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Behavioral health conditions are rising, providers are burned out, and primary care is carrying the load. In this episode, Unity Stoakes sit down with StartUp Health community member Indira Paharia, PsyD, CEO & Co-founder of VIBEcare, to explore how virtual, integrated behavioral health can transform care delivery at scale. Drawing on her experience as a clinical psychologist, payer executive, and health tech founder, Indira explains why primary care is the most powerful entry point for behavioral health and how VIBEcare is building practical solutions that actually fit into real-world workflows. In this episode, we cover: Why behavioral health so often shows up first in primary care The collaborative care model and why reimbursement changed everything How virtual care removes barriers like stigma, transportation, and childcare Addressing the national behavioral health provider shortage with scalable staffing models What it takes to build solutions designed by clinicians, for clinicians Why Indira is optimistic about the future of behavioral health access This conversation is a must-listen for founders, providers, payers, and health system leaders working to make behavioral health more accessible, effective, and human. Are you ready to tell YOUR story? Members of our Health Moonshot Communities are leading startups with breakthrough technology-driven solutions for the world's biggest health challenges. Exposure in StartUp Health Media to our global audience of investors and partners – including our podcast, newsletters, magazine, and YouTube channel – is a benefit of our Health Moonshot PRO Membership. To schedule a call and see if you qualify to join and increase brand awareness through our multi-media storytelling efforts, submit our three-minute application. If you're mission-driven, collaborative, and ready to contribute as much as you gain, you might be the perfect fit. » Learn more and apply today. Want more content like this? Sign up for StartUp Health Insider™ to get funding insights, news, and special updates delivered to your inbox.
We have a special episode of Raise the Line on tap today featuring the debut of host Dr. Parsa Mohri, who will now be leading our NextGen Journeys series that highlights the fresh perspectives of learners and early career healthcare professionals around the world on education, medicine, and the future of care. Parsa was himself a NextGen guest in 2024 as a medical student at Acibadem University in Turkey. He's now a general physician working in the Adult Palliative Care Department at Şişli Etfal Research and Training Hospital in Istanbul. Luckily for us, he's also continuing in his role as a Regional Lead for the Osmosis Health Leadership Initiative (OHLI). For his first guest, Parsa reached out to a former colleague in the Osmosis family, Negeen Farsio, who worked with him as a member of OHLI's predecessor organization, the Osmosis Medical Education Fellowship. Negeen is now a graduate student in medical anthropology at Brunel University of London, a degree which she hopes will inform her future work as a clinician. “Medical anthropology is a field that looks at healthcare systems and how human culture shapes the way we view different illnesses, diseases, and treatments and helps you to see the full picture of each patient.” You are sure to enjoy this heartfelt conversation on how Negeen's lived experience as a patient and caregiver have shaped her commitment to mental health and patient advocacy, and how she hopes to marry humanity with medicine in a world that yearns to heal. 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 The Compass of Connection: Using Moral Insight to Guide Patient-Centered Care! Faisel and Dan are joined by Dr. Peter Murphy, from Mountain View Direct Care.Our conversation revolves around defining what sets Direct Primary Care apart from other models, considering the moral injury of financial harm as part of patients' health, and forging a new path based in quality relationship- and value-based care.
When you're preparing for NP boards, screening guidelines can seem a little dry, but these recommendations show up consistently on exams and form the foundation of primary care practice. In this episode, Courtney and I run through an overview of the adult screening recommendations you'll need to know for primary care NP boards, leaning heavily on USPSTF recommendations. Discover how to think through screening questions without getting lost in the nitty gritty detail. Get full show notes, transcript, and more information here: https://blog.npreviews.com/primary-care-screening-guidelines-pass-np-boards Follow us on Instagram: instagram.com/smnpreviewsofficial
In this episode, we explore evolving evidence on anticoagulation after atrial fibrillation ablation, long-term outcomes with immunotherapy for melanoma, and promising new treatments for hepatitis D and triple-negative breast cancer. We review advances in physiologic pacing for heart failure and work through a challenging case involving fever, rash, and neurologic symptoms. An article considers fairness for late-career physicians, and Perspectives discuss misconceptions about autism, access to contraception, and the financial pressures shaping health care.
Tara Eicher is a postdoctoral research fellow in the Department of Biostatistics at the Harvard T.H. Chan School of Public Health. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. T. Eicher, J. Quackenbush, and A. Ne'eman. Challenging Claims of an Autism Epidemic — Misconceptions and a Path Forward. N Engl J Med 2026;394:313-315.
"Imagine getting a real-time snapshot of your health just by looking into your phone's camera for 30 seconds." - SimonMy guests this week are Simon Spurr, Founder of VivaScore, and Chris Burns, a veteran benefits advisor with over 40 years of experience at firms like Mercer and Sequoia. They join the show to demonstrate a piece of technology that feels like science fiction but is actually here today: rPPG (Remote Photoplethysmography).We discuss how this technology turns a standard smartphone camera into a diagnostic tool capable of measuring blood pressure, heart rate variability (HRV), and stress levels with medical-grade accuracy, no wearables required.In this episode, we explore whether this "digital avatar" of employee health could become the new front door to primary care. We dive into how employers are using this data to spot "silent killers" like hypertension before they become claims, why engagement rates are hitting 50%+, and how this platform connects the "worried well" to actual care pathways.Tune in to see how we can finally move from "sick care" to true preventative maintenance, all through an iPhone lens.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Is This App the Future of Primary Care? (00:06:12) Global Healthcare: Why Costs Are Rising Everywhere (00:08:02) Chris Burns: From Mercer to Sequoia to Tech Advisor (00:12:45) Why Employers are Tired of "Point Solutions" (00:22:26) How rPPG Technology Works (The Face Scan) (00:30:18) The "What Next?" Strategy for Employers (00:39:06) Why Everyone is Talking About HRV (Heart Rate Variability) (00:44:37) Finding the "Silent Killers" in Your Population (00:51:46) Gamification: How to Get 50% EngagementKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
Interview with Katherine Majzoub Morgan, MD, MPP, author of Primary Care Clinicians Available for New Patient Visits, and Ishani Ganguli, MD, MPH, author of A Different Lens on the Primary Care Workforce Shortage—Who Is Accepting New Patients? Hosted by Eve Rittenberg, MD. Related Content: Primary Care Clinicians Available for New Patient Visits A Different Lens on the Primary Care Workforce Shortage—Who Is Accepting New Patients? Changes in Physician Work Hours and Implications for Workforce Capacity and Work-Life Balance, 2001-2021
Interview with Katherine Majzoub Morgan, MD, MPP, author of Primary Care Clinicians Available for New Patient Visits, and Ishani Ganguli, MD, MPH, author of A Different Lens on the Primary Care Workforce Shortage—Who Is Accepting New Patients? Hosted by Eve Rittenberg, MD. Related Content: Primary Care Clinicians Available for New Patient Visits A Different Lens on the Primary Care Workforce Shortage—Who Is Accepting New Patients? Changes in Physician Work Hours and Implications for Workforce Capacity and Work-Life Balance, 2001-2021
The 2025-2030 Dietary Guidelines for Americans just dropped, and they represent a major shift from rigid rules to personalized, sustainable nutrition. These aren't just recommendations—they shape what your doctor tells you, influence insurance policies, and determine what's served in schools and hospitals. In this episode, I break down the most important updates and translate them into simple, actionable steps you can implement today. No overwhelm, no perfection required—just practical strategies rooted in the latest research. Tune in to learn the new protein recommendations that could transform your weight loss results, why your cooking method matters more than you think, and which small changes create the biggest health impact over time. --- Sign up for the Back on Track: Setting the Vision for your health Masterclass: https://drshellymd.kit.com/ecc62a0638 Episode Highlights: The new protein target: 1.2-1.6 grams per kilogram body weight (and why it matters for muscle preservation, satiety, and metabolic health) Why cooking methods can sabotage your progress—simple swaps from deep-fried to baked, roasted, or grilled The truth about fats: why healthy fats aren't the enemy and which ones to prioritize Practical carb guidance: focus on fiber-rich whole grains, not elimination Sugar reality check: keeping added sugars under 10 grams per meal Sodium targets and how to actually track your intake The permission to be flexible: mixing plant and animal proteins for variety and nutrition Why progress beats perfection—start with just one or two changes this week 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!)
