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Pregnancy and childbirth have a significant impact on the pelvic floor, often more than patients realize and even more still than most of our current postpartum care models are designed to address. In this episode of the BackTable OBGYN podcast, hosts Dr. Mark Hoffman and Dr. Amy Park welcome Dr. Lisa Hickman, a urogynecologist and pelvic reconstructive surgeon from The Ohio State University, to discuss peripartum pelvic floor disorders and her dedicated clinic for women with advanced obstetric lacerations. --- This podcast is supported by: PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS The conversation touches on key aspects of pelvic floor health, the impact of pregnancy and childbirth, and effective strategies for preventing and managing pelvic floor disorders. The episode emphasizes the importance of patient education, tailored postpartum care, and multidisciplinary collaboration with pelvic floor physical therapists and other healthcare personnel. Dr. Hickman shares insights on building a sustainable clinical model for peripartum pelvic floor disorders, securing stakeholder support, and implementing standardized processes to enhance patient outcomes. --- TIMESTAMPS 00:00 - Introduction 04:21 - Understanding the Pelvic Floor 05:36 - Impact of Pregnancy and Childbirth 07:48 - Preventing and Managing Tears 22:56 - Postpartum Care and Challenges 28:54 - Starting a Peripartum Clinic: A Roadmap 33:54 - Pelvic Floor PT and Patient Education 40:03 - Impact of Repair Techniques on Long-term Outcomes 50:56 - Sustaining and Expanding the Program --- RESOURCES Hickman LC, Propst K, Swenson CW, Lewicky-Gaupp C. Subspecialty care for peripartum pelvic floor disorders. Am J Obstet Gynecol. 2020 Nov;223(5):709-714. doi: 10.1016/j.ajog.2020.08.015. Epub 2020 Sep 2. PMID: 32888923; PMCID: PMC7720615.
In this Clinical Reasoning Rafael Medina Subspecialty episode, Dr. Kuchal Agadi presents a case to Dr. John Woller and Dr. Areeb Masood of a 67 year-old male with altered mental status. Session facilitator: Hui Ting Ruan The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to… Read More »Episode 353: Rafael Medina Subspecialty Series – AMS “Treat before Diagnosis”
Drs. Heather Nixon and Tracey Vogel from the Society for Obstetric Anesthesia and Perinatology (SOAP) join Dr. Brooke Trainer for a no-holds-barred conversation about intraoperative pain during cesarean delivery. Listen in as they explore the consequences of painful birth experiences and consider how anesthesiologists can meaningfully address the problem. Recorded August 2024.
A Special Show for you this week on Rick Flynn Presents with our special guest RONNA KROZY. "Being A Nudist Makes You Happier" Professional background BS in Nursing and MS degree in Community Nursing Doctorate in Health Education; Subspecialty in Human Sexuality University level nursing educator for 47 years Numerous professional writings and presentations Personal Philosophy - Social nudism or naturism is a healthy, wholesome, respectful and body image affirming way of life for individuals, families and communities. · Negative labeling and stereotyping of those who enjoy clothes-free living is unfair and unwarranted. · It is equally unfair and unwarranted that those who embrace nudism should need to live with fear of discovery or anxiety about losing their job or reputation. · Those whose bucket list includes going on a 'Nakation®' will discover that once they try it, they'll like it and they'll wish they had begun many years earlier! · Finally, it is time that a broad swath of society is sufficiently informed so that the world is safe for all nudists and naturists to be open about their way of life without negative repercussions. Becoming a nudist As a nurse, health educator and parent, I have always believed that the body is an amazing machine and beautiful in the many forms it comes in. Unfortunately, we live in a society that judges body beauty in ways that are unreachable for the vast majority. Supermodel images of men and women have made many people...including girls as young as 5!....unhappy with the way they look. Contact Ronna at the address contained in this special edition of Rick Flynn's Podcast. --- Support this podcast: https://podcasters.spotify.com/pod/show/rick-flynn/support
In this Infectious Disease Rafael Medina Subspecialty episode, Dr. Milee Nelson presents a case to Dr. John Huang & Dr. Varun Phadke of a man presenting with a rash and shortness of breath. Session facilitator: Youssef Saklawi The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the… Read More »Episode 346: Rafael Medina Subspecialty Series – Rash and Lung Nodules
Dr. Adam Striker interviews Drs. Steven Butz, Victor Davila, and Thomas Durick from the Society for Ambulatory Anesthesia (SAMBA) about common perioperative myths. Is hypercarbia preferable to hypocarbia? Is MAC best in ambulatory settings? Is propofol safe for patients with allergies? Learn answers to these questions and more in this informative episode. Recorded June 2024.
In this Nephrology Rafael Medina Subspecialty episode, Dr. Maddie Abrams presents a case to Dr. Jai Radhakrishnan of a 28 year old woman presenting with headache and blurry vision. Session facilitator: Şeyma Yıldırım The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the… Read More »Episode 340: Rafael Medina Subspecialty Series – Headache & Blurry vision
In this episode, we chat with Dr Hammed Ninalowo and Dr Chinedum Anosike. Originally from Nigeria, Hammed and Chinedum left their home country many years ago to pursue subspecialty radiology training in the US and UK respectively. But they never forgot the motherland and they wanted to make a difference in lives of millions of Africans who don't have access to subspecialty radiology services. So, they founded Accuread, a teleradiology company headquartered in Lagos and now spreading its wings across the African continent. This episode is all about their amazing story. MedxTek Africa is produced and hosted by Dr. Sam Oti, and co-edited by Veronica Ojiambo. If you have any thoughts on this episode, or recommendations of African health innovators that you'd like us to host on the show, please reach out directly by email: sam.oti@alumni.harvard.edu or find us on Twitter or LinkedIn. Please note that the MedxTek Africa Podcast is distinct from Dr. Oti's role as a Senior Program Specialist at Canada's International Development Research Centre. The information provided in this podcast is not medical advice, nor should it be construed or applied as a replacement for medical advice. The MedxTek Africa Podcast, its production team, guests and partners assume no liability for the application of the podcast's content.
