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Knowing when to refer and when to manage a patient yourself is one of the biggest clinical judgment skills you will build in primary care. It can also be a common source of confusion on NP boards, especially when referral feels like the safest answer. In this episode, Alex and I break down how to think through referral decisions using patient stability, red flags, scope of practice, and response to first-line treatment. We walk through primary care scenarios involving hypertension and diabetes to show why the same diagnosis may be managed in one situation and referred in another. Get full show notes, transcript, and more information here: https://blog.npreviews.com/when-to-refer-primary-care-np-boards Follow us on Instagram: instagram.com/smnpreviewsofficial
"Doc, do I need to take this forever?" It's one of the most common questions I hear in my office, whether it's someone's very first visit or someone who's already lost 30, 40, even 80 pounds and is feeling great. In this episode, I break down why your body fights so hard to regain weight after you lose it, and why that's biology, not failure. I walk through the new ATTAIN Maintain trial, a study of 376 adults who had already lost significant weight on tirzepatide or semaglutide, testing whether switching to an easier once-daily oral GLP-1 could help them keep the weight off, instead of just asking whether stopping medication causes regain. Maintenance isn't about staying on one medication forever. It's about having an individualized, active plan, and the ATTAIN Maintain data gives us more options than ever to build one. Episode Highlights: Why your metabolism and hunger hormones fight to reverse weight loss Lessons from the SURMOUNT-4 trial on what happens when treatment stops completely Inside the ATTAIN Maintain trial design and who was studied The weight maintenance results: oral medication vs. placebo Why maintenance therapy doesn't have to look like the treatment that got you there What actually goes into a sustainable long-term plan beyond medication 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!)
From physician assistant to DPC physician, Dr. Reid Lancaster took the long road on purpose. In this episode of My DPC Story, he sits down with Dr. Maryal Concepcion to trace his journey from PA to DO and the moment a three-minute news clip about direct primary care planted a "worm in his brain" he couldn't shake.Dr. Lancaster is the founder of Ethos Modern Medicine in La Quinta, California, just outside Palm Springs in a community as economically diverse as almost anywhere in the country. He shares why he chose to become a physician rather than practice independently as a PA, the honest differences he sees between PA, NP, and physician training, and how residency shaped what he can now do for his patients in primary care.This conversation is packed with practical wisdom for anyone weighing a DPC of their own. Dr. Lancaster opens up about the naysayers he faced through medical school and residency, the mentors who pushed him to "cash in" on a traditional job, and the wife who kept the dream alive when the doubt crept in. He also reflects on the business side he never trained for, from California compliance surprises to the taxes and systems that fall through the cracks in year one and beyond.You'll hear the real stories behind the lessons: the AI answering service named Jarvis that tanked his consults by 80 percent, the patients stuck in referral limbo despite having insurance, and the goals he wrote down before opening that he rediscovered in an old drawer. Dr. Lancaster makes the case that mistakes are lessons, that hiring a little earlier than feels comfortable can accelerate growth and protect your quality of life, and that clear boundaries set upfront are what keep DPC sustainable.Now three and a half years in and effectively full at 600 patients with no marketing, Dr. Lancaster reflects on what growth looks like from here, the working partnership he's exploring with PAs and NPs in the DPC space, and why the local coffee shop model, not the franchise, may be the future of direct primary care.Whether you're a pre-med student, a resident or a physician eyeing the exit from fee-for-service, or a DPC owner thinking about your next step, this episode is a reminder that you've done hard things before and you can do this too.Head to mydpcstory.com to find your starting point, and come say hi at the AAFP co-sponsored DPC Summit in New Orleans.Meet the My DPC Story team at DPC Summit NOLA! Summit bundles are live: HERE the Physician Owner's PlannerThe "insurance is not healthcare" teeA digital tool bundle for your practice A website reviewA 50% off our $350 Patient Explainer VideoPlus a chance to win an hour with Dr. Concepcion. Cooperative of American Physicians or CAP. Learn more about the medical malpractice company used by Dr. Maryal Concepcion since 2021 at capphysicians.com or by calling 800-356-5672.Guava Health. A premium patient experience, pulling data from EHRs and wearables, helping see the full picture and uncover root causes to deliver personalized care. ZION HealthShare. Get peace of mind for major medical events without going back into the insurance maze. Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
Dr. Tara Kiran knows primary care in Canada can be better. That's why the Toronto-based family physician and researcher went to the Netherlands, a world leader in health, to see what we can take away. What she found is a system that provides around-the-clock care and primary care teams who can see patients when they need it most. In this encore episode, Dr. Kiran and Brian chat about what the Netherlands is getting right.
Send us your admissions questions!What exactly is—and isn't—a DO? And what does it take to get into a Tier 1 primary care medical school that operates across two very different campuses?In this episode of Accepted's Admissions Straight Talk, host Dr. Valerie Wherley sits down with the leadership and a current student from the College of Osteopathic Medicine of the Pacific (COMP) at Western University of Health Sciences. Dr. Lisa Warren, the dean and a COMP graduate; Dr. Marcel Fraix, associate dean for admissions and also a COMP graduate; TJ Pe, assistant director of recruitment; and Sarah Shirley, a rising second-year COMP DO student, walk listeners through what makes this program distinctive.The conversation covers the school's two-campus structure—urban Pomona, California, and rural Lebanon, Oregon—and how the shared curriculum delivers a consistent experience in two very different environments. COMP has now earned U.S. News & World Report's Tier 1 recognition for primary care training for three consecutive years, and the panel breaks down why that matters for applicants.Sarah shares her nontraditional path: a literature degree, a career in book publishing, a mid-20s pivot, and what drew her to osteopathic medicine specifically. The panel also discusses COMP's longitudinal student tracks (business, rural health, sports medicine, and more), the technology-infused curriculum including simulation and AI exposure, and the robust student wellness infrastructure—from free yoga to open-door faculty.For applicants concerned about GPA and MCAT thresholds, Dr. Fraix and TJ offer a candid, encouraging reality check on holistic admissions and the one-year master's program that creates a pathway for promising candidates who don't yet meet full admission requirements.Related Resources:College of Osteopathic Medicine of the Pacific (COMP) at Western University of Health SciencesExperience WesternU (preview day): August 22, 2026Dr. Lisa Warren, dean, Western University of Health Sciences COMP and COMP-Northwest: lwarren@westernu.eduDr. Marcel Fraix, associate dean, admissions and enrollment chair, professor of physical medicine and rehabilitation: mfraix@westernu.eduTJ Pe, assistant director of recruitment: pet@westernu.eduFollow UsYouTubeFacebookLinkedInContact Uswww.accepted.comsupport@accepted.com+1 (310) 815-9553
Yaara Zisman-Ilani is an associate professor in the Department of Social and Behavioral Sciences at the Barnett College of Public Health and in the Department of Psychiatry and Behavioral Science at the Lewis Katz School of Medicine, both at Temple University. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. Y. Zisman-Ilani and Others. Pharmacotherapeutic Decisions in Autism. N Engl J Med 2026;395:214-217.
Troyen Brennan (Harvard University) joins the Infectious Historians to chat about his recent book which reflects on primary care in the United States. The conversation begins with an historical perspective, tracing the development of specializations within the practice of medicine from the mid-20th century onward and then specifically looking at how the primary care system changed over time. Troyen outlines the advantages and disadvantages with primary care practitioners, ranging from their workload to their pay, before discussing some of the incentives in the primary care system. Troyen also examines the extent to which primary care is influenced by changes in the federal and state governments, highlighting some of the major differences between states within the United States. Additional topics that were covered include the impact of Covid on the primary care system and, looking forward, some potential suggestions to improve the primary care system.