Self-Care Is PRIMARY CareWelcome to Episode 290 of Autism Parenting Secrets.If you've been listening for a while, you already know this truth: how you show up as a parent has a huge impact on your child's progress.This week, we go deeper—because when your child struggles, it's easy to focus on fixing what's outside of you. But the real key often starts within, with your own calm and self-care.My guest, Dr. Lawrence Rosen, is an integrative pediatrician, author, and founder of the Whole Child Center. His wisdom and compassion made a lasting difference in my family's journey with our son, Ry, and he's helped countless parents take a more holistic, heart-centered approach to care.The secret this week is… Self-Care Is PRIMARY CareYou'll Discover:Why Parents Lose Themselves While Trying To Do Everything Right (2:03)How Guilt Quietly Pushes Self-Care Off The Table (4:19)Why Isolation Feels Protective—but Often Slows Healing (17:53)How To Make Sense Of Conventional, Integrative, And Functional Pediatric Care (22:51)A Simple Five-Minute Practice To Support Your Own Well-Being (31:55)About Our Guest:Lawrence Rosen, MD, is an integrative pediatrician and founder of the Whole Child Center. He is the co-author of Treatment Alternatives for Children, an evidence-informed guide for parents interested in natural solutions for common childhood ailments. Dr. Rosen serves as Associate Professor of Pediatrics and Assistant Director of the Human Dimension Course at Hackensack Meridian School of Medicine. A founding member and former Chair of the AAP Section on Integrative Medicine, he received the AAP's Pioneer in Integrative Medicine Award in 2015. He is a certified yoga teacher, teaches mindfulness to medical students, and serves as Senior Advisor and Chair of the Health Advisory Board for WholeHealthED, a nonprofit bringing whole-health learning to U.S. schools.
New research is transforming the outlook for cervical and uterine cancers -- two of the most serious gynecologic malignancies worldwide – and we'll be hearing from one of the people shaping that progress, Dr. Mary McCormack, on this episode of Raise the Line. From her perch as the senior clinical oncologist for gynecological cancer at University College London Hospitals, Dr. McCormack has been a driving force in clinical research in the field, most notably as leader of the influential INTERLACE study, which changed global practice in the treatment of locally advanced cervical cancer, a key reason she was named to Time Magazine's 2025 list of the 100 most influential people in health. “In general, the protocol has been well received and it was adopted into the National Comprehensive Cancer Network guidelines which is a really big deal because lots of centers, particularly in South and Central America and Southeast Asia, follow the NCCN's lead.”In this conversation with host Michael Carrese, you'll learn about how Dr. McCormack overcame recruitment and funding challenges, the need for greater access to and affordability of treatments, and what lies ahead for women's cancer treatment worldwide. Mentioned in this episode:INTERLACE Cervical Cancer Trial 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 episode of The Valley Today Community Health series, host Janet Michael talks with Dr. Kevin Volkema, a board-certified family medicine physician at Valley Health Primary Care Greenwood, about the critical importance of primary care. From Chicago Suburbs to the Shenandoah Valley Dr. Kevin Volkema's journey into medicine began with a simple nudge. Growing up in Wheaton, Illinois, just outside Chicago, he received encouragement from two unlikely sources during high school: his own primary care physician and his chemistry teacher. Both pulled the 16-year-old aside and suggested he consider a career in medicine. Initially, Dr. Volkema didn't think much of their advice. However, during his sophomore year at the University of Illinois, he decided to take a leap of faith. He earned his EMT license and began volunteering at a clinic for the uninsured. That experience changed everything. "I really, really enjoyed that year," Dr. Volkema recalls. "Most importantly, I enjoyed working at that clinic for the uninsured. That's really where the foundation grew of this appreciation for community health and community service and this grassroots effort of making change for individuals." Today, Dr. Volkema serves as a board-certified family medicine physician at Valley Health Primary Care Greenwood. He splits his time between patient care and his role as regional medical director, bringing both clinical expertise and administrative insight to the growing Winchester community. He moved to the area this past summer with his wife, a neonatologist at Valley Health, after completing a stint in Charlottesville where she finished her fellowship. The Power of One: Understanding Primary Care's Impact When most people think of healthcare, they envision dramatic scenes from television—emergency rooms, operating theaters, intensive care units. Yet Dr. Volkema emphasizes that this high-stakes, acute care represents only a fraction of actual healthcare delivery. "The reality is that's not the majority of health or the majority of healthcare," he explains. Primary care, by contrast, serves as the quarterback, the home base, the front door to the healthcare system. The statistics backing this claim are remarkable. According to a major study published in JAMA, just one primary care physician for every 10,000 people produces measurable effects: decreased mortality, reduced hospitalization rates, fewer emergency room visits, lower healthcare costs, and improved chronic disease management. "One person could affect 10,000 lives," Dr. Volkema emphasizes. "That's a pretty huge impact." More Than Just Availability: The Three A's of Primary Care Dr. Volkema shares wisdom from one of his mentors, who told him that patients care about three things when choosing a primary care physician: they want someone who is able, affable, and available. Fail on any of these three, and success becomes impossible. Increasingly, availability has become the biggest challenge. This explains why many people default to urgent care facilities—they're open when patients need them. Nevertheless, urgent care cannot replace the continuity and comprehensive oversight that primary care provides. Valley Health has recognized this critical need and made substantial investments in primary care infrastructure. The organization has built new clinics, including the Greenwood location where Dr. Volkema practices, remodeled existing facilities, and aggressively recruited physicians to serve the growing community. Building Relationships That Save Lives Primary care thrives on continuity. Dr. Volkema particularly enjoys seeing entire families—parents, grandparents, and children—because understanding family dynamics provides crucial context