Dr. Nadia Khalil interviews Dr. Ileana Howard and Dr. Kelly Gwathmey on their careers in neuromuscular medicine. They define a neuromuscular practice and highlight how meaningful, challenging, and exciting this field of medicine is.
Dr. David Provenzano, president of the American Society of Regional Anesthesia and Pain Medicine, ASRA PM, speaks with Dr. Brooke Trainer about trends in pain management. Learn about new treatments for pain, patient access challenges, and where the subspecialty is going. Recorded May 2024.
Host: Dr. Aniruddha Deka, MD - Rush University Medical CenterInvited Speaker: Dr. Paula Zimbrean, MD - Yale School of Medicine In this episode, our host, Dr. Aniruddha "Ani" Deka, interviews Dr. Paula Zimbrean, who is a leading figure in the field of Transplant Psychiatry. She is a past chair of the ACLP Transplant Psychiatry Special Interest Group and is the editor of the book "Transplant Psychiatry: A Case-Based Approach to Clinical Challenges". In this podcast, Dr. Zimbrean discusses her personal journey into the field of transplant psychiatry and provides valuable insights into the historical evolution and changing landscape of this field. She also provides pragmatic pearls to navigate the challenges of coordinating care in multidisciplinary settings and supporting patients through their transplant journey.
In this rheumatology Rafael Medina Subspecialty episode, Dr. Appledene Osbourne presents a case of polyarticular joint pain to Dr. Lianne Gensler. Session facilitator: Maddy Conte The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as… Read More »Episode 334: Rafael Medina Subspecialty Series – Polyarticular Joint Pain
Welcome back to the Neurophilia Podcast! Discover the passion and complexities that draw professionals like Dr. Marianne Mays and Dr. Diana Shadbear into the world of Headache Medicine. This episode offers a rare glimpse into their unique journeys, from the serendipity of career paths to the rewarding challenges of specializing in neurology's most personal subspecialty. Learn how their mentor-driven paths led them to tackle migraines and other debilitating headaches, improving countless lives along the way.Embark on a deep exploration of the rigorous training that shapes a headache specialist, as we discuss the multifaceted fellowship program at Cedars-Sinai. Dr. Shadbear unveils the vibrant mix of clinical practice, research, and multidisciplinary collaboration that prepares doctors for diverse career opportunities in headache medicine – from private practice to the frontiers of academic research. The conversation also touches on the profound satisfaction that comes from restoring normalcy to patients plagued by chronic pain.We wrap up with an engaging discussion on the evolving landscape of headache treatments, from revolutionary pharmaceuticals to neuromodulatory devices. The specialists share insights on the battle against insurance barriers and the push for personalized medicine, underscoring their commitment to patient care. Their candid stories and rapid-fire questions not only showcase their expertise but also their fervent advocacy for a specialty that offers more than just relief—it offers hope.Dr. MaryAnn Mays, MD is a headache medicine physician at the Cleveland Clinic Center for Neurological Restoration. She also serves as the Neurologic Institute Vice Chair for Education and as Associate Program Director for the Cleveland Clinic Neurology Residency Program in Ohio. Dr. Diana Shadbehr, DO is a headache specialist at Cedars-Sinai Medical Center in Los Angeles. She is an assistant professor of neurology, program director of the headache medicine fellowship, director of the headache program, and medical director of the neurology clinics. Follow Dr. MaryAnn Mays on Twitter @maryannmays11Follow Dr. Nupur Goel on Twitter @mdgoelsFollow Dr. Blake Buletko on Twitter @blakebuletkoFollow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPodSupport the Show.
Dr. Adam Striker interviews Drs. Paul Picton and Matt Whalen from the Society for Neuroscience in Anesthesiology and Critical Care, SNACC, about perioperative stroke. Hear their expert opinions on risk factors, the measurement gap, guidelines, the importance of early detection, the effectiveness of thrombectomy, and more. Recorded April 2024.
