Podcasts about trainees

In this episode, Dr Heather Kennedy hears about a case that was challenging but rewarding for Dr Neil Watson, which he had presented at the recent RCPE Medical Trainees Conference. They discuss multi-system disease, and the challenge of connecting the dots between different symptoms and presentations, highlighting the importance of combining specialism and generalism. Dr Neil Watson is a neurology registrar in NHS Lothian. His research background is in human prion disease, and he completed an MD with the University of Edinburgh in which he led an international study validating the current diagnostic criteria for sporadic Creutzfeldt-Jakob disease. Dr Heather Kennedy has completed IMT and is currently working as a locum in NHS Fife. She is a member of the Trainees and Members' Committee (T&MC). Recording Date: 31 March 2026 -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Die meisten im Strukturvertrieb warten viel zu lange mit Teamaufbau – und verlieren genau deshalb ihre High Performer.In dieser Folge sprechen Rik und Tibor über das größte Missverständnis im Strukturvertrieb: "Ich muss erst selbst erfolgreich sein, bevor ich Partner aufbaue." Bullshit. Tibor bringt auf den Punkt, warum deine 4 von 10 für jemand anderen schon 15 von 10 sind. Rik geht noch härter rein: Wenn jemand nur Cash verdienen will, soll er von Tag 1 an nur Akquise machen – und sein Mentor macht alles andere. Der Stundenlohn? 200 Euro. Die meisten Strukturis haben am Anfang weniger als 5 Euro – wenn überhaupt.Du erfährst:- Warum der klassische Strukturvertriebsprozess zu langsam ist und High Performer verliert- Wie du als Trainee mit 6 Trainees unter dir starten kannst (Marc Schöffner Story)- Der 4-Typen-Filter: Wissen, Cash, Perspektive, Menschen helfen – und was das für deinen Prozess bedeutet- Warum Partner aufbauen am Anfang EINFACHER ist als Kunden gewinnen- Der Unterschied zwischen Kundenabschluss und Partnerabschluss – und warum Vertrauen in dich selbst der Game Changer istKomplexität, fehlende Beweise, zu wenig Vertrauen in den Prozess – all das bremst die meisten aus. Diese Folge gibt dir das Framework, um von Anfang an auf Teamaufbau zu setzen, statt Monate zu verlieren.Wenn du bereit bist, deinen Status quo zu hinterfragen und aufs nächste Level zu bringen, dann sichere dir dein kostenloses Kennenlerngespräch auf: stornofabrik.deHast du heute wertvolle Infos mitgenommen, die du noch nicht wusstest oder die dich weiterbringen?Vielleicht hat sich ja auch eine neue Perspektive bei dir aufgetan.Wenn du bereit bist, deinen Status quo zu hinterfragen und aufs nächste Level zu bringen, dann sichere dir dein kostenloses Kennenlerngespräch auf: stornofabrik.deSchreib' uns auf Instagram.Wenn du mindestens einmal lachen, weinen oder fluchen musstest, hinterlasse uns bitte eine 5-Sterne-Bewertung und ein Feedback auf iTunes, abonniere diesen Podcast und teile ihn mit anderen Kollegen.Das kostet dich maximal zwei Minuten und hilft uns dabei, den Podcast weiter zu verbessern und die Inhalte noch besser zuschneiden zu können.Vielen Dank vorab für dein Engagement!Natürlich darfst du uns auch konstruktives Feedback hinterlassen oder uns auf Instagram anschreiben, wenn du dich angesprochen oder provoziert fühlst und mit uns sprechen willst.Wir suchen immer den Austausch und entwickeln uns weiter durch neue Perspektiven!

In this episode Dr Marilena Giannoudi discusses all things heart failure with Dr Sam McClure. They begin with how to diagnose and classify heart failure with reduced ejection fraction and heart failure with preserved ejection fraction before moving onto treatment and when to refer to the Heart Failure Team. Dr Sam McClure is a Consultant Interventional Cardiologist and Clinical Lead for Heart Failure in Sunderland. Dr Marilena Giannoudi is a cardiology registrar based in Leeds. She is Co-Chair of the Trainees and Members & Committee, a Fellow of the Higher Education Academy, and is currently undertaking a PhD. Recording Date: 30 March 2026 -- Useful Links -- ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure (2023 Update) - https://www.escardio.org/guidelines/clinical-practice-guidelines/all-esc-practice-guidelines/focused-update-on-heart-failure-guidelines/ European Heart Journal, Volume 44, Issue 37, 1 October 2023, Pages 3627–3639 - https://academic.oup.com/eurheartj/article/44/37/3627/7246292?login=false Chronic heart failure in adults: diagnosis and management (NICE Guideline) - https://www.nice.org.uk/guidance/ng106 H2FPEF Score for Heart Failure with Preserved Ejection Fraction - https://www.mdcalc.com/calc/10105/h2fpef-score-for-heart-failure-with-preserved-ejection-fraction -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief, and Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, for articles published from May 9-15, 2026.

Lesson by Jair ThompsonProverbs 22:61 Samuel 15:151 Samuel 2:12

In this episode, Dr Angus Sinclair speaks with Dr Jonathan Malo about dyslipidaemias. They discuss the different types of dyslipidaemias, the treatments (including some new ones) and the types of cases that should be referred. Dr Jonathan Malo is a consultant chemical pathologist at the Department of Clinical Biochemistry in NHS Lothian. And is the clinical lead for the Lipid Clinic at the Royal Infirmary of Edinburgh. He currently chairs a Scottish network of lipid clinic specialists, and is involved in a Scottish government group tasked with improving CVD prevention. Dr Angus Sinclair is an Internal Medical Trainee in the East of Scotland. He graduated from the University of Edinburgh in 2018 and since then has worked across Scotland and as a medical registrar in a rural district general hospital in New Zealand. He has been actively involved in undergraduate and postgraduate teaching, as well as in clinical governance and resident doctor leadership. Recording date: 20 March 2026 --Links-- Assessment of adverse effects attributed to statin therapy in product labels: a meta-analysis of double-blind randomised controlled trials, The Lancet, 2026; 407, 689-703. Effect of statin therapy on muscle symptoms: an individual participant data meta-analysis of large-scale, randomised, double-blind trials, The Lancet, 2022; 400, 832-845. N-of-1 Trial of a Statin, Placebo, or No Treatment to Assess Side Effects, NEJM, 2020;383:2182-2184. DOI: 10.1056/NEJMc2031173. Statin treatment and muscle symptoms: series of randomised, placebo-controlled n-of-1 trials. BMJ, 2021;372:n135. https://doi.org/10.1136/bmj.n135 SIGN 149: Risk estimation and the prevention of cardiovascular disease (2017) - https://www.sign.ac.uk/assets/qrg149.pdf NICE Guideline 238: Cardiovascular disease: risk assessment and reduction, including lipid modification (2023) - https://www.nice.org.uk/guidance/ng238/resources/cardiovascular-disease-risk-assessment-and-reduction-including-lipid-modification-pdf-66143902851781) AHA guideline - https://www.ahajournals.org/doi/10.1161/CIR.0000000000001423 ASSIGN/QRISK score calculators - https://www.heartuk.org.uk/educational-content/risk-calculators -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

A Canterbury based GP says he no longer recommends the speciality to trainee doctors. Dr Dermot Coffey is one of many GPs who've been in touch with us this week, as we discussed the state of primary health care. Dr Coffey spoke to Ingrid Hipkiss.

In this episode, Dr. Stuart Slavin is joined by Nick Yaghmour, director of Resident Experience, Well‑Being, and Milestones Research at the ACGME, and Dr. Greg Wallingford, assistant professor of Internal Medicine and assistant dean for Professional Fulfillment and Well‑Being at Dell Medical School. Together, they explore how the 12 well‑being items included in the ACGME annual Resident/Fellow and Faculty Surveys can be thoughtfully interpreted, and responsibly used, to support residents, fellows, faculty members, and programs. The conversation explores the origins and intent of the well‑being items, their role as signals rather than diagnostic measures, and the importance of keeping the data separate from accreditation decisions. Dr. Wallingford shares an institution‑level approach for translating survey results into meaningful action, highlighting the value of local context, deeper inquiry, and iterative improvement. Through concrete examples, the discussion illustrates how data‑informed processes can empower program leaders, strengthen trust, and drive sustainable change in the clinical learning environment. The episode also previews upcoming enhancements to ACGME well‑being reporting designed to make results more accessible and actionable for programs and institutions. Podcast Chapters (00:00) – Introduction and Welcome (00:31) – Guest Introductions: Nick Yaghmour and Greg Wallingford (01:12) – Purpose and Origins of the ACGME Well‑Being Survey Items (02:32) – Who Receives the Survey Results and How They Are Used (03:17) – What the 12 Well‑Being Items Measure and What They Do Not (04:20) – Using the Data at the Program and Institutional Levels (06:03) – Limitations, Bias, and Responsible Interpretation of Results (11:07) – From Survey Data to Action: An Institutional Starting Point (15:47) – Supporting Program Leaders Through Training and Process (19:34) – Program‑Level Examples: Turning Feedback into Action (22:29) – Transparency, Communication, and Building Trust with Trainees (24:10) – "Stacked Change" and Continuous Quality Improvement in GME (25:04) – Making Data More Actionable: Upcoming Reporting Enhancements (28:03) – Closing Reflections and Encouragement for Program Leaders