for individual health. "Who you live with, how you sleep, if you're stressed, if you are eating a healthy diet, if you exercise—those are gonna influence everything," he notes. "But if I don't even understand the basics about who you are as a person or how your life works, how am I supposed to help you with your chronic medical conditions?" This relationship-building extends beyond physical health. Surprisingly, primary care serves as the largest provider of mental health services in the United States. When people experience depression, anxiety, or grief, they typically turn to their primary care physician first—not because PCPs are psychiatrists, but because patients trust them. "We've built that relationship. We've put in the effort to develop that connection with them so that when things do arise, they feel comfortable talking with us," Dr. Volkema explains. The Four Horsemen: Preventing Chronic Disease Dr. Volkema frames chronic disease management around four pillars, sometimes called "the four horsemen": cardiovascular disease, metabolic disease, neurodegenerative diseases, and cancer. Much of primary care's preventive focus centers on delaying or preventing these conditions from developing. Through lifestyle modifications and mindful attention to habits, patients can potentially push back diagnoses by a decade or more. Instead of developing a chronic condition at 55, thoughtful prevention might delay onset until 65 or 75. Importantly, Dr. Volkema stresses that it's never too late to start. Impressive research demonstrates that individuals 65 and older who begin exercise and weightlifting routines show measurable improvements in bone density, muscle mass, metabolic health, and overall function. "There's never a time that's too late to start," he assures patients of all ages. "It can always make a difference." Bridging the Gap Between Generalist and Specialist Primary care physicians sometimes face skepticism about their breadth of knowledge compared to specialists' depth. Dr. Volkema acknowledges this reality while highlighting two significant advantages primary care physicians possess. First, there's that crucial continuity of care. A specialist may know everything about one body system, but they lack the benefit of a 3-, 5-, or 15-year relationship with the patient. They don't understand the full context of someone's life, medical history, and individual circumstances. Second, primary care physicians identify and fill gaps in care. When Dr. Volkema sees patients who have only followed with specialists, he consistently discovers concerning omissions: missed cancer screenings, unknown medication interactions, and unassessed common medical conditions. "It's keeping an eye on all these different facets of an individual's life and an individual's care to make sure that there's not only a hyper fixation on one type of problem or one concern, and that all the other factors are still being addressed as well," he explains. Practical Access: Getting Care When You Need It Valley Health Primary Care Greenwood currently employs five providers—three physicians, one physician assistant, and one nurse practitioner. Three additional physicians will join the practice in 2026, with one starting in May and two more in July. All providers are accepting new patients, dispelling the common misconception that no one is taking new patients in the area. Patients can research providers at valleyhealthlink.com/primarycare or valleyhealthlink.com/findadoctor. The practice offers same-day appointments for urgent needs, though it's not a walk-in urgent care facility. Patients must call to schedule, but the practice holds multiple same-day slots specifically for this purpose. Additionally, a physician assistant dedicates her entire schedule to same-day patients, providing crucial access for both established and new patients. The Greenwood location also features a full-service lab open from 7:00 AM to 5:00 PM, Monday through Friday. Any Valley Health patient can have blood drawn there, regardless of which Valley Health physician ordered the tests. This convenience factor has proven particularly valuable for patients who work in different areas than where they live. When to Seek Care: Earlier Is Better Dr. Volkema emphasizes the importance of seeking care early in an illness. Treatments for conditions like influenza work most effectively when started soon after symptom onset. Tamiflu, for example, provides maximum benefit when begun early in the disease course—the same principle that applies to COVID antivirals like Paxlovid. The practice offers same-day testing for strep throat, influenza, and COVID-19, with results available in 15 to 20 minutes. This rapid turnaround helps patients get appropriate treatment quickly, especially important during seasons when multiple viruses circulate simultaneously. For individuals with complex medical needs who require immediate primary care—perhaps after a hospitalization or recent move to the area—Valley Health operates a transition clinic on Amherst Street near the hospital. This clinic provides bridge care while patients establish with a long-term primary care physician. The Path Forward As Winchester's Greenwood area continues its explosive growth—transforming from farmland into a bustling commercial district—Valley Health's investment in primary care infrastructure positions the community for better health outcomes. Dr. Volkema's message remains clear and hopeful: primary care access exists in the Shenandoah Valley, providers are accepting new patients, and establishing that crucial relationship with a primary care physician represents one of the most impactful health decisions anyone can make. Whether you're managing chronic conditions, seeking preventive care, or simply need someone who knows your complete health story, the door to primary care stands open. The question isn't whether you can find a primary care physician—it's whether you'll take that first step toward better health. After all, as the research shows, one physician really can change 10,000 lives. Perhaps it's time to let them change yours.
Primary care is the engine that runs the healthcare system. David W. Johnson and special guest Dr. Robert Pearl, former CEO of the Permanente Medical Group, debate the future of primary care on, “The Heartbeat of Primary Care,” the new episode of the 4sight Health Roundup podcast, moderated by David Burda.
This week, we explore new evidence on managing asymptomatic carotid stenosis, restoring vision in advanced macular degeneration, and preventing migraine in children. We discuss innovative cellular therapy for autoimmune disease, review sudden cardiac arrest in athletes, and describe a case of severe systemic infection with vision loss. Perspectives examine global tobacco risks, the future of telehealth payment, Medicare coverage of new technologies, and the things physicians carry.