It's just the two of us this week, which means we bounce between Star Wars, ageism in medicine, Mark Cuban's healthcare policy ideas, and the spleen. Kristin sent me a video about the Bajau people of Southeast Asia, a group of divers from Indonesia and the Philippines who have genetically evolved spleens that are 50% larger than average, which they use as an oxygen reservoir to dive 70 meters and hold their breath for up to 13 minutes, and look, I'm not saying I was wrong about the spleen, but I'm being forced to acknowledge it might have one useful function. We also talk about the 72-year-old medical school graduate who is now heading into a family medicine residency and the baffling ageist backlash she received from people who apparently think someone "stole a spot", in family medicine, where programs regularly can't fill their positions. She earned it, full stop. We get into Mark Cuban's argument that free medical school tied to service requirements could help fix the primary care shortage, I think he's closer to right than I initially gave him credit for, but the downstream problems are thornier than they look, and the direct primary care model, which makes a lot of happy doctors but probably has a selection bias problem. We also go deep on spleen physiology because Kristin is my heckler and this is the bit now: splenic lacerations, splenules, Howell-Jolly bodies in the blood post-splenectomy, and why losing your spleen means you really, genuinely need to be vaccinated against pneumococcus, meningococcus, and Haemophilus influenzae type b. Also, I had mono in college, did not follow the no-contact-sports instructions, and I only survived because Kristin wasn't around yet to enforce anything. She has since made up for lost time. Takeaways: The Bajau people of Southeast Asia have genetically evolved larger spleens. A 72-year-old woman earning her medical degree and entering family medicine isn't taking anyone's spot Free medical school tied to service requirements is a more interesting idea than pure loan forgiveness Losing your spleen significantly raises your infection risk from encapsulated bacteria Direct primary care attracts genuinely enthusiastic physicians, but that may partly reflect selection bias — To Get Tickets to Wife & Death: You can visit Glaucomflecken.com/live We want to hear YOUR stories (and medical puns)! Shoot us an email and say hi! knockknockhi@human-content.com Can't get enough of us? Shucks. You can support the show on Patreon for early episode access, exclusive bonus shows, livestream hangouts, and much more! – http://www.patreon.com/glaucomflecken Also, be sure to check out the newsletter: https://glaucomflecken.com/glauc-to-me/ If you are interested in buying a book from one of our guests, check them all out here: https://www.amazon.com/shop/dr.glaucomflecken If you want more information on models I use: Anatomy Warehouse provides for the best, crafting custom anatomical products, medical simulation kits and presentation models that create a lasting educational impact. For more information go to Anatomy Warehouse DOT com. Link: https://anatomywarehouse.com/?aff=14 Plus for 15% off use code: Glaucomflecken15 -- A friendly reminder from the G's and Tarsus: If you want to learn more about Demodex Blepharitis, making an appointment with your eye doctor for an eyelid exam can help you know for sure. Visit http://www.EyelidCheck.com for more information. Produced by Human Content Learn more about your ad choices. Visit megaphone.fm/adchoices
Assessment of cardio-kidney-metabolic (CKM) risk factors in clinical practice. What should primary care physicians (PCPs) be doing, and when? Credit available for this activity expires: 7/13/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/protecting-heart-and-kidneys-primary-care-strategies-2026a1000j47?ecd=bdc_podcast_libsyn_mscpedu
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-493 Overview: Chronic kidney disease (CKD) is increasingly managed in primary care—but are you up to date on the latest guidance? This episode reviews current clinical practice guidelines and standards of care to help you confidently diagnose and classify CKD, apply evidence-based management strategies, and know when nephrology referral is warranted. Episode resource links: https://doi.org/10.7326/ANNALS-25-03499 Diabetes Care. 2024;48(Supplement_1):S239-S251. doi:10.2337/dc25-S011 Guest: Robert A. Baldor MD, FAAFP Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.
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-493 Overview: Chronic kidney disease (CKD) is increasingly managed in primary care—but are you up to date on the latest guidance? This episode reviews current clinical practice guidelines and standards of care to help you confidently diagnose and classify CKD, apply evidence-based management strategies, and know when nephrology referral is warranted. Episode resource links: https://doi.org/10.7326/ANNALS-25-03499 Diabetes Care. 2024;48(Supplement_1):S239-S251. doi:10.2337/dc25-S011 Guest: Robert A. Baldor MD, FAAFP Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.
If you've seen headlines linking Ozempic and other GLP-1 medications to sudden eye strokes, I want to stop the panic right here. In this episode, I break down what the research on NAION actually shows, who's really at risk, and why the scary relative-risk numbers you're seeing online don't tell the whole story. I walk you through what NAION is, why patients on semaglutide often already carry the underlying risk factors that get left out of the clickbait, and what the difference is between an observational study raising a signal and a randomized trial proving cause and effect. I also share the warning signs that mean you should go to the ER immediately, not wait for your next appointment. You'll walk away knowing exactly how to think about this headline, what questions to bring to your own doctor, and why staying on your medication is usually the right call. Episode Highlights: What NAION is and how it affects the optic nerve The risk factors patients on GLP-1s often already have What the 37-million-person study actually found — and didn't Why randomized trials tell a different story than observational data Absolute risk vs. relative risk, explained simply Warning signs that mean go to the ER now Why sleep apnea complicates the whole picture 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!)
The privately owned healthcare company, Tamaki Health, has developed its own new role of health care technician at its GP practices.
When Dr. Timothy Blain opened his direct primary care practice in the middle of COVID, he finally felt like a “real doctor” again — after two decades of employed medicine, five-year burnout cycles, and the constant ache of knowing he could help patients but never had the time.In this honest and moving episode, Dr. Blain shares his full journey: graduating in 2000 as hospitals bought up practices, surviving non-Hodgkin lymphoma at 38, then weathering COVID pneumonia, a heart attack, and adult-onset Still's disease — all while continuing to care for his patients. He opens up about how DPC helped save his marriage, why empathy is the first thing burnout takes from physicians, and what it truly means to be the patient when you're also the doctor.Dr. Concepcion and Dr. Blain dig into:•The 5-year burnout curve, and why “just take a half day” never works•Building patient loyalty so deep that almost no one left, even through his hospitalizations•Practical steps for leaving employed medicine for DPC (including the prepay discount that funded his startup)•Why DPC doctors may be best positioned to use AI in medicine•Supplements, home visits, ultrasound, and staying curious as a physician•How and why he chose to close his practice — the taxes, timing, and grief involved•Redefining “failure” and finding peace in a one-year sabbaticalWhether you're burned out and dreaming of a way out, a few years into your own DPC, or simply wondering what a fulfilling end to a medical career can look like, this conversation is a breath of fresh air.“Failure is in the eye of the beholder.” — Dr. Timothy Blain—
CoROM cast. Wilderness, Austere, Remote and Resource-limited Medicine.
This week, Aebhric O'Kelly is joined by Bill Vasios and Rhod Jordan for an interactive discussion on one of the most important and often overlooked areas of remote medicine: Austere Primary Care.Whilst trauma often dominates training, the reality is that most remote clinicians spend far more time managing diarrhoeal illness, skin infections, musculoskeletal injuries, respiratory complaints, fever, environmental illnesses, and preventative healthcare. The panel discusses the clinical mindset required to work in resource-limited environments, introduces CoROM's CHART patient assessment system, and explores practical approaches to diagnosis when advanced investigations are unavailable.Whether you work in expedition medicine, offshore healthcare, humanitarian operations, military medicine, or remote primary care, this episode provides practical insights into becoming a more capable austere clinician.Chapters 00:05 – Welcome to CoROM Conversations00:17 – Why primary care matters more than trauma in remote medicine01:10 – Defining austere and resource-limited environments02:00 – Developing the austere clinical mindset02:40 – Becoming comfortable with uncertainty and limited resources04:00 – Building confidence through deliberate practice05:00 – Wilderness medicine and learning outside the ambulance07:15 – Resilience and supporting expedition teams08:00 – Common primary care presentations in austere environments08:15 – Gastrointestinal illness, dehydration and traveller's diarrhoea08:45 – Skin disease, wound care and blister management09:30 – Environmental illness: hypothermia, frostbite and heat injury10:10 – Musculoskeletal injuries in expedition medicine11:55 – Learning orthopaedic assessment through repetition13:00 – ENT, eye and dental emergencies14:20 – Introducing the CoROM CHART assessment framework16:40 – Chief Complaint, Condition and the CPRO assessment17:20 – Recognising the critically ill patient20:15 – History taking using SAMPLER with additional risk assessment22:00 – Secondary assessment using the BEAST observations26:10 – Review of systems using CRANES27:30 – Treatment, disposition and clinical trending28:10 – Diagnostic tools for austere medicine30:30 – Essential point-of-care investigations31:00 – Why every diagnostic tool needs a backup plan33:00 – Altitude, pulse oximetry and interpreting observations34:00 – Fever assessment in austere environments34:45 – Measuring temperature correctly in older adults and children35:40 – Managing fever of unknown origin and malaria36:10 – Nursing care and prolonged patient management36:45 – Public health and preventative medicine37:30 – Recognising clinical red flags38:00 – Key learning points and deployment preparation39:00 – The importance of clinical examination over technology40:00 – Trusting your senses and treating the patient—not the monitor41:00 – Closing remarks and CoROM CPD opportunitiesKey Topics DiscussedAustere primary careClinical reasoning in resource-limited environmentsThe austere clinical mindsetPreventative medicineTravel medicineWilderness medicineExpedition healthcareRemote diagnosticsFever of unknown originMalaria diagnosisEnvironmental medicineMusculoskeletal injuriesSkin diseasePoint-of-care ultrasoundNursing care in prolonged field careThe CoROM CHART assessment systemCPRO and BEAST observationsDifferential diagnosisKey TakeawaysMost remote clinicians spend considerably more time managing primary care conditions than major trauma.Clinical confidence develops through experience, deliberate practice and mentorship.Every piece of diagnostic equipment should have a backup plan.Careful history taking remains one of the most valuable diagnostic tools available.Trend observations over time rather than relying on single measurements.In malaria-endemic regions, malaria should remain high on the differential diagnosis for every patient with fever.
