position to fail.” Tune in to learn from this trusted voice on nutrition, food policy, and public health as she shares her perspectives on: Strategies for risk reduction and behavior changeWhat can rebuild trust in medical information How you can cut through the noise and spot misinformation onlineMentioned in this episode:Dr. Knurick's WebsiteTikTok ChannelInstagram FeedFacebook Page If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
Is aging itself a treatable condition? How can we mindfully approach the longevity, aesthetics, and wellness industries? In this episode, we connect with Dr. Sofia Din to see what it means to live longer, healthier, and more beautifully using proven integrative treatments… Dr. Din is a board-certified anti-aging expert, integrative medicine physician, and MD specializing in Primary Care, Geriatrics, and Aesthetic Anti-Aging Practices. Based in New York with more than 15 years of experience, her work focuses on helping men and women extend their vitality, productivity, and confidence. Join the conversation to learn about: The science behind "aging syndrome" and how to prevent or reverse its symptoms. Non-pharmaceutical treatments and lifestyle strategies to promote longevity and radiance. The link between metabolic health, beauty, and emotional well-being. Dr. Din offers a wide range of solutions, including skincare therapies, customized weight loss programs, IV-vitamin infusions, hormone optimization, and medical treatments such as medical marijuana and addiction therapy. Her book, Do We Really Need Botox? – A Handbook of Anti-Aging, explores her progressive theory that aging is a disease syndrome with both physical and psychological dimensions, some of which often manifest in conditions like heart disease, dementia, cancer, and osteoporosis. In addition to her medical practice, Dr. Din founded the Juvanni Foundation for Single Mothers, a nonprofit dedicated to improving the lives of single mothers and their children through economic, physical, and emotional support. So stay up-to-date with Dr. Din and her work, visit www.sofiadinmd.com!
In this powerful episode, I will break down one of the biggest developments in obesity and diabetes treatment in U.S. history. Two major pharmaceutical companies - Eli Lilly and Novo Nordisk - have reached a groundbreaking agreement with the administration that will drastically reduce the prices of popular medications like Wegovy, Ozempic, and Zepbound. This pricing model could transform how obesity medications are covered, distributed, and accessed across Medicare, Medicaid, and direct-to-consumer platforms. Tune in to learn what this new deal means for patients, healthcare providers, and public health overall—and why it's being called a game changer for people struggling with obesity and related health conditions. Episode Highlights: Major price cuts announced for Wegovy, Ozempic, and Zepbound under a new federal deal Medicare to cover obesity drugs for the first time through a five-year pilot program Medicaid given the option to join discounted pricing starting 2026 Team Rx launches a direct-to-consumer model cutting out costly middlemen Lower cash prices for GLP-1 medications and upcoming oral versions Eli Lilly and Novo Nordisk to invest billions in U.S. manufacturing Program expected to improve access, affordability, and supply of obesity and diabetes meds Ongoing push for the Treat and Reduce Obesity Act to expand national coverage Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Reporter, Aisling Kenny discusses new HSE figures which show that in August this year there were children in Dublin waiting 13 years to be seen by a primary care psychologist.
In this episode, we discuss long-term outcomes after chest-wall irradiation for breast cancer, new treatments for psoriasis and obesity, and early results on a vaccine for Lassa fever. We review opioid deprescribing and a clinical case describes spiraling into a distant past. Perspectives examine the corporatization of health care, the health effects of new energy legislation, and Medicaid cuts affecting U.S. children.
Today we are talking to a primary care doc who has become a multimillionaire and is now essentially financially independent. Their financial success has allowed her career military spouse to retire. She said she loves her career and despite their financial situation she has no desire to quit working. They live in a high cost of living area and are a great example that if you do the right, boring, consistent thing over time - you will reach your financial goals. After the interview we are talking about financial independence for Finance 101. Goodman Capital is a premier real estate credit investment firm specializing in senior-secured, low loan-to-value lending on Class A properties in prime markets across the greater New York metro area. Founded on a family legacy dating back to 1987, Goodman has closed more than $850 million+ across 95+ loans with a track record of zero principal loss. Their flagship private mortgage REIT, Liquid Credit Strategy Fund I, delivered a steady 9% net dividend yield since inception at a very conservative sub-50% LTV. Invest in tax-efficient, high-yield, risk-adjusted debt investment strategies with Goodman Capital at https://www.whitecoatinvestor.com/goodman The White Coat Investor has been helping doctors, dentists, and other high-income professionals with their money since 2011. Our free personal finance resource covers an array of topics including how to use your retirement accounts, getting a doctor mortgage loan, how to manage your student loans, buying physician disability and malpractice insurance, asset allocation & asset location, how to invest in real estate, and so much more. We will help you learn how to manage your finances like a pro so you can stop worrying about money and start living your best life. If you're a high-income professional and ready to get a "fair shake" on Wall Street, The White Coat Investor is for you! Have you achieved a Milestone? You can be on the Milestones to Millionaire Podcast too! Apply here: https://whitecoatinvestor.com/milestones Find 1000's of written articles on the blog: https://www.whitecoatinvestor.com Our YouTube channel if you prefer watching videos to learn: https://www.whitecoatinvestor.com/youtube Student Loan Advice for all your student loan needs: https://studentloanadvice.com Join the community on Facebook: https://www.facebook.com/thewhitecoatinvestor Join the community on Twitter: https://twitter.com/WCInvestor Join the community on Instagram: https://www.instagram.com/thewhitecoatinvestor Join the community on Reddit: https://www.reddit.com/r/whitecoatinvestor Learn faster with our Online Courses: https://whitecoatinvestor.teachable.com Sign up for our Newsletter here: https://www.whitecoatinvestor.com/free-monthly-newsletter 00:00 MtoM Podcast #247 02:18 Primary Care Doc Becomes Multimillionaire and Retires Her Husband 11:56 Advice For Others 18:17 Financial Independence