Learn critical live saving skills of how to stop bleeding through Pressure, Packing and use of Tourniquets. All skills each of us need to know in sports and throughout life.Matthew Levy, DO, MSc, FACEP, FAEMS, NRPChair, Stop The Bleed Coalition, Baltimore, MarylandDr. Matthew Levy is Chair of the non-profit Stop the Bleed Coalition. He is a strong advocate for Stop the Bleed was the architect behind one of the first county-wide implementations of Stop the Bleed in the United States. He is a member of the Stop the Bleed Education Consortium and an Associate Professor of Emergency Medicine of the Johns Hopkins University School of Medicine and the Medical Director of Howard County Fire Rescue. He also holds faculty appointments at the University of Maryland Baltimore County and the National Center for Disaster Medicine and Public Health Preparedness. Dr. Levy is board certified in Emergency Medicine and Subspecialty certified in Emergency Medical Services. Dr. Levy has collaborated internationally on topics of prehospital emergency care, operational medicine, disaster response, and EMS education. @StopTheBleed + @Dr. Matt Levy. Learn more to qualify more people to teach STOP THE BLEED® and share information about tools and resources available to develop #stopthebleed programs in your local communities Read more https://stopthebleedcoalition.org To contact the Youth Sports Safety Update Podcasthttps://Jaxsmp.com Jacksonville Sports Medicine Program or JSMP3563 Philips Highway, Building E, Suite 502, Jacksonville, FL 32207Email: Jim.mackie@bmcjax.com 904-477-9291Email: Robert.Sefcik@bmcjax.com Executive Director JSMP & CEO / President FASMED 904-202-4332Florida Alliance for Sports Medicine https://fasmed.fadss.org/
Welcome back to the Neurophilia Podcast! In today's episode, we are joined by the podcast legend himself, Dr. Jim Siegler to discuss vascular neurology. The field of vascular neurology has had incredible advancements within the past few decades through thrombolytics/mechanical thrombectomy and has seen increased public awareness and accessibility to stroke care. As a result of this, vascular neurology training is consistently among the top fellowships pursued by graduating residents. Listen to this episode to hear more about the subspecialty of vascular neurology!Dr. Jim Siegler: After obtaining his bachelor's degrees in Neuroscience and History of Science, Medicine, and Technology at Johns Hopkins University, Dr. Jim Siegler completed his medical education at Tulane University School of Medicine in New Orleans. He then completed his adult neurology residency and vascular neurology fellowship at UPenn. He currently serves as the Inpatient Medical Director and Director of the Comprehensive Stroke Center at the University of Chicago. Dr. Siegler's research interests include atherosclerotic disease, perfusion imaging, and eligibility of neurointervention for acute intracranial occlusion for which he has published more than 200 peer-reviewed publications. Dr. Siegler is also a passionate medical educator; he is well-known for previously producing an independent podcast titled BrainWaves a well as the official podcasts for the Neurocritical Care Society, American Academy of Neurology, American Neurological Association podcast ANA Investigates, but more recently he serves on the e-learning subcommittee of the AAN and helps produce their NeuroBytes, and he serves on the digital strategy team for journal Stroke: Vascular and Interventional Neurology where you might have heard his voice on their podcast, ACCESS. Follow Dr. Jim Siegler on Twitter @JimSieglerFollow Dr. Nupur Goel on Twitter @mdgoelsFollow Dr. Blake Buletko on Twitter @blakebuletkoFollow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPodSupport the show
In this clinical reasoning Rafael Medina Subspecialty episode, Dr. Mark Heslin presents a case to Dr. Tony Breu of a man presenting with facial swelling. Session facilitator: Youssef Saklawi The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved… Read More »Episode 325: Rafael Medina Subspecialty Series – Facial Swelling
Drs. John Fiadjoe and Annery Garcia-Marcinkiewicz from the Society of Pediatric Anesthesia join Dr. Adam Striker for an in-depth conversation about pediatric airways and the pediatric difficult intubation registry. Learn how the registry works, what the data reveals, and how the subspecialty is evolving. Recorded February 2024.
Welcome back to the Neurophilia Podcast! In today's episode, we are joined by neuro-interventionalist and Stroke: Vascular and Interventional Neurology Editor in Chief, Dr. Ashutosh Jadhav to discuss interventional neurology. Throughout the hour we discussed the different paths to and collaborations within interventional neurology, celebrated the latest developments in the field, and highlighted the areas of growth in terms of increasing exposure to interventional neurology within neurology residency and around the globe. Dr. Ashutosh Jadhav is a vascular and interventional neurologist at the Barrow Neurological Institute in Phoenix, AZ. Dr. Jadhav attended Harvard University and graduated magna cum laude with a degree in biochemical sciences. He received his medical degree as well as a Doctoral in Philosophy (Genetics) from Harvard Medical School. He completed his residency and fellowship at Harvard Medical School and University of Pittsburgh. He serves as the editor-in-chief of Stroke: Vascular and Interventional Neurology.Follow Dr. Ashutosh Jadhav on Twitter @AshuPJadhav Follow Dr. Nupur Goel on Twitter @mdgoelsFollow Dr. Blake Buletko on Twitter @blakebuletkoFollow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPodReferences:Asif, K. S., Otite, F. O., Desai, S. M., Herial, N., Inoa, V., Al-Mufti, F., Jadhav, A. P., Dmytriw, A. A., Castonguay, A., Khandelwal, P., Potter-Vig, J., Szeder, V., Kulman, T., Urrutia, V., Masoud, H., Toth, G., Limaye, K., Aroor, S., Brinjikji, W., … vu, T. thanh. (2023). Mechanical thrombectomy global access for stroke (MT-Glass): A mission thrombectomy (MT-2020 Plus) study. Circulation, 147(16), 1208–1220. https://doi.org/10.1161/circulationaha.122.063366 Limaye, K., Ortega-Gutierrez, S., Mokin, M., Jagolino, A., Sheth, S. A., & Jadhav, A. P. (2021). Exposure to neurointervention during neurology training. Stroke, 52(9). https://doi.org/10.1161/strokeaha.121.036026 Support the show
Welcome back to the Neurophilia Podcast! In today's episode, we are discussing the subspecialty of behavioral/cognitive neurology and the growing movement of neuro-humanities. Joining us for this conversation is Dr. Michael Stanley. Listen along to hear more about Dr. Stanley's incredible journey into the subspecialty of neuropsychiatry and his impressive work in making the neuro-arts more accessible to neurology training. After receiving his undergraduate degree at Harvard College, Michael P.H. Stanley matriculated to Tufts University School of Medicine's Maine Track Program to learn from patients and clinicians in his beloved home state. He returned to Boston for the Mass General Brigham Neurology Residency, followed by a neuropsychiatry/behavioral neurology fellowship at the Brigham & Women's Hospital. Dr. Stanley is a prolific author and widely-sought speaker and has become one of the country's leading advocates for the medical humanities & arts.Follow Dr. Michael Stanley on Twitter @mphstanley Follow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPodFollow Dr. Nupur Goel on Twitter @mdgoelsFollow Dr. Blake Buletko on Twitter @blakebuletkoSupport the show
Dr. Brooke Trainer talks to Drs. Somnath Bose and Talia Ben-Jacob about the role of intensivists. Listen in as they discuss the value critical care anesthesiologists bring to departments and hospitals, the role of the Society of Critical Care Anesthesiologists (SOCCA), the subspecialty's future, and more. Recorded January 2024.