In this episode, Dr Marilena Giannoudi talks with Rebecca Howard and Bruce Cruickshank from Guide Dogs UK, one of the UK's leading sight loss charities. They discuss some of the small acts and considerations that medical professionals can practice to help their patients with sight loss. Rebecca Howard is a Sighted Guide Trainer with Guide Dogs UK. Bruce Cruickshank is a volunteer with Guide Dogs UK and is a guide dog owner. Dr Marilena Giannoudi is a cardiology registrar based in Leeds. She is Co-Chair of the Trainees and Members & Committee, a Fellow of the Higher Education Academy, and is currently undertaking a PhD. Recording date: 9 March 2026 -- Links -- Guide Dogs UK - https://www.guidedogs.org.uk/ Guide line services - https://www.guidedogs.org.uk/contact-us/#guide-line-services-support-and-dog-related-queries Sighted guide training - https://www.guidedogs.org.uk/how-you-can-help/sighted-guide-training/ -- Follow us -- https://www.instagram.com/rcpedintrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Trainee teachers across the country are threatening mass protests over what they describe as unfair recruitment practices by the government. The Teacher Trainees Association of Ghana warns that more than 60,000 graduates could take to the streets if their concerns are not addressed

Woodward & Whit: 4/23/26 Complete Show

In this episode, Dr Marilena Giannoudi chats with Dr Heeraj Bulluck about preventive cardiology. They discuss the little habits that can make a big difference in preventing heart disease and the importance of taking care of yourself as a doctor as well as the patients you see. Dr Heeraj Bulluck is a UK-based interventional cardiologist with a keen academic interest. Alongside his clinical work, he recently developed an interest in cardiovascular prevention - helping individuals understand and act on risk long before disease develops. He is the author of Heart Reset 40, where he translates clinical insights into practical, sustainable changes for long-term heart health, particularly for busy professionals. Dr Marilena Giannoudi is a cardiology registrar based in Leeds. She is Co-Chair of the Trainees and Members & Committee, a Fellow of the Higher Education Academy, and is currently undertaking a PhD. Recording date: 2 February 2026 --Links-- Heeraj Bulluck, Heart Reset 40 - https://www.amazon.co.uk/Heart-Reset-40-Cardiologists-Science-Backed-ebook/dp/B0G8N4YBPC The Royal College of Physicians of Edinburgh (RCPE) has not quality checked Heart Reset 40 and is not endorsing this resource. A link is provided for reference only. 2025 Update on ESC/EAS Guidelines for management of dyslipidaemias - https://www.escardio.org/guidelines/clinical-practice-guidelines/all-esc-practice-guidelines/dyslipidaemias/ ESC Essential Resources for Preventive Cardiologists - https://www.escardio.org/topics/risk-factors-and-prevention/ -- Follow us -- https://www.instagram.com/rcpedintrainees https://x.com/RCPEdinTrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Sermon By: Brother Jair

In this episode Professor Tom Fardon returns to Clinical Conversations to discuss updates in asthma diagnosis and management from the joint BTS/SIGN/NICE guideline on Asthma. Prof Fardon and Dr Ben Warner discuss the changes to practice since the guidelines were released and the evolving role of biologics in asthma treatment. Professor Fardon is a Consultant Respiratory Physician at NHS Tayside and Honorary Professor at the University of Dundee. They are also the chair of the Scottish Severe Asthma Group within the Centre for Sustainable Delivery. Dr Ben Warner is a Respiratory Medicine Specialty Registrar with clinical and academic experience of global public health. He is currently undertaking a PhD in multimorbidity in Malawi as part of the Wellcome-funded Multimorbidity PhD Programme for Health Professionals with the University of Glasgow. Recording Date: 9 December 2025 --Links-- BTS/SIGN/NICE guideline on Asthma - https://www.nice.org.uk/guidance/ng245 Asthma Pathway - https://www.nice.org.uk/guidance/ng244 Algorithm A: Objective tests for diagnosing asthma in adults and young people (aged over 16 years) - https://www.nice.org.uk/guidance/ng245/resources/bts-nice-and-sign-algorithm-a-summary-of-objective-tests-for-diagnosing-asthma-pdf-13556516365 Algorithm C: Pharmacological management of asthma in people aged 12 years and over - https://www.nice.org.uk/guidance/ng245/resources/algorithm-c-pharmacological-management-of-asthma-in-people-aged-12-years-and-over-bts-nice-pdf-13556516367 ‘Optimising inhaled therapy for patients with asthma'- https://doi.org/10.1136/bmj-2024-080353 Asthma+Lung UK website Inhalers resource - https://www.asthmaandlung.org.uk/living-with/inhaler-videos ‘Greener Practice' asthma care toolkit (free registration required)- https://www.greenerpractice.co.uk/asthma-toolkit/ 'Greener Practice' Device Choice video - https://www.youtube.com/watch?v=YRJGD48bryI Asthma Guidelines (Plain Language Version) - https://www.sign.ac.uk/patient-public-involvement/plain-language-versions-of-guidelines/asthma/ -- Follow us -- https://www.instagram.com/rcpedintrainees https://x.com/RCPEdinTrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

A 62‐year-old man is undergoing a CT‐guided core biopsy of a lung nodule when he develops an iatrogenic pneumothorax. After admission to the Royal Adelaide hospital he has ongoing dyspnoea, oxygen desaturation, and chest pain not helped by a preexisting Chronic Obstructive Pulmonary Disease. The treatment for the patient's symptoms doesn't immediately go to plan but his care team apply a combination of recent technologies to bring the condition under control. Pomegranate [Case Reports] have been developed to help Trainees rehearse diagnostic problem solving and case presentation.GuestsAssociate Professor Arash Badiei FRACP (Royal Adelaide Hospital; Adelaide University)HostsAssociate Professor Stephen Bacchi FRACP (Northern Adelaide Local Health Network; Adelaide University)Dr Brandon Stretton (Central Adelaide Local Health Network;)ProductionProduced by Dr Stephen Bacchi and Mic Cavazzini DPhil. Music licenced from Epidemic Sound includes ‘Desert Whispers' by Tellsonic and ‘Brighton Breakdown' by BDBs. Image created and copyrighted by RACP. Editorial feedback kindly provided by RACP physicians Aidan Tan and med students Srishti Sharma, Prakriti Sharma and Cindy Shi. Key Reference (Spoiler Alert)* * * * *Persistent air leak successfully treated with endobronchial valves and digital drainage system [Altree, Respirol Case Rep. 2018] Please visit the Pomegranate Health web page for a transcript and supporting references. Login to MyCPD to record listening and reading as a prefilled learning activity. Subscribe to new episode email alerts or search for ‘Pomegranate Health' in Apple Podcasts, Spotify, Castbox or any podcasting app. 

We're joined by St Columba Anglican School Principal Allan Guihot and Director of Professional Learning Chris Delaney. They're in Port Macquarie, on the New South Wales North Coast, and the school is a member of the award-winning Teaching School Hubs program from Independent Schools New South Wales (ISNSW). The program brings together schools and partner universities to provide teacher trainees with regular, mentored experience while they complete their qualification. The aim is to increase their skills and their confidence in the classrooms, so they're better prepared once they enter the workforce. It's a paid placement – trainees get paid for one day per week for a year, which is co-funded by ISNSW and the school. And then, depending on the arrangement, the trainee could also be working additional days as a Teacher Aide (that might be a Teaching Assistant or Classroom Support Assistant where you are), and that additional work is funded by the school, so that is something that St Columba has chosen to do. In our chat, Allan and Chris explain more about the program model and how it works, the school's participation, and the benefits for everyone involved – including those teachers doing the mentoring. Host: Jo Earp Guests: Allan Guihot , Chris Delaney

A shake-up to GP trainee employment could make the pathway into general practice more appealing. Health New Zealand will now directly employ all first-year trainees not already in private practice - with applications opening today for next year. Currently, doctors must switch to being employed by the College of GPs. Health Minister Simeon Brown told Ryan Bridge it's been one of the barriers discouraging doctors from specialising as GPs. He says they effectively become employees of the college and lose leave balances and other conditions - which is a challenge for recruitment.See omnystudio.com/listener for privacy information.