Cognitive Atrophy, Referral Incentives, Fragmented Care: Is Primary Care Inevitable or Fixable? Episode 519. Primary care physicians are leaving traditional practice for concierge medicine in visible numbers—and the question is whether that exodus is an unavoidable consequence of how the system is built, or something we've simply chosen not to fix. Stacey Richter talks with Dr. Lisa Rosenbaum, a cardiologist at Beth Israel Deaconess Medical Center (BIDMC) and national correspondent for the New England Journal of Medicine, who recently devoted an entire season of her NEJM podcast, Not Otherwise Specified, to the state of primary care. Together they test three forces reshaping the field—cognitive atrophy, referral incentives, and care fragmentation—against a single question: inevitable, or fixable? WHAT YOU'LL LEARN ✅ Why Dr. Lisa Rosenbaum calls the risk of "cognitive atrophy" among primary care physicians a generational threat rather than an individual one—and why she believes it is not inevitable ✅ How financial incentives that pay far more for a specialist visit than a primary care visit (roughly 5% of healthcare dollars for close to 35% of outpatient visits) structurally push referrals earlier and more often than necessary ✅ Why "relational expertise"—the judgment a doctor builds by knowing a patient over time—is, in Dr. Rosenbaum's view, primary care's real and undervalued skill set ✅ How care fragmentation, illustrated by Miriam Paramore's LinkedIn essay about her father's end-of-life care, leaves patients bouncing among specialists with no one taking ownership of the whole picture ✅ Why Dr. Rosenbaum argues that blaming everything on structural constraints "strip[s] ourselves of our own agency," and what she thinks physicians and healthcare buyers should each do about it WHY THIS MATTERS Roughly 70% of physicians are employed today, and about 5% of every healthcare dollar goes to primary care despite it covering close to 35% of all outpatient visits—numbers that, per Dr. Rosenbaum, reflect choices the system has made, not laws of nature. When primary care doctors lose the time and incentive to build relationships with patients, the system loses its quarterback, and patients end up fragmented across specialists with no one accountable for the whole picture. Dr. Rosenbaum's core argument is that none of this is inevitable, but fixing it requires both structural change and individual physicians and healthcare buyers reclaiming their own agency. MENTIONED IN THIS EPISODE EP504 with Ryan Jacobs: Apple Podcasts | Spotify | Other Apps EP473 with Kenny Cole, MD: Apple Podcasts | Spotify Other Apps EP391 with Scott Conard, MD: Apple Podcasts | Spotify | Other Apps Article: "Ordinary Rural Death: My Father's End-of-Life Journey" by Miriam Paramore EP409 with Larry Bauer, MSW, MEd: Apple Podcasts | Spotify | Other Apps === LINKS ===
Mark Unruh is an associate professor of population health sciences at Weill Cornell Medical College. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. M.A. Unruh, V. Mor, and H.-Y. Jung. Colliding Forces — The Aging of the Baby Boom Generation and Contracting Nursing-Home Supply. N Engl J Med 2026;395:105-107. A.R. Olenski and D.C. Grabowski. Caring for an Aging America — The Looming Crisis of the Long-Term–Care Workforce. N Engl J Med 2026;395:107-110.
We're joined by Mikey Brenndorfer about the structure of primary health, the history of policy that led us to the present day structures and the way that they are presenting unique and immediate risks of privatisation of the NZ healthcare systemThis episode's co-hostsKyle, MikeyTimestamps0:00 Opening / Introductions2:55 First Point of Contact5:54 Community Health7:50 Brief History of Primary Care Structures15:06 Private Equity21:10 Primary Health Care31:45 Austerity Budgets40:31 Current Coalition44:00 Tend and Green Cross51:12 Lack of Political Will54:41 Mass Privatization1:01:10 Nurse Practitioners 1:09:35 Policy on the Table1:13:16 ClosingIntro/Outro by Jiahu SymbolsSupport us here: https://www.patreon.com/1of200
Please visit answersincme.com/RAH860 to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Alan G. Kaplan, MD, CCFP(EM), FCFP, CPC(HC); Sherilyn Houle, BSP, PhD, CTH, AFTM RCPS(Glasg), FISTM; and Aakash Modi, MD, CFPC, ABFM, FAAFP. In this activity, two experts in adult pneumococcal disease immunization discuss strategies to close the prevention gap in primary care and pharmacy practice. Upon completion of this activity, participants should be better able to: Describe the burden of adult pneumococcal disease in Canada, including the role of the aging immune system; Recognize opportunities for primary care physicians and pharmacists to collaborate to improve disease prevention in adults at risk for invasive pneumococcal disease; and Apply current Canadian pneumococcal vaccination recommendations into adult patient care.