In this Rheumatology Rafael Medina Subspecialty episode, Dr. John Landefeld presents a case to Dr. Sarah Goglin of a 74 year old woman presenting with headache. Session facilitator: Şeyma Yıldırım The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you… Read More »Episode 318: Rafael Medina Subspecialty Series – Headache
In this episode of the Neurophilia Podcast, we are discussing all things neuromuscular medicine with Mass General Brigham's Program Director and Assistant Program Director, Dr. Mike Bowley and Dr. Chris Doughty! Listen along to hear about the common conditions seen and managed by neuromuscular specialists, the perks and challenges of the field, and which Christmas movies are the best of all time!Dr. Mike Bowley is a senior clinical neurologist in the department of neurology at Massachusetts General Hospital where he splits his clinical duties between the Divisions of Neuromuscular Medicine and Comprehensive Neurology. His academic focus is as a medical educator, serving as Director of the Mass General Brigham Neurology Residency Program, and as Co-Director of the Neurology Advanced Practice Provider Fellowship Program. Dr. Chris Doughty is a neuromuscular neurologist at the Brigham and Women's Hospital, where he serves as the Clinical Director of the Neuromuscular Division. In his clinical practice, he performs EMGs and cares for patients across the spectrum of neuromuscular diseases, with a focus on neuropathy. His academic focus has also been in medical education, serving as Associate Program Director for both the MGB Neurology Residency Program and the MGB Neuromuscular Fellowship Program.”Follow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPodFollow Dr. Nupur Goel on Twitter @mdgoelsFollow Dr. Blake Buletko on Twitter @blakebuletkoSupport the show
In this Hepatology Rafael Medina Subspecialty episode, Dr. Christopher Coe presents a case to Dr. Arpan Patel of a woman presenting with fatigue and splenomegaly. Session facilitator: Maddy Conte The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would… Read More »Episode 313: Rafael Medina Subspecialty Series – Splenomegaly
On this episode of GMM, we are joined by Dr. Pamela Gibson, who is a pathologist, professor for the Department of Pathologist and Vice Chair for the Department of Culture & Inclusion. We discuss the role of a pathologist in clinical medicine, how to be prepared for applying to pathology residencies, and support systems in medicine and beyond. Finally, we discuss the Pathology Medical Student Fellowship at LCOM. Co-Hosts: Caity Decara: caitlin.decara@med.uvm.edu Haley Bayne: haley.bayne@med.uvm.edu
The Neurophilia Podcast is back after a mid Season 2 hiatus! We are joined by the phenomenally brilliant and unbelievably kind, Dr. Joshua Budhu to discuss his journey to medicine, the subspecialty of neuro-oncology, and the intersection between health equity and cancer care. Listen to the full episode to figure out Dr. Budhu's favorite New York pizza spot and why he loves the Kreb's Cycle so much! Dr. Joshua Budhu is a neuro-oncologist and the inaugural Nichols Biondi Diversity Clinical Scientist Faculty Scholar at Memorial Sloan Kettering Cancer Center. He is a health equity scholar and develops interventions to improve access to care and mitigate health disparities. Dr. Budhu is also the Diversity, Equity, and Inclusion section editor for Neurology. Follow Dr. Joshua Budhu on Twitter @joshuabudhuFollow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPodFollow Dr. Nupur Goel on Twitter @mdgoelsFollow Dr. Blake Buletko on Twitter @blakebuletkoSupport the show
In this Infectious Disease Rafael Medina Subspecialty Episode, Dr. Navila Sharif presents a case to Dr. Natasha Spottiswoode of a patient presenting for fevers and chills. Session facilitator: Youssef Saklawi The goal of this series is to provide greater access to subspecialty, primary care, and internal medicine-adjacent specialty education for learners worldwide. For those… Read More »Episode 307: Rafael Medina Subspecialty Series – Fever and Chills