This inaugural episode of the CardioNerds Pulmonary Embolism (PE) Series explores the evolution of acute PE care. Dr. Ibrahim Zahid, Dr. Dinu Balanescu, and Dr. Billy Joe Mullinax join guest expert Dr. Kenneth Rosenfield to discuss the shifting landscape of PE management. Pulmonary embolism (PE) remains a leading cause of cardiovascular mortality and a frequent diagnostic challenge, often masquerading as myocardial infarction or a benign illness. Over the past decade, PE care has evolved from anticoagulation-only strategies to nuanced, risk-stratified, multidisciplinary management. Modern approaches integrate hemodynamics, biomarkers, and advanced imaging to guide therapy, including catheter-directed interventions and large-bore thrombectomy. The Pulmonary Embolism Response Team (PERT) model addresses historical gaps by coordinating rapid, multispecialty decision-making and standardizing care pathways. The PERT Consortium further advances PE care through education, research, and the world's largest PE registry, while fostering leadership and research opportunities for trainees. Despite advances, long-term outcomes and post-PE syndromes remain important areas for future investigation. Audio editing by CardioNerds Academy intern, student doctor, Pace Wetstein. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls PE is a “master masquerader”—maintain suspicion for atypical presentations like myocardial infarction, heart failure, flu, or anxiety. Multidisciplinary management mediated through pulmonary embolism response teams improves outcomes and standardizes care. Risk stratification integrates hemodynamics, biomarkers, and imaging. Advanced therapies have expanded beyond anticoagulation. Long‑term follow‑up and post‑PE syndrome need more research. Notes Notes: Notes drafted by Dr. Ibrahim Zahid. 1. How has the clinical approach to PE changed over the past decade? PE is the third leading cause of cardiovascular death and historically under‑recognized. Symptoms mimic MI, HF, asthma, syncope, and more.PE is a silent killer, and it should be recognized more as a cause of spontaneous cardiac arrest. Where life threatening disease like stroke which is owned by neurological specialists and MI is primarily managed by cardiac specialists, PE is an entity without a professional home. The PERT Consortium brings the specialties together for PE care. 2. Ten years ago, a 58-year-old patient with a large bilateral PE, RV dilation, and positive biomarkers might have been managed with anticoagulation and close observation alone. Today, with evolving—but still uneven—data on advanced therapies, PE care feels far more nuanced and highly dependent on where you practice. What are the major gaps in traditional PE management that clinicians should recognize, and what care pathways should they be aware of across different hospital systems? Care has shifted from anticoagulation‑only to multidisciplinary approaches like catheter directed thrombectomy. Risk‑based pathways and the use of CT angiogram has improved early recognition. Risk stratification tools must be used as tools for early recognition of intermediate risk PE. Untreated PE leads to chronic complications like chronic thromboembolic disease and chronic thromboembolic pulmonary hypertension, which requires long term clinic follow up. 3. What is the role of risk stratification tools such as PeSI, sPeSI scores, cardiac biomarkers, and imaging findings in PE, and how do they guide treatment decisions in real world practice? Integrate vitals (blood pressure and heart rate), biomarkers (troponin, pro-BNP), RV/LV ratio assessment, acid‑base status, and scores. Tools include PESI, sPESI, BOVA, HESTIA, FAST, Geneva, NEWS, shock index. Vitals, lactate, acid-base status, and tools like NEWS or shock index track clinical evolution. PESI/sPESI estimate 30-day mortality and help identify low-risk patients who may be candidates for early discharge or outpatient therapy. Clinical judgment matters—scores don't fully capture clot burden, trajectory, or bleeding risk. 4. How was the pulmonary embolism response team created, and since its creation, what evidence or outcome data became available to support the PERT model? Originated after a sentinel case at MGH: A young, pregnant woman in her 30s, who collapsed at home, underwent thrombectomy, and had to be on ECMO for a few days. The case brought cardiology, cardiac surgeons and critical care physicians together for planning and improvement in her health, which was rewarding. Thereby, it was decided to bring specialties involved in PE care together to create a response team. The name of the team, Pulmonary Embolism Response Team (PERT), was coined by Richard Channick in the first meeting. Posters were set up all over the hospital to call a centralized line when an acute PE is recognized A meeting was held to present the concept of putting together a consortium, with development of action items and a PERT database. Enabled rapid multidisciplinary input using early teleconferencing tools. 5. Given concerns about having too many ‘cooks in the kitchen' during the initial PE call—especially with rotating teams—how can institutions reconcile workflow complexity with standardized pathways in a way that meaningfully supports and justifies the added burden on frontline clinicians? Every hospital's PERT is different, catering to their needs and workflow At least two disciplines are needed to make a PERTData is currently being collected to guide further on how the workflow can be standardized Most importantly, the team brings in resources that were not available prior to PERT formation. 6. What are the main goals of the PERT consortium, and how does it support clinicians and institutions involved? To improve care and improve outcomes for patients with PE Expand education, refine algorithms, standardize care with Centers of Excellence. Maintain the largest PE registry for research and outcomes improvement. 7. Beyond global networking, shared learning from successful systems, and the pathway toward Center of Excellence designation, what additional benefits can clinicians and health systems gain by participating in the PERT Consortium? The ability to learn from other systems, the ability to share experiences. Allow people to develop their professional careers like leadership experience, becoming a member of the trainee council Initiate projects and receive funding for your ideas 8. For trainees interested in pulmonary embolism care, how can a trainee be a champion at their institution? Does PERT provide assistance and how can they really contribute meaningfully even before becoming a fellow/attending? Medical students and residents interested in PE should reach out to the consortium and the consortium will hook you up with the correct mentors who can nurture you along. Listen to the podcasts. Participate with your local PERT team PERT wants involvement of people who are social media savvy to help spread the word on PE. Top three take-away points from this episode Acute PE care has advanced and multiple treatment modalities for acute PE including catheter directed therapy, large bore thrombectomy, are becoming standard of care. Multidisciplinary models like PERT improve coordination and outcomes. Trainees play a vital role in advancing PE care through involvement, research, and education References Konstantinides SV, Meyer G, Becattini C, Bueno H, Geersing GJ, Harjola VP, Huisman MV, Humbert M, Jennings CS, Jiménez D, Kucher N, Lang IM, Lankeit M, Lorusso R, Mazzolai L, Meneveau N, Ní Áinle F, Prandoni P, Pruszczyk P, Righini M, Torbicki A, Van Belle E, Zamorano JL; ESC Scientific Document Group. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS). Eur Heart J. 2020 Jan 21;41(4):543-603. doi: 10.1093/eurheartj/ehz405. PMID: 31504429. https://pubmed.ncbi.nlm.nih.gov/31504429/ Rosovsky R, Zhao K, Sista A, Rivera-Lebron B, Kabrhel C. Pulmonary embolism response teams: Purpose, evidence for efficacy, and future research directions. Res Pract Thromb Haemost. 2019 Jun 9;3(3):315-330. doi: 10.1002/rth2.12216. PMID: 31294318; PMCID: PMC6611377. https://pmc.ncbi.nlm.nih.gov/articles/PMC6611377/ Rosenfield K, Bowers TR, Barnett CF, Davis GA, Giri J, Horowitz JM, Huisman MV, Hunt BJ, Keeling B, Kline JA, Klok FA, Konstantinides SV, Lanno MT, Lookstein R, Moriarty JM, Ní Áinle F, Reed JL, Rosovsky RP, Royce SM, Secemsky EA, Sharp ASP, Sista AK, Smith RE, Wells P, Yang J, Whatley EM; Pulmonary Embolism Research Collaborative (PERC) Attendees. Standardized Data Elements for Patients With Acute Pulmonary Embolism: A Consensus Report From the Pulmonary Embolism Research Collaborative. Circulation. 2024 Oct;150(14):1140-1150. doi: 10.1161/CIRCULATIONAHA.124.067482. Epub 2024 Sep 12. PMID: 39263752; PMCID: PMC11698503. https://pubmed.ncbi.nlm.nih.gov/39263752/ Sharifi M, Awdisho A, Schroeder B, Jiménez J, Iyer P, Bay C. Retrospective comparison of ultrasound facilitated catheter-directed thrombolysis and systemically administered half-dose thrombolysis in treatment of pulmonary embolism. Vasc Med. 2019 Apr;24(2):103-109. doi: 10.1177/1358863X18824159. Epub 2019 Mar 5. PMID: 30834822. https://pubmed.ncbi.nlm.nih.gov/30834822/ Pandya V, Chandra AA, Scotti A, Assafin M, Schenone AL, Latib A, Slipczuk L, Khaliq A. Evolution of Pulmonary Embolism Response Teams in the United States: A Review of the Literature. J Clin Med. 2024 Jul 8;13(13):3984. doi: 10.3390/jcm13133984. PMID: 38999548; PMCID: PMC11242386. https://pubmed.ncbi.nlm.nih.gov/38999548/ Rivera-Lebron B., McDaniel M., Ahrar K., Alrifai A., Dudzinski D.M., Fanola C., Blais D., Janicke D., Melamed R., Mohrien K., et al. Diagnosis, Treatment and Follow Up of Acute Pulmonary Embolism: Consensus Practice from the PERT Consortium. Clin. Appl. Thromb. Hemost. 2019;25:1076029619853037. doi: 10.1177/1076029619853037.https://pubmed.ncbi.nlm.nih.gov/31185730/