We're delighted today to sit down with MDVIP Chief Medical Officer, Dr. Jeffrey Lin to talk about so building a sustainable practice, finding joy in the practice of medicine, and what's happening what the next chapter of Primary Care looks like. Dr. Jeffrey Lin is a board-certified cardiologist, internist, and the newly appointed Chief Medical Officer of MDVIP, the nation's leading network supporting physicians in personalized, preventive, and relationship-driven primary care. A Harvard Medical School graduate and Yale summa cum laude, Dr. Lin completed advanced fellowship training at Massachusetts General Hospital and Columbia University before building a distinguished career that spans academic medicine, elite sports cardiology as a consultant to the NFL Players Association, and executive leadership at Devoted Health, where he was the company's first physician hire and helped build a patient-centered care model serving over 400,000 members across 29 states. He joins MDVIP at a pivotal moment in the organization's growth, bringing with him a career-long conviction that prevention is a long game, that physician joy is inseparable from patient outcomes, and that the future of primary care depends on giving doctors the time and the tools to actually know their patients. --- MDVIP Appoints Jeffrey Lin, MD, FACC, as Chief Medical Officer BOCA RATON, Fla. – April 22, 2026 – MDVIP, the national leader in supporting physicians to provide personalized, preventive, and primary care, today announced the appointment of Dr. Jeffrey Lin as Chief Medical Officer. A board-certified cardiologist and accomplished healthcare executive, Dr. Lin will lead MDVIP's clinical strategy and delivery as the company continues to expand its preventive and relationship-driven primary care model nationwide. Dr. Lin will also collaborate with the network's Medical Advisory Board on MDVIP's current and future offerings. The appointment reflects MDVIP's investment in physician leadership that deeply understands both the patient and provider experience, reinforcing the company's commitment to long-term health outcomes, proactive prevention, and a care model that gives doctors the time and tools to deliver truly personalized care. A cardiologist and internist by training, Dr. Lin has a longstanding commitment to prevention and optimizing health through data-driven, lifestyle-oriented approaches. He joins MDVIP from Devoted Health, where he served as National Medical Director and was the company's first physician hire, responsible for building its clinical care platform from the ground up. Since 2019, he helped lead the development and scaling of a comprehensive, patient-centered care model integrating preventive care, chronic disease management, and longitudinal wellness for primary care patients across the country, growing the clinical team to serve over 400,000 members across 29 states. As Chief Medical Officer, Dr. Lin will work closely with affiliated physicians and the MDVIP team to enhance the MDVIP experience for patients and providers alike. His priorities include strengthening MDVIP's preventive and wellness programs, supporting physicians transitioning into more manageable practice sizes, and expanding the MDVIP model to new physician segments and patient populations across different life stages. "MDVIP was built on the belief that primary care should be proactive, personal and sustainable for physicians," said Larry Kutscher, CEO and Board Chairman of MDVIP. "Dr. Lin has devoted his career to those same principles, designing care models that prioritize prevention, meaningful time with patients and better long-term health. He will be a powerful advocate for our physician community and a key partner in shaping the future of MDVIP." Dr. Lin's passion for MDVIP's mission is rooted in his early years in practice, when he saw firsthand how fragmented, specialist-heavy care consumed patients' lives and made it difficult to focus on prevention and long-term health. "As a cardiologist, I've always viewed health as a long game," said Dr. Jeffrey Lin, Chief Medical Officer of MDVIP. "The choices we make in our 40s and 60s shape the next 30 years of our lives. MDVIP has spent more than 25 years building a model that gives physicians the time and tools to focus on prevention and real relationships with patients. I'm excited to help bring that kind of care to more doctors and patients across the country." Dr. Lin also emphasized the importance of elevating the physician experience. "You can't deliver great long-term outcomes if the people providing care are burnt out," he added. "I'm looking forward to partnering with our affiliated clinicians to bring more joy back into their practice and help patients live longer, healthier lives." With the appointment of Dr. Lin, MDVIP is beginning a new chapter in its growth story, doubling down on personalized, relationship-centered care and expanding its influence among patients and physicians nationwide. About Dr. Jeffrey Lin Dr. Jeffrey Lin is a board-certified cardiologist, internist, and an accomplished physician executive dedicated to advancing personalized, preventive, and relationship-driven care. He previously served as National Medical Director at Devoted Health, a tech-enabled Medicare Advantage organization, where he's helped lead the development and scaling of a comprehensive, patient-centered care model nationwide since 2019. A cardiologist by training, Dr. Lin has a longstanding commitment to prevention and optimizing cardiovascular health through data-driven, lifestyle-oriented approaches. Earlier in his career, he served as Assistant Professor of Medicine at Mount Sinai Medical Center in Miami Beach and Co-Director of Cardiac Rehabilitation, where he built a thriving ambulatory cardiology practice and developed programs that enabled patients to achieve meaningful, sustained improvements in heart health. Dr. Lin's experience also includes caring for elite and professional athletes as a cardiology consultant to the National Football League Players Association, as well as leading clinical research on cardiovascular performance and endurance. His work has been published in leading medical journals, including the Journal of the American College of Cardiology and Circulation. He is also a Fellow of the American College of Cardiology. Dr. Lin earned his medical degree from Harvard Medical School and graduated summa cum laude from Yale University. He completed his residency in internal medicine at Columbia University Medical Center, followed by advanced fellowship training in cardiovascular medicine, sports cardiology, and cardiac imaging at Massachusetts General Hospital and Columbia University.
Justin Barr is a transplant surgeon at the Ochsner Clinic and a historian. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. S.H. Podolsky, D.S. Jones, and J. Barr. Declarations of Independence — Physicians and the U.S. Body Politic, 1776–2026. N Engl J Med 2026;395:1-3.
"This is the healthcare we used to have," some of Dr. Emily Chan's older patients have told her. Her reply: "Yep — and that's the way that it should be." On this Valley Business Today edition of The Valley Today, host Janet Michael sits down at the Front Royal-Warren County Chamber with Chamber President Niki Foster and Dr. Emily Chan, a board-certified family medicine physician who has opened an independent, membership-based primary care practice in Woodstock — the first in the Valley to partner with MDVIP, a national network of about 1,400 physicians using this model. Dr. Chan walks through what membership medicine actually means: an annual $2,500 fee (payable in full, halves, or quarterly), a smaller patient panel that lets her spend real time with each person, insurance still accepted for routine visits, and once a year an executive-style physical — the first offered in the Valley — that tests eyes, hearing, lungs, heart, skin, body composition, visceral fat, and includes advanced inflammatory and cardiac blood work not usually covered by insurance. Plus after-hours access to her directly, same- or next-day appointments, and — a genuinely useful perk for snowbirds and travelers — the ability to be seen by any MDVIP-affiliated physician across the country at no additional cost. The conversation also gets into the harder parts: why she loves taking patients OFF medication, why she often becomes the only physician in a complex patient's care team who sees the whole picture, and why "too good to be true" is the misconception she hears most often. Niki closes out with Chamber events — Business After Hours at Play Favorites on July 21, no Coffee & Conversation in July (a first in 23 months), and yes — apparently it's already time to talk about the Christmas Parade. ABOUT THE MEMBERSHIP MODEL AT A GLANCE An annual $2,500 fee (payable in full, halved, or quarterly) covers: • A smaller patient panel — so Dr. Chan can spend more time with each patient • Same- or next-day appointments for members • 24/7 direct access for after-hours emergencies • One annual executive-style physical (the first offered in the Valley) — including advanced blood work and comprehensive testing not typically covered by insurance • Access to MDVIP's nationwide network of ~1,400 physicians — if you travel, you can be seen by an MDVIP doctor anywhere in the country at no additional cost • Insurance is still billed separately for routine visits, chronic care, and acute care • Cash-pay options available for patients without insurance or who prefer not to use it WHO IT'S FOR • People who want a real relationship with a primary care doctor • Anyone with complex health needs juggling multiple specialists — Dr. Chan consolidates every specialist report • Healthy younger adults who want preventive care without traditional insurance • Aging-in-place patients who want a physician actively planning for their long-term health • Snowbirds and frequent travelers who value the nationwide MDVIP network • Anyone who's ever felt rushed at a primary care visit VISIT INFO — DR. EMILY CHAN, MD (MDVIP) Located on Main Street in Woodstock, next door to the John Deere tractor dealer Hours: Monday–Friday, 9:00 AM – 4:00 PM Phone: (540) 459-1990 Complimentary meet-and-greets available — tour the office, meet the team, see the executive physical room, and decide if it's the right fit UPCOMING FRONT ROYAL-WARREN COUNTY CHAMBER EVENTS • Business After Hours — Tuesday, July 21, 2026 • 5:30-7:00 PM • Hosted by Play Favorites • Non-members are welcome. RSVP through the Chamber. • Coffee & Conversation — Skipping July (first time in 23 months). Returns the first Friday of August. • Christmas Market and Christmas Parade — applications now being accepted (yes, already) LINKS & RESOURCES • Dr. Emily Chan, MD: mdvip.com/emilychanmd • Emily Chan MD on Facebook, Instagram, and LinkedIn — search "Emily Chan MD" or "Dr. Emily Chan" • MDVIP national network: mdvip.com • Front Royal-Warren County Chamber of Commerce: frontroyalchamber.com
Neuropathy treatment often falls short—and this episode explains why nerve pain persists even when tests appear normal and medications don't deliver real relief. In this in-depth conversation, Dr. Greg Jones sits down with Dr. Stephen Matta, a triple board-certified physician specializing in regenerative medicine, to uncover what's often missed in the diagnosis and treatment of neuropathy. In this episode, you'll learn what neuropathy really is, why standard tools like EMGs can miss underlying nerve dysfunction, and how chronic inflammation, poor blood flow, and structural issues contribute to ongoing nerve pain. Dr. Matta breaks down why medications like Gabapentin may only mask symptoms instead of addressing root causes—and what a more comprehensive, functional approach looks like. We also explore advanced treatment strategies, including ultrasound-guided hydrodissection, peptide therapy, regenerative injections, and full-body assessments designed to restore nerve function. Through real patient cases, Dr. Matta explains how identifying the true source of nerve irritation can lead to meaningful improvements in pain, mobility, and quality of life.If you're dealing with neuropathy, nerve pain, tingling, or unexplained symptoms—or you're a practitioner looking for a more effective framework—this episode provides a practical, science-informed roadmap to approaching nerve health differently.