In this episode of the Neurophilia Podcast, we sat down with two experts in the field of neuroimmunology, Drs. Suma Shah and Alissa Willis, and discuss their journeys into medicine as well as the unique privileges and challenges of a neuroimmunologist. Also, we highlighted the gender gaps in academic neurology and shared ways to promote women in leadership. If you want to learn more about neuroimmunology, women in academic neurology, or Drs. Shah and Willis' go-to comfort meals, make sure you listen to the full episode and leave us a review!Dr. Suma Shah is a fellowship-trained MS Specialist and Associate Professor of Neurology at Duke University School of Medicine. She serves as the Co-Associate Director of Clinical Care, MSCoE East, the Regional Director of the Regional MS Center of Excellence for the Durham VA, and the Program Director of the Duke Adult Neurology Residency Program. Dr. Shah is actively involved in Duke Neurology's educational mission teaching and mentoring multiple learners and trainees. She has been honored with teaching awards including the Golden Apple Teaching Award (2015), the E Wayne Massey Residency Teaching Award (2017), and the annual Duke Neurology Faculty Teaching Award (2021, 2022).Dr. Mary Alissa Willis is a clinician-educator passionate about multiple sclerosis and making neurology relevant and interesting for all trainees. She has received numerous teaching awards including Alpha Omega Alpha Teacher of the Year and the AB Baker teacher recognition award from the AAN. After serving as Associate Residency Program Director and Medical Director of the Mellen Center for Multiple Sclerosis at Cleveland Clinic, Dr. Willis returned home to Mississippi as chair of the department of neurology at the University of Mississippi Medical Center.Follow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPodFollow Dr. Suma Shah on Twitter @sumadshahFollow Dr. Alissa Willis on Twitter @myelinMDFollow Dr. Nupur Goel on Twitter @mdgoelsFollow Dr. Blake Buletko on Twitter @blakebuletkoSupport the show
In this episode of the Neurophilia Podcast, we sat down with Duke's sleep medicine expert, Dr. Andrew Spector to discuss his journey into medicine, the nuts and bolts of being a sleep medicine doctor, and how to maximize quality sleep as a healthcare professional. Also, we covered the importance topic of DEI in neurology, including current barriers and gaps in DEI as well as hopes for the future. If you want to learn more about sleep medicine, DEI, or the best time to take melatonin, make sure you listen to the full episode and leave us a review!Dr. Andrew Spector is an associate professor of neurology at Duke University. At Duke, he is the program director of the sleep medicine fellowship, vice chair of professionalism, inclusion, diversity, and empowerment, and director for the undergraduate course, Sleep in Society: History, Culture, and Medicine. Nationally, he was the founding chair of the American Academy of Sleep Medicine Diversity, Equity, and Inclusion Committee, and he is the current vice chair of the American Academy of Neurology Diversity Officers Subcommittee.Follow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPodFollow Dr. Andrew Spector on Twitter @andrewspectormdFollow Dr. Nupur Goel on Twitter @mdgoelsFollow Dr. Blake Buletko on Twitter @blakebuletkoSupport the show
Neste episódio conversamos com ex-presidente da SBOP, Dra Luisa Hopker, sobre o subespecialty day da WSPOS, em Viena. Abordamos os temas e trabalhos mais discutidos como:- ambliopia e formas de screening na Indonesia e seguimento de crianças pretermo- técnicas cirúrgicas para esotropia por insuficiência de divergência, miopexia retroequatorial para oblíquo inferior - exotropia intermitente (quando e como operar)- toxina botulínica para IV par- miopiaAbaixo, seguem os links e referências citadas neste episódio:1. Diretriz SBOP de exame na infância (Brazilian guidelines on the frequency of ophthalmic assessment and recommended examinations in healthy children younger than 15 years (https://pubmed.ncbi.nlm.nih.gov/34431876/)2. Management of intermittent exotropia in childhood current concepts of the literature and the experts. (https://pubmed.ncbi.nlm.nih.gov/36350932/)Subespecialty program: https://wspos.org/wp-content/uploads/2023/09/A3V2.pdf3. Screening in Indonesia (Kianti Darusman)4. Management of amblyopia in premature babies (Kateryna Fedchuk)5. Lateral Rectus Superior Plication for Divergence Insufficiency Esotropia (Yair Morad)6. Retroequatorial inferior obliqúe myopia for treatment of inferior oblique strabismus cases (Heba Metwally)7. Botulinum toxin and surgical management of sixth nerve palsy (Luisa Hopker)8. Management of head tilt due to nystagmus (Ramesh Kekunnaya)9. Botulinum toxin as first-line treatment in acquired fourth nerve paresis (Paulo Loureiro)
This is an audio-only version of the recent webinar presented by Dr. Michael Bednar on the ABOS Subspecialty Examination.