This is a co-release with our sister podcast, Career Conversations. In this episode, Dr Marilena Giannoudi talks with Dr Manav Sharma about the specialty, Aerospace Medicine. They discuss the pathways which lead to the specialty and some interesting cases. Dr Manav Dutt Sharma is an aerospace medicine physician, former Indian Air Force flight surgeon and human factors specialist with over 23 years of experience at the intersection of aviation and healthcare. He has led an award‑winning primary healthcare centre in the Air Force, works on safety, service quality and systems improvement in hospitals, and has authored a forthcoming book, From Runways to Recovery Rooms, on what healthcare can learn from aviation. Dr Marilena Giannoudi is a cardiology registrar based in Leeds. She is Co-Chair of the Trainees and Members & Committee, a Fellow of the Higher Education Academy, and is currently undertaking a PhD. Recording Date: 12 December 2025 --Links-- JRCPTB Specialty - https://www.thefederation.uk/training/specialties/aviation-and-space-medicine Physician Higher Specialty Training Recruitment - https://www.phstrecruitment.org.uk/ -- Follow us -- https://www.instagram.com/rcpedintrainees https://x.com/RCPEdinTrainees -- Upcoming RCPE events -- https://www.rcpe.ac.uk/events -- Become an RCPE Member -- https://www.rcpe.ac.uk/membership/join-college Feedback: cme@rcpe.ac.uk This podcast is from the Trainees & Members' Committee (T&MC) of the Royal College of Physicians of Edinburgh (RCPE).

Join us as seasoned mentors, Hetty Carraway, MD, MBA, and Alfred Lee, MD, PhD, share their insights on how to choose the ideal mentor with Nick Lee, MD and Claire Drysdale of the ASH Trainee Council, in collaboration with Ronak Mistry, DO, and Vivek Patel, MD of The Fellow on Call. Hematopoiesis is sponsored by the ASH Trainee Council. Want to learn more about how to get involved with the ASH Trainee Council? Check out: https://www.hematology.org/education/trainees/fellows/trainee-council

In this conversation, Peter Brindley and Leon Byker sit down with Peter Kruger, President of the College of Intensive Care Medicine, to unpack one of the defining issues facing healthcare today: workforce reform.Against the backdrop of national workforce reviews across Australia and New Zealand, the discussion explores the tension between aspiration and reality. Governments want equitable access, rural coverage, sustainable systems, and improved wellbeing for clinicians. Colleges want standards, safety, and meaningful careers. Trainees want jobs. Communities want hospitals. Politicians want solutions.So how do we reconcile all of it?Dr. Kruger reflects on the growing engagement between specialist colleges and government, particularly around workforce maldistribution, rural and regional care, sub-specialization versus generalism, and the moral complexity of relying on internationally trained doctors. The conversation highlights a key truth: intensive care is a hospital-based, system-dependent specialty. You cannot simply “place a doctor” in a community without the supporting infrastructure.The episode also tackles uncomfortable but necessary questions:Can there be a universal standard for ICU access across vastly different hospital settings?Should governments mandate rural placements—or can communities be strengthened from within?What role should nurse practitioners and multidisciplinary teams play?Are we protecting turf, or protecting patients?And how do we better support doctors across the entire career pipeline—from medical student to senior intensivist winding down night shifts?Throughout, the tone is candid but diplomatic. There's recognition that workforce reform is complex, long-standing, and resistant to simple solutions. Yet there is also optimism: trust, transparency, and genuine partnership between colleges and government may offer a way forward.At its core, this episode is about purpose. The shared mission between clinicians, colleges, and governments is delivering safe, effective care to the community. The challenge lies in doing so while balancing standards, sustainability, and humanity.

In this episode of The Aspiring Psychologist Podcast, we explore the realities of clinical psychology training beyond getting onto the course. I'm joined by final-year trainee clinical psychologist Taniya Welmillage, and together we discuss placements, supervision, competency pressure, imposter syndrome, wellbeing, leadership, and how life continues alongside training. We explore constant moving, team cultures, long commutes, therapy for trainees, and how trainees decide what is non-negotiable for their mental health. This episode is ideal for aspiring psychologists, trainee clinical psychologists, and anyone wanting a realistic, compassionate insight into training.Timestamps:00:00 – Why getting onto training isn't the whole story01:25 – Constant change, placements, and adjustment fatigue03:16 – Being called “the trainee” vs being seen as a person04:39 – Team cultures, safety, and belonging06:14 – Buildings, resources, and how environments shape experience08:53 – Juggling competencies, learning, and performance pressure10:05 – Authenticity vs ticking boxes on placement11:46 – Relocation, commuting, and the hidden toll of training14:10 – Flexi working, boundaries, and protecting wellbeing15:52 – The importance of trainee friendships and support18:33 – Life milestones during training20:51 – Reducing the “shoulds” and living your life alongside training26:38 – Therapy for trainees: is it useful and accessible?31:07 – Absorbing what's useful and becoming your own psychologistLinks:

This episode, recorded at RSNA 2025, features Drs. Vera Sorin, Nicole Dittrich, and Shehbaz Ansari discussing their RadioGraphics editorial First Steps in Radiology Research and offering practical guidance on how trainees or early-career radiologists can get started in research. The conversation highlights the importance of mentorship, teamwork, starting small, and avoiding common pitfalls while emphasizing that research is a learned skill accessible to anyone willing to take the first step. First Steps in Radiology Research: Guide for Radiology Trainees. Sorin et al. RadioGraphics 2025; 45(11):e240268.   

Part 2: the next generation of boy group trainees to the SMTR25 2026

Part 1: the next generation of boy group trainees to the SMTR25 2026

Dr Cristiane Ueno visits the studio as we consider fertility issues in medicine. Trainees face delayed childbearing, restrictive leave policies, financial pressure, and demanding schedules… all of which drive up infertility risk. We consider solutions that support medical professionals now — and their families in the future. We hope you can join us!

Evidence-based tips for skill retention are offered through this systematic review of how training duration & methods affect PoCUS competency. #MedEd #POCUS Read the accompanying article here: https://doi.org/10.1111/medu.15751

Drawing on behaviour al economics, Harper et al. suggest ways in which we might turn mentoring into a habit to increase the rate at which trainees receive the support they need. Read the accompanying article here: https://doi.org/10.1111/medu.15749

In episode 1975, Jack and Miles are joined by co-host of Diva Down, Carmen Laurent, to discuss… Joe Rogan Clip - This Is What’s Blowing His Mind, ICE Recruiting Is Actually Even Worse Than You Can Imagine, Does Gwyneth Paltrow Know What Movies Are? And more! Joe Rogan Clip - This Is What’s Blowing His Mind ICE Recruiting Is Actually Even Worse Than You Can Imagine Robert Downey Jr. teases Gwyneth Paltrow for being 'forever confused' by her own Marvel movies and costars Gwyneth Paltrow awkwardly gave Timothée Chalamet skincare tips after mistaking his ‘Marty Supreme’ makeup for acne LISTEN: Tioga Pass (feat. Rocco Palladino) by Yussef DayesSee omnystudio.com/listener for privacy information.

A 72-year-old female presents to an Adelaide emergency department with bilateral eye pain and redness lasting several days. She has a history of hypertension, hypercholesterolemia and age-related macular degeneration for which she has received a range of medications. Anterior uveitis is identified as the proximal cause of the ocular pain but there are many possible aetiologies that require careful consideration. Pomegranate [Case Reports] have been developed to help Trainees rehearse diagnostic problem solving and case presentation.  Guests Associate Professor Jagjit Singh Gilhotra ,FRANZCO (Queen Elizabeth Hospital; University of Adelaide) Dr Yong Min (Shane) Lee FRACP (Royal Adelaide Hospital) HostAssociate Professor Stephen Bacchi FRACP (Lyell McEwin Hospital; University of Adelaide)ProductionProduced by Stephen Bacchi and Mic Cavazzini. Music licenced from Epidemic Sound includes ‘Rockin' for Decades' by Blue Texas and ‘Brighton Breakdown' by BDBs. Image created and copyrighted by RACP. Key Reference (Spoiler Alert)* * * * *Bilateral occlusive retinal vasculitis secondary to intravitreal faricimab injection: a case report and review of literature [Lee, Eye Vis. 2024] Please visit the Pomegranate Health web page for a transcript and supporting references.Login to MyCPD to record listening and reading as a prefilled learning activity. Subscribe to new episode email alerts or search for ‘Pomegranate Health' in Apple Podcasts, Spotify,Castbox or any podcasting app.

Sean Farrington explores why Richard Hughes has quit as head of the OBR after a Budget-day publishing blunder, and what it means for trust in the watchdog's forecasts.Trainees at an accountancy firm will be sent on secondments at bars, pubs and restaurants to help develop their 'front of house' skills - Sean finds out why. And it's Christmas advert season; can local shops compete with the big brands? Small businesses in Hexham, in Northumberland, have banded together to have a go by creating their own Christmas Ad.