In this episode of Your Health University, Jamie sits down with Dr. Jimmie Williamson, Chief Behavioral Health Officer at Your Health, to break down why behavioral health belongs inside primary care—not outside it. Jimmie explains how telehealth lowered stigma, how mental health diagnoses (“F codes”) often correlate with frequent ER use, and why Your Health moved from intuition to data-driven referral models using tools like Power BI. They also map the full behavioral health ecosystem—from psych nurse practitioners to therapists to the psych pharmacist—and clarify when and how teams should refer patients for the right level of support. The takeaway is simple: earlier behavioral health intervention can improve lives, reduce hospital visits, and strengthen value-based care outcomes system-wide. www.YourHealth.Org
In this episode, Evan H. Hirsch, MD, sits down with AI innovator Hunter Ziesing, BSBA, and co-founder of Longevity Health, to explore how artificial intelligence is beginning to reshape healthcare, prevention, and personalized medicine. They explore how AI is already being used as a powerful health tool, what it can realistically do today, and what still requires a human doctor in the loop. Hunter shares how his platform integrates clinical data, advanced testing, and AI to make high level longevity and preventive care accessible beyond elite clinics. In this episode, you will learn: How people are already using AI to understand symptoms and make informed health decisions Why AI may soon support primary care through monitoring, onboarding, and personalized guidance How symptom patterns and health history can often replace excessive laboratory testing How AI can support people with chronic fatigue and long COVID by identifying root causes and optimizing treatment paths Why doctors must remain involved and how regulation, privacy, and ethics shape the future of AI in medicine This episode offers clear insight into the future of healthcare, demonstrating how technology and medicine can collaborate to enhance health, empower patients, and deliver more personalized care. It's essential listening for anyone experiencing chronic fatigue or long COVID, or simply interested in the direction of modern medical treatment. You can find Hunter's website at https://www.longevityhealth.me. Also, check out his AI platform, which is currently in beta, at https://ai.longevityhealth.me. ✅ Take the free quiz to discover if your fatigue is fixable, and get a personalized score with expert recommendations: http://myfatiguescore.com . We help you resolve your Long Covid and Chronic Fatigue (ME/CFS) by finding and fixing the REAL root causes that 95% of providers miss. Learn about these causes and how we help people like you, Click Here. Do you have fatigue, brain fog, shortness of breath, muscle pain, or other strange symptoms? You might have Long Covid. Take our free quiz to find out if Long Covid is behind the mystery symptoms you're experiencing, Click Here. For more information about Evan and his program, Click Here. Prefer to watch on Youtube? Click Here. Please note that any information in this episode is for educational purposes only and does not constitute medical advice.
Tara Sklar is the faculty director of the Health Law and Policy Program at the University of Arizona James E. Rogers College of Law and associate director of telehealth law and policy at the University of Arizona College of Medicine–Tucson Arizona Telemedicine Program. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. T. Sklar and B. Richman. Financing Telehealth — Moving Beyond Payment Parity. N Engl J Med 2026;394:211-213.
Utah is facing one of the worst shortages of primary care doctors in the country. Dr. King Udall joins Greg and Holly to discuss the issue and what needs to be done to address it.
This episode of Quality Matters examines primary care's evolving role and features Karen Johnson of the American Academy of Family Physicians and Jeff Sitko of NCQA. Karen and Jeff outline primary care's distinguishing focus on patient relationships, the strain on the primary care workforce, and technology's promise to ease burdens. The discussion connects the dots between workforce sustainability, AI-driven efficiency, payment reform, and NCQA's vision for next-generation primary care.Karen highlights the underappreciated fact that only 5% of health care spending goes to primary care, despite public perception that the figure is—and should be—higher. Jeff describes a dawning era of proactive, data-driven care delivery. He also previews NCQA's plans to build upon the successful Patient-Centered Medical Home model of primary care.HighlightsThe Human Core of Primary Care: Continuity and trust are what make primary care special, even as practice settings change.Workforce Challenges and Opportunities: Clinicians report high stress and burnout, yet relationships with patients keep them engaged. Building systems that protect these relationships—and make primary care careers attractive—is critical to sustainability.Economics and Incentives: Guests discuss new payment models, state-level initiatives and federal efforts to rebalance incentives and support primary care in new ways.Looking Ahead: The foundational Patient-Centered Medical Home model gets an update in 2026. Plus, Karen calls for a seismic shift to resource primary care as a common good.This episode is essential listening for healthcare executives, policymakers, and clinicians committed to strengthening primary care as the cornerstone of quality improvement.Key Quote:If you want to boil it down to the simplest terms, it's taking primary care from a reactive model—Call me when you're sick; I'll put you on my schedule; Come in and see me—to a proactive model.I am paying attention to a population of patients. They're mine. They're on my panel. And now maybe they're also tied to some accountability arrangement in value-based care, where performance comes into play.And so I'm going to be proactive for a lot of reasons. One, it's the right thing to do for patients. But I also want to make sure my patients are getting preventive services they need, they are taking the medications I prescribe, they are going to the referral I recommended. And I'm getting the information back from that physician, and my team is acting on that. It's all of those things that should be ubiquitous in primary care.-Karen Johnson, PhDTime Stamps:(01:07) The Changing Landscape of Primary Care(06:42) Challenges in the Primary Care Workforce(08:49) How Technology is Impacting Primary Care(15:59) Future Directions and Innovations(18:11) NCQA's Plans for 2026Dive Deeper:State of the Primary Care Workforce 2024 (HRSA)The Pulse of Primary Care (JGIM)Connect with Karen JohnsonConnect with Jeff Sitko Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Message our hosts, Kieran and Jose.Cardiology is one of the more accessible disciplines for primary care vets, but still poses a number of important challenges for the clinician. Join Jose and Kieran as they host an amazing panel of guests: Rory Cowlam, Cat Henstridge, James Greenwood, and Louisa Graham - experienced GP vets with different levels of enthusiasm for cardiology! Our excellent panel share their perspectives on the utility of NT-proBNP in cats with a heart murmur, how vets can use staging systems for heart disease, and a number of other primary-care focused topics - live from the London Vet Show in 2025.Held each November at the London ExCel, the London Vet Show is the biggest event in the calendar of the UK vet profession. This year, LVS debuted their new showcase for talent, The Studio.
In this important episode, I break down the newly FDA-approved Wegovy pill and what it means for obesity treatment. The first oral GLP-1 medication for obesity has arrived, offering a needle-free alternative to weekly injections. This development could transform access for patients who've avoided treatment due to injection hesitation, cost barriers, or preference for daily pill routines. Tune in to learn what the Wegovy pill is, how it works, and why it represents a major step forward in giving patients more options for sustainable weight loss. Sign up for the Back on Track: Setting the Vision for your health Masterclass: https://drshellymd.kit.com/ecc62a0638 Episode Highlights: How the Wegovy pill works as a daily medication vs. weekly injections The science behind GLP-1 receptor agonists and appetite regulation Clinical data showing approximately 13.6% body weight reduction Overcoming injection hesitation—a major barrier to treatment adherence Proper dosing: daily pill on empty stomach with specific timing requirements Common side effects and important black box warnings to know Affordable self-pay pricing: starting at $149/month through NovoCare pharmacy program Why more options mean better care for chronic disease management 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 roles do our primary care, specialists, and emergency physicians play in healthcare?