Ulcerative colitis (UC) can present significant challenges in primary care settings. Today's episode features expert insights on ulcerative colitis, covering diagnosis, severity classification, treatment options, and holistic care approaches. Perfect for primary care providers seeking to enhance their management strategies.
I hear this from so many of my patients: "Dr. Shelly, I haven't changed anything—not my diet, not my exercise—but I'm gaining weight and my body just doesn't respond the way it used to." If you're a woman in your 40s or 50s, you're probably nodding right now. In this episode, I'm walking you through exactly why menopause causes weight gain, why it has nothing to do with willpower, and what breakthrough new research reveals about Foundayo—an oral GLP-1 medication—and how it helps restore the biological signals that become harder to access during this life stage. I'm sharing real data from the 2026 American Diabetes Association Scientific Conference, including results from the ATTAIN 1 and ATTAIN 2 clinical trials that show meaningful weight loss across all menopausal stages. But here's what matters most: the goal during menopause isn't just weight loss—it's aging healthy. You'll learn exactly what that looks like and what you need to focus on right now. Episode Highlights: What menopause actually is ( How estrogen decline drives abdominal fat storage and insulin resistance Why muscle loss and poor sleep compound weight gain How GLP-1 medications work—and what they don't do The ATTAIN trials: weight loss results before, during, and after menopause Strength training, protein intake, and the non-negotiables for sustainable results REFERENCES: Menopausal Stage and Weight Outcomes with Orforglipron vs. Placebo: Post Hoc Subgroup Analysis from ATTAIN-1 and ATTAIN-2. Presented at the 86th Scientific Sessions of the American Diabetes Association, June 2026. Horn DB, et al. Orforglipron, an oral small-molecule GLP-1 receptor agonist, for obesity treatment in adults with type 2 diabetes. Lancet. 2026. ClinicalTrials.gov. ATTAIN-2 Trial (NCT05872620). The Menopause Society. Menopause practice recommendations and patient resources on metabolic changes during menopause. 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!)
CLOSING SOON! VOTE IN THE 2026 MY DPC STORY BATTLE! VOTE HEREWhen most physicians hear the word sustainability, they think about keeping the doors open. But after a weekend with more than 80 doctors at the California DPC Summit, our host Dr. Maryal Concepcion came away certain it means so much more. In this episode of My DPC Story, five voices from the Direct Primary Care community share what makes a medical career, a practice, and a life sustainable.The throughline is simple. Healthcare becomes sustainable when the people providing the care are allowed to thrive.You will hear from:Dr. Deepti Mundkur, My Happy Doctor, nearly six years into DPC, on how continuity and deep patient relationships became her real measure of sustainability, including watching patients need less medication over time.Dr. Shannon Connolly of Open Arms Direct Primary Care on how community and physician innovation build confidence, and why scaling DPC looks nothing like the venture-backed version.Dr. Dedra Beckles on knowing your worth, protecting your energy, and why boundaries are not optional if you want to keep showing up with joy.Dr. Grace Hassell on authenticity, presence, and a powerful highlining metaphor for becoming the doctor she wrote about in her personal statement.Noreen Gutierrez, RN, on building sustainable teams through head, heart, and hands, and her five Rs for clinic culture.Registration is open for the Illinois DPC Summit this October in the Chicagoland area, and for California's third annual DPC Summit next year. Find both on the Events page at mydpcstory.com.If you will be at the AAFP co-sponsored DPC Summit in New Orleans, come say hi, grab the latest magazine, and share your story on a live mic.Want a summit in your state? Send us a note through the contact page at mydpcstory.com. Tennessee is already in the works.Leave me a voicemail at mydpcstory.com/contact and you might hear it on a future episode.For commercial-free episodes, extended conversations, and the State by State with Dr. Phil Eskew series, check out our Patreon.If this episode moved you, please leave a five-star review on Apple Podcasts. It helps other physicians find these stories when they need them most.Keywords: direct primary care, DPC, DPC physician, physician burnout, sustainable medical practice, California DPC Summit, Illinois DPC Summit, membership medicine, family medicine, My DPC StoryMeet the My DPC Story team at DPC Summit NOLA! Summit bundles are live: HERE the Physician Owner's PlannerThe "insurance is not healthcare" teeA digital tool bundle for your practice A website reviewA 50% off our $350 Patient Explainer VideoPlus a chance to win an hour with Dr. Concepcion. Cooperative of American Physicians or CAP. Learn more about the medical malpractice company used by Dr. Maryal Concepcion since 2021 at capphysicians.com or by calling 800-356-5672.Guava Health. A premium patient experience, pulling data from EHRs and wearables, helping see the full picture and uncover root causes to deliver personalized care. ZION HealthShare. Get peace of mind for major medical events without going back into the insurance maze. Hint AI helps you move faster through every stage of the patient visit. Hint AI Chat lets you ask questions about a patient's chart and instantly surface relevant notes, labs, and clinical history. Learn more at hint.com/ai.Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
While Elsevier's most recent Clinician of the Future Report shows increasing adoption of artificial intelligence tools among physicians and nurses, and optimism that they will improve quality of care in the future, a majority raised concerns about trust and reliability. To increase the level of trust, 60% said transparent citations of evidence-based and peer-reviewed research will be key. How to provide that transparency is our focus today as Raise the Line host Lindsey Smith welcomes Elsevier colleagues Rhett Alden and Raman Kaur to guide us through the complexities involved, including the concept of traceability and what role it plays in how AI tools such as Elsevier's ClinicalKey AI are built and deployed. “Traceability changes the confidence that a clinician has in an AI tool so that they aren't trusting the AI, they're trusting the underlying evidence they're consuming from the AI-assisted platform,” says Raman, who brings years of experience as a primary care practitioner to her work. It's also important, Rhett adds, to provide additional information, pulled from both the clinician's query and the patient's medical record, to inform clinical thinking. “ClinicalKey AI can be more than a response engine by establishing a larger context to provide a more precise answer for that individual patient.” In this thought-provoking discussion, these experts also provide insights on: Mitigating bias in AI results; Using AI responsibly with sustainability in mind; What type of clinician will benefit most from AI Mentioned in this episode: ClinicalKey AI Clinician of the Future Report 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
In this podcast, Jennifer Green, MD, and Jay H. Shubrook, DO, FAAFP, FACOFP, share strategies for integrating incretin-based therapies in type 2 diabetes (T2D) management in the primary care setting, including: Importance of moving beyond a glucose-centric approach to T2D care Current evidence for incretin-based therapies in T2D Rationale for integrating these therapies into the primary care setting Shared decision-making strategies to discuss optimal T2D treatment options with patients Timing for endocrinology referral Presenters: Jennifer Green, MD Professor of Medicine Division of Endocrinology Duke Clinical Research Institute Duke University School of Medicine Durham, North Carolina Jay H. Shubrook, DO, FAAFP, FACOFP Professor, Diabetologist Department of Clinical Sciences and Community Medicine Touro University California, College of Osteopathic Medicine Vallejo, California Full program link: https://bit.ly/4uSKCqv Get access to all of our new podcasts by subscribing to the Decera Clinical Education Multispecialty Podcast on Apple Podcasts, YouTube Music, or Spotify. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this episode of DNA Dialogues, we explore two innovative approaches to improving access to genetic testing and hereditary cancer care. First, Daniella Kamara and Mariana Niell Swiller discuss UCLA's GENETECA™ program, a point-of-care genetic testing model that integrates cancer genetic services directly into oncology clinics. In the second half of the episode, Tesla Theoryn discusses research examining why many people who express interest in genetic testing never complete the process. The conversation explores how life circumstances, privacy and insurance concerns, changing readiness, and healthcare system barriers influence decision-making over time. Segment 1: From the ground up: Launching GENETECA™ (GENetic education and TEsting for CAncer) a point-of-care cancer genetics service at an academic medical center Guest Bios: Daniella Kamara, MS, LCGC is a cancer genetic counselor at University of California, Los Angeles (UCLA). She has been a cancer genetic counselor for over 10 years and works both in the clinical and research settings helping individuals and families who face a hereditary predisposition to cancer. She has contributed to various research studies over the years aiming to increase access to hereditary cancer testing, creating novel models for support for individuals and their family members, and exploring population-based testing models. She is passionate about supporting patients and their family members to feel empowered by their genetic test results and finding ways to make it easier to navigate healthcare for those facing a hereditary predisposition to cancer. Mariana Niell-Swiller, MS, CGC, is a board-certified genetic counselor with 20 years of experience specializing in hereditary cancer risk assessment. She holds a BS in Biology from Cornell University and an MS in Genetic Counseling from Brandeis University, and began her clinical career after working as a molecular genetics laboratory technician in neurogenetics. She has since held clinical and leadership roles across a range of settings, from community hospitals to academic medical centers. In her current role as Director of Cancer Genetics at UCLA Health, Mariana leads both clinical program development and innovative IT infrastructure to expand access to hereditary cancer services. She is driven by the belief that thoughtfully designed systems can make genomic medicine more scalable, equitable, and sustainable — and is committed to advancing that vision across health systems. Outside of work, she enjoys kayaking, hiking, and dancing, and shares a love of nature with her husband and son. In this segment we discuss: - Increased access to genetic testing for pancreatic cancer patients through a point-of-care model - The benefits and challenges of mainstreaming genetic testing within routine oncology care - How genetic counseling assistants help improve efficiency, scalability, and patient access to cancer genetics services - Lessons learned from implementing GENETECA™ and balancing greater access with the personalized aspects of genetic counseling Segment 2: Cancer genetic testing uptake in the primary care setting: Patient perspectives on barriers and facilitators throughout the testing process Guest Bio: Tesla Theoryn, M.Ed., is a qualitative researcher and former high school science teacher with an applied interest in science communication and decision-making in the context of genetic testing. Her work focuses on how medical messaging and timing influence patient engagement and healthcare decisions. She is currently completing her doctorate from the University of Washington in Public Health Genetics. http://www.linkedin.com/in/theoryn In this segment we discuss: - How life circumstances influence uptake of genetic testing - How re-offering genetic testing over time may change uptake as people's priorities, concerns, and readiness change - The impact of privacy, insurance, and legal concerns on genetic testing decisions - Strategies for expanding hereditary cancer screening in primary care while improving equity, accessibility, and patient-centered care Would you like to nominate a JoGC article to be featured in the show? If so, please fill out this nomination submission form here. Multiple entries are encouraged including articles where you, your colleagues, or your friends are authors. DNA Dialogues has been recognized as a Top 3 California Genetics Podcast and a Top 25 Molecular Biology Podcast by FeedSpot! Check out the recognitions here: https://podcast.feedspot.com/california_genetics_podcasts/ https://podcast.feedspot.com/molecular_biology_podcasts/ Stay tuned for the next new episode of DNA Dialogues! In the meantime, listen to all our episodes Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “DNA Dialogues”. For more information about this episode visit dnadialogues.podbean.com, where you can also stream all episodes of the show. Check out the Journal of Genetic Counseling here for articles featured in this episode and others. Any questions, episode ideas, guest pitches, or comments can be sent into DNADialoguesPodcast@gmail.com. DNA Dialogues' team includes Jehannine Austin, Naomi Wagner, Khalida Liaquat, Kate Wilson and DNA Today's Kira Dineen. Our logo was designed by Ashlyn Enokian. Our current intern is Stephanie Schofield.
This week, we discuss a promising step toward a functional cure for chronic hepatitis B, first-line pulsed field ablation for persistent atrial fibrillation, reducing the demand for transfusion in surgery, treatment for rifampicin-resistant tuberculosis, and a decade-long look at CAR T-cell therapy outcomes. We review peanut allergy and discuss a case of a man with leg weakness, pain, and weight loss; Perspectives explore GLP-1 access, air-quality policy, and the human realities of homelessness.
NBA legend and Miami Heat icon Alonzo Mourning joins Baptist Health primary care physician Dr. Daniel Ramon for a powerful conversation about men's health, preventive screenings and why feeling fine does not always mean being healthy.During this special Men's Health Month discussion, Mourning opens up about his kidney transplant, prostate cancer diagnosis and heart procedures — including the routine checkup that led doctors to discover a serious heart rhythm issue even though he felt completely fine.Together, Mourning and Dr. Ramon encourage men to take charge of their health, schedule regular checkups, ask questions, know their family history and stop waiting until something hurts before seeing a doctor.Because as Mourning says: “If you don't go, you don't know.”For more health and wellness resources, visit Baptist Health South Florida's Resource Blog: https://baptisthealth.net/newsGuests:Alonzo MourningMiami HEAT Alumni, NBA Hall of FamerProstate Cancer SurvivorDaniel Ramon, M.D.Family Medicine PhysicianBaptist Health Primary CareIf you found this episode helpful, you may also enjoy:The Screening That Changed Everything for Alonzo MourningChampioning Men's Health: A Conversation with Alonzo MourningThe Conversation Men Need to Have and Why It Starts Now
Stacie Dusetzina is a professor of health policy and of cancer research at the Vanderbilt University School of Medicine. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. S.B. Dusetzina. Access to GLP-1s for Medicare Beneficiaries — A Bridge to Nowhere? N Engl J Med 2026;394:2385-2387.
In this episode of Future of Fitness, host Eric Malzone sits down with Dr. Tania Elliott—board-certified physician, three-time Chief Medical Officer, and a leading voice in healthcare innovation—to break down the collision course between the fitness industry and the future of preventative health. Dr. Elliott doesn't hold back: she calls out the fitness world for being too intense or too dainty, challenges the gatekeeping role of primary care, and paints a vivid picture of what the health club of the future should really look like. From the over-reliance on protocols and biohacking to the untapped power of community, nutrition, and strength training for women, this conversation is a bold, no-BS look at how fitness can evolve from a destination into a way of life. If you're ready to rethink everything you know about health, wellness, and the role of gyms in healthcare, this one's for you.
Gaddiel Rios, M.D., is the Primary Care Physician at MED360 by Monument Health in Rapid City. Dr. Rios tells Mark Houston about his history of military service and his medical career, including how he was initially drawn to technology and engineering before moving into medicine. As the only Physician at MED360, Dr. Rios covers a wide range of patients who have direct access without many of the intermediary complications that can be associated with Primary Care. Watch or listen to find out if MED 360 is for you. Hosted on Acast. See acast.com/privacy for more information.
What if the patient never noticed the merger at all? For Matt Staub, that's not a failure — it's the goal. In this episode, Your Health CEO Matt Staub sits down with Jamie to talk through the company's merger with TCPA and Providence Care — a move that brings together similar footprints in primary care, palliative, hospice, skilled nursing, and assisted living across South Carolina and Georgia. As a 23-year healthcare veteran going through his first merger, Matt is candid about the tedious due-diligence "earnest money" phase, the EMR transitions ahead, and why he refuses to let "what could go wrong" crowd out "what could go right." You'll hear: Why "mass moves mass" — and what scale actually buys patients in care management and data analytics How Your Health breaks 50,000 patients into groups, teams, and "hubs" so no one falls through the cracks The "change is hard" philosophy and the discipline of productive (not just effective) communication How the spirit of agape — godly love — still threads through a company that's evolved far past its original name What success looks like in six months: patient retention, mission and margin If you lead through change — or live through it — this one will reframe how you think about getting bigger without losing what made you matter.