How can you or your clients keep getting stronger over time and still strength train progressively, even as we all inevitably get older? HIT Expert Matt Brzycki is Princeton University's Assistant Director of Campus Recreation and Fitness, and he joins the podcast to talk about high-intensity training for athletes and how you can continue making progress even as you age. We talk about designing workout programs and maximizing recovery for athletes and older trainees, why some people might do higher-volume HIT, why there seems to be a pushback against evidence-based training, and so much more.   If you want to know what it's like to be a life-long HIT trainer and be able to keep making strength training progress for the rest of your life, Matt's episode is a great one to tune into! ━━━━━━━━━━━━ Get a free course to grow your strength training business here ━━━━━━━━━━━━ Get NEW Precision-Engineered MedX Machines here ━━━━━━━━━━━━ Join HIT Experts in the HIB Community here  ━━━━━━━━━━━━ For the complete show notes, links, and resources, click here

Dr Mylynda Massart joins Ethics Talk to discuss her article, coauthored with Dr Erika Dreikorn: “How Should Students and Trainees Be Taught to Support Patients With Undiagnosed Conditions?”  Recorded August 4, 2025.  Read the full article for free at JournalOfEthics.org

Dr Natalie Rine, director of the Central Ohio Poison Center, and two members of Trainees for Child Injury Prevention (T4CIP), Dr Nicole Clayton and Dr Anne Elizabeth Mason, visit the studio as we explore safe medicine storage. Learn how to protect your children from accidental drug ingestions at home… and away. We hope you can join us!

Davit Karapetyan, Director of The School of Philadelphia Ballet, joins us to talk about how the school is structured and how dancers move through its levels, from the pre-professional program to PBII and beyond. He explains how auditions are evaluated, what adjudicators look for, and the common mistakes dancers should avoid. We also dig into how scholarships are awarded and renewed, the housing available to students, and what families should consider when deciding if it is time to move to a company-affiliated school. Karapetyan discusses the realities of career planning at the postgraduate level, how many dancers transition into PBII and the main company, and the skills students need both inside and outside the studio before leaving home for residential training. Finally, he shares his perspective on navigating the financial realities of ballet, managing expectations in a competitive field, and what he wishes young dancers and parents better understood about the path to a professional career. Read Reviews of The School of Philadelphia Ballet Links: Shop Our Back to Dance Guide Buy Corrections Journals Support Ballet Help Desk Instagram: @BalletHelpDesk Facebook: BalletHelpDesk TikTok:  Music from #Uppbeat: https://uppbeat.io/t/ian-aisling/new-future License code: MGAW5PAHYEYDQZCI  

In this special episode of Legally Bond, we get a chance to hear from Bond's newest class of associate trainees. Tim Bouffard, Cecilia Brey, Alex Brockhuizen, MacKenzie DiLeo, Grant Haffenden, McKenzie Kestler, Lindsay McCarthy, David Reinharz, Courtney Ryan, Lexi Takashima, Sheila Tapia, Joseph Vogt and Diana Waligora share what advice they'd impart on their 1L selves, why they are excited to be a part of the Bond team and more.

As new graduates enter the workforce, what are the key differences between academic, private, and hybrid practice models? Dr. Oleksandra Kutsenko, Chief of Interventional Radiology at Red Rock Radiology Associates, joins host Dr. Ally Baheti to discuss her experiences working in a private equity group in Nevada.---This podcast is supported by:Medtronic Emprinthttps://www.medtronic.com/emprint---SYNPOSISDr. Kanko discusses her career trajectory, her experiences with private equity, and the benefits and challenges of working in such a setting. She highlights the value of stepping into leadership roles, cultivating a versatile skill set, and navigating the complexities of working within a large, multifaceted organization like Radiology Partners. The conversation covers day-to-day operations, educational opportunities, and her perspective on balancing clinical work with administrative responsibilities. She emphasizes the importance of investing early in one's career to build credibility and establish a lasting presence.---TIMESTAMPS00:00 - Introduction01:50 - Career Journey and Challenges03:15 - Private Practice vs. Academics07:11 - Daily Life as an Interventional Radiologist12:19 - Involvement with RAD Partners13:42 - Educational Tools and AI in Radiology24:08 - Clinic Operations and RVU Discussion31:59 - Advice for Trainees and Career Insights33:13 - Conclusion and Final Thoughts

In medicine, the hardest critic you'll face is often yourself. In this episode of BackTable Urology, Dr. Michelle Van Kuiken joins host Dr. Lindsay Hampson to unpack the realities of imposter syndrome in urology practice and discuss its impact on trainees and professionals --- This podcast is supported by: ⁠Ferring Pharmaceuticals⁠ --- SYNPOSIS Dr. Van Kuiken and Dr. Hampson explain the basics of imposter syndrome, its prevalence, and the many ways it can show up in medical training and practice. They also share candid personal experiences and practical strategies for overcoming self-doubt, from reframing negative thoughts to embracing feedback as a tool for growth. The doctors highlight the value of mentorship, peer support, and celebrating achievements, as well as the importance of creating a culture where vulnerability and open conversations are encouraged. --- TIMESTAMPS 00:00 - Introduction02:29 - Defining Imposter Syndrome04:24 - Personal Experiences with Imposter Syndrome08:44 - Impact of Imposter Syndrome in Medicine10:39 - Strategies to Overcome Imposter Syndrome13:59 - The Role of Mentorship16:28 - Gender and Mentorship in Medicine27:24 - Peer Support and Building Community32:13 - Final Thoughts and Takeaways --- RESOURCES Medical Trainees and the Dunning–Kruger Effect: When They Don't Know What They Don't Know:https://doi.org/10.4300/JGME-D-20-00134.1 Imposter Syndrome in Surgical Trainees: Clance Imposter Phenomenon Scale Assessment in General Surgery Residents:https://doi.org/10.1016/j.jamcollsurg.2021.07.681 Defining the Incidence of the Impostor Phenomenon in Academic Plastic Surgery: A Multi-Institutional Survey Study:https://doi.org/10.1097/prs.0000000000010821 Academic Urology Endowments and Leadership Roles are Disproportionately Held by Male Urologists:https://doi.org/10.1016/j.urology.2025.04.038 Implementation of a “Best Self” Exercise to Decrease Imposter Phenomenon in Residents:https://doi.org/10.4300/JGME-D-23-00873.1 Keep-Stop-Start Framework:https://meded.ucsf.edu/sites/meded.ucsf.edu/files/2024-06/TipSheet-Feedback.pdf Lean In: https://leanin.org/ W. Brad Johnson, PhD: https://www.wbradjohnson.com/

Thank you for joining me on this solo episode where I share my journey (and struggles) en route to finding what truly lifts me up. I'm also thrilled to share my new course (beyond Radiology), which I hope will help my colleagues with their radiology knowledge. Finally, I have a message for trainees and new staff (I hope it resonates).Contents:- overcoming challenges over the last few years (0:50)- finding more fulfillment at work (11:05)- my new course, beyond Radiology (13:45)- finally finding purpose (18:05)- my message for medical trainees and new staff (19:43)Links:beyond Radiology:https://beyondradiology.thinkific.com/products/courses/ct-head-interpretation-coursehttps://beyondradiology.thinkific.com/courses/master-ct-head-interpretation-courseEmail: beyondmdpodcast@gmail.com LinkedIn: Yatin Chadha

What separates a good strength training session from a great one? In this episode of the Discover Strength Podcast, CEO Luke Carlson is joined by three of the brand's most experienced exercise physiologists—Rick Regnell, Kayla Ezuck, and Taylor Melvin—for a candid conversation rooted in over 100,000 training sessions.They break down the habits and mindset traits that expert trainers notice—and deeply respect—in high-performing clients. From mastering form under fatigue to communicating clearly and showing up with consistency, this episode is packed with insight for anyone serious about getting more from their strength training.Whether you're a Discover Strength client, a fitness professional, or simply someone committed to training smart, this conversation will elevate your understanding of what it means to truly be coachable.Discover Strength offers free Introductory Workouts at any location across the United States. You can schedule your free Introductory Workout HERE !

In 2 yrs, MP has met only 12% of its target of training 1 lakh students annually. Jobs were given to relatives, cornered by fraud companies, overage candidates & existing employees.  