In this episode of the Neurophilia Podcast we sat down with Neuro-Twitter star, Dr. Casey Albin to discuss her "drunken stagger" to neurology, the nuts and bolts of neurocritical care training, and the unique challenges of being a neurointensivist. We also spent some time talking about digital scholarship and the future of online Neurology communities in a "post-Musk" era. Dr. Albin shares what she loves most about her job as a neurocritical care doctor, important pearls regarding neuroprognostication, and unique ways to promote health and wellness in shift-work. Casey Albin, MD is an Assistant Professor at Emory University School of Medicine where she is a member of the Department of Neurocritical Care. Her research interests focus on educational innovations in acute neurologic emergencies and Neurocritical care. She serves on the Editorial Boards of several journals and is passionate about open-access neurologic education through Twitter, blogs, and podcasts. Follow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPodFollow Dr. Casey Albin on Twitter @caseyalbinFollow Dr. Nupur Goel on Twitter @mdgoelsFollow Dr. Blake Buletko on Twitter @blakebuletkoSupport the show
In this Gastroenterology Rafael Medina Subspecialty episode, Dr. Allyson Richardson presents a case to Dr. Ryan Flanagan of a 68 year old woman presenting with chronic diarrhea. Session facilitator: Şeyma Yıldırım The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you… Read More »Episode 301: Rafael Medina Subspecialty Series – Worsening diarrhea
In this episode of the Neurophilia Podcast, we sat down with Dr. Jeremy Moeller to discuss his medical journey, the subspecialty of epilepsy, the academia of medical education. We also review common neurological conditions managed by an epileptologist along with shedding light on upcoming advances in the field of epilepsy. Dr. Jeremy Moeller is in his 10th year as neurology residency director at Yale in New Haven, CT. He is trained as an epileptologist and is passionate about education, especially epilepsy, EEG, and neurology education.Follow Dr. Moeller on Twitter @yaleneuropdFollow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPodFollow Dr. Nupur Goel on Twitter @mdgoelsFollow Dr. Blake Buletko on Twitter @blakebuletkoSupport the show
In the season two opener, we are joined by the brilliant Dr. Elizabeth Coon, MD to discuss her journey into neurology and program leadership, the subspecialty of movement disorders and its natural intersection with autonomic neurology, and different ways to prevent burnout in medical training. Dr. Elizabeth Coon, MD graduated medical school from the University of Iowa and then completed her neurology residency at Mayo Clinic in Rochester, MN followed by fellowship training in movement disorders and then autonomic disorders. She is the program director for the adult neurology residency program and the autonomic disorders fellowship at Mayo Clinic. In addition to education, she co-founded Mayo Clinic's Multiple System Atrophy Clinic and is active in research on synucleinopathies and the history of medicine.Follow Dr. Elizabeth Coon on Twitter @EYemmCoon!Follow the Neurophilia Podcast on Twitter and Instagram @NeurophiliaPod!Follow Dr. Nupur Goel on Twitter @mdgoels!Follow Dr. Blake Buletko on Twitter @blakebuletko!Support the show
In this Infectious Disease Rafael Medina Subspecialty episode, Dr. Jorge Salazar presents a case to Dr. Monica Gandhi of a transgender woman with a recent diagnosis of HIV presenting with fatigue and weight loss. Session facilitator: Maddy Conte The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty… Read More »Episode 295: Rafael Medina Subspecialty Series – fatigue in patient living with HIV
Maddy Conte and Seyma Yildirim introduce a new series on the podcast: “The Rafael Medina Subspecialty Series,” which will always be in loving memory of our dear friend and CPSolvers family member, Dr. Rafael Medina. Rafa presents a nephrology clinical unknown to Drs. Ashita Tolwani and Mustafa Muhammad. The goal of this series is to… Read More »Episode 286 – Rafael Medina Subspecialty Series – Elevated Creatinine
Show Notes: Rachel Berger and Will Bachman talk about Rachel's journey since graduating from Harvard. Rachel graduated with a degree in biochemistry and moved to New York City to attend Columbia medical school. She moved to Pittsburgh for her residency and ended up staying for 27 years. After completing her residency, she did a fellowship in general academic pediatrics in Braddock, Pennsylvania. Rachel took a job at the Children's Hospital of Pittsburgh in a new division for child advocacy as a child abuse pediatrician. She eventually became board certified in the field when it became a subspecialty. Rachel then advanced in her career to become a tenured professor in 2016. After nine years as the leader of the division of child advocacy, Rachel stepped down in September of 2022 and is now focusing on clinical research and advocacy for children. Establishing the Child Advocacy Centre Child abuse work in the United States has been around since the mid-1970s, when laws were passed which mandated reporting of child abuse but it wasn't a subspecialty until 2009. Establishing this subspecialty and law to report was in response to the number of children who were abused and sent back into a situation that was often fatal. The Child Advocacy Center was set up at the hospital and employed physicians, nurses, social workers and forensic interviewers to ensure that this would not happen again. The subspecialty combines expertise in pediatric and orthopedic medicine, as well as knowledge in communicating with criminal courts and family courts to help keep children safe. Unfortunately, it is the most underfunded and understaffed of any pediatric subspecialty in the country. However, there are fellowships and other resources available for medical students and residents interested in this field. Recognising and Reporting Child Abuse Rachel explains that there are several different paths a child may take to get to see a child abuse pediatrician. These may include being referred by a hospital, Child Protective Services (CPS) if the child turns up at the Emergency room. Schools are a major source of reports, as teachers often have a close relationship with the children they are supervising, and can be more likely to spot possible abuse. Sometimes a family member may reach out. If abuse is suspected, the school or other responsible body can call the child abuse pediatrician to access their expertise. Rachel talks about how the specialists determine if abuse is taking or has taken place but they put support and services in place that, hopefully, help the children and family. To help recognise whether a child is the victim of abuse, Rachel suggests checking the TEN-4 FACES P mnemonic to identify any signs of abuse that may be serious. The Prevalence of Child Abuse