In part two of this series, Dr. Stacey Clardy and Dr. John Ney discuss the primary limitation of using claims data to estimate wait times for neurology services, particularly in rural areas or for subspecialty neurology care. Show citation: Laffargue EK, Van Der Goes DN, Wilson AM, Parziale SD, Sico JJ, Ney J. Neurology Wait Times After Primary Care or Emergency Department Visits Among the Commercially Insured Population in the United States: 2019-2023. Neurology. 2026;106(10):e218008. doi:10.1212/WNL.0000000000218008
In part two of this series, Dr. Stacey Clardy and Dr. John Ney discuss the primary limitation of using claims data to estimate wait times for neurology services, particularly in rural areas or for subspecialty neurology care. Show citation: Laffargue EK, Van Der Goes DN, Wilson AM, Parziale SD, Sico JJ, Ney J. Neurology Wait Times After Primary Care or Emergency Department Visits Among the Commercially Insured Population in the United States: 2019-2023. Neurology. 2026;106(10):e218008. doi:10.1212/WNL.0000000000218008
Send us Fan MailDr. Muthu Alagappan is the Founder and CEO of Counsel Health, the company automating access to high-quality, personalized medical advice from doctors. Counsel recently closed a $25M Series A led by Andreessen Horowitz and Google Ventures, following an $11M seed round that included A16Z, Asymmetric Capital Partners, Floodgate Fund, and Pear VC.He holds an MD from Stanford Medicine and a B.S. in Biomechanical Engineering from Stanford, and was among the earliest AI researchers to publish on clinical applications of machine intelligence.In this episode, Muthu draws on 15 years at the intersection of AI research and frontline clinical medicine to explore the shift toward semi-autonomous care.In this conversation, we discuss:How AI addresses the limitations of traditional primary care by offering a highly personalized, knowledgeable, and always available medical experience.Why patients might leapfrog clinicians in their willingness to adopt AI for medical advice, and how this shift challenges the traditional identity of physicians.What semi-autonomous care actually looks like in practice, and how Counsel Health uses a clinician cockpit to augment human compassion with real-time machine intelligence.How to leverage population-level patterns without compromising patient privacy.Why the double standard applied to AI is misplaced, and why Muthu argues we should hold AI to a much higher benchmark than human doctors simply.What the future of global healthcare could look like when cognitive medical expertise is fully democratized, ensuring that a patient's zip code no longer dictates the quality of care they receive.Explore the Conversation00:00 Intro & AI Fun Fact: Big Data Limitations and Bias in Clinical AI03:52 Meet Dr. Muthu Alagappan: From Stanford AI Researcher to Counsel Health CEO06:51 Why Primary Care Falls Short: The Case for AI-Augmented Medicine09:05 Human Doctors Are Human: How Patients Are Adopting AI Medical Advice12:20 Patient Privacy and Population Health: Learning Without Training on Data14:17 Inside the Clinician Cockpit: Real-Time AI Support for Doctors16:17 Why Counsel Health Employs Its Own Physicians: Messaging-Based Care19:00 From Semi-Autonomous to Fully Autonomous Care: Healthcare's Next Era24:19 AI Ethics in Medicine: Safety Standards, Model Values, and Data Ownership27:22 The AI Double Standard: Why Machines Deserve a Higher Benchmark Than Doctors31:07 Founder Lessons: Building a Category-Defining Healthcare AI Company33:53 Rewriting the Commencement Address: Medicine as Lifelong Learning35:37 Where to Connect with Dr. Muthu Alagappan and Counsel HealthResourcesSubscribe to the AI & The Future of Work NewsletterConnect with Muthu on LinkedInAI fun fact article: Artificial Intelligence in Health Care: The Ethical Frontier via ConexiantOn the future of AI, Silicon Valley and Venture Capital LIVE EVENT: See how leading enterprises are using agentic AI to give employees back 4–6 productive hours every week. Join PeopleReign CEO Dan Turchin for a live demo on June 25, 2026.Register here: https://go.peoplereign.io/live-demo-how-agentic-ai-is-being-used-by-global-enterprises
A patient asked me this recently: "Dr. Shelley, I've heard that GLP-1 medications can cause muscle loss. Does that mean they can hurt my bones too?" It's an excellent question—and one we don't talk about nearly enough. In this episode, I'm walking you through what the research actually shows about GLP-1 medications and bone health, why weight loss itself poses a different risk to your skeleton, and the five non-negotiable steps you need to take to protect your bones while losing weight. This is the bone health conversation you need to hear before—or while—taking a GLP-1. Episode Highlights: What GLP-1 medications are and how they work in your body Does GLP-1 directly damage bones? What the research says The real issue: weight loss and how it affects bone health How your bones stay strong and why muscle matters Muscle loss during weight loss on GLP-1s (body composition breakdown) Who's at higher risk for weak bones and should be monitoring Eat enough protein: how much you actually need Strength training and resistance exercises for bone protection Getting enough calcium and vitamin D The DEXA bone density scan and when you should ask for one 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!)
What happens to a family physician when the system that trained him decides he no longer has value? In this deeply personal episode, Dr. Maryal Concepcion hands the introduction to a special guest, then sits down with her husband, Dr. Jeremiah Fillo of Big Trees MD, for an honest conversation about sustainability, not just as a doctor, but as a whole person.Dr. Fillo shares the path from rural Nebraska training under Dr. Tim Blecha (Blay-kee), through residency in Modesto, into a corporate regional medical center that slowly turned the heat up the way you would on a frog in a pot. He talks candidly about the evergreen contract, the exclusivity clause, and the moment he was told to sign or be terminated while his wife was pregnant. He describes being let go and replaced by a non-physician model, the AB 890 reality in California, and the months of uncertainty that followed.This is also a conversation about what comes after the devaluation. Dr. Fillo opens up about how he held onto his sense of self when the system told him he had none, why splitting and stacking firewood mattered as much as any clinical workflow, and how he learned to quiet his "referralologist" training once he joined a Direct Primary Care practice with real time and autonomy. Listeners will hear how DPC reshaped his parenting, his task switching between in-office visits and asynchronous telemedicine, and his perspective on joining an established practice he did not build from scratch.For any physician who has felt like a charge sheet instead of a clinician, this episode is a reminder: the system does not get to decide your worth, and there is real life after fee-for-service.In this episode: How job share became the foundation of a sustainable two-physician family. Why residency training around fee-for-service leaves new physicians blindsided to independent options. What being replaced by a non-physician model does to a person, and how to rebuild. Why rural communities cannot sustain healthcare on a three-day-a-week, hard-to-access model. How Direct Primary Care creates room to practice full scope again and still be present for your kids.About the guest: Dr. Jeremiah Fillo is a family physician at Big Trees MD in Arnold, California, where he practices Direct Primary Care alongside Dr. Maryal Concepcion. He trained at Creighton University School of Medicine and completed residency in Modesto, with additional procedural training at Brodstone Memorial in rural Nebraska.Connect with My DPC Story: Subscribe wherever you listen, leave a review, and share this episode with a physician who needs to hear that there is a sustainable path forward. Have a question or a story of your own? Call the My DPC Story voicemail and you may hear your answer on a future episode.Lean more about Hint Clinical today! Check out CoolBlue VA today at coolblueva.com/dpcgrow VOTE in the 2026 Battle of the Support Stack HERE! Support access to women's healthcare and join us for Fireside Chats for Women's Health in New Orleans! July 17th 7-9 pm. BUY tickets at mydpcstory.com/upcoming-events. If you're interested in donating or sponsoring, email hello@mydpcstory.com Get your copy of the Physician Owner's Planner today at mydpcstory.com/librarySupport the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOADBecome A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube
In part one of this series, Dr. Stacey Clardy and Dr. John Ney break down the difference between mean and median wait times for new neurology appointments. Show citation: Laffargue EK, Van Der Goes DN, Wilson AM, Parziale SD, Sico JJ, Ney J. Neurology Wait Times After Primary Care or Emergency Department Visits Among the Commercially Insured Population in the United States: 2019-2023. Neurology. 2026;106(10):e218008. doi:10.1212/WNL.0000000000218008
It's been one year since the U.S. Centers for Disease Control and Prevention, in an unprecedented move, dismissed all the members of its Advisory Committee on Immunization Practices (ACIP), kicking off what would turn out to be a very concerning and busy year for infectious disease specialists. We're going to recap this turbulent period – which includes a resurgence of measles, an unusually rough flu season, the emergence of a new COVID strain and outbreaks of hantavirus and Ebola – with Dr. William Schaffner, one of the country's most frequently quoted medical experts on infectious disease, vaccination, and public health. As a member of ACIP for decades, Dr. Schaffner brings unique insight into the dismantling of the committee and the distrust of vaccines that lies at the root of the changes. As he explains to Raise the Line host Lindsey Smith, while many vaccine critics are beyond reach, there are those he describes as vaccine hesitant that may be persuadable if the right approach is taken. “Beyond providing facts, we have to listen to them and respond to their concerns and make them feel comfortable. Information is fundamental, but behavior change only comes with a change in attitude.” Tune in for a wealth of wisdom and context that includes observations on: What's complicating containment of the Ebola outbreak; Challenges in public health communication in the current social media environment; What grade health authorities should get on their response to the hantavirus outbreak. Mentioned in this episode:Vanderbilt University School of Medicine 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 Fostering a Sustainable Workforce. Faisel and Dan are talking with Bergen Morehouse and Mahima Sangtani from HOSA—Future Healthcare Professionals.Our conversation explores the value of introducing clinical knowledge to young people, the importance of teaching leadership and communication skills in medicine, and the advantage from early involvement with HOSA in empathetic patient care.
This week, we discuss endovascular therapy for post-thrombotic syndrome, new evidence on prehospital blood transfusion strategies in trauma patients, and a trial of cefazolin for Staph. aureus bacteremia. We examine evolving approaches to thyroid cancer and share a case of a man with pancytopenia after heart transplantation. Perspectives explore psychedelic therapy, the convergence of Down syndrome and Alzheimer's disease, and treating addiction.
Marcus Hughes is an assistant professor of psychiatry at the Yale School of Medicine and an attending psychiatrist at Yale New Haven Psychiatric Hospital. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. M. Hughes. Psychedelic Therapies in the United States — Balancing State and Federal Oversight. N Engl J Med 2026;394:2281-2283. Y. Zisman-Ilani and R. Yehuda. Patient-Driven Care in Psychedelic Therapy. N Engl J Med 2026;394:2284-2286.
In this week's new episode of Bold Beautiful Borderline we meet Dr. Smith, who shares about how he feels medicine has lost its mind. What does this mean? It means that primary care is failing people with severe mental health issues. In our episode he proposes strategies to get medicine back on track to best support individuals in need of mental healthcare. Dr. Smith, MD recently published the book Has Medicine Lost Its Mind: https://amzn.to/4aTpola Send us a text message to be anonymously read and responded to! Support the showYou can find Sara on Instagram @borderlinefromhell. You can also find the podcast on IG @boldbeautifulborderlineCorey Evans is the artist for the music featured. He can be found HERE Talon Abbott created the cover art. He. can be found HERE Leave us a voicemail about your thoughts or questions on the show at boldbeautifulborderline.comIf you like the show we would love if you could rate, subscribe and support us on Patreon. Patreon info here: https://www.patreon.com/boldbeautifulborderline?fan_landing=true Purchase Sara's Exploring Your Borderline Strengths Journal at https://www.amazon.com/Exploring-Your-Borderline-Strengths-Amundson/dp/B0C522Y7QT/ref=sr_1_1?crid=IGQBWJRE3CFX&keywords=exploring+your+borderline+strengths&qid=1685383771&sprefix=exploring+your+bor%2Caps%2C164&sr=8-1 For mental health supports:National Suicide Preve...
Healthcare pioneer Rushika Fernandopulle joins us to discuss his new venture Liza and why this is the perfect moment to build new primary care models from the bottom up. Rushika argues that “shareholder value” has usurped the needs of patients in US healthcare, and that fundamental rethinking, not optimizing or tweaking at the edges, is needed. Rushika shares the ‘build principles' for Liza:Backload constraints - don't frontload them. First show that a new approach works, then figure out the business modelTake cues from conscious capitalism: the purpose of a business is to create good in the world, not to optimize shareholder value Figure out the right thing to do, not a business that fits how healthcare is brokenRushika argues that AI invites us to rethink healthcare based on abundance, not scarcity:“We've built our whole economy, all our processes with this assumption of scarcity, that there were a scarce number of human brains who could do things, right? Doctors, teachers, et cetera. And now all of a sudden that assumption has gone away. So we need to rethink from scratch how we build these systems. So that's what we're trying to do at Liza. Like, what if we started from scratch?”Relevant LinksMore information on LIZA HealthThe book Conscious Capitalism by John Mackey et alPodcast episode where Tim Ferris and Jerry Colonna talk about sabbaticalsArticle by Sara Riggare about living with Parkinson's and her image of blue and red dotsAbout Our GuestRushika Fernandopulle is a practicing physician who is the CEO of Liza Health, a startup building a new AI-enabled platform for Primary Care. He was the co-founder and CEO of Iora Health, an early innovator in Primary Care redesign which was acquired by Amazon in 2023. Prior to this, Rushika was the first Executive Director of the Harvard Interfaculty Program for Health Systems Improvement and Managing Director of the Clinical Initiatives Center at the Advisory Board Company. He is a member of the Schweitzer, Ashoka, Aspen, and Salzburg Global Fellowships, on faculty at Harvard Medical School. He serves on the boards of the Asian American Foundation, Families USA, and Premera Blue Cross, and is a member of the Lancet Commission for Person Centered Care. He earned his A.B., M.D., and M.P.P. from Harvard University, and completed his clinical training at the University of Pennsylvania and the Massachusetts General Hospital.SourceConnect With UsFor more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedInSubscribe to The Other 80 on YouTube so you never miss our video extras or special video episodes!
Today we discuss the role of psychology in integrated primary care settings with Dr. Daniel Mullin. Show notes are available at www.NavNeuro.com/193 _________________ If you'd like to support the show, here are a few easy ways: 1) Get CE credits for listening to select episodes: www.NavNeuro.com/INS (for step-by-step guidance, go to: www.NavNeuro.com/CEguide) 2) Subscribe (free) and leave an Apple Podcasts rating/review: www.NavNeuro.com/itunes 3) Check out our book Becoming a Neuropsychologist, and leave it an Amazon rating Thanks for listening, and join us next time as we continue to navigate the brain and behavior! [Note: This podcast and all linked content is intended for general educational purposes only and does not constitute the practice of psychology or any other professional healthcare advice and services. No professional relationship is formed between hosts and listeners. All content is to be used at listeners' own risk. Users should always seek appropriate medical and psychological care from their licensed healthcare provider.]
Dr. Stacey Clardy talks with Dr. John Ney about wait times for new neurology office visits among commercially insured persons in the United States. Read the related article in Neurology®. Disclosures can be found at Neurology.org.
Primary care is where healthcare either works or quietly breaks, and Dr. Harry Albers helps us say the uncomfortable parts out loud. We talk about the emotional reality of managing chronic disease without instant wins, and the operational reality that burns physicians down: EMR documentation, inbox overload, prior authorizations, and the steady creep of uncompensated work after hours. When you stack that on top of low reimbursement and high overhead, it's no mystery why so many primary care physicians feel trapped in a system that rewards speed over relationships. We also dig into the RVU treadmill and what it does to quality, continuity, and professional confidence. If primary care can't get paid for time spent on prevention, lifestyle change, and complex decision-making, the incentives push referrals and volume. That has downstream effects for patients who struggle to see their own doctor, get routed to urgent care, or wait months to see a specialist. Access becomes the product, not just the outcome. From there, we explore concierge medicine and what “high-touch” care really means, including Dr. Albers' move into MD Squared and why a small patient panel can restore the core promise of primary care: access, advocacy, and a clinician who actually knows you. We don't ignore the hard question either, whether concierge and direct primary care models can scale during a national primary care shortage. We close with concrete advice for young doctors, health systems considering employment models, and patients who want to choose a PCP wisely, plus where AI in healthcare may reduce administrative burden soon. If you found this helpful, subscribe, share the show with a friend, and leave a review so more people can find these conversations. What's the biggest barrier you've faced getting timely primary care?Support the showEngage the conversation on Substack at The Common Bridge!
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