Send us a textWelcome back Rounds Table Listeners! In this throwback episode, Drs. Mike and John Fralick chat about five important research studies published in 2024:Finerenone in Heart Failure with Mildly Reduced or Preserved Ejection Fraction (FINEARTS-HF) (0:00 – 4:09)Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity (SURMOUNT-OSA) (4:10 – 9:28)Effects of Semaglutide on Chronic Kidney Disease in Patients with Type 2 Diabetes (FLOW) (9:29 – 14:23)Tirzepatide for Metabolic-Dysfunction Associated Steatohepatitis with Liver Fibrosis (SYNERGY-NASH) (14:24 – 20:28)Antibiotic Treatment for 7 versus 14 Days in Patients with Bloodstream Infections (BALANCE) (20:29 – 23:59)And for the Good Stuff:Toronto Star Santa Claus Fund, Calgary Food Bank, Epilepsy Canada (24:00 - 25:23)Calling keen trainees!Trainees, med students, residents: The Rounds Table and Trial Files (https://trialfiles.substack.com/) are looking for keen individuals to support our efforts.Reach out to fralickmpf@gmail.com if you are interested in getting involved. Questions? Comments? Feedback? We'd love to hear from you! @roundstable @InternAtWork @MedicinePods

Dr. Joseph McCollom and Dr. Ramy Sedhom discuss precision palliative care, a new strategy that aims to align palliative care delivery with patient and caregiver needs instead of diagnosis alone. TRANSCRIPT ADN Podcast Episode 8-22 Transcript: What Is Precision Palliative Care? Rethinking a Care Delivery Problem Dr. Joseph McCollom: Hello and welcome to the ASCO Daily News Podcast. I'm your guest host, Dr. Joseph McCollom. I'm a GI medical oncologist and palliative oncologist at the Parkview Packnett Family Cancer Institute here in Fort Wayne, Indiana. So, the early benefits of palliative care for patients with cancer have been well documented, but there are challenges in terms of bandwidth to how do we provide this care, given the workforce shortages in the oncology field. So today, we'll be exploring a new opportunity known as precision palliative care, a strategy that aims to align care delivery with patient and caregiver needs and not just diagnosis alone. Joining me for this discussion is Dr. Ramy Sedhom. He is the medical director of oncology and palliative care at Penn Medicine Princeton Health and a clinical assistant professor of medicine at the University of Pennsylvania Perelman School of Medicine. Our full disclosures are available in the transcript of this episode.  Dr. Sedhom, it's great to have you on the podcast today. Thank you so much for being here. Dr. Ramy Sedhom: Thank you, Joe. It's a pleasure to be here and lucky me to be in conversation with a colleague and friend. Yes, many of us have heard about the benefits of early palliative care. Trials have shown better quality of life, reduced symptoms, and potentially even improved survival. But as we know, the reality is translating that evidence into practice, which is really, really challenging. So Joe, both you and I know that not every patient can see palliative care, or I'd even argue should see palliative care, but that also means there are still many people with real needs who still fall through the cracks. That's why I'm really excited about today's topic, which we'll be discussing, which is precision palliative care. It's a growing shift in mindset from what's this patient's diagnosis or what's this patient's prognosis, to what matters most for this person in front of me right now and what are their individual care needs. I think, Joe, it's very exciting because the field is moving from a blanket approach to one tailored to meet people where they actually are. Dr. Joseph McCollom: Absolutely, Ramy. And I think from the early days when palliative care was kind of being introduced and trying to distinguish itself, I think one of the first models that came to clinicians' eyes was Jennifer Temel's paper in The New England Journal of Medicine in 2010. And her colleagues had really looked at early palliative care integration for patients with advanced non–small cell lung cancer. And in that era – this is a pre-immunotherapy era, very early targeted therapy era – the overall prognosis for those patients are similar to the population I serve as a GI medical oncologist, pancreatic cancer today. Typically, median overall survival of a year or less. And so, a lot of her colleagues really wanted her to track overall survival alongside quality of life and depression scores as a result of that. And it really was a landmark publication because not only did it show an improvement of quality of life, but it actually showed an improvement of overall survival. And that was really, I think, revolutionary at the time. You know, a lot of folks had talked about if this was a drug, the FDA would approve it. We all in GI oncology laugh about erlotinib, which got an FDA approval for a 2-week overall survival advantage. And so, it really kind of set the stage for a lot of us in early career who had a passion in the integration of palliative care and oncology. And I think a lot of the subsequent ASCO, NCCN, COC, Commission on Cancer, guidelines followed through with that. But I think what we realized is now we're kind of sitting center stage, there's still a lot of resource issues that if we sent a referral to palliative care for every single patient diagnosed with even an advanced cancer, we would have a significant workforce shortage issue. And so, Ramy, I was wondering if you could talk a little bit about how do we help center in on who are the right patients that are going to have the greatest benefit from a palliative care specialist intervention? Dr. Ramy Sedhom: Thanks, Joe. Great question. So you mentioned Dr. Temel's landmark 2010 trial published in the New England Journal of Medicine. And it is still a game changer in our field. The results of her work showed not only improved quality of life and mood, but I think very surprisingly at the time, a survival benefit for patients with lung cancer who had received early palliative care. That work, of course, has helped shape national guidelines, as you've shared, and it also helped define early, as within 8 weeks of diagnosis. But unfortunately, there remains a disconnect. So in clinical practice, using diagnosis or stage as the only referral trigger doesn't really match the needs that we see show up. And I think unfortunately, the other part is that approach creates a supply demand mismatch. We end up either referring more patients than palliative care teams can handle, or at the opposite extreme, we end up referring no one at all. So, I actually just wanted to quickly give, for example, two real world contrasts. So one center that I actually have friends who work in, tried as a very good quality improvement incentive, auto-refer all patients with stage IV pancreas cancer to palliative care teams. And while very well intentioned, they saw very quickly that in a two-month period, they had 30 new referrals. And on the palliative care side, there were only 15 available new patient slots. On the other hand, something that I often see in practice, is a situation where, for example, consider the case of a 90-year-old with a low-grade B-cell lymphoma. On paper, low-risk disease, but unfortunately, when you look under the microscope, this gentleman is isolated, has symptoms from his bulky adenopathy, and feels very overwhelmed by many competing illnesses. This is someone who, of course, may benefit from palliative care, but probably doesn't check the box. And I think this is where the model of precision palliative care steps in. It's not really about when was someone diagnosed or what is the prognosis or time-based criteria of their cancer, but it's really fundamentally asking the question of who needs help, what kind of help do they need, and how urgently do we need to provide this help? And I think precision palliative care really mirrors the logic and the philosophy of precision oncology. So just like we've made strides trying to match therapies to tumor biology, we also need to have the same attention and the same precision to match support to symptoms, to context of a patient situation and their caregiver, and also to their personal goals. So I think instead of a blanket referral, we really need to tailor care, the right support at the right moment for the right person to the right care teams. And I think to be more precise, there's really four core elements to allow us to do this well. So first, we really need to implement systematic screening. Let's use what we already have. Many of our centers have patient reported outcomes. The Commission on Cancer motivates us to use distress screening tools. And the EHR is there, but we do very little to flag and to surface unmet care needs. We have seen amazing work from people like Dr. Ethan Bash, who is the pioneer on patient-reported outcomes, and Dr. Ravi Parikh, who used to be my colleague at Penn, now at Emory, who show that you could use structured data and machine learning to identify some of these patient needs in real time. The second piece is after a systematic screening, we really need to build very clear referral pathways. One very good example is what the supportive care team at MD Anderson has done, of course, led by Dr. Eduardo Brera and Dr. David Huey, where they have, for example, designed condition-specific triggers. Urgent referrals, for example, to palliative care for severe symptoms, where they talk about it like a rapid response team. They will see them within 72 hours of the flag. But at the same time, if the unmet need is a caregiver distress, perhaps the social work referral is the first part of the palliative care intervention that needs to be placed. And I think this helps create both clarity and consistency but also it pays attention to that provider and availability demand mismatch. Third, I really think we need to triage smartly. As mentioned in the prior example, not every patient needs every team member of the palliative care team. Some benefit most from the behavioral health intervention. Others might benefit from chaplaincy or the clinician for symptom management. And I think aligning intensity with complexity helps us use our teams wisely. Unfortunately, the greatest barrier in all of our health care systems is time and time availability. And I think this is one strategic approach that I have not yet seen used very wisely. And fourth, I really think we need to embrace interdisciplinary care and change our healthcare systems to focus more on value. So this isn't about more consults or RVUs. I think it's really about leveraging our team strengths. Palliative care teams or supportive care teams usually are multidisciplinary in their core. They often have psychologists, social workers, sometimes they have nurse navigators. And I think all of these are really part of that engine of whole person care. But unfortunately, we still are not set up in care delivery systems that unfortunately to this day still model fee for service where the clinician or the physician visit is the only quote unquote real value add. Hopefully as our healthcare systems focus more on delivery and on value, this might help really embrace the structure to bring through the precision palliative care approach. Dr. Joseph McCollom: No, I love those points. You know, we talk frequently in the interdisciplinary team about how a social worker can spend 5 minutes doing something that I could not as a physician spend an hour doing. But does every patient need every member every time? And how do we work as a unified body to deliver that dose of palliative care, specialized palliative care to those right patients and match them? And I think that perfect analogy is in oncology as a medical oncologist, frequently I'm running complex next-generation sequencing paneling on patients' tumors, trying to find out is there a genetic weakness? Is there a susceptibility to a targeted therapy or an immunotherapy so that I can match and do that precision oncology, right patient to the right drug? Similarly, we need to continue to analyze and find these innovative ways like you've talked about, PROs, EHR flags, machine learning tools, to find those right patients and match them to the right palliative care interdisciplinary team members for them. I know we both get to work in oncology spaces and palliative and supportive spaces in our clinical practice. Share a little bit, if you could, Ramy, about what that looks like for your practice. How do you find those right patients? And how do you then intervene with that right palliative oncology dose? Dr. Ramy Sedhom: So Joe, when I first started in this space as a junior faculty, one thing became immediately clear. I think if we rely solely on physicians to identify the patients for palliative care, we're unfortunately going to be very limited by what we individually, personally observe. And I think that's what reflects the reality that many patients have real needs that go unseen. So over the past few years, I've really worked with a lot of my colleagues to really work the health system to change that. The greatest partnership I've personally had has been working with our informatics team to build a real time EHR integrated dashboard that I think helps us give us a broader view of patient needs. What we really think of as the population health perspective. Our dashboard at Penn, for example, pulls in structured data like