While it is difficult to determine the number of abuse cases since most children don't or won't talk about it until they are adults, the official data states that around one in seven girls say they have been victim of sexual abuse before they reached the age of 18. She also states that there is a myth that you can “tell” the perpetrators of abuse, and that parents who abuse their children don't love them. Sometimes, it's anger control issues, or even discipline gone awry. Rachel also reflects on the importance of communication between medical experts and child protective services, social workers, attorneys, and police. This can be difficult because they don't understand the medical information. She talks about how the subspecialty of child abuse pediatrics had developed to advocate for children in court. It was seen as a combination of different elements, such as the increasing evidence base and the need for experts to advocate for children. However, there was a concern that other pediatrician reporters may become less involved if the subspecialty was created. There is concern that this could lead to a dangerous precedent where the responsibility for reporting child abuse cases is removed from other pediatricians because they don't think it's their job to do so. The advantages of having a child abuse pediatrics subspecialty is that there has been a growth in high quality research, and that the NIH has now funded a child abuse pediatric research network. However, Rachel is concerned that there are not enough people going into this field and that this could lead to a lack of access to people with expertise in this field. She suggests that the high bar of board certification might be discouraging people from people covering a small area of child abuse. Overall, they believe that the subspecialty has been a benefit to children and research, but that there is still a need for more people in this field. Rachel has focused her research on how to better identify physical abuse in its early and mildest forms to prevent catastrophic injury. She mentions the Child Abuse Pediatric Research Network (CAP-NET) as a resource for research and noted that it has numerous projects looking into better ways to identify risk, concerning injury, and intervene in cases of physical abuse. Rachel explains how electronic records and machine learning can help track and identify cases of abuse across different hospitals, locations, systems, and services. Socio Economic Factors in Child Abuse Rachel discusses policy surrounding child protection and laws established to do so. Research has proven that fatalities from child abuse are far higher than expected and this has led to the need for protective laws to be passed. She goes on to talk about the difficulty of creating laws that protect both the child and the family from maltreatment or misjudgement, and what she offers suggestions on how the systems could be improved. She cites decreasing childhood poverty as the major factor in reducing abuse. She explains that 30% of kids in the United States are supported by Medicaid, but 70-80% of children involved in child welfare rely on it. While abuse does occur in wealthier families, it is much more common in lower socioeconomic classes, and neglect is the most common form of child maltreatment. To decrease child abuse, Rachel suggests using the earned income tax credit and housing vouchers as two ways to reduce the impacts of childhood poverty. Rachel shares examples of neglect, such as supervisory neglect, malnourishment, educational neglect, and medical neglect. She discusses physical abuse and sexual abuse, explaining that physical abuse often results in the child being admitted to the hospital for treatment, whereas sexual abuse is seen more often in an outpatient setting. Rachel also noted that sexual abuse often involves someone the child knows and trusts. Overall, the conversation highlighted the prevalence of different forms of child abuse and the need for society to address the issue. Working on The Obama Commission to Eliminate Child Abuse and Neglect Fatalities Rachel talks about her position as a research lead on the Obama Commission to Eliminate Child Abuse and Neglect Fatalities and why she was selected for the commission. The commission traveled to 17 places in the United States, including at least one Indian Reservation, and talked to different child welfare agencies, hospitals, police, and child advocacy centers. The commission's report focused on different types of child abuse and how communities respond to these situations. She was shocked to discover that communities were not seeking out information from other communities on how they were dealing with situations of abuse despite reports sent out from newspapers around the country about children who had died or nearly died of abuse. The commission put together a public report at the end, but it wasn't implemented due to the change in presidential administrations. Some of the recommendations from the commission have been implemented by the Casey Family Programs. Rachel reflects on how powerful the experience was, how it shaped the next step of her career, and how she learned a lot about politics and how it is involved in an area that should be beyond political machinations of the day. Courses and Professors of Influence Professors mentioned by Rachel include Doug Melton. Timestamps: 07:42 Child Abuse Referrals and Prevalence 15:15 Myths Surrounding Child Abuse and Navigating External Systems 15:39 The Challenges of Communicating Medical Information to Non-Medical Professionals 17:51 The Evolution of Subspecialty in Child Abuse Pediatrics 24:41 Research in the Field of Child Abuse Pediatrics 28:46 Potential for Machine Learning to Identify High Risk Kids in Medical Records 31:07 Exploring the Benefits of Electronic Health Records in Clinical Practice 34:28 Policy Changes to Better Protect Children from Abuse 39:19 Socioeconomic Distribution of Child Abuse 45:15 Child Maltreatment and Presidential Commissions CONTACT INFO: rachel.berger@chp.edu Rachelpberger@gmail.com
Join Dr. Gerardo and I in this month's conversation, where we talk about what fellowship programs are and what they look for, some benefits and drawbacks of pursuing one, and much more! __________________________________________ Follow “A Lens Into Medicine” on Instagram @alensintomedicine / https://www.instagram.com/alensintomedicine/, and make sure to explore our website alensintomedicine.com to learn more about the brand and to contact Parth.
Orthpaedic surgeon Dr. Mary Mulcahey discuss Board Certification and Subspecialty Certification. She is also President of the Ruth Jackson Orthopaedic Society and talked about that as well.
This is an audio-only version of the recent webinar given by ABOS Executive Director Dr. David Martin on the ABOS Subspecialty Examination, for Orthopaedic Sports Medicine and Surgery of the Hand.
Drs. Lori Provencher and Andrea Kossler, author of “Representation of Women in Ophthalmology Subspecialty Societies over 20 Years,” discuss the rising number of women in ophthalmology, persistent inequalities in subspecialty society leadership and awards, and what it may take to achieve gender parity and proportional representation. Representation of Women in Ophthalmology Subspecialty Societies over 20 Years. Azad, Amee D. et al. Ophthalmology, Volume 129, Issue 5, 587 – 590.
This is an article summary of "Mission and 1-Year Outcomes of a Cardiorenal Subspecialty Consultation Service" by Nisha Bansal and Stuart Shankland on behalf of coauthors.
Interviewer: Lucie Henry, DO Chief Medical Resident, University of Connecticut Meghan Snuckel, MD Chief Medical Resident, University of Connecticut Interviewee: Heather Swales, MD Cardiologist for Hartford Healthcare Medical Group Director of Women's Heart Wellness Associate Fellowship Director for Cardiology at Hartford Hospital In this podcast, we sit down with Dr. Swales to discuss her journey through medicine and how she navigates the waters of being a subspecialist, as well as some strategies on handling imposter syndrome and burn out in medicine.
Jennifer Beck and Eric Edmonds from UCLA and Rady, respectively, moderate the POSNA 2021 Virtual Sports Subspecialty Day episode, discussing key abstracts from the upcoming annual meeting. This session is also featured on Peds Ortho, the official POSNA podcast. Guest authors include John Schlechter from CHOC, Kathleen Maguire from CHOP, Samuel Van de Velde from Columbia, and Eric Edmonds (in addition to his moderator role). Your host is Carter Clement from Children's Hospital of New Orleans. Music by A. A. Alto. Abstracts discussed: Do Continuous Peripheral Nerve Blocks Decrease Home Opioid Use Following Anterior Cruciate Ligament. John Schlechter, DO; Bryn Gornick; Benjamin Sherman, DO; Tanner Harrah. CHOC. Predicting Outcomes of Talar Osteochondritis Dissecans Lesions in Children. Kathleen Maguire, MD; Mitchell Johnson; Kunbo Park, MD; Divya Talwar; J Todd Lawrence, MD. CHOP. Anatomic versus Non-anatomic Anterolateral Tenodesis in Combination with Anterior Cruciate Ligament Reconstruction – Sometimes Cheaper is Better? Samuel Van De Velde; Gregory Schmale, MD; Scott Telfer. U.W. Clinical Outcomes, Survivorship, and Return to Sports After Arthroscopic Capsular Repair with Suture Anchors for Adolescent Multidirectional Shoulder Instability at Mean Follow-Up of 6 Years. Brendon Mitchell; Matthew Siow; Alyssa Carroll; Andrew Pennock, MD; Eric Edmonds, MD. Rady Children's Hospital. For further information, see annual meeting program: https://posna.org/POSNA/media/Documents/Events/Final-Program_1.pdf
Dr. DiGiorgio of UCSF Neurosurgery discusses the pathways to becoming a trauma specialist and how neurosurgeons can interact with health policy.
A discussion on what it takes to become a spine subspecialist in neurosurgery, with Dr. John Shin (Director of Spinal Deformity Surgery and Spine Oncology) of Massachusetts General Hospital and Harvard Medical School.
A discussion on what it takes to become a vascular neurosurgeon, with Dr. Adam Arthur (Vascular Neurosurgery Fellowship Director) and Dr. David Dornbos (Open/Endovascular Fellow) of Semmes Murphey Clinic, as well as Dr. Tyler Lazaro, PGY4 of Baylor College of Medicine.
When Dr. Jovan Gayle was in medical school, he thought he would become a surgeon. He ended up becoming an internist. When he started residency training, he thought he would become a cardiologist, but when it was time to apply to fellowship, he threw his hat in the ring for Pulmonology-Critical Care. Dr. Gayle encourages young physicians to enter residency with an open mind about what they will subspecialize in. He has simple, actionable advice for how to evaluate your choices and identify the subspecialty that is perfect for you. It includes keeping in touch with older colleagues, because they can give you the insider scoop about the pros and cons of working in a subspecialty. We also get into: [3:44] How Dr. Gayle decided whether to pursue residency training locally or internationally The first steps to take once you decide to pursue residency abroad [10:08] His advice for approaching Step 1 [13:01] What he has found to be the best part of residency training [15:23] Dr. Gayle's big professional goal [21:36] The part of residency training that has surprised him the most [23:42] The research experience he gained during his residency [ 26:12] The subspeciality he chose [27:45] Why he decided not to subspecialize in cardiology, which he came into residency loving [28:56] How to choose your subspecialty [36:39] What Dr. Gayle wants his legacy to be The IMG Residency Match Podcast is brought to you by the IMG Residency Match Application Accelerator, a personalized, premium program to help ambitious International Medical Graduates prepare a residency application that gives them the best possible odds of matching. Find out more at www.imgresidencymatch.com To join the IMG Residency Match Accelerator, click here to apply for a suitability interview. https://app.acuityscheduling.com/schedule.php?owner=17346001&appointmentType=9498458 Want our support so you can match? CLICK HERE TO APPLY FOR A FREE SUITABILITY INTERVIEW https://imgresidencymatch.lpages.co/applicationaccelerator/ ________________________________ Thanks for listening to this week's episode. Do rate and subscribe. Don't forget to share the podcast with at least one of your colleagues applying to the match; success is much sweeter when it's shared.