“The world is a very volatile place, with currently 110 conflicts globally, and yet healthcare staff in the hospitals, even here in London, are not prepared to be the only clinician who can help in a crisis or hostile setting,” says Dr. David Gough, CEO of the David Nott Foundation, which equips providers with the skills and confidence needed to function in war and other extraordinary situations. A former British Army doctor injured in Afghanistan, Gough brings lived experience as well as a background in tech to his current role at the Foundation, which itself is anchored in decades of field work amassed by its namesake, a renowned war surgeon. As Dr. Gough points out to host Lindsey Smith, the cause could be helped by augmenting medical school curricula, but in the meantime, the Foundation is filling the knowledge gap by using prosthetics, virtual reality simulations and cadavers to train a broad swath of health workers including surgeons, anesthetists, and obstetricians. Tune in to this important Raise the Line conversation as Dr. Gough reflects on the strengths and weaknesses of NGOs in doing this work, his plans to expand the Foundation's footprint in the US, and the gratifying feedback he's received from trainees now operating on the frontlines in Ukraine and elsewhere. Mentioned in this episode:David Nott Foundation 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 A Year in Review: Looking Forward to 2026! Faisel and Dan are reflecting on all we learned through our conversations in 2025, and projecting what's on the horizon this year.Our conversation revolves around improving the healthcare system for all patients, expanding access to Direct Primary Care through health savings accounts, and personalizing the way we coordinate care for better outcomes.
This week, we explore new options in cardiovascular prevention, fish-oil supplementation in dialysis patients, RSV vaccination, and cutting-edge cellular therapy for leukemia. We discuss advances in lung cancer treatment, approaches to functional dyspepsia, and a complex case of severe infection after travel. Perspectives examine access to and cost of weight-loss drugs, the promise and risks of AI in clinical care, and what it means to care for others while carrying personal loss.
From her early experiences as a young birth doula, through medical school, into working in oncology and hospice, this doctor has seen beauty and denial go hand-in-hand. Realizing that many of us die from diseases created by choices in how we live, she now offers a primary care practice focused on support for better, healthier longevity. What does it mean to age well? How might we get the support we need to make lifestyle changes that can affect the most common diseases? How did seeing 1,000 deaths in one year change how this doctor and mother decided to live her life? https://www.tolifelongevity.com
Rachel Sachs is a professor of law at Washington University in St. Louis. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. S.B. Dusetzina and R.E. Sachs. Insurance Coverage and Pricing of Weight-Loss Drugs in the United States. N Engl J Med 2026;394:105-107. S. Gondi, A.S. Kesselheim, and B.N. Rome. Generic Liraglutide — Overlooked but Not Forgotten. N Engl J Med. DOI: 10.1056/NEJMp2515668.
The US healthcare system is privatized and built around a capitalist model. Within that framework, one flaw stands out: unlike nearly every other high-performing health system in the world, the United States lacks a true backbone. There is no layer that reliably guides people, connects decisions over time, or helps them confidently take the next step. The solution is the backbone it never built, and that backbone is primary care.
A conversation with Dr. Troyen BrennanOur primary care sector is dysfunctional.Enter Dr. Troyen Brennan: author, adjunct professor at Harvard, former CMO for CVS Health and Aetna, and a national voice on the issues facing our healthcare system.He explains how the primary care/specialty care balance led America to adopt a profit-driven model, highlighting the repercussions this has had for primary care access across the country.The current projections are stark, so we need to push for fundamental change.—We spoke about the contrast between the Affordable Care Act and a single-payer system, the importance of primary care as a foundation for a functional healthcare system, the viability of value-based care models, and the potential pathways to achieve equitable access to primary care in spite of current political and financial challenges.Follow me on Instagram and Facebook @ericfethkemd and checkout my website at www.EricFethkeMD.com. My brand new book, The Privilege of Caring, is out now on Amazon! https://www.amazon.com/dp/B0CP6H6QN4
In this episode of the World Extreme Medicine Podcast, host Eoin Walker speaks with Simon Robinson, former Royal Marine Commando Paramedic turned Head of Clinical Development in Urgent Care.Together, they explore the evolving role of paramedics in primary care, from emergency response to diagnosis, prescribing, and leading multidisciplinary teams. Simon shares insights on:The transition from frontline emergency work to primary careIndependent prescribing and clinical autonomyTraining, mentorship, and building multidisciplinary teamsThe challenges and opportunities paramedics face outside traditional ambulance rolesWhether you're a student paramedic, an experienced clinician, or simply curious about the future of urgent care—this conversation offers an honest, practical look at how the profession is growing beyond its emergency roots.Find out more about the College of Paramedics.
"Whoever makes patient care more convenient is likely to win." - Chris YarnMy guest this week is Chris Yarn, Founder of Walk On Clinic, who joins me to explain why convenience is the ultimate currency in healthcare. Chris shares his journey from insurance broker to building a direct primary care (DPC) model that brings care directly to the employee's doorstep - literally.Chris breaks down the "Walk On" model, which combines mobile on-site clinics, near-site access, and virtual care to achieve utilization rates that are double the industry average. We discuss why traditional "near-site" clinics often fail to engage employees, how nurse practitioners are the key to scaling primary care, and why the human connection is what truly drives ROI.We also dive into the hard numbers, discussing how to prove ROI with real claims data (not just fuzzy math), and Chris shares his personal battle with cancer in 2024 that reinforced his belief in the importance of early detection and primary care access.Tune in to the first episode of 2026 to learn why the future of healthcare is hyper-convenient.Thank you to our 2026 sponsors!ParetoHealth: ParetoHealth empowers midsize employers with a long-term solution to reduce volatility and lower overall health benefits costs. Visit ParetoHealth.com to learn more.Samaritan Fund: A program that connects those who need help to the support they need. We are proud to offer the Samaritan Fund Program. Visit SamaritanFundProgram.com to learn more.Vālenz Health: We're Vālenz Health, your partner in improving health literacy, reducing plan spend, and delivering high-value healthcare. Visit ValenzHealth.com to learn more.Imagine360: Imagine360 helps self-funded employers save on healthcare with smarter health plans. Cut expenses by 20-30% with custom solutions. Contact us today at Imagine360.com.Chapters:(00:00:00) Why Convenience is King in Healthcare (00:07:37) The Legend of "Frank Mic Dropper" (00:14:15) The "Walk On" Model Explained (00:19:38) Mobile vs. Near-Site: The Utilization Difference (00:26:24) Removing Barriers: No Build-Out Costs for Employers (00:32:06) Scaling DPC with Nurse Practitioners (00:39:27) How to Prove ROI with Real Data (00:47:53) A Personal Battle: Chris's Cancer Journey (00:53:09) The Future of Primary Care in AmericaKey Links for Social:@SelfFunded on YouTube for video versions of the podcast and much more - https://www.youtube.com/@SelfFundedListen/watch on Spotify - https://open.spotify.com/show/1TjmrMrkIj0qSmlwAIevKA?si=068a389925474f02Listen on Apple Podcasts - https://podcasts.apple.com/us/podcast/self-funded-with-spencer/id1566182286Follow Spencer on LinkedIn - https://www.linkedin.com/in/spencer-smith-self-funded/Follow Spencer on Instagram - https://www.instagram.com/selffundedwithspencer/
If you've fallen off your weight loss journey—whether from illness, the holidays, or life's unexpected turns—this episode will help you start moving forward again. I'm opening up about my own 2025 health crisis: developing blood clots in both lungs that stopped me in my tracks physically and emotionally. After significant weight gain and struggling to walk a mile that once took me 12 minutes, I'm sharing the hard-won lessons from rebuilding my fitness from scratch. In this episode, I tackle the mental and physical challenges of restarting when you're nowhere near where you used to be. Whether you're getting back on track after illness, holidays, or just feeling stuck, I walk you through three practical strategies that helped me go from exhausted after one walk to running comfortably again. Episode Highlights: How serious illness can derail both fitness and self-worth Why your inner dialogue matters more than you think during setbacks Three actionable strategies for resetting your weight loss journey The power of scheduling workouts and building accountability Dr. Shelly's 2026 fitness goals: Olympic triathlon, Mount Kilimanjaro, and Berlin Marathon Why flexibility and grace are essential when life throws you off course Upcoming vision workshop on January 15th at 7pm EST 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!)
Comment on the Show by Sending Mark a Text Message.What happens when a workplace becomes a battleground for racially hostile work environment discrimination and retaliation? Join Mark Carey and his co-hosts in this gripping episode of Employee Survival Guide® as they unravel the complex civil action of Melissa Garcia v. West Hampton Primary Care and Staffco of Brooklyn, LLC. This case isn't just about legal jargon; it's a vivid exploration of a hostile work environment that spans from 2019 to 2023, where a mixed-race licensed practical nurse alleges racial discrimination and managerial neglect. Dive deep into the intricacies of this workplace discrimination lawsuit, as the hosts synthesize the plaintiff's detailed allegations with the defendants' denials and the court's legal analysis. The timeline of events is crucial, and our discussion highlights the significance of joint employer liability in the face of workplace issues. What does it mean for employees when management fails to address complaints? How does retaliation manifest after formal grievances are filed? Throughout this episode, we emphasize the importance of understanding your employee rights in the face of workplace discrimination. We dissect key incidents of racial hostility and managerial neglect, illustrating the profound impact of these actions on employee well-being and career development. The conversation also sheds light on the legal frameworks surrounding hostile work environments and retaliation, providing invaluable insights for anyone navigating employment law issues. Whether you're an employee seeking to understand your rights, an advocate for workplace culture, or simply interested in the dynamics of employment disputes, this episode is packed with essential knowledge. We offer insider tips on negotiating severance packages, understanding employment contracts, and recognizing the signs of workplace harassment. With the legal landscape evolving, knowing how to protect yourself against discrimination—be it racial, gender, or age—is more crucial than ever. Join us for this enlightening discussion that not only delves into the specifics of a high-stakes lawsuit but also equips you with the tools to survive and thrive in your career. Tune in to Employee Survival Guide® and empower yourself with the knowledge to navigate workplace challenges and advocate for your rights! If you enjoyed this episode of the Employee Survival Guide please like us on Facebook, Twitter and LinkedIn. We would really appreciate if you could leave a review of this podcast on your favorite podcast player such as Apple Podcasts and Spotify. Leaving a review will inform other listeners you found the content on this podcast is important in the area of employment law in the United States. For more information, please contact our employment attorneys at Carey & Associates, P.C. at 203-255-4150, www.capclaw.com.Disclaimer: For educational use only, not intended to be legal advice.
Today... The Montrose Center for Arts’ new exhibit, "Big Art: The Power of Scale", showcases large-scale works by Western Colorado artists, inviting viewers into immersive, impactful art experiences through bold formats and community events. And later... "Delta Health" is entering a new chapter—bidding farewell to a longtime provider and welcoming a fresh face to its adult primary care team.Support the show: https://www.montrosepress.com/site/forms/subscription_services/See omnystudio.com/listener for privacy information.
In this episode of the Gladden Longevity Podcast, Dr. Jeffrey Gladden interviews Chloe Harrouche, who shares her transformative journey through a breast cancer diagnosis at a young age. Chloe discusses her initial admiration for the healthcare system, which shifted dramatically after her diagnosis. She explores the challenges of navigating post-treatment care, the limitations of traditional oncology, and her eventual turn to functional medicine. The conversation delves into the importance of understanding the nervous system's role in health, the societal pressures of stress, and the need for a more integrated approach to wellness in primary care. In this conversation, Chloe Harrouche discusses the need for a new model of healthcare that emphasizes health optimization, personalized wellness, and a membership-based approach to primary care. She highlights the challenges of the current healthcare system, including the siloing of care and the overwhelming amount of data available to consumers. The discussion also touches on the importance of genetic testing and the vision for the future of healthcare, including expanding services to pediatrics and democratizing access to care. For Audience · Use code 'Podcast10' to get 10% OFF on any of our supplements at https://gladdenlongevityshop.com/ ! Takeaways · Chloe's journey in healthcare began with a passion for bioengineering. · Her breast cancer diagnosis at 23 changed her perspective on healthcare. · Post-treatment, she found traditional oncology lacking in preventive care. · Chloe explored functional medicine to address her health concerns. · The importance of balancing wellness interventions with personal health needs. · Stress management is crucial for overall health and wellness. · The nervous system plays a significant role in health optimization. · Many people are unaware of how to shift from stress to calm. · Integrating wellness into primary care is essential for patient care. · Chloe advocates for a more personalized approach to health. Health optimization is essential to prevent chronic diseases. · Personalized care is missing in the current wellness industry. · Data without clinical oversight can overwhelm consumers. · A membership model can provide holistic support for patients. · Coordination of care is crucial for effective health management. · The insurance model incentivizes volume over quality of care. · Genetic testing can inform proactive health decisions. · The goal is to empower patients to take charge of their health. · Future plans include expanding services to pediatrics. · Transparency in healthcare pricing is vital for trust. Chapters 00:00 Introduction to Chloe Harrouche's Journey 01:04 The Impact of a Breast Cancer Diagnosis 06:01 Navigating Post-Treatment Healthcare 10:57 Exploring Functional Medicine 15:40 The Role of the Nervous System in Health 20:59 The Challenge of Stress and Wellness 24:14 Integrating Wellness into Primary Care 24:39 The Need for Health Optimization 28:06 Reimagining Primary Care 30:31 The Membership Model of Care 33:10 Navigating Challenges in Healthcare 37:50 Vision for the Future of Healthcare 40:21 Empowering Through Genetic Testing To learn more about Chloe Harrouche: Email: chloe@thelanby.com Website: https://www.thelanby.com/ Reach out to us at: Website: https://gladdenlongevity.com/ Facebook: https://www.facebook.com/Gladdenlongevity/ Instagram: https://www.instagram.com/gladdenlongevity/?hl=en LinkedIn: https://www.linkedin.com/company/gladdenlongevity YouTube: https://www.youtube.com/channel/UC5_q8nexY4K5ilgFnKm7naw Gladden Longevity Podcast Disclosures Production & Independence The Gladden Longevity Podcast and Age Hackers are produced by Gladden Longevity Podcast, which operates independently from Dr. Jeffrey Gladden's clinical practice and research at Gladden Longevity in Irving, Texas. Dr. Gladden may serve as a founder, advisor, or investor in select health, wellness, or longevity-related ventures. These may occasionally be referenced in podcast discussions when relevant to educational topics. Any such mentions are for informational purposes only and do not constitute endorsements. Medical Disclaimer The Gladden Longevity Podcast is intended for educational and informational purposes only. It does not constitute the practice of medicine, nursing, or other professional healthcare services — including the giving of medical advice — and no doctor–patient relationship is formed through this podcast or its associated content. The information shared on this podcast, including opinions, research discussions, and referenced materials, is not intended to replace or serve as a substitute for professional medical advice, diagnosis, or treatment. Listeners should not disregard or delay seeking medical advice for any condition they may have. Always seek the guidance of a qualified healthcare professional regarding any questions or concerns about your health, medical conditions, or treatment options. Use of information from this podcast and any linked materials is at the listener's own risk. Podcast Guest Disclosures Guests on the Gladden Longevity Podcast may hold financial interests, advisory roles, or ownership stakes in companies, products, or services discussed during their appearance. The views expressed by guests are their own and do not necessarily reflect the opinions or positions of Gladden Longevity, Dr. Jeffrey Gladden, or the production team. Sponsorships & Affiliate Disclosures To support the creation of high-quality educational content, the Gladden Longevity Podcast may include paid sponsorships or affiliate partnerships. Any such partnerships will be clearly identified during episodes or noted in the accompanying show notes. We may receive compensation through affiliate links or sponsorship agreements when products or services are mentioned on the show. However, these partnerships do not influence the opinions, recommendations, or clinical integrity of the information presented. Additional Note on Content Integrity All content is carefully curated to align with our mission of promoting science-based, ethical, and responsible approaches to health, wellness, and longevity. We strive to maintain the highest standards of transparency and educational value in all our communications.
This week, we share advances in treatment for EGFR-mutated lung cancer, a brain-penetrant enzyme therapy for a rare pediatric disorder, and dual targeting of extramedullary myeloma. We review cardiogenic shock, work through a challenging diagnostic puzzle in a young woman with recurrent illness, and explore Perspectives on corporatized care, vaccine policy, AI in medicine, and where clinicians carry grief.
Ambar La Forgia is an assistant professor in the Management of Organizations group at the University of California, Berkeley Haas School of Business. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A. La Forgia. From Patients to Consumers — The Corporatization of Ambulatory Care. N Engl J Med 2026;394:1-3.
If more Americans regularly saw primary care doctors, many lives–and billions of dollars–could be saved. The preventative care they provide is crucial as a foundation to the entire health care system. Yet, the fee-for-service model is an inefficient one and should be replaced by a value-based approach, according to Dr. Troyen Brennan and adjunct professor of health policy and management at the Harvard T. H. Chan School of Public Health and the author of “Wonderful and Broken: The Complex Reality of Primary Care in the United States.” He goes on to explain the value-based model in our podcast and forecasts a movement in that direction in the coming years. And he pays great homage to primary care physicians in the book while recognizing that they are underpaid, overworked, and often incentivized to move into higher-paying specialties while patients face provider shortages and many live in ever-growing primary-care deserts.
As we close out 2025, I'm celebrating you—my listeners—by revisiting the year's most popular episodes. This isn't just a highlight reel; it's a roadmap to understanding why sustainable weight loss requires more than willpower. I'm sharing the most impactful insights from 2025 that tackle the hidden barriers blocking your progress: stress hormones storing belly fat, sleep deprivation hijacking your hunger signals, and the surprising truth about fructose damaging your liver and kidneys. In this special compilation episode, I break down the science behind the struggles and give you actionable strategies that actually work in real life. If weight loss feels harder than it should—even when you're doing everything "right"—this episode reveals why. Featured Episodes: Episode 218: How Fructose Impacts Your Liver, Heart, and Kidneys Episode 206: Why the Scale Isn't Moving: 5 Hidden Weight Loss Blockers You Need to Know Episode 187: Breaking the Burnout Cycle with Dr. Judy Wright Episode 212: Game Changer: WeGovy Wins FDA Approval for Fatty Liver Disease Episode 219: Microdosing GLP-1s: Does It Actually Work? 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!)
On this ENCORE of our most popular episode of 2025, hosts Dr. Mojola Omole and Dr. Blair Bigham speak with two authors of the latest “Hypertension Canada guideline for the diagnosis and treatment of hypertension in adults in primary care”The discussion reflects a shared urgency: despite past successes, Canada's hypertension control rates are declining. The new guidelines aim to reverse this trend by simplifying diagnosis and treatment for frontline clinicians.Dr. Rémi Goupil, a nephrologist and clinician researcher at Sacré-Cœur Hospital in Montreal, and Dr. Greg Hundemer, a nephrologist and clinician scientist at The Ottawa Hospital, explain that the updated guideline is deliberately designed for primary care providers. They highlight key shifts: lowering the diagnostic threshold for hypertension to ≥ 130/80 mm Hg, simplifying blood pressure targets, and emphasizing accurate, standardized measurement techniques both in clinic and at home. The guidelines were created with input from a majority-primary care committee—including family physicians, nurses, pharmacists, and patient partners—to ensure clinical applicability.Together, the panel outlines a streamlined nine-step treatment algorithm, emphasizing combination therapy as first-line pharmacologic management. They explain the evidence supporting ARB–thiazide combinations, discuss cost considerations for drug selection, and address adherence challenges. They also explore red flags for secondary hypertension and how the algorithm supports—but does not replace—clinical judgment.For physicians, this guideline offers a clear and practical roadmap: measure blood pressure correctly, aim for systolic pressure below 130 mm Hg, and use the simplified treatment sequence to improve adherence and outcomes. Designed to be easy to implement, the new approach aims to empower primary care providers to act with confidenceComments or questions? Text us.Join us as we explore medical solutions that address the urgent need to change healthcare. Reach out to us about this or any episode you hear. Or tell us about something you'd like to hear on the leading Canadian medical podcast.You can find Blair and Mojola on X @BlairBigham and @DrmojolaomoleX (in English): @CMAJ X (en français): @JAMC FacebookInstagram: @CMAJ.ca The CMAJ Podcast is produced by PodCraft Productions
On the monthly Health or Consequences episode of the Codcast, John McDonough of the Harvard TH Chan School of Public Health and Paul Hattis of the Lown Institute talk with Zirui Song, associate professor of health care policy and medicine at Harvard Medical School and a physician at Massachusetts General Hospital. They discuss Song's research and thoughts about the primary care crisis nationally and in Massachusetts, and dive into the promise and issues with private equity in health care.
Blood Pressure Control Crisis in Primary Care: New AI Study Reveals What's Going Wrong Join us as Dr. Andrew M. Davis and Amy Wainwright from University of Chicago Medicine reveals how AI-powered analysis of 37,000+ patients exposed a crisis hiding in plain sight: nearly 30% of hypertensive patients have dangerously uncontrolled blood pressure despite regular primary care visits. Using cloud-based machine learning across 112 providers, Dr. Davis's team identified critical gaps traditional metrics miss—underutilized medications, missed referrals, and troubling disparities in care. More importantly, they developed interventions that work. Discover how to leverage advanced analytics for measurable ROI, implement real-time clinical intelligence at scale, and empower providers with data-driven feedback that reduces cardiovascular risk at the point of care. 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/
Dive into decision support tools and management options for primary care mental health conditions that often stump the primary care clinician.
Key TakeawaysEveryone can be an investigator: Observing subtle changes in behavior, sleep, decision-making, or life management can reveal early signs of behavioral health needs.Integration matters: Combining behavioral and physical health care improves outcomes, prevents avoidable hospital visits, and reduces overall healthcare costs.Impact beyond the patient: Supporting behavioral health has ripple effects on families, caregivers, and communities, improving overall system well-being.Life transitions are critical points: Changes in living situations, cognitive decline, or significant life events are opportunities for early intervention.Collaboration is key: Cognitive behavioral specialists, nurses, primary care providers, and facility staff must work together to ensure timely and effective care.Innovation brings hope: Emerging research, new care models, and broader conversations about mental health as part of overall wellness are reshaping healthcare for the better. www.YourHealth.Org
“People are not looking for a perfect, polished answer. They're looking for a human to speak to them like a human,” says Jessica Malaty Rivera, an infectious disease epidemiologist and one of the most trusted science communicators in the U.S. to emerge from the COVID-19 pandemic. That philosophy explains her relatable, judgement-free approach to communications which aims to make science more human, more accessible and less institutional. In this wide-ranging Raise the Line discussion, host Lindsey Smith taps Rivera's expertise on how to elevate science understanding, build public trust, and equip people to recognize disinformation. She is also keen to help people understand the nuances of misinformation -- which she is careful to define – and the emotional drivers behind it in order to contain the “infodemics” that complicate battling epidemics and other public health threats. It's a thoughtful call to educate the general public about the science of information as well as the science behind medicine. Tune in for Rivera's take on the promise and peril of AI-generated content, why clinicians should see communication as part of their professional responsibility, and how to prepare children to navigate an increasingly complex information ecosystem.Mentioned in this episode:de Beaumont Foundation 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 Following the Information Blueprint: Restoring Joy in Primary Care. Faisel and Dan are talking with Karen Johnson, PhD: Vice President of Practice Advancement at the American Academy of Family Physicians.Our conversation explores reducing the burdens of practice by utilizing AI, improving information-sharing and data flow to guide impactful action, and rebuilding trust within the healthcare workforce.Read the Primary Care Information Blueprint here: https://www.aafp.org/dam/AAFP/documents/practice_management/payment/primary-care-information-blueprint-aafp.pdf
This week, we look at ctDNA-guided immunotherapy for bladder cancer, cardiovascular outcomes with tirzepatide, and evidence that one HPV vaccine dose may be enough. We explore high-dose rifampin for tuberculous meningitis, review measles amid rising outbreaks, and follow a challenging case of gastrointestinal bleeding. Essays examine how clinicians navigate post-Dobbs care, tobacco harm among people with mental illness, congenital syphilis, and sustaining medical research.
Anne Zink is a lecturer and senior fellow at the Yale School of Public Health. Stephen Morrissey, the interviewer, is the Executive Managing Editor of the Journal. A.B. Zink, N.C. McCann, and R.P. Walensky. From Crisis to Action — Policy Pathways to Reverse the Rise in Congenital Syphilis. N Engl J Med 2025;393:2388-2391.
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-463 Overview: Listen in as we discuss how integrating behavioral therapies into the management of chronic back pain can improve function, reduce opioid use, and empower patients. Boost your clinical toolkit with evidence-based strategies that enhance outcomes while aligning with evolving guidelines for safer, multimodal approaches to chronic pain care. Episode resource links: Zgierska AE, Edwards RR, Barrett B, et al. Mindfulness vs Cognitive Behavioral Therapy for Chronic Low Back Pain Treated With Opioids: A Randomized Clinical Trial. JAMA Netw Open. 2025;8(4):e253204. doi:10.1001/jamanetworkopen.2025.3204 Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R. CDC Clinical Practice Guideline for Prescribing Opioids for Pain - United States, 2022. MMWR Recomm Rep. 2022 Nov 4;71(3):1-95. doi: 10.15585/mmwr.rr7103a1. PMID: 36327391; PMCID: PMC9639433. Guest: Jillian Joseph, MPAS, PA-C Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com
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