geriatric assessment results, PHQ-4 screens, patient reported outcomes, whether or not they've been hospitalized, whether or not these hospitalizations are frequent and recurrent. And I think it's allowed us to really move from a reactive approach to one that's more proactive. So let me give you a practical example. So we have embedded in our cancer care team, psycho-oncologists. They share the same clinic space, they're right down the hall. And we actually use this shared dashboard to review weekly trends in distress scores and patient reported outcomes. And oftentimes, if they see a spike in anxiety or worsening symptoms like depression, they'll reach out to me and say, “Hey, I noticed Mrs. Smith reported feeling very anxious today. Do you think it'd be helpful if I joined you for her visit?” And I think that's how we could really use data and teamwork to offer and maximize the right support at the right time. Like many of our other healthcare systems, we also have real-time alerts for hospitalizations. And I think like Dr. Temel's most recent trial, which we'll discuss at some point, I'm sure, it's another key trigger for vulnerability. I think whenever someone's admitted or discharged, we try to coordinate with our palliative care colleagues to assess do they need follow-up and in what timeline. And we know that these are common triggers, progression of disease, hospitalizations, drops in quality-of-life. And it's actually surprisingly simple to implement once you set up the right care structures. And I think these systems don't just help patients, which is what I quickly learned. They also help us as clinicians too. Before we expanded our team, I often felt this weight, especially as someone dual trained in oncology and palliative medicine, as trying to be everything to everyone. I remember one patient in particular, a young woman with metastatic breast cancer who was scheduled for a routine pre-chemo visit with me. Unfortunately, on that day, she had a very dramatic change in function. We whisked her down to x-ray and it revealed a pretty large pathologic fracture in her femur. And suddenly what was scheduled as a 30-minute visit became a very complex conversation around prognosis, urgent need for surgery and many, many life changes. And when I looked at my Epic list, I had a full waiting room. And thankfully, because we have embedded palliative care in our team, I was able to bring in Dr. Collins, the physician who I work with closely, immediately. She spent the full hour with the patient while I was able to continue seeing other patients that morning. And I think that's what team-based care makes possible. It's not just more hands on deck but really optimizing the support the patient needs on each individual day. And I think last, we're also learning a lot from behavioral science. So many institutions like Penn, Stanford, Massachusetts General, they've experimented with a lot of really interesting prompts in the EHR. One of them, for example, is the concept of nodes or the concept of prompt questions. Like, do you think this patient would benefit from a supportive care referral? And I think these low-level nudges, in a sense, can actually really dramatically increase the uptake of palliative care because it makes what's relevant immediately salient and visible to the practicing physician. So I think the key, if I had to maybe finish off with a simple message: It's not flashy tech, it's not massive change against staffing, but it's having a local champion and it's working smarter. It's asking the questions of how can we do this better and setting up the systems to make them more sustainable. Dr. Joseph McCollom: I appreciate you talking about this because I think a lot of folks want to put the wheels on in some way and they don't know where to get started. And so I think some of the models that you've been able to create, being able to track patients, screen your population, find the right individuals, and then work within that team to be able to extend, I think when you have an embedded palliative care specialist in your clinic, they expand your practice as a medical oncologist. And so you can make that warm handoff. And that patient and that caregiver, when they view the experience, they don't view you as a medical oncologist, someone else as a palliative care specialist, they view that team approach. And they said, "The team, my cancer team took care of me." And I think we can really harness a lot of the innovative technological advancements in our EHR to be able to prompt us in this work. I know that Dr. Temel had kind of set the stage for early palliative care intervention, and you did mention her stepped palliative care trial. Where do you see some of the future opportunities as we continue to push the needle forward as oncologists and palliative care specialists? What do you see as being the next step? Dr. Ramy Sedhom: So for those who are not familiar with the stepped palliative care trial, again, work by Dr. Temel, I think it's really important to explain not just the study itself, but I think more importantly, what it's representing for the future of our field. First, I really want to acknowledge Dr. Temel, who is a trailblazer in palliative oncology. Her work has not only shaped how we think about timing and delivery, but really about the value of supportive care. And more importantly, I think for all the young trainees listening, she had shown that rigorous randomized trials in palliative care are possible and meaningful. And I think for me, one quick learning point is that you could be an oncologist and lead this impactful research. And she's inspired many and many of us. Now let's quickly transition to her study. So in this trial, the stepped palliative care trial, patients with advanced lung cancer were randomized into two groups. One group followed the model from her landmark 2010 New England Journal of Medicine paper, which was structured monthly palliative care visits, again, within eight weeks of diagnosis. The second group, which is in this study, the intervention or the stepped palliative care group, received a single early palliative care visit. Think of this as a meet and greet. And then care was actually stepped up. If one of three clinical triggers happened. One, a decline in patient reported quality of life as measured by PROs. Two, disease progression, or three, hospitalization. And the findings which were presented at ASCO 2024 were striking. Clinical outcomes, very similar between the two groups. And this included quality-of-life, end-of-life communication, and resource use. But I think the take-home point is that the number of palliative care visits in the stepped group was significantly lower. So in other words, same impact and fewer visits. This was a very elegant example of how we can model precision palliative care, right sizing patient care based on patient need. So where do we go from here? I think if we want this model to take root nationally, we really need to pull on three key levers: healthcare systems, healthcare payment, and healthcare culture. So from a system alignment, unfortunately, as mentioned too often, the solution to gaps in palliative care is we need more clinicians. And while yes, that's partly true, it's actually not the full picture. I think what we first need to do and what's more likely to be achieved is to develop systems that focus on building the infrastructure that maximizes the reach of our existing care teams. So this means investing in nurse navigation, real-time dashboards with patient-reported outcomes and EHR flags, and again, matching triage protocols where intensity matches complexity. And the goal, as mentioned, isn't to maximize consults, but to really maximize deployment of expertise based on need. The second piece is, of course, we need payment reform. So the stepped palliative care model only works when it allows continuous patient engagement. But unfortunately, current pay models don't reward or incentivize that. In fact, electronic PROs require a very high upfront financial investment and ongoing clinician time with little to no reimbursement. Imagine if we offered bundled payments or value-based incentives for teams that integrated PROs. Or imagine if we reimbursed palliative care based on impact or infrastructure instead of just fee-for-service volume. There is a lot of clear evidence that tele-palliative care is effective. In fact, it was the Plenary at ASCO 2024. Yet we're still battling these conversations around inconsistent reimbursement, and we're always waiting on whether or not telehealth waivers are gonna continue. So I think most importantly is we really need to recognize the broader scope of what palliative care offers, which is caregiver support, improving navigation, coordinating very complex transitions. To me, and what I've always prioritized as a champion at Penn, is that palliative care is not a nice to have, and neither are all of these infrastructures, but they're really essential to whole person care, and they need to be financially supported. And last, we really need a culture shift. We need to change from how palliative care is perceived, and it can't be something other. It can't be something outside of oncology, but it really needs to be embraced as this is part of cancer care itself. I often see hesitancy from many oncologists about introducing palliative care early. But it doesn't need to be a dramatic shift. I think small changes in language, how we introduce the palliative care team, and co-management models can really go a very long way in normalizing this part of patient care. And I'm particularly encouraged, Joe, by one particular innovation in this space, which is really the growth of many startups. And one startup, for example, is Thyme Care, where I've seen them working with many, many private practices across the country, alongside partnerships with payers to really build tech-enabled navigation that tries to basically maximize triage support with electronic PROs. And to me, I really think these models can help scale access without overwhelming current care teams. So precision palliative care, Joe, in summary, I think should be flexible, scalable, and really needs to align based on what patients need. Dr. Joseph McCollom: No, I really appreciate, Ramy, you talking about that it really takes a village to get oncology care in both a competent and a compassionate way. And we need buy-in champions at all levels: the system level, the administrative level, the policy level, the tech level. And we need to change culture. I kind of want to just get your final impressions and also make sure that we make our listeners aware of our article. We should be able to have this in the show notes here as well to find additional tools and resources, all the studies that were discussed in today's episode. But, Ramy, what are some of your kind of final takeaways and conclusions? Dr. Ramy Sedhom: Before we wrap up, I just want to make sure we highlight a very exciting opportunity for residents considering a future in oncology and palliative medicine. Thanks to the leadership of Dr. Jamie Von Roen, who truly championed this cause, ASCO and the ABIM (American Board of Internal Medicine) have partnered to create the first truly integrated palliative care oncology fellowship. Trainees can now double board in just two years or triple board in three with palliative care, oncology, and hematology. And I think, Joe, as you and I both know, it's incredibly rewarding and meaningful to work at this intersection. To close our message, if there's one message I think listeners should carry with them, it's that palliative care is about helping people live as well as possible for as long as possible. And precision palliative care simply helps us do that better. We need to really develop systems that tailor support to individual need, value, and individual goals. Just like our colleagues in precision oncology mentioned, getting the right care to the right patient at the right time, and I would add in the right way. For those who want to learn more, I encourage you to read our full article in JCO, which is “Precision Palliative Care As a Pragmatic Solution for a Care Delivery Problem.” Joe, thank you so, so much for this thoughtful conversation and for your leadership in our field. And thank you to everyone for listening. Thank you all for being champions of this essential part of cancer care. If you haven't yet joined the ASCO Palliative Care Communities of Practice, membership is free, and we'd love to have you. Dr. Joseph McCollom: Thank you, Ramy, not only for sharing your insights today, but the pioneering work that you have done in our field. You are truly an inspiration to me in clinical practice, and it is an honor to call you both a colleague and friend.  And thank you for our listeners for joining us today. If you value the insights that you've heard on the ASCO Daily News Podcast, please subscribe, rate, and review wherever you get your podcasts. Thanks again. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Follow today's speakers:   Dr. Joseph McCollom @realbowtiedoc Dr. Ramy Sedhom @ramsedhom Follow ASCO on social media:   @ASCO on X (formerly Twitter) ASCO on Bluesky  ASCO on Facebook   ASCO on LinkedIn   Disclaimer: Dr. Joseph McCollom: No relationships to disclose Dr. Ramy Sedhom: No relationships to disclose

The Federal Aviation Administration has been trying to solve the air traffic controller shortage for years, and recently, they've made a variety of changes to get more people trained and employed.But hundreds of trainees are dropping out before they get certified. While some say the program weeds out people who can't “hack it,” others say a culture of hazing and disrespect is pushing promising controllers out of the FAA.Post Reports producer Emma Talkoff speaks with transportation reporters Lori Aratani and Ian Duncan about why so many air traffic controllers are “washing out” of FAA training. Today's show was produced by Emma Talkoff. It was edited by Ariel Plotnick and mixed by Sean Carter. Thanks to Christopher Rowland.Subscribe to The Washington Post here.

Send us a textWelcome back Rounds Table Listeners! Today we have a solo episode with Dr. Mike Fralick. This week, he discusses a recently published trial exploring the simultaneous initiation of SGLT2 inhibitors and finerenone (a nonsteroidal mineralocorticoid receptor antagonist) in persons with chronic kidney disease and type 2 diabetes. Here we go!Finerenone with Empagliflozin in Chronic Kidney Disease and Type 2 Diabetes (0:00 – 9:28).Calling keen trainees! (9:29 - 10:28)Trainees, med students, residents: The Rounds Table and Trial Files are looking for keen individuals to support our efforts.Trial Files is a free monthly newsletter on practice-changing trials, delivered straight to your inbox (https://trialfiles.substack.com/).Reach out to fralickmpf@gmail.com if you are interested in getting involved. Questions? Comments? Feedback? We'd love to hear from you! @roundstable @InternAtWork @MedicinePods

Join Dr. Mana Moassefi from the Mayo Clinic as she explores how cognitive biases shape radiology practice and contribute to diagnostic errors. Highlighting practical debiasing strategies, she guides listeners through each stage of image interpretation to help radiologists move from biased to balanced readings. Spectrum of Cognitive Biasesin Diagnostic Radiology. Yoon and Lee et al. RadioGraphics 2024; 44(7):e230059.

In this episode, Dr. Melissa Batt goes deeper into her supervision guidance for when patients are rude to trainees.Hosts: Eyrn, Toshia, Al, RiverGuest: Melissa Batt, MD, MPH

When you hear the word “anatomy,” what feelings come up? If you're like a lot of yoga teachers, you might feel nervous or you might feel a sense of pressure to “learn anatomy” when your attempts to learn it in the past haven't given you the results or confidence you need.   Enter Dr. Andrew McGonigle, a yoga teacher with over 20 years of experience in anatomy, in part because he originally thought and trained to be a physician. After having an epiphany that led him to change paths, he found that helping yoga teachers understand anatomy was both his passion and his zone of genius. When you listen to this episode, you'll see how easy Andrew makes it to understand anatomy and we also take time to share what's possible for you when you truly understand it.    Andrew shares stories from training yoga teachers and elements of his philosophy on how to balance sharing anatomy in your teaching along with sharing other elements as well.    For Andrew's bio, see below:   Andrew McGonigle has been studying anatomy for over twenty years, originally training to become a doctor and then moving away from Western medicine to become a yoga teacher, massage therapist and anatomy teacher. He combines his skills and experience to teach anatomy and physiology on Yoga Teacher Training courses internationally and runs his own Yoga Anatomy Online Course. His book Supporting Yoga Students with Common Injuries and Conditions: A Handbook for Yoga Teachers and Trainees was published in March 2021 and his most recent book The Physiology of Yoga was published in June 2022. He lives in Los Angeles with his husband. For more information visit: www.doctor-yogi.com Instagram: @doctoryogi Facebook: @doctoryogiandrew   Links for Andrew:    Instagram link is: https://www.instagram.com/doctoryogi/   Website: https://www.doctor-yogi.com/   Enlightened Yoga Collective membership: https://enlightenedyogacollective.com/   One final thing:    If you're ready to learn anatomy and you'd like to check out my 4 week accelerated program, see:    https://barebonesyoga.thinkific.com/courses/Yoga-Anatomy-Accelerator

The Vascular Surgery Subspecialty Team dives into the pressing issue of burnout among vascular surgery trainees. Unveiling surprising statistics and expert insights, they explore the alarming prevalence of burnout, its causes like work-home conflict and physical discomfort, and the protective role of mentorship and a supportive learning environment. With research-backed discussions, they navigate strategies to combat burnout and enhance the well-being of medical professionals. Hosts:  Dr. Bobby Beaulieu is an Assistant Professor of Vascular Surgery at the University of Michigan and the Program Director of the Integrated Vascular Surgery Residency Program as well as the Vascular Surgery Fellowship Program at the University of Michigan. Dr. Frank Davis is an Assistant Professor of Vascular Surgery at the University of Michigan Dr. Drew Braet is a PGY-5 Integrated Vascular Surgery Resident at the University of Michigan Learning Objectives -  Review the definition and prevalence of burnout - Understand the risk factors, including both modifiable and non-modifiable risk factors, for burnout  - Review the effects of burnout on trainees and attending surgeons References 1.    Hekman KE, Sullivan BP, Bronsert M, Chang KZ, Reed A, Velazquez-Ramirez G, Wohlauer MV; Association of Program Directors in Vascular Surgery Issues Committee. Modifiable risk factors for burnout in vascular surgery trainees. J Vasc Surg. 2021 Jun;73(6):2155-2163.e3. doi: 10.1016/j.jvs.2020.12.064. https://pubmed.ncbi.nlm.nih.gov/33675887/ 2.    Cui CL, Reilly MA, Pillado EB, Li RD, Eng JS, Grafmuller LE, DiLosa KL, Conway AM, Escobar GA, Shaw PM, Hu YY, Bilimoria KY, Sheahan MG 3rd, Coleman DM. Burnout is not associated with trainee performance on the Vascular Surgery In-Training Exam. J Vasc Surg. 2025 Jan;81(1):243-249.e4. doi: 10.1016/j.jvs.2024.08.057. https://pubmed.ncbi.nlm.nih.gov/39233022/ 3.    Chia MC, Hu YY, Li RD, Cheung EO, Eng JS, Zhan T, Sheahan MG 3rd, Bilimoria KY, Coleman DM. Prevalence and risk factors for burnout in U.S. vascular surgery trainees. J Vasc Surg. 2022 Jan;75(1):308-315.e4. doi: 10.1016/j.jvs.2021.06.476.  https://pubmed.ncbi.nlm.nih.gov/34298120/ 4.    Davila VJ, Meltzer AJ, Hallbeck MS, Stone WM, Money SR. Physical discomfort, professional satisfaction, and burnout in vascular surgeons. J Vasc Surg. 2019 Sep;70(3):913-920.e2. doi: 10.1016/j.jvs.2018.11.026.  https://pubmed.ncbi.nlm.nih.gov/31279532/ 5.    Pillado E, Li RD, Chia MC, Eng JS, DiLosa K, Grafmuller L, Conway A, Escobar GA, Shaw P, Sheahan MG 3rd, Bilimoria KY, Hu YY, Coleman DM. Reported pain at work is a risk factor for vascular surgery trainee burnout. J Vasc Surg. 2024 May;79(5):1217-1223. doi: 10.1016/j.jvs.2024.01.003.  https://pubmed.ncbi.nlm.nih.gov/38215953/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen