POPULARITY
Drs. Amy Crockett (@amyhcrockett), Ben Ereshefsky (@brainofbpharm), and Pamela Bailey (@pamipenem) join Dr. Julie Ann Justo (@julie_justo) to discuss new treatment strategies for management of intraamniotic infections, also known as chorioamnionitis. They discuss whether it is time to move away from the combination of ampicillin, gentamicin, and/or clindamycin, alternative antibiotic regimens to consider, and stewardship strategies to approach this practice change at a local level. References: Basic stats/epi on chorioamnionitis: Romero R, et al. Clinical chorioamnionitis at term I: microbiology of the amniotic cavity using cultivation and molecular techniques. J Perinat Med. 2015 Jan;43(1):19-36. doi: 10.1515/jpm-2014-0249. PMID: 25720095. ACOG 2017 Guideline for IAI: Committee Opinion No. 712: Intrapartum Management of Intraamniotic Infection. Obstet Gynecol. 2017 Aug;130(2):e95-e101. doi: 10.1097/AOG.0000000000002236. PMID: 28742677. ACOG 2024 Update on clinical criteria for IAI: ACOG Clinical Practice Update: Update on Criteria for Suspected Diagnosis of Intraamniotic Infection. Obstetrics & Gynecology 144(1):p e17-e19, July 2024. doi: 10.1097/AOG.0000000000005593 Helpful review with more recent microorganisms : Jung E, et al. Clinical chorioamnionitis at term: definition, pathogenesis, microbiology, diagnosis, and treatment. Am J Obstet Gynecol. 2024 Mar;230(3S):S807-S840. doi: 10.1016/j.ajog.2023.02.002. PMID: 38233317. Cochrane Review: Chapman E, et al. Antibiotic regimens for management of intra-amniotic infection. Cochrane Database Syst Rev. 2014 Dec 19;2014(12):CD010976. doi: 10.1002/14651858.CD010976.pub2. PMID: 25526426. Helpful recent review on intrapartum infections: Bailey, P, et al_._ Out with the Old, In with the New: A Review of the Treatment of Intrapartum Infections. Curr Infect Dis Rep. 2024;26:107–113 doi: 10.1007/s11908-024-00838-8. Role of genital mycoplasmas in IAI: Romero R, et al. Evidence that intra-amniotic infections are often the result of an ascending invasion - a molecular microbiological study. J Perinat Med. 2019 Nov 26;47(9):915-931. doi: 10.1515/jpm-2019-0297. PMID: 31693497. Regimens without enterococcal coverage with similar clinical outcomes: Blanco JD, et al. Randomized comparison of ceftazidime versus clindamycin-tobramycin in the treatment of obstetrical and gynecological infections. Antimicrob Agents Chemother. 1983 Oct;24(4):500-4. doi: 10.1128/AAC.24.4.500. PMID: 6360038. Bookstaver PB, et al. A review of antibiotic use in pregnancy. Pharmacotherapy. 2015 Nov;35(11):1052-62. doi: 10.1002/phar.1649. PMID: 26598097. Updated review in pregnancy, includes data on frequency of antibiotic use in pregnancy: Nguyen J, et al. A review of antibiotic safety in pregnancy-2025 update. Pharmacotherapy. 2025 Apr;45(4):227-237. doi: 10.1002/phar.70010. Epub 2025 Mar 19. PMID: 40105039. Locksmith GJ, et al. High compared with standard gentamicin dosing for chorioamnionitis: a comparison of maternal and fetal serum drug levels. Obstet Gynecol. 2005 Mar;105(3):473-9. doi: 10.1097/01.AOG.0000151106.87930.1a. PMID: 15738010. Clindamycin CDI Risk: Miller AC, et al. Comparison of Different Antibiotics and the Risk for Community-Associated Clostridioides difficile Infection: A Case-Control Study. Open Forum Infect Dis. 2023 Aug 5;10(8):ofad413. doi: 10.1093/ofid/ofad413. PMID: 37622034. Impact of penicillin allergy on clindamycin use & cites 47% clindamycin resistance per CDC among GBS: Snider JB, et al. Antibiotic choice for Group B Streptococcus prophylaxis in mothers with reported penicillin allergy and associated newborn outcomes. BMC Pregnancy Childbirth. 2023 May 30;23(1):400. doi: 10.1186/s12884-023-05697-0. PMID: 37254067. Clindamycin anaerobic coverage data: Hastey CJ, et al. Changes in the antibiotic susceptibility of anaerobic bacteria from 2007-2009 to 2010-2012 based on the CLSI methodology. Anaerobe. 2016 Dec;42:27-30. doi: 10.1016/j.anaerobe.2016.07.003. PMID: 27427465. Older PK study of ampicillin & gentamicin for chorioamnionitis: Gilstrap LC 3rd, Bawdon RE, Burris J. Antibiotic concentration in maternal blood, cord blood, and placental membranes in chorioamnionitis. Obstet Gynecol. 1988 Jul;72(1):124-5. PMID: 3380500. Paper putting out the call for modernization of OB/Gyn antibiotic regimens: Pek Z, Heil E, Wilson E. Getting With the Times: A Review of Peripartum Infections and Proposed Modernized Treatment Regimens. Open Forum Infect Dis. 2022 Sep 5;9(9):ofac460. doi: 10.1093/ofid/ofac460. PMID: 36168554. Vanderbilt University Medical Center experience with modernizing OB/Gyn infection regimens: Smiley C, et al. Implementing Updated Intraamniotic Infection Guidelines at a Large Academic Medical Center. Open Forum Infect Dis. 2024 Sep 5;11(9):ofae475. doi: 10.1093/ofid/ofae475. PMID: 39252868. Prisma Health/University of South Carolina experience with modernizing OB/Gyn infection regimens: Bailey P, et al. Cefoxitin for Intra-amniotic Infections and Endometritis: A Retrospective Comparison to Traditional Antimicrobial Therapy Regimens Within a Healthcare System. Clin Infect Dis. 2024 Jul 19;79(1):247-254. doi: 10.1093/cid/ciae042. PMID: 38297884.
In this episode of the SHEA Podcast, host Dr. Jonathan Ryder, Assistant Professor in the Division of Infectious Diseases at the University of Nebraska Medical Center, speaks with Dr. Milner Staub, Assistant Professor of Medicine in the Division of Infectious Diseases at Vanderbilt University Medical Center. Their conversation explores practical, high-impact strategies for improving antimicrobial stewardship in outpatient and ambulatory care settings. With the majority of antibiotic prescribing occurring outside of hospitals, outpatient stewardship is a critical area for reducing unnecessary antibiotic use and improving patient outcomes. Dr. Staub shares insights into her work and research, which focus on helping providers and patients optimize antibiotic prescribing in ambulatory settings. She highlights stewardship interventions that are relatively easy to implement but offer strong returns on investment. A significant part of the discussion centers around the persistent impact of penicillin allergy labels and how outpatient settings can better address this issue. Dr. Staub also discusses antibiotic overuse for acute uncomplicated bronchitis (AUB), offering recommendations for interventions to reduce inappropriate prescribing. The episode concludes with a look ahead at where more research is needed to test assumptions and develop new stewardship strategies. Listeners are encouraged to explore SHEA's free CDC-supported Penicillin Allergy Delabeling Course for more information. Thank you for tuning in to the SHEA Podcast.
In the U.S., pharmaceutical companies set the prices of drugs with few restraints. In many cases, Americans pay a lot more compared to Canadians or Europeans. President Trump signed an executive order directing that Americans will pay the lowest price available worldwide on prescription drugs. Stephanie Sy discussed more with Stacie Dusetzina of Vanderbilt University Medical Center. PBS News is supported by - https://www.pbs.org/newshour/about/funders
In this episode, Dr. Zanotti discussed the Society of Critical Care Medicine “Focused Update on the Clinical Guidelines for the Prevention and Management of Pain, Anxiety. Agitation/Sedation. Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU." This is also known as the PADIS Guidelines. He is joined by Joanna L. Stollings, PharmD, a Board-Certified Pharmacotherapy Specialist and a Board-Certified Critical Care Pharmacotherapy Specialist. Joanna is the Medical Intensive Care Unit (MICU) Clinical Pharmacy Specialist at the Vanderbilt University Medical Center. She also served as vice chair for the PADIS Guideline Focused Update and co-authored the guidelines. Additional resources: Society of Critical Care Medicine Focused Update on the Clinical Guidelines for the Prevention and Management of Pain, Anxiety. Agitation/Sedation. Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. PADIS 2025 Update: https://pubmed.ncbi.nlm.nih.gov/39982143/ Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. PADIS 2018 Guidelines: https://pubmed.ncbi.nlm.nih.gov/30113379/ Link to a previous episode of Critical Matters discussing the PADIS 2018 Guidelines: https://soundphysicians.com/podcast-episode/?podcast_id=342&track_id=635606964 Landing page for the Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center: https://www.icudelirium.org/ Books mentioned in this episode: The Prophet. By Kahlil Gibran: https://bit.ly/4lA2Jhx
“We were looking at why patients may sue doctors, and why some doctors get sued more than others. We have a process to identify benchmarking and give clinicians the chance to self-regulate. Because that's really what professionals do.” This episode features Dr. William Cooper, MD, President of the Center for Patient and Professional Advocacy (CPPA) at Vanderbilt University Medical Center. He shares how CPPA is using a proprietary algorithm and natural language processing to identify risk for malpractice suits before they happen, significantly improving outcomes. What we cover: How patient experiences can predict clinical outcomes What data can reveal about clinician malpractice risk The connection between communication and surgical outcomes How peer feedback can effectively drive self-correction A case where malpractice was reduced by 85% Follow Dr. Cooper's work at www.vumc.org/patient-professional-advocacy/vumc-cppa-home Subscribe and stay at the forefront of the digital healthcare revolution. Watch the full video on YouTube @TheDigitalHealthcareExperience The Digital Healthcare Experience is a hub to connect healthcare leaders and tech enthusiasts. Powered by Taylor Healthcare, this podcast is your gateway to the latest trends and breakthroughs in digital health. Learn more at taylor.com/digital-healthcare About Us: Taylor Healthcare empowers healthcare organizations to thrive in the digital world. Our technology streamlines critical workflows such as procedural & surgical informed consent with patented mobile signature capture, ransomware downtime mitigation, patient engagement and more. For more information, please visit imedhealth.com The Digital Healthcare Experience Podcast: Powered by Taylor Healthcare Produced by Naomi Schwimmer Hosted by Chris Civitarese Edited by Eli Banks Music by Nicholas Bach
This episode is part two of our discussion on AI. Host Eddie Qian, MD, (Vanderbilt University Medical Center) and Matthew Churpek, MD, PhD, MPH(University of Wisconsin School of Medicine and Public Health) explore the use of large language models in clinical practice, weigh the benefits vs risks and the role clinicians may play in establishing guardrails."Patients don't just walk out of the textbook," as Dr. Qian noted. These models still require input from experienced clinicians to ensure the best outcome for patients. Listen to Part I of our AI discussion: https://www.youtube.com/watch?v=eZInoIjGht0&list=PLFyO68a-Ji3lKQLBIdtgUlFkEBp3t1RA5&index=8Like what you heard? Get more of Dr. Qian on the ICU Ed and Todd-cast wherever you listen to podcasts.
In this special edition of Quality Matters, we explore what three powerful conversations have taught us about one of health care's most pressing and perplexing questions: What do we know about the economics of care in America, and how can we make substantial, sustainable improvements? We look back at previous episodes of Quality Matters to reflect. We begin with health economist Sanjula Jain, who challenges conventional thinking around value-based care and urges a shift toward a more intuitive concept: “value for money.” With real-world examples (think hotels and Costco), she explains why the US health economy needs stability, and what it would take to rebuild trust and deliver real value to patients.Next, Brittany Cunningham, of Vanderbilt University Medical Center, shares how My Health Bundles help employers rein in costs while improving patient experience and provider satisfaction. Her team's approach flips the traditional payment model on its head—designing care first and payment second.And obstetrician Tiffany Inglis, of Elevance Health, takes us inside a groundbreaking program that pairs OB/GYNs with dedicated practice consultants. The result? Dramatic improvement in maternal health outcomes that could affect a staggering 12% of the nation's births.Each voice in this episode offers fresh, actionable insight. Together, they offer a roadmap toward a more sustainable—and humane—health care economy. Key Quote:“ Value for money is the ultimate consumer of the service is going to determine that value based off what they are paying. Value-based payment, it's different because value-based payment is ultimately a reimbursement scheme that doesn't change the total cost of care. Value-based payment is really a policy scheme focused on the provider level, which doesn't even affect the patient or consumer. It's one pool of dollars that is being reallocated. Providers are just reallocating those dollars and actually reducing the total cost of care. Who is benefiting doesn't actually translate down to the patient or the consumer.”Sanjula JainTime Stamps: (00:25) The Macroeconomics of Health Care(8:40) Value-Based Care in Action With Health Bundles14:30) The Economics of Prenatal Care
Erik Hess, MD, MSc - Vanderbilt University Medical Center by SAEM
Erik Hess, MD, MSc - Vanderbilt University Medical Center by SAEM
Dr. Hunter Huston is a kidney doctor at Vanderbilt University Medical Center, triathlete, and medical advisor at Precision Fuel & Hydration. In this episode, we dive into the science behind fluid and electrolyte balance for endurance athletes. From sweat sodium testing to pre-race hydration strategies, we explore practical and evidence-based ways to optimize performance through smarter fueling and hydration. Whether you're racing a 5K or tackling an Ironman, this episode is packed with insights to help you stay ahead of dehydration and performance decline.
Listen to ASCO's Journal of Clinical Oncology Art of Oncology article, "Tamales” by Megan Dupuis, an Assistant Professor of Hematology and Oncology at Vanderbilt University Medical Center. The article is followed by an interview with Dupuis and host Dr. Mikkael Sekeres. Dupuis reflects on how patients invite their doctors into their culture and their world- and how this solidified her choice to be an oncologist. TRANSCRIPT Narrator: Tamales, by Megan Dupuis, MD, PhDI do not know if you know this, but tamales are an important—nay, critical—part of the Mexican Christmas tradition. Before I moved to Texas, I certainly did not know that. I did not know that the simple tamal, made of masa flour and fillings and steamed in a corn husk, is as essential to the holiday season as music and lights. Whole think pieces have been written in The Atlantic about it, for God's sake. But, I did not know that. A total gringa, I had grown up in upstate NY. We had the middle-class American version of Christmas traditions—music, snow, Santa, and a Honey Baked Ham that mom ordered 2 weeks before the holiday. I had never tried a homemade tamal until I moved to Texas. We had relocated because I was starting a fellowship in hematology/oncology. A central part of our training was the privilege of working at the county hospital cancer clinic. Because we were the safety-net hospital, our patients with cancer were often under- or uninsured, frequently had financial difficulty, and were almost always immigrants, documented or otherwise. In a typical clinic day, over 90% of my patients spoke Spanish; one or two spoke Vietnamese; and typically, none spoke English. From meeting my very first patient in clinic, I knew this was where I needed to be. Have you ever been unsure of a decision until you have been allowed to marinate in it? That is how I felt about cancer care; I had not been sure that my path was right until I started in the county oncology clinic. I loved absorbing the details of my patients' lives and the cultures that centered them: that Cuban Spanish is not Mexican Spanish and is not Puerto Rican Spanish; that many of my patients lived in multigenerational homes, with abuelos and tios and nietos all mixed together; and that most of them continued to work full-time jobs while battling cancer. They had hobbies they pursued with passion and lived and died by their children's accomplishments. I learned these details in the spaces between diagnosis and treatment, in the steady pattern woven in between the staccato visits for chemotherapy, scans, pain control, progression, and hospice. In one of those in-betweens, my patient Cristina told me about tamales. She had faced metastatic breast cancer for many years. She was an impeccable dresser, with matching velour tracksuits or nice slacks with kitten heels or a dress that nipped in at the waist and flared past her knees. Absolutely bald from treatment, she would make her hairlessness look like high fashion rather than alopecia foisted upon her. Her makeup was always painstakingly done and made her look 10 years younger than her youthful middle age. At one visit in August, she came to clinic in her pajamas and my heart sank. This was a familiar pattern to me by now; I had taken care of her for 2 years, and pajamas were my canary in the coal mine of progressing cancer. So on that sunny day, I asked Cristina what her goals would be for the coming months. The cancer had circumvented many of her chemotherapy options, and I only had a few left. “Doctora D, I know my time is limited…” she started in Spanish, with my interpreter by my side translating, “but I would really like to make it to Christmas. My family is coming from Mexico.” “Oh that's lovely. Do you have any special Christmas plans?” I ventured, wanting to understand what her holidays look like. “Plans? Doctora D, of course we are making tamales!” She laughed, as though we were both in on a joke. “Tamales? At Christmas?” I asked, signaling her to go on. “Yes yes yes, every year we make hundreds and hundreds of tamales, and we sell them! And we use the money to buy gifts for the kids, and we eat them ourselves too. It is tradicio´ n, Doctora D.” She underlined tradicio´ n with her voice, emphasizing the criticality of this piece of information. “Okay,” I said, pausing to think—December was only four months away. “I will start a different chemotherapy, and we will try to get you to Christmas to make your tamales.” Cristina nodded, and the plan was made. Later that evening, I asked one of my cofellows, a Houston native, about tamales. He shared that these treats are an enormous part of the Houston Christmas tradition, and if I had any sense, I would only purchase them from an abuela out of the trunk of a car. This was the only way to get the best homemade ones. “The ones from restaurants,” he informed me, “are crap.” So summer bled into fall, and fall became what passes for winter in Texas. On 1 day in the middle of December, Cristina came into clinic, dressed in a colorful sweater, flowing white pants, black boots, and topped off with Barbie-pink lipstick. “Cristina!” I exclaimed, a bit confused. “You don't have an appointment with me today, do you?” She grinned at me and held up a plastic grocery bag with a knot in the handles, displaying it like a prize. “Tamales, Doctora D. I brought you some tamales so you can join our Christmas tradition.” I felt the sting of tears, overwhelmed with gratitude at 11:30 in a busy county clinic. I thanked her profusely for my gift. When I brought them home that night, my husband and I savored them slowly, enjoying them like you would any exquisite dish off a tasting menu. Sometimes, people think that oncologists are ghouls. They only see the Cristinas when they are in their pajamas and wonder why would any doctor ever give her more treatment? My answer is because I also got to see her thriving joyfully in track suits and lipstick, because I got to spend countless in-betweens with her, and because I helped get her to the Christmas tradiciones I only knew about because of her. And in return, she gave of herself so easily, sharing her life, her passion, her struggles, and her fears with me. Caring for Cristina helped me marinate in the decision to become an oncologist and know that it was the right one. And if you are wondering—yes. Now tamales are a Christmas tradicio´n in the Dupuis household, too. Mikkael Sekeres: Hello, and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the oncology field. I'm your host, Mikkael Sekeres. I'm a professor of Medicine and Chief of the Division of Hematology at the Sylvester Comprehensive Cancer Center, University of Miami. What a pleasure it is today to be joined by Dr. Megan Dupuis from Vanderbilt University Medical Center. She is Assistant Professor of Hematology and Oncology and Associate Program Director for the Fellowship program. In this episode, we will be discussing her Art of Oncology article, "Tamales." Our guest's disclosures will be linked in the transcript. Both she and I have talked beforehand and agreed to refer to each other by first names. Megan, welcome to our podcast, and thank you for joining us. Megan Dupuis: Oh, thanks so much for having me, Mikkael. I'm excited to be here. Mikkael Sekeres: I absolutely loved your piece, "Tamales," as did our reviewers. It really did resonate with all of us and was beautifully and artfully written. I'm wondering if we could just start—tell us about yourself. Where are you from, and where did you do your training? Megan Dupuis: Sure. I'm originally from upstate New York. I grew up outside of Albany and then moved for college to Buffalo, New York. So I consider Buffalo home. Big Buffalo Bills fan. And I spent undergrad, medical school, and my PhD in tumor immunology at the University of Buffalo. My husband agreed to stick with me in Buffalo for all twelve years if we moved out of the cold weather after we were done. And so that played some factor in my choice of residency program. I was lucky enough to go to Duke for residency—internal medicine residency—and then went to MD Anderson for fellowship training. And then after Anderson, I moved up to Nashville, Tennessee, where I've been at Vanderbilt for almost four years now. Mikkael Sekeres: That's fantastic. Well, I have to say, your Bills have outperformed my Pittsburgh Steelers the past few years, but I think I think we have a chance this coming year. Megan Dupuis: Yeah. Yep. Yep. I saw they were thinking about signing Aaron Rodgers, so we'll see how that goes. Mikkael Sekeres: Yeah, not going to talk about that in this episode. So, I'm curious about your story as a writer. How long have you been writing narrative pieces? Megan Dupuis: I have always been a writer—noodled around with writing and poetry, even in college. But it was when I started doing my medicine training at Duke that I started to more intentionally start writing about my experiences, about patients, things that I saw, things that weighed either heavily on me or made a difference. So when I was at Duke, there was a narrative medicine writing workshop—it was a weekend workshop—that I felt like changed the trajectory of what my interest is in writing. And I wrote a piece at that time that was then sort of critiqued by colleagues and friends and kicked off my writing experience. And I've been writing ever since then. We formed a narrative medicine program at Duke out of this weekend workshop experience. And I carried that through to MD Anderson when I was a fellow. And then when I joined at Vanderbilt, I asked around and said, "Hey, is there a narrative medicine program at Vanderbilt?" And somebody pointed me in the direction of a colleague, Chase Webber, who's in internal medicine, and they said, "Hey, he's been thinking about putting together a medical humanities program but needs a co-conspirator, if you will." And so it was perfect timing, and he and I got together and started a Medical Humanities Certificate Program at Vanderbilt about four years ago. And so- Mikkael Sekeres: Oh, wow. Megan Dupuis: Yeah. So I've been doing this work professionally, but also personally. You know, one of the things that I have been doing for a long time is anytime there's an experience that I have that I think, “Gosh, I should write about this later,” I either dictate it into my phone, “write about this later,” or I write a little message to myself, “Make sure that you remember this experience and document it later.” And I keep a little notebook in my pocket specifically to do that. Mikkael Sekeres: Well, it's really a fabulous, updated use of technology compared to when William Carlos Williams used to scribble lines of poetry on his prescription pad and put it in his rolltop desk. Megan Dupuis: Although I will admit, you know, I don't think I'm much different. I still do prefer often the little leather notebook in the pocket to dictating. It'll often be when I'm in the car driving home from a clinic day or whatever, and I'll go, “Oh, I have to write about this, and I can't forget.” And I'll make myself a little digital reminder if I have to. But I still do keep the leather notebook as well for the more traditional type of writing experience. Mikkael Sekeres: I'm curious about what triggers you to dictate something or to scribble something down. Megan Dupuis: I think anything that gives me an emotional response, you know, anything that really says, “That was a little bit outside the normal clinical encounter for me.” Something that strikes me as moving, meaningful—and it doesn't have to be sad. I think a lot of novice writers about medical writing think you have to write only the tragic or the sad stories. But as often as not, it'll be something incredibly funny or poignant that a patient said in clinic that will make me go, “Ah, I have to make sure I remember that for later.” I think even surprise, you know? I think all of us can be surprised in a clinical encounter. Something a patient says or something a spouse will reflect on will make me sit back and say, “Hmm, that's not what I expected them to say. I should dive into why I'm surprised by that.” Mikkael Sekeres: It's a great notion as a starting point: an emotional connection, a moment of surprise. And that it doesn't have to be sad, right? It can be- sometimes our patients are incredibly inspirational and have great insights. It's one of the marvelous things about the career we've chosen is that we get to learn from people from such a variety of backgrounds. Megan Dupuis: That's it. It's a privilege every day to be invited into people's most personal experiences, and not just the medical experience. You know, I say to my patients, “I think this cancer diagnosis is in some ways the least interesting thing about you. It's not something you pick. It's not a hobby you cultivate. It's not your family life. It's a thing that's happened to you.” And so I really like to dive into: Who are these people? What makes them tick? What's important to them? My infusion nurses will say, "Oh, Dr. D, we love logging in and reading your social histories," because, yeah, I'll get the tobacco and alcohol history, or what have you. But I have a little dot phrase that I use for every new patient. It takes maybe the first five or six minutes of a visit, not long. But it's: Who are you? What's your preferred name? Who are your people? How far do you live from the clinic? What did you used to do for work if you're retired? If you're not retired, what do you do now? What are the names of your pets? What do you like to do in your spare time? What are you most proud of? So those are things that I ask at every new patient encounter. And I think it lays the foundation to understand who's this three-dimensional human being across from me, right? What were they like before this diagnosis changed the trajectory of where they were going? To me, that's the most important thing. Mikkael Sekeres: You've so wonderfully separated: The patient is not the diagnosis; it's a person. And the diagnosis is some component of that person. And it's the reason we're seeing each other, but it doesn't define that person. Megan Dupuis: That's right. We're crossing streams at a very tough point in their life. But there was so much that came before that. And in the piece that I wrote, you know, what is the language? What is the food? What is the family? What are all of those things, and how do they come together to make you the person that you are, for what's important to you in your life? And I think as oncologists, we're often trying to unravel in some way what is important. I could spend all day talking to you about PFS and OS for a specific drug combination, but is that really getting to meeting the goals of the patient and where they're at? I think it's easy to sort of say, “Well, this is the medicine that's going to get you the most overall survival.” But does it acknowledge the fact that you are a musician who can't have neuropathy in your fingers if you still want to play? Right? So those things become incredibly important when we're deciding not just treatment planning, but also what is the time toxicity? You know, do you have the time and ability to come back and forth to clinic for weekly chemotherapy or what have you? So those things, to me, become incredibly important when I'm talking to a person sitting across from me. Mikkael Sekeres: Do your patients ever get surprised that you're asking such broad questions about their life instead of narrowing down to the focus of their cancer? Megan Dupuis: Sometimes. I will say, sometimes patients are almost so anxious, of course, with this new diagnosis, they want to get into it. You know, they don't want to sit there and tell me the name of the horses on their farm, right? They want to know, “What's the plan, doc?” So I acknowledge that, and I say to them in the beginning, “Hey, if you give me five minutes of your time to tell me who you are as a person, I promise this will come back around later when we start talking about the options for treatments for you.” Most of the time, though, I think they're just happy to be asked who they are as a person. They're happy that I care. And I think all of us in oncology care—I think that's... you don't go into a field like this because you're not interested in the human experience, right? But they're happy that it's demonstrable that there is a... I'm literally saying, “What is the name of your dog? What is the name of your child who lives down the street? Who are your kids that live far away? You know, do you talk to them?” They want to share those things, and they want to be acknowledged. I think these diagnoses can be dehumanizing. And so to rehumanize somebody does not take as much time as we may think it does. Mikkael Sekeres: I 100% agree with you. And there can be a selfish aspect to it also. I think we're naturally curious people and want to know how other people have lived their lives and can live those lives vicariously through them. So I'm the sort of person who likes to do projects around the house. And I think, to the dismay of many a professional person, I consider myself an amateur electrician, plumber, and carpenter. Some of the projects are actually up to code, not all. But you get to learn how other people have lived their lives and how they made things. And that could be making something concrete, like an addition to their house, or it can be making a life. Megan Dupuis: Yeah, I love that you say that it is selfish, and we acknowledge that. You know, sometimes I think that we went into internal medicine and ultimately oncology... and I don't mean this in a trite way: I want the gossip about your life. I want the details. I want to dig into your hobbies, your relationships, what makes you angry, what makes you excited. I think they're the fun things to learn about folks. Again, in some ways, I think the cancer diagnosis is almost such a trite or banal part of who a human is. It's not to say that it's not going to shape their life in a very profound way, but it's not something they picked. It's something that happened to them. And so I'm much more excited to say, “Hey, what are your weekend hobbies? Are you an amateur electrician?” And that dovetails deeply into what kind of treatment might help you to do those things for longer. So I think it is a little bit selfish that it gives me a lot of satisfaction to get to know who people are. Mikkael Sekeres: So part of what we're talking about, indirectly, is the sense of otherness. And an undercurrent theme in your essay is otherness. You were an 'other' as a fellow in training and working in Texas when you grew up in upstate New York. And our patients are also 'others.' They're thrust into this often complicated bedlam of cancer care. Can you talk about how you felt as an 'other' and how that's affected your approach to your patients? Megan Dupuis: I think in the cancer experience, we are 'other,' definitionally, from the start, for exactly the reasons that you said. I'm coming to it as your physician; you're coming to it as my patient. This is a new encounter and a new experience for both of us. I think the added layer of being this person from upstate New York who didn't... I mean, I minored in Spanish in college, but that's not the same thing as growing up in a culture that speaks Spanish, that comes from a Spanish-speaking country—the food, the culture. It's all incredibly different. And so the way that I approached it there was to say, “I am genuinely curious. I want to know what it's like to be different than the culture that I was raised in.” And I'm excited to know about that thing. And I think we can tell—I think, as humans—when somebody is genuinely curious about who you are and what's important to you, versus when they're kind of just checking the boxes to try to build a relationship that's necessary. I think my patients could tell that even though I'm not necessarily speaking their language, I want to know. I ask these questions because I want to know. I think if you go to it from a place of curiosity, if you are approaching another person with a genuine sense of curiosity... You know, Faith Fitzgerald wrote her most remarkable piece on curiosity many, many years ago. But even the quote-unquote “boring” patient, as she put it, can have an incredible story to tell if you're curious enough to ask. And so I think that no matter how different I might be culturally from the patient sitting across from me, if I approach it with a genuine sense of curiosity, and they can sense that, that. that's going to build the bond that we need truly to walk together on this cancer journey. I think it's curiosity, and I think it's also sharing of yourself. I think that nobody is going to open up to you if they feel that you are closed to sharing a bit of yourself. Patients want to know who their doctor is, too. So when I said I asked those five or six minutes' worth of questions at the beginning of a new patient encounter, I share that info with them. I tell them where I live, how long it takes for me to get to clinic, who my people are, the name of my dog, what I like to do in my spare time, what I'm proud of. So I share that with them too, so it doesn't feel like a one-way grilling. It feels like an introduction, a meeting, the start of a... I don't want to say friendship necessarily, but a start of a friendliness, of a shared communal experience. Mikkael Sekeres: Well, it's a start of a relationship. And you can define 'relationship' with a broad swath of definitions, right? Megan Dupuis: That's right. Mikkael Sekeres: It can be a relationship that is a friendship. It can be a relationship that's a professional relationship. And just like we know some personal things about some of our colleagues, the same is true of our patients. I was wondering if I could pick up on... I love that notion of curiosity that you brought out because that's something I've thought a lot about, and I've thought about whether it could be at least one way to combat burnout. So could you put that in context of burnout? Do you think maintaining that curiosity throughout a career is one potential solution to burnout? And do you think that being open with yourself also helps combat burnout, which is counterintuitive to what we've always been taught? Megan Dupuis: Wow. I think that this is such an important question, and it's almost like you read my justification for a Medical Humanities Certificate Program. One of the foundational arguments for why I thought the GME should support the creation of this program at Vanderbilt was because we hypothesized that it would improve burnout. And one of the arms of that is because it engenders a sense of genuine curiosity. When you're thinking about the arms of burnout: it's loss of meaning in your work; it's depersonalization of patients, right, when they're treated as objects or numbers or a ticket in the system that you have to shuffle through; when it's disconnection from the work that you do. I absolutely think that curiosity is an antidote to burnout. I don't think it's the whole solution, perhaps, because I think that burnout also includes systemic injury and structures of our medical healthcare system that no individual can fix in a vacuum. But I do think when we're thinking about what are the changes that we as individual physicians can make, I do think that being open and curious about your patient is one of the best salves that we have against some of these wounds. You know, I've never left a room where a patient has shared a personal story and felt worse about it, right? I've always felt better for the experience. And so I do think curiosity is an incredibly important piece of it. It's hard, I will acknowledge. It's hard for the speed that we move through the system, the pace that we move through the system. And I'm thinking often about my trainees—my residents, my fellows—who are seeing a lot, they're doing a lot, they are trying to learn and drink from the fire hose of the pace of medical development, checking so many boxes. And so to remain curious, I think at times can feel like a luxury. I think it's a luxury I have boomeranged back into as an attending. You know, certainly as a resident and a fellow, I felt like, “Gosh, why does this attending want to sit and chitchat about this person's music career? I'm just trying to make sure their pain is controlled. I'm trying to make sure they get admitted safely. I'm trying to make sure that they're getting the right treatment.” And I think it's something that I've tried to teach my trainees: “No, we have the time. I promise we have the time to ask this person what their childhood was like,” if that's something that is important to the narrative of their story. So it sometimes feels like a luxury. But I also think it's such a critical part of avoiding or mitigating the burnout that I know all of us face. Mikkael Sekeres: I think you touched on a lot of really important points. Burnout is so much more complicated than just one inciting factor and one solution. It's systemic. And I love also how you positioned curiosity as a bit of a luxury. We have to have the mental space to also be curious and engaged enough in our work that we can take interest in other people. I wanted to touch on one more question. You write in your essay that a patient in pajamas is a canary in the coal mine for deteriorating health. And I completely, completely agree with that. I can vividly recall a number of patients where I saw them in my clinic, and I would look down, and they had food spilled on their sweatshirt, or they were wearing mismatched socks, or their shoes weren't tied. And you thought to yourself, “Gee, this person is not thriving at home.” Do you think telemedicine has affected our ability to recognize that in our patients? Megan Dupuis: Yes, I do think so. I can remember vividly being a fellow when COVID first began in 2020, and I was training in an environment where most of my patients spoke Spanish or Vietnamese. And so we were doing not just telemedicine; we were doing telephone call clearance for chemotherapy because a lot of the patients didn't have either access to the technology or a phone that had video capability. A lot of them had flip phones. And trying to clear somebody for chemotherapy over the phone, I'll tell you, Mikkael, was the number one way to lead to a recipe of moral injury and burnout. As a person who felt this deep responsibility to do something safe... I think even now with telemedicine, there are a lot of things that you can hide from the waist down, right? If you can get it together enough to maybe just put a shirt on, I won't know that you're sitting there in pajama bottoms. I won't know that you're struggling to stand or that you're using an assistive device to move when you used to be able to come into clinic without one, or that your family member is helping you negotiate stepping over the curb in clinic. These are real litmus tests that you and I, all of us, use when we're deciding whether somebody is safe to receive a treatment. And I think telemedicine does mask some of that. Now, on the other hand, does telemedicine provide an access point for patients that otherwise it would be a challenge to drive into clinic for routine visits and care? It does, and I think it's been an incredible boon for patients who live far away from the clinic. But I think we have to use it judiciously. And there are patients where I will say, “If you are not well enough to get yourself to clinic, I worry that you are not well enough to safely receive treatment.” And when I'm thinking about the rules of chemo, it's three: It has to be effective, right? Cancer decides that. It has to be something the patient wants. They decide. But then the safety piece—that's my choice. That's my responsibility. And I can't always decide safety on a telemedicine call. Mikkael Sekeres: I completely agree. I've said to my patients before, “It's hard for me to assess you when I'm only seeing 40% of you.” So we will often negotiate them having to withstand the traffic in Miami to come in so I can feel safe in administering the chemotherapy that I think they need. Megan Dupuis: That's exactly right. Mikkael Sekeres: Megan Dupuis, it has been an absolute delight getting to chat with you. It has been just terrific getting to know you and talk about your fabulous essay, "Tamales." So thank you so much for joining me. Megan Dupuis: Thank you for having me. It was a wonderful time to chat with you as well. Mikkael Sekeres: Until next time, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe so you never miss an episode. You can find all of ASCO's shows at asco.org/podcasts. Thank you again. 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. Like, share and subscribe so you never miss an episode and leave a rating or review. Guest Bio: Dr Megan Dupuis is an Assistant Professor of Hematology and Oncology at Vanderbilt University Medical Center.
Douglas W. Lundy, MD, MBA, FACS, FAOA, discussed the future of orthopaedic trauma with William T. Obremskey, MD, FAOA, Director of Orthopaedic Trauma at Vanderbilt University Medical Center. Dr. Obremskey shares his vision for the future of orthopaedic trauma surgery, focusing on reducing complications through advanced technologies and improved practices.Perhaps most thought-provoking is Dr. Obremskey's perspective that some of the most impactful advances may not come from fancy technology at all—but from addressing underlying patient factors like smoking cessation and blood sugar control that dramatically affect healing outcomes. The future of trauma care involves both cutting-edge science and fundamental public health initiatives working in tandem.
Guest: Beth Ann Malow, MD, MS The impacts of climate change present a growing threat to brain health. Rising heat, air pollution, and oxidative stress appear to worsen conditions like stroke, dementia, and multiple sclerosis. Join Dr. Beth Malow as she outlines the essential role clinicians play in prevention and education. Dr. Malow is a Professor of Neurology and Pediatrics and the Vice Chair for Academic Affairs in the Department of Neurology at Vanderbilt University Medical Center.
Guest: Beth Ann Malow, MD, MS The impacts of climate change present a growing threat to brain health. Rising heat, air pollution, and oxidative stress appear to worsen conditions like stroke, dementia, and multiple sclerosis. Join Dr. Beth Malow as she outlines the essential role clinicians play in prevention and education. Dr. Malow is a Professor of Neurology and Pediatrics and the Vice Chair for Academic Affairs in the Department of Neurology at Vanderbilt University Medical Center.
Digital Health Talks - Changemakers Focused on Fixing Healthcare
Dr. Yaa Kumah-Crystal shares her pioneering work integrating voice assistant technology and AI into healthcare systems at Vanderbilt University Medical Center. This discussion explores practical applications of voice interfaces in clinical documentation, the evolution of hybrid care models, and responsible AI implementation strategies that enhance both provider experience and patient outcomes. Drawing from her dual expertise as a practicing endocrinologist and biomedical informaticist, Dr. Kumah-Crystal offers actionable insights for healthcare leaders navigating technological transformation. • Voice-first EHR design reduces documentation burden while maintaining clinical accuracy • Essential governance frameworks ensure responsible AI deployment in clinical settings • Successful hybrid care models balance telehealth and in-person care for optimal outcomes • Practical evaluation methods help prioritize technologies that genuinely improve workflowsYaa Kumah-Crystal, MD, MPH, MS, HealthIT Clinical Director Associate Professor Biomedical Informatics Associate Professor Pediatric Endocrinology Vanderbilt UniversityMegan Antonelli, CEO, HealthIMPACT Live
In this episode of the Award-winning PRS Journal Club Podcast, 2025 Resident Ambassadors to the PRS Editorial Board – Christopher Kalmar, Ilana Margulies, and Amanda Sergesketter- and special guest, Brad Hill, MD, discuss the following articles from the March 2025 issue: “Cost Comparison of Digital Nerve Repair Techniques” Hu, Williams, Kammien, et al. Read the article for FREE: https://bit.ly/DNRCostComparison Special guest, Brad Hill, MD, completed combined residency training in General Surgery and Plastic and Reconstructive Surgery at New York University, followed by a Fellowship in Hand and Upper Extremity Surgery at the Curtis National Hand Center. Dr Hill currently serves as the Director of Hand and Peripheral Nerve Surgery Education at Vanderbilt University Medical Center. He is an avid educator and guest on several other national medical podcasts. READ the articles discussed in this podcast as well as free related content: https://bit.ly/March25JCCollection
Transforming Clinical Workflows and Patient Care Using Voice Enabled Tech Dr. Yaa Kumah-Crystal shares her pioneering work integrating voice assistant technology and AI into healthcare systems at Vanderbilt University Medical Center. This discussion explores practical applications of voice interfaces in clinical documentation, the evolution of hybrid care models, and responsible AI implementation strategies that enhance both provider experience and patient outcomes. Drawing from her dual expertise as a practicing endocrinologist and biomedical informaticist, Dr. Kumah-Crystal offers actionable insights for healthcare leaders navigating technological transformation. • Voice-first EHR design reduces documentation burden while maintaining clinical accuracy • Essential governance frameworks ensure responsible AI deployment in clinical settings • Successful hybrid care models balance telehealth and in-person care for optimal outcomes • Practical evaluation methods help prioritize technologies that genuinely improve workflows To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
Well, here we are—the final episode of Informatics in the Round (we think!). After five incredible years, 38 episodes, and thousands of listeners, we've decided it's time to wrap up this journey. But first, we're taking a minute (or maybe two hours) to reflect on this wild ride—and we've brought some people you might recognize! In this episode, we pull some clips from the archive to help us look back at our best moments, favorite topics, and silliest slip-ups over the years. We take you through our “Top 5” topics that we loved to talk about the most: electronic health records, patient privacy, public health, health equity, and AI. We will also share some stories you didn't hear (like that time we forgot to hit records—oops), how the pandemic reshaped our personal and professional lives, and the lessons that will stick with us. To lead us through our Top 5, we invited back some of our favorite guests to reflect and discuss the future of the field: Dr. Yaa Kumah-Crystal, MD, MPH, MS, is an Associate Professor of Biomedical Informatics and Pediatric Endocrinology at Vanderbilt University Medical Center whose research focuses on documentation in healthcare communication. Dr. Ellen Wright Clayton, JD, MD, is a professor of Pediatrics, Law, and Health Policy at Vanderbilt University Law School and Vanderbilt University Medical Center. Her research focuses on the ethical, legal, and social implications of genomics research. Dr. Melissa McPheeters, PhD, MPH, is the Senior Director for Analytics at RTI International, as well as an esteemed epidemiologist and public health informatician. Her work focuses on building interdisciplinary teams to address complex problems across health, public health, and data modernization processes. Dr. Consuelo H. Wilkins, MD, is the Senior Vice President and Senior Associate Dean of Health Equity at Vanderbilt University Medical Center and the Associate Director of the Vanderbilt Institute for Clinical and Translational Research. Her work attempts to bring together community stakeholders and create collaboration initiatives to improve community health and biomedical research. Dr. Chris Callison-Burch, PhD, MS, is a Professor of Computer and Information Science at the University of Pennsylvania. His research focuses on natural language processing and generative AI. So, is this really goodbye? Maybe, maybe not. We can never sit still for long. But for now, let's raise a glass, share a few laughs, and remember the good ol' times! We can't leave without saying thank you to all of you for being part of the ride, for listening to us on your jog or your commute, and for engaging critically with all we've had to say. It's been an honor. Thank you to all the guests who have joined us throughout the last five years. Thank you for contributing your expertise, your lived experiences, and your unfiltered thoughts. Thank you to the musicians who bravely stepped into conversations about topics they knew little about and for offering up their questions. You ensured we spoke to everyone, and your music said the rest of what our words couldn't convey. To all our guests, your generosity with your time and your knowledge is what made this podcast what it was. Our mission was always to make informatics intelligible so that you and all your friends and family can engage confidently with the topic. We hope you now have the language to feel empowered navigating this crazy, awesome, flawed, fascinating healthcare system. For now, this is Kevin Johnson, Harris Bland, and Ellie Shuert signing off! Mentioned in the episode: -Hidden Brain podcast -Scott Scovill and Moo TV, plus his appearance on episode 4: “Automated Resilience: Biomedical Informatics as a Safety Net for Life” -Nancy Lorenzi in “Informatics and Anti-Black Racism: What We Need to Do” (Jun. 2020) -Trent Rosenbloom in “21st Century Cures: Curing our Anxiety or Causing It?” (May 2021) -Hey Epic! -Brad Malin in “Data Privacy: Possible, Impossible, or Somewhere In Between?” (Aug. 2020) -Moore v. Regents of the University of California (1990) -”Learning Health Care and the Obligation to Participate in Research” by Ruth R. Faden and Nancy E. Kass (Hastings Center Report) -”The Right to Privacy” by Samuel D. Warren II and Louis Brandeis (Harvard Law Review) -Revenge of the Tipping Point: Overstories, Superspreaders, and the Rise of Social Engineering by Malcolm Gladwell -Colin Walsh in “COVID and the Hidden Data Gap” (Feb. 2021) -Bryant Thomas Karras in “Get Your Dose of Data! An Introduction to Public Health Informatics” (Jul. 2024) STE and public health highway? -Consuelo Wilkins in “Clinical Trials: Are We Whitewashing the Data?” (Nov. 2023) -Where Do We Go from Here: Chaos or Community? by Martin Luther King Jr. -Michael Matheny and Tom Lasko in “AI and Medicine: The Slippery Slope to an Uncertain Future” (Feb. 2020) -Lyle Ungar and Angela Bradbury in “Chatbots in Healthcare: The Ultimate Turing Test” (Aug. 2024) -“A Textbook Remedy for Domain Shifts: Knowledge Priors for Medical Image Analysis” by Yue Yang, Mona Gandhi, Yufei Wang, Yifan Wu, Michael S. Yao, Chris Callison-Burch, James C. Gee, Mark Yatskar (NeurIPS) -Google DeepMind -OpenAI's Deep Research -The Thinking Game (2024) dir. by Greg Kohs -“Dolly the Sheep: A Cautionary Tale” by Robin Feldman and Vern Norviel (Yale Journal of Law & Technology) -Who, Me? Children's book series -The Influencers Substack Follow our social media platforms to stay up to date on our new projects!
Guest: Eva Parker, MD, FAAD Rising temperatures, worsening air quality, and extreme weather events appear to be increasing the prevalence and severity of skin diseases. Dr. Eva Parker, Assistant Professor of Dermatology and Core Faculty at the Center for Biomedical Ethics and Society at Vanderbilt University Medical Center, shares strategies for dermatologists to improve climate literacy, reduce their carbon footprint, and educate patients on protecting their skin against climate-related impacts.
In this episode of the Award-winning PRS Journal Club Podcast, 2025 Resident Ambassadors to the PRS Editorial Board – Christopher Kalmar, Ilana Margulies, and Amanda Sergesketter- and special guest, Brad Hill, MD, discuss the following articles from the March 2025 issue: “Eaton-Littler Ligament Reconstruction in Thumb Carpometacarpal Joint Instability: Outcomes and Prognostic Factors in 74 Patients” by Nieuwdrop, Jongen, Hundepool, et al. Read the article for FREE: https://bit.ly/EatonLittLigamen Special guest, Brad Hill, MD, completed combined residency training in General Surgery and Plastic and Reconstructive Surgery at New York University, followed by a Fellowship in Hand and Upper Extremity Surgery at the Curtis National Hand Center. Dr Hill currently serves as the Director of Hand and Peripheral Nerve Surgery Education at Vanderbilt University Medical Center. He is an avid educator and guest on several other national medical podcasts. READ the articles discussed in this podcast as well as free related content: https://bit.ly/March25JCCollection
Healthcare and customer experience have more in common than you might think. Brian Carlson, VP of Patient Experience at Vanderbilt University Medical Center, joins Jeannie Walters for a CX Pulse Check to explore these fascinating parallels that are reshaping how we think about caring for patients.In this episode, they discuss:A patient satisfaction scoring storyline that provoked strong reactions on HBO's new medical drama "The Pit"Lush's bold decision to abandon social media platforms, discovering surprising connections to how healthcare has traditionally built communitiesModern healthcare designs that must consider patients, families, staff, and operational functionality simultaneouslyDespite the challenges facing healthcare, Brian's powerful reminder resonates throughout our conversation: "We do far more right than we do wrong." Healthcare professionals perform life-saving, transformative work every day, often in difficult circumstances. The evolution of patient experience isn't about criticizing what's wrong but enhancing the incredible care already happening.Ready to bridge customer and patient experience in your organization? Connect with Brian on LinkedIn to follow his insights, and explore our resources at experienceinvestigators.com to support your experience journey.About Brian Carlson:Brian Carlson has over 20 years of experience in large academic health systems and private group practices. He is currently the Vice President of Patient Experience at Vanderbilt University Medical Center (VUMC) (http://www.vanderbilthealth.org), where he has significantly improved patient experience and operational efficiency since 2007.Brian has a proven track record of driving financial and operational success. At VUMC, he enhanced the patient experience percentile rank and developed programs to boost workforce culture and patient engagement. Previously, he served as CEO/COO of Olean Medical Group and Practice Manager for Obstetrics & Gynecology at Northwestern Medical Faculty Foundation.He holds dual master's degrees in Health Services Administration and Business Administration from Xavier University and a Bachelor of Arts in Psychology from Wittenberg University.Follow Brian on...LinkedIn: https://www.linkedin.com/in/brianrcarlson-nashvilleArticles Mentioned:Press Ganey CMO on 'The Pitt': Doctor Report Cards Are Really About Systems (Newsweek) -- https://www.newsweek.com/press-ganey-cmo-pitt-doctor-report-cards-are-really-about-systems-2029009What Lush learned from three years of being mostly offline (Marketing Brew) -- https://www.marketingbrew.com/stories/2025/02/24/lush-anti-social-media-strategyAI-driven research uncovers how physician media choice shapes online patient experience (Nevada Today) -- https://www.unr.edu/nevada-today/news/2025/ai-physician-communicationResources Mentioned:Take the CXI Compass™ assessment -- http://cxicompass.comExperience Investigators Website -- https://experienceinvestigators.comWant to ask a question? Visit askjeannie.vip to leave Jeannie a voicemail! (And don't forget to follow Jeannie on LinkedIn! www.linkedin.com/in/jeanniewalters/)
In this episode of the Award-winning PRS Journal Club Podcast, 2025 Resident Ambassadors to the PRS Editorial Board – Christopher Kalmar, Ilana Margulies, and Amanda Sergesketter- and special guest, Brad Hill, MD, discuss the following articles from the March 2025 issue: “Effect of Tourniquet-Related Nerve Ischemia on Response to Handheld Nerve Stimulation in Ulnar Nerve Transposition” by Brogan, Lee, Beamer, and Dy. Read the article for FREE: https://bit.ly/IschemiaNerveStim Special guest, Brad Hill, MD, completed combined residency training in General Surgery and Plastic and Reconstructive Surgery at New York University, followed by a Fellowship in Hand and Upper Extremity Surgery at the Curtis National Hand Center. Dr Hill currently serves as the Director of Hand and Peripheral Nerve Surgery Education at Vanderbilt University Medical Center. He is an avid educator and guest on several other national medical podcasts. READ the articles discussed in this podcast as well as free related content: https://bit.ly/March25JCCollection
Kallie Fell started her professional career as a scientist in the Department of Obstetrics and Gynecology at Vanderbilt University Medical Center utilizing a Master of Science degree in Animal Sciences with an emphasis on Reproductive Physiology and Molecular Biology from Purdue University. While assisting in the investigation of endometriosis and pre-term birth, Kallie simultaneously pursued a degree in nursing with hopes of working with women as a perinatal nurse. After meeting Jennifer Lahl at a conference, Kallie became interested in the work of the Center for Bioethics and Culture (CBC) and started volunteering with the organization. Kallie is deeply passionate about women's health. She continues to work, as she has for the past six years, as a perinatal nurse and has worked with the CBC since 2018, first as a volunteer writer, then as our staff Research Associate, and now as the Executive Director. In 2021, Kallie co-directed the CBC's first documentary on “transgender medicine” titled Trans Mission: What's the Rush to Reassign Gender? In 2022 Kallie co-wrote and co-produced the CBC's latest film, The Detransition Diaries: Saving Our Sisters. Kallie also hosts the popular podcast Venus Rising and is the Program Director for the Paul Ramsey Institute. Her latest film, The Lost Boys: Searching for Manhood is set for release in January 2024 as is her new book, co-authored with Jennifer Lahl, The Detransition Diaries.
In this episode of the Award-winning PRS Journal Club Podcast, 2025 Resident Ambassadors to the PRS Editorial Board – Christopher Kalmar, Ilana Margulies, and Amanda Sergesketter- and special guest, Brad Hill, MD, discuss the following articles from the March 2025 issue: “Effect of Tourniquet-Related Nerve Ischemia on Response to Handheld Nerve Stimulation in Ulnar Nerve Transposition” by Brogan, Lee, Beamer, and Dy. “Eaton-Littler Ligament Reconstruction in Thumb Carpometacarpal Joint Instability: Outcomes and Prognostic Factors in 74 Patients” by Nieuwdrop, Jongen, Hundepool, et al. “Cost Comparison of Digital Nerve Repair Techniques” Hu, Williams, Kammien, et al. Special guest, Brad Hill, MD, completed combined residency training in General Surgery and Plastic and Reconstructive Surgery at New York University, followed by a Fellowship in Hand and Upper Extremity Surgery at the Curtis National Hand Center. Dr Hill currently serves as the Director of Hand and Peripheral Nerve Surgery Education at Vanderbilt University Medical Center. He is an avid educator and guest on several other national medical podcasts. READ the articles discussed in this podcast as well as free related content: https://bit.ly/March25JCCollection
You can text us here with any comments, questions, or thoughts!In our latest episode, Kemi sit down with Dr. Sharon Onguti, an infectious diseases specialist at Vanderbilt University Medical Center, where she has served since 2022. Board-certified in Internal Medicine and Infectious Diseases, she completed her fellowship at UT Health San Antonio and a sub-fellowship in Antimicrobial Stewardship at Stanford University. Dr. Onguti holds an MPH in Epidemiology and Biostatistics from Johns Hopkins Bloomberg School of Public Health and is a board member of the Society of Bedside Medicine, she is dedicated to medical education and serves as Associate Program Director of the Infectious Diseases Fellowship Program. She is also is an alumnus of our Get That Grant® coaching program! Join the conversation as Dr. Onguti shares her remarkable journey in medicine, highlighting her innovative use of AI in healthcare. Highlights: Discover how she navigates multiple roles and responsibilities while finding clarity and focus through coaching. The importance of aligning your career with personal values and interests. Why regular reflection and inventory of your activities help ensure alignment with long-term goals. Insights on cultivating a high-functioning support network and redefining mentorship to propel your career forward. Loved this convo? Please go find Dr. Onguti on LinkedIn and Twitter/X show her some love! If you'd like to learn more foundational career navigation concepts for women of color in academic medicine and public health, sign up for our KD Coaching Foundations Series: www.kemidoll.com/foundations. And if you're also a high-achieving WOC facing these challenges and seeking to navigate your path more effectively, Get That Grant is here to support you! Join the waitlist for our April 2025 Get That Grant cohort! Enrollment for the April cohort is exclusive to our waitlist, so sign up now to take the first step toward turning your aspirations into reality. Applications will be sent directly to the waitlist on Monday, February 17. Sign up for the waitlist now at www.kemidoll.com/gtgwaitlist REMINDER: Your Unapologetic Career Podcast now releases episode every other week! Can't wait that long? Be sure you are signed up for our newsletter (above) where there are NEW issues every month!
In the newest episode of the miniVHAN podcast, we sit down with Terrell Smith, MSN, RN, the recently retired senior director of Patient and Family Engagement at Vanderbilt University Medical Center. With over five decades of experience, Terrell shares heartfelt anecdotes and insights into the challenges caregivers face daily. We shine a spotlight on these unsung heroes, exploring the emotional and physical toll of caregiving and the vital importance of community support. This episode addresses caregiving as a significant public health issue, emphasizing the need for greater awareness and examining how caregiving can be integrated into preventive health care practices. As we explore the evolving landscape of caregiving within value-based care models, Terrell shares valuable advice for caregivers on managing their roles and maintaining self-care. This episode is a call to action for health care providers to recognize caregivers' pivotal role and ensure they are equipped with necessary resources and support.
ATS Scholar editor Nitin Seam, MD, ATSF - clinical professor of Medicine at George Washington University and the Uniformed Services University - shares some takeaways from his editorial on the ATS journals' position on the evolving role of artificial intelligence on scientific research and review. Eddie Qian, MD, of Vanderbilt University Medical Center, hosts.06:35 - What are the main takeaways of the ATS editorial?09:13 - Should large language models be authors?09:59 - Why would a reviewer want to upload a paper to an LLM?21:08 - What are topics around AI and LLMs that should be studied in medicine?Read the editorial in the American Journal of Respiratory and Critical Care Medicine: https://www.atsjournals.org/doi/full/10.1164/rccm.202411-2208ED
Send us a textWhen couples reach out for counseling, difficulty communicating is usually one of the first problems they mention. When there is a breakdown in relationships, communication is one of the first areas impacted. Is communicating in relationships that difficult or are we missing what the real problem is altogether. Whether you find yourself not communicating at all or simply wanting to enhance the quality of your communication, this podcast will help you address some of the biggest problems facing relationships today. For example: · How do you communicate with someone who shuts down during conflict? · How do you communicate with someone who doesn't take accountability? · How can we effectively communicate with people at work, but not at home? · How do you know if you are good at communicating? Get answers to some of the most frequently asked questions in therapy when it comes to communication, as well as helpful tips and strategies to improve your communication and quality of your relationship. Effective communication is a skill that can be learned. Invest in your relationship and listen to this episode on communication. About Dr. Huddlestone Dr. Huddleston earned her Ph.D. in Counseling Psychology from the University of Houston. She completed her internship residency training at Vanderbilt University Medical Center followed by a post-doctoral fellowship at Baylor College of Medicine, equipping her with a robust foundation for addressing complex mental health challenges.Her commitment to advancing the wellbeing of women of color is evident in her noteworthy accomplishments. She co-authored a grant funded by the American Psychological Association focused on leadership and career development for women of color, echoing her passion for empowering future generations. Dr. Huddleston has been recognized with various prestigious awards, including the MLK Dream Award from the 40 Acre Conference and acknowledgment as one of the Top Influential Women of Houston.As Past President of the Psychology of Black Women, Dr. Huddleston organized the significant event "100 Black Women in Psychology" at the American Psychological Association conference, creating a vital platform for representation and dialogue in the field. Additionally, she serves as a mentor for female high school students interested in pursuing careers in psychology, encouraging the next generation of mental health professionals. Keep in Touch Follow Dr. Huddlestone on Instagram and visit her website to learn more about her practice and services. Also, don't forget to subscribe to the Untherapeutic Podcast, like our page and follow Dr. Nic Hardy on Instagram at nichardy_
Send us a textWhat if theater could unlock new dimensions of communication for individuals with autism? Join us as we sit down with the remarkable Dr. Blythe Corbett, a trailblazer from Vanderbilt University Medical Center, who has seamlessly intertwined her love for performance with her cutting-edge research in autism. Through the pioneering work of Sense Theater, a nonprofit she founded in 2009, Dr. Corbett has transformed the landscape of social communication interventions, using the power of theater to foster personal growth and social skills in hundreds of participants. Her journey, marked by perseverance and innovation, has garnered significant recognition, including prestigious grants from the National Institute of Mental Health, showcasing the profound impact of blending science and the arts.This episode also takes you behind the scenes of Sense Theater's expansion plans, where inclusivity and creative expression are at the forefront. Through engaging productions, participants tackle themes of belonging, acceptance, and diversity, creating a tapestry of collaboration among individuals from diverse backgrounds. We delve into the thoughtful strategies implemented to support autistic individuals, such as managing anxiety and sensory overload, and the fun, engaging activities like improvisation and joke-telling that teach social cues and body language. Wrapping up, we reflect on the empowering conversations shared and extend an invitation to listeners who might have their own stories and insights to contribute.https://tonymantor.comhttps://Facebook.com/tonymantorhttps://instagram.com/tonymantorhttps://twitter.com/tonymantorhttps://youtube.com/tonymantormusicintro/outro music bed written by T. WildWhy Not Me the World music published by Mantor Music (BMI)
Guest: Sara Horst, MD, MPH, FACG While inflammatory bowel disease (IBD) does not typically cause significant problems in pregnancy, it's still essential to discuss potential impacts with patients and monitor them closely. Dr. Sara Horst, a Professor of Medicine at Vanderbilt University Medical Center, joins GI Insights to discuss important considerations for pregnant patients with IBD.
On this episode of Quality Matters, host Andy Reynolds is joined by Brittany Cunningham, Vice President of Episodes of Care and Population Health at Vanderbilt University Medical Center, to discuss how value-based care is reshaping health care through MyHealth Bundles. By packaging treatments into predictable, all-inclusive bundles, employers save money, patients avoid surprise bills and providers can focus on delivering high-quality care instead of navigating insurance complexities.But does bundling mean cutting corners? Brittany sets the record straight: The model eliminates waste, not necessary care. With lower C-section rates, near-zero infection rates for joint replacements and faster recovery times for spinal surgeries, bundle results are strong. Employers love the savings, patients love the simplicity and providers appreciate the shift from restrictive insurance rules to evidence-based care.So why isn't this standard everywhere? Andy and Brittany explore the hurdles, from outdated billing systems to awareness among employers. NCQA's Meghan Malone-Moses joins the conversation to share insights on why value-based care is the future—and how more health care systems to catch up. Tune in for a conversation that could change how you see health care.Key Quote:“ Value-based care, while the employers want to deliver higher value and higher outcomes to their employees and their members, it's hard to understand what that level of risk is. A lot of employers don't understand what it means to take value-based care on. The biggest thing is that education of what value-based care is and that the provider is taking on the risk. They are paying less than what they would pay in fee-for-service and they are getting the same or even higher outcomes for their members.”-Brittany CunninghamTime Stamps:(00:29) Introducing MyHealth Bundles(02:11) Benefits and Challenges of MyHealth Bundles(04:10) Predictability and Utilization in Bundled Care(09:17) Challenges in Implementing Commercial Bundles(10:30) When Bundles = Peace of Mind(13:02) How Employers View Value-Based CareLinks:MyHealth Bundles' ImpactConnect with Brittany Cunningham
Send us a textJoin Marla Dalton, PE, CAE, and William Schaffner, MD, for an inspiring conversation with Kathryn M. Edwards, MD, a renowned expert in childhood respiratory diseases and vaccine safety. Edwards shares her journey from a budding chemist to a trailblazer in the prevention of pediatric infectious diseases and an advocate for ensuring vaccine safety and efficacy in the US. Show notesWhile at Vanderbilt University Medical Center, her passion for disease prevention brought her to lead efforts evaluating vaccines against pertussis, Haemophilus influenzae type b (Hib), influenza (flu), pneumococcal disease, smallpox, anthrax, and other infectious diseases. During the COVID-19 pandemic, she served on vaccine safety and monitoring committees and helped address questions about adverse events. In 2018, NFID recognized her extraordinary accomplishments by awarding her the Maxwell Finland Award for Scientific Achievement. A native of Williamsburg, IA, Edwards graduated from the University of Iowa School of Medicine, and did her residency, fellowship, and postdoctoral training in Chicago, IL. Now (mostly) retired, she enjoys spending time with her family, including her beloved grandchildren. Follow NFID on social media
In this episode of the TEMSEA Leadership Podcast, host Eric Clauss speaks with Briana Browne, a suicide survivor who has turned her experience into a life-saving mission. Briana shares her emotional recollection of waking up in the hospital, her road to mental health recovery, and the moment she realized she had survived a nearly impossible fall. She discusses the stigma around suicide, the importance of proper language (saying “died by suicide” instead of “committed suicide”), and how emergency responders and healthcare professionals can better support individuals in crisis. Briana also details her advocacy with the Bridge Barrier Coalition, which successfully implemented a temporary barrier and secured plans for a permanent suicide prevention structure at the Natchez Trace Bridge. Now working with the Trauma Survivors Network at Vanderbilt University Medical Center, she shares how faith, therapy, music, and a strong support system have played a role in her healing. Briana offers powerful words of encouragement for anyone struggling with suicidal thoughts, reminding listeners that hope and help are always available. Understanding the warning signs of mental distress and offering compassionate intervention can make a critical difference, especially for first responders, emergency nurses, and healthcare professionals who often encounter individuals at their lowest moments. Encouraging peer support programs and a culture of mental health openness within emergency services can prevent tragedies and help providers care for themselves as well. Applications for Leaders & Healthcare Professionals: Language Matters: Leaders in EMS, healthcare, and emergency response must use proper terminology—phrases like “died by suicide” instead of “committed suicide” help remove the stigma. Suicide Prevention in Leadership: EMS professionals, hospital staff, and first responders are often the first points of contact for individuals in crisis. Briana's story highlights the importance of trauma-informed care, compassionate response, and proactive mental health initiatives within emergency and healthcare settings. Advocacy & Policy Change: Leaders can use their voices to advocate for safety measures, like bridging barriers, crisis response teams, and mental health access, to prevent future tragedies. The Power of Survivor Stories: Briana's work with Vanderbilt University Medical Center and the Trauma Survivors Network shows how lived experiences can educate and inspire change—an essential lesson for leaders looking to engage survivors in policy and training discussions. Supporting Mental Health in Teams: EMS and healthcare professionals face high-stress environments. This episode reinforces the importance of peer support programs, open conversations about mental health, and suicide prevention resources for those in service. Recognizing Warning Signs & Peer Support in EMS: Emergency responders often witness signs of mental distress in colleagues and patients. Encouraging mental health check-ins, peer support programs, and open discussions can help prevent burnout and crisis escalation. First responders are trained to save lives—that includes their own and those of their peers. Leaders must foster a culture where asking for help is seen as a strength, not a weakness. This episode is more than just a story of survival—it's a call to action for leaders, first responders, and healthcare professionals to challenge the stigma around suicide, implement meaningful prevention strategies, and provide compassionate care to those in crisis. If you or someone you know is struggling with suicidal thoughts, help is available. Dial 988 for the Suicide & Crisis Lifeline. Thank you, Briana, for all the hope you are bringing to our profession and individuals! You can reach out to Briana at briana.browne@att.net
A Conversation in Veterinary Pathology - The A.C.V.P. Podcast
This week's episode is Dr. Katherine Gibson-Corley. Dr. Gibson-Corley is a Pathology, Microbiology, and Immunology Professor at Vanderbilt University Medical Center. She is also the Associate Director of Comparative Pathology in the Division of Animal Care, and the Associate Director of Faculty Development in the Division of Comparative Medicine. Join us as we sat down with her at the 2023 ACVP/ASVCP Annual Meeting to learn more about her role in the American College of Veterinary Pathology (ACVP) Lifelong Learning Committee and how they develop and deliver content to members. We also hear about the environment in which Dr. Gibson-Corley learns best and the fun, animal-filled, non-pathology class that she teaches. Finally, we get a glimpse into Dr. Gibson-Corley's journey and life as a pathologist, including those in her life who have inspired her in her career. Let's get to the conversation! ____ ACVP Mentorship Program More Information on Certifying Examination Phase II ACVP Past Webinar Archive ACVP Errors in Publications Portal ____ Assistant Audio Editor: Nicholas Pankow Music: Guestlist by Podington Bear, licensed under an Attribution-NonCommercial 3.0 International License. The contents of this audio do not necessarily reflect the opinions of the American College of Veterinary Pathologists (ACVP) or the participants' affiliations. Spoken audio content and associated photos are the property of the American College of Veterinary Pathologists, 2025.
Elder Care Coordinator Pati Bedwell speaks with Dr. Veronique Belzil, an Associate Professor of Neurology at Vanderbilt University Medical Center. Dr. Belzil also serves at the Director of the Vanderbilt ALS Research Center.
In this episode of the SMFM Podcast Series, Dr. Jamie Lo is joined by Dr. Rolanda Lister, Officer of Health Equity at Vanderbilt University Medical Center, and Dr. Ann Borders, Executive Director of the Illinois Perinatal Quality Collaborative, to explore the essentials of community engagement in maternal-fetal medicine. Learn how partnering with community stakeholders, engaging patient voices, and addressing social drivers of health can improve birth outcomes and promote health equity. The discussion highlights practical strategies, real-world examples, and emerging data supporting the transformative impact of community engagement on clinical care, quality improvement, and research. Stay tuned for insights on building relationships with community organizations, fostering long-term partnerships, and integrating patient-centered approaches into practice. Plus, hear about SMFM's upcoming 2025 postgraduate course, Building Bridges Between Hospitals and Community Partners to Promote Birth Equity and Improved Birth Outcomes. Additional Links/Resources SMFM's 2025 Postgrad Course - Building Bridges Between Hospitals and Community Partners to Promote Birth Equity and Improved Birth Outcomes. Engaging Communities to Improve Perinatal Outcomes Special Interest Group Visit education.smfm.org for more educational Click here for the episode transcript. Funding Acknowledgement: The Public Health System Components: Clinicians who are related to Maternal-Fetal Medicine program is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health and Human Services (HHS) as part of a financial assistance award to the Society for Maternal-Fetal Medicine (SMFM) totaling $200,000 with 100 percent funded by CDC/HHS. The contents are those of the authors and do not necessarily represent the official views of nor endorsement, by CDC/HHS or the U.S. Government.
An estimated 30% of Covid-19 survivors - including those who initially had only “mild” symptoms - experience “long covid” - that is, symptoms that persist long after the acute phase of the infection has passed. In this episode, health psychologist Traci Stein interviews internationally renowned long covid expert Dr. James C. Jackson about the mental health and cognitive effects of this syndrome. They discuss some of the more common and challenging symptoms, such as fatigue, “brain fog,” depression and anxiety, as well as the social, professional, spiritual, and other challenges faced by those dealing with this condition. Listeners will also learn about specific steps they can take to begin to feel, do and live better despite long covid. For more information on Dr. Jackson, visit: https://www.jamescjackson.com/ For information about the Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center at Vanderbilt University Medical Center: https://www.icudelirium.org/ For more information on Traci Stein, visit: https://www.drtracistein.com/
Parker comes to us from the Edison Report. He gives Webster and Ron a 30,000 foot view of the lighting controls industry. Looking in from the outside, Parker touches on the retrofit world, manufacturer reps, the national electrical grid, and even cryptocurrency. Parker Allen serves as a Manager at EdisonReport, a news website and media network dedicated to covering the lighting industry. He is a content editor and staff writer for designing lighting (dl) magazine, as well as the assistant editor of Lighting Management and Maintenance (LM&M) magazine, published by EdisonReport on behalf of NALMCO. Allen just celebrated his third anniversary at EdisonReport. In a former life, he worked at Vanderbilt University Medical Center, conducting research into the aging process, specifically the role that insulin signaling played in promoting or delaying aging. He graduated from the University of Tennessee, Knoxville in 2014. He is an avid Vols fan (despite his better judgement) and enjoys life in Nashville with his fiancée and 5 cats.
In this episode of All-Access Pass, we explore the intersection of health equity and patient access with Dr. Ryzell McKinney and Joel Hudnall from Vanderbilt University Medical Center, alongside Stephanie Schmidt from Oregon Health & Science University. The discussion centers on the role of preferred-language appointment reminders in improving care access for patients with limited English proficiency. Despite high hopes, research revealed that these reminders did not significantly increase attendance rates, highlighting the complexity of addressing access disparities. The guests share insights into broader social determinants of health, such as income, education, and language, and discuss innovative strategies like clinician recruitment from marginalized communities and addressing dismissals from care. Together, they underscore that achieving equity in patient access is a multifaceted challenge requiring systemic solutions rather than isolated interventions. This episode serves as a thought-provoking exploration of the ongoing journey toward equitable access to care for all. Focus: The complexities of health equity in patient access, highlighting research on preferred-language appointment reminders and the need for multifaceted strategies to address disparities. Podcast Guests Stephanie Schmidt, MS Senior Director, Ambulatory Care and Access Services Oregon Health & Science University Joel Hudnall Epic Configuration Analyst Change Management, Strategic Access Support Vanderbilt University Medical Center Ryzell McKinney, EdD Director, Access Technology Vanderbilt University Medical Center
In this episode, we sit down with Stacie Dusetzina, Ph.D., a leading health economist from Vanderbilt University Medical Center to discuss the critical healthcare and policy trends shaping 2025. From shifts in federal leadership to the evolving impact of the Inflation Reduction Act, our guest provides expert insights on what to expect in drug pricing, health insurance, and patient access in the coming year. We explore how the public and private sectors are addressing affordability challenges and highlight innovative approaches to improve access to essential medications. With a focus on the future, this conversation offers a thoughtful outlook on the policies and market dynamics set to redefine healthcare in 2025. Stacie Dusetzina, Ph.D., Vanderbilt University Vanderbilt University Medical Center A primer on copay accumulators, copay maximizers, and alternative funding programs CMS FDA IRA Medicare Part D Pharmacy Benefit Managers (PBMs) Medicaid CMMI’s Medicaid group negotiation COVID-19 Statins PCSK9 inhibitors Imatinib 340B Drug Pricing Program Questions or comments?Email us at comments@prescriptionforbetteraccess.com.Find us on social media! Follow us on X, LinkedIn, YouTube and Threads.
This week on the AHRMM Subject Matter Expert Podcast, recorded live at the AHRMM24 conference in Columbus, OH, host Justin Poulin welcomes Karen Morlan, VP of Supply Chain Operations at Vanderbilt University Medical Center. Karen discusses her passion for proactively planning and anticipating future supply chain needs, from new facility openings to potential supply disruptions, and the importance of engaging the right teams. She also shares the best career advice she's ever received as well as a travel experience that provided a new perspective on the patient journey. Tune in today! #PowerSupply #AHRMM #Podcast #HealthcareSupplyChain #SupplyChainPlanning #PatientExperience
As Baptist's chief medical information officer, Dr. Lancaster works to improve the effectiveness and usability of health care technology for physicians and other providers. He is also a part-time internist for the Baptist Medical Group. After his residency, Dr. Lancaster completed a clinical informatics fellowship and earned a master's degree in applied clinical informatics from Vanderbilt University. He was the chief medical information officer at West Tennessee Healthcare in Jackson, Tennessee, before joining Baptist.Dr. Lancaster is board certified in internal medicine from the American Board of Internal Medicine and board certified in clinical informatics from the American Board of Preventive Medicine. He is a member of the American College of Physicians and the American Medical Informatics Association.Dr. Mason is a board-certified general surgeon and native of New Albany, Mississippi, where he practiced for 22 years at Baptist Memorial Hospital-Union County. Dr. Mason serves as chief medical officer at Baptist Memorial Hospital-DeSoto in Southaven, Mississippi, focusing on medical staff relations, quality of care and patient satisfaction. He earned his undergraduate and medical degrees from The University of Mississippi and completed his residency at Vanderbilt University Medical Center.Skip Steward earned an MBA and has leadership experience in many diverse industries, including automotive, machining, food, service and health care. He is a Shingo examiner, a Certified Quality Engineer (CQE), a Quality Management System Auditor, a certified Six Sigma Black Belt and a certified Lean Champion. Steward is a certified trainer in Training Within Industry (TWI) Job Instructions (JI), Job Relations (JR), and Job Methods (JM). He is an award-winning leader who has implemented streamlined business systems that deliver significant contributions to the bottom line, while increasing employee performance and improving productivity. He is recognized for superior project management and communication skills, and he has spoken both nationally and internationally.Link to claim CME credit: https://www.surveymonkey.com/r/3DXCFW3CME credit is available for up to 3 years after the stated release dateContact CEOD@bmhcc.org if you have any questions about claiming credit.
In today's episode, we had the pleasure of speaking with Binod Dhakal, MD, and Muhamed Baljevic, MD, about updates regarding patient identification for optimal multiple myeloma treatment. Dr Dhakal is an associate professor of medicine in the Division of Hematology at the Medical College of Wisconsin in Milwaukee. Dr Baljevic is an associate professor of medicine in the Division of Hematology Oncology, director of Plasma Cell Disorders Research, director of the Vanderbilt Amyloidosis Multidisciplinary Program, co-chair of the Protocol Review and Monitoring System, and disease team lead for plasma cell dyscrasias and lymphomas at the Vanderbilt-Ingram Cancer Center, part of the Vanderbilt University Medical Center in Nashville, Tennessee. In our exclusive interview, Drs Dhakal and Baljevic discussed first- and subsequent-line treatment options for patients with multiple myeloma, treatment options beyond CAR T-cell therapy for unfit patients, and ongoing research that may expand the myeloma treatment paradigm in the future.
Laura Bagus, chief technology officer at Vanderbilt University Medical Center, and Chuck Thresher, Workday ERP coordination director at VUMC, discuss their approach to keeping their organization agile via digital transformation. https://blog.workday.com/en-us/2024/workday-podcast-how-a-culture-of-innovation-creates-an-agile-organization.html
Dr. Eiman Jahangir, a physician, analog astronaut, and lifelong space enthusiast, shares his remarkable journey to becoming an astronaut with Blue Origin's New Shepard. With two previous NASA astronaut candidacies and years of dedication, Dr. Jahangir's story is resilient. He is driven by a love for science and space and his unwavering commitment to the dream of exploring beyond Earth. Catch Dr. Jahangir as he shares stories from his recent Blue Origin flight and launches into his experiences with the analog astronaut community, where he honed skills vital for long space missions. He's got heartwarming tales, like attending family space camp with his son and how volunteering at a science museum as a teen sparked his lifelong passion for inspiring others to reach for the stars. Dr. Jahangir's journey shows that even the biggest dreams are possible when you break them down into small, achievable steps! About Dr. Eiman Jahangir Dr. Eiman Jahangir's dreams are indeed out of this world. He has been fascinated with medicine and space since childhood and is now a cardiologist and an astronaut. Eiman was the first Iranian American man to go to space, the first physician on a commercial launch, and only the third cardiologist ever to go to space. He was selected from more than 2,200 applicants to be MoonDAO's second citizen astronaut and, on Thursday, August 29, 2024, made history as a member of the Blue Origin New Shephard rocket launch. Eiman is an associate professor and practicing cardio-oncology physician at Vanderbilt University Medical Center. A proud Martin Luther King, Jr. Magnet High School graduate in Nashville, he is also the first Metro Nashville Public School alumnus to go to space. Resources Mentioned Moondao – A DAO that funded Dr. Jahangir's seat on the Blue Origin flight through community-driven NFT and Ethereum support. Blue Origin – Learn more about Dr. Jahangir's flight aboard the New Shepard. Connect with Dr. Eiman Jahangir eimanjahangir.com hello@eimanjahangir.com If you enjoyed this episode and would like to share, I'd love to hear it! YOU CAN HELP US SEND STORIES TO SPACE! Please visit our GoFundMe campaign, and help send more stories to space! https://gofund.me/62f1ff87 You can follow and share in the socials, LinkedIn - @casualspacepodcast Facebook - @casualspacepodcast Instagram - @casualspacepodcast YouTube - @casualspacepodcast83 or email me at beth@casualspacepodcast.com. *Remember!!! You can send your story to space TODAY! The window for STORIES of Space Mission 03 is NOW OPEN! Send your story, for free, to www.storiesofspace.com Also, to help support sending stories about space to space. Visit our 2025 GoFundMe Campaign at this link: https://gofund.me/0638ee0e
Dr. David Alfery's Bio Dr. David Alfery was raised in the North but moved to Louisiana to attend Tulane University where he graduated with a BA degree in English. He then attended LSU Medical School in New Orleans. After graduating, he took the Louisiana State Medical Licensing Exam where he received the highest grade out of approximately 400 new doctors from the three medical schools in the state. He spent a year as a surgical intern at the University of Kentucky in Lexington, Kentucky and then did his residency in anesthesia at the University of California in San Diego. He stayed on there for an additional year of fellowship training in cardiothoracic anesthesia. In 1980 he moved to Nashville, Tennessee where he spent a thirty-six-year career in private practice. He has served as a Chief of Anesthesia, President of the Tennessee State Society of Anesthesiologists, and was a founding member of Anesthesia Medical Group, one of the largest anesthesia practices in the United States. For twenty years he served as an Oral Examiner for the American Board of Anesthesiology, ending his tenure as a Senior Examiner. While in practice, he held an academic appointment at Vanderbilt University Medical Center as Adjunct Associate Professor of Anesthesiology. In addition, he participated in numerous medical missions with Operation Smile. Following his retirement from work in the Operating Room, he co-founded the AMG Ketamine and Wellness Center in Nashville. Dr. Alfery has authored ten chapters in medical textbooks and 41 peer reviewed articles in anesthesia medical journals. He has invented several anesthesia devices that are sold worldwide and for which he has been awarded 17 US and International patents. He has been married to his medical school sweetheart, Joyce, for over forty-five years, and together they have produced three daughters and five grandchildren. Find Dr. Alfery at https://savinggracebook.com or on TikTok at @drdavidalfery The information in this podcast is not to be considered medical of legal advice.
Welcome to the NeurologyLive® Mind Moments® podcast. Tune in to hear leaders in neurology sound off on topics that impact your clinical practice. In this episode, Daniel Claaseen, MD, MS, a professor of neurology and chief of the Behavioral and Cognitive Neurology Division at Vanderbilt University Medical Center, offered his insight on phase 1/2 data that was recently presented at the International Parkinson and Movement Disorder Society (MDS) Congress on ATH434, an investigational drug in development from Alterity Therapeutics for multiple system atrophy (MSA). He dove into the therapy's mechanism of action and the currently known safety profile and considerations for its use, as well as the next steps in advancing care for patients with MSA as a whole. Looking for more movement disorders discussion? Check out the NeurologyLive® movement disorder clinical focus page. Episode Breakdown: 1:10 – Overviewing the conduct of the phase 1/2 studies 3:00 – Notable findings from data presented at MDS 4:30 – Mechanism of action behind ATH434 8:20 – Neurology News Minute 10:20 – Next steps in ATH434's development 11:15 – Current unmet needs for patients with MSA The stories featured in this week's Neurology News Minute, which will give you quick updates on the following developments in neurology, are further detailed here: FDA Removes Partial Hold for Myotonic Dystrophy Agent AOC 1001 FDA Approves Avadel's Sodium Oxybate for Cataplexy or Excessive Daytime Sleepiness in Pedatric Narcolepsy FDA Approves AbbVie's 24-Hour Foscarbidopa/Foslevodopa Pump for Advanced Parkinson Disease Treatment Thanks for listening to the NeurologyLive® Mind Moments® podcast. To support the show, be sure to rate, review, and subscribe wherever you listen to podcasts. For more neurology news and expert-driven content, visit neurologylive.com.
Podcast Mashup! Daniel Dücker MSS, M. Ed. - Army Veteran and Executive Director - VA Tennessee Valley Health Care joined Josh Roe, John Ballinger, and Clint Powell in the studio for a great conversation! We talked about how the VA is changing is reputation among veterans-how leadership matters-building a Government agency based on the customer experience-the services the VA provides-what is next for the VA-and more! PLUS - we shared stories and the veterans shared about their personal experience serving in the military! FIND ALL OUR CONVERSATIONS: WWW.OATHANDPLEDGE.COM Also-Josh Roe gave us a very brief update on his recent trip to Vietnam centered around the Medal of Honor recipient Sgt. Rodney Davis! Who is Mr. Dücker (abbreviated from the VA website): In this role, Mr. Dücker oversees health care operations for two Level 1A VA medical centers and 20 outpatient clinics serving more than 140,000 enrolled Veterans living in middle Tennessee, southern Kentucky, and northern Georgia. He leads an executive leadership team of seven and 5,200 employees with an annual operating budget of $1.8 billion. Under his leadership, he has maintained strong academic affiliations and cutting -edge research advancements with five medical institutions, including Vanderbilt University Medical Center and Meharry Medical College, and more than 100 associated health residency programs. He also championed a new partnership and resource sharing agreement with Fort Campbell Army Post and Blanchfield Army Community Hospital resulting in the newly constructed Fort Campbell VA Clinic, making this the only VA-DoD health care clinic in Kentucky and second in Tennessee. Mr. Dücker retired from the U.S. Army Reserve in 2017 as a Medical Service Corps officer at the rank of Colonel after nearly 34 years of service. He received numerous awards during his military service including the Legion of Merit (2) and the Bronze Star for leadership and meritorious service as a Commander in Afghanistan.
For a profession like medicine in which suffering — be it physical, psychological, existential, or spiritual — is so commonly encountered and experienced, we have developed remarkably little shared vocabulary about what suffering means. That is, if we even have the conversations at all.In early June 2024, during the American Society of Clinical Oncology annual conference in Chicago, we hosted a live podcast event at Northwestern University's Feinberg School of Medicine, gathering Sunita Puri, MD and Jay Wellons, MD, MSPH to explore the great problem of suffering. Dr. Puri, a palliative care physician and author of the best selling book That Good Night: Life and Medicine in the 11th Hour (2019), last joined us on Episode 74: The Beauty of Impermanence. Dr. Wellons, a pediatric neurosurgeon at Vanderbilt University Medical Center and author of the memoir All That Moves Us: A pediatric neurosurgeon, His Young Patients and Their Stories of Grace and Resilience (2022), last joined us on Episode 28: The Brain and All That Moves Us. The four of us, the guests and co-hosts, start by sharing our personal encounters with suffering, both in our patients and in ourselves, before discussing our philosophical approaches to and practical strategies for accompanying patients through suffering, managing spiritual distress, contextualizing our own humanity in these encounters, maintaining our own well-being, and searching for meaning amid these tragic moments, if it is possible. After our main discussion, we also answer audience questions about managing the sometimes unrealistic and complicated expectations patients have of clinicians, and the role of interfaith discussions among healthcare professionals.We thank Kelly Michelson, MD, MPH and the Center for Bioethics and Medical Humanities at Northwestern University for making this event possible.In this episode, you'll hear about: 3:58 - Stories of confronting suffering, both in professional and personal contexts29:02 - Practical tips for coping with suffering and uncertainty as a physician31:53 - The importance of psychological safety in feeling and expressing your emotions as a physician 36:52 - Being present in the moment while accompanying patients through difficult times40:00 - Helping doctors re-connect with the deeper reason of why they feel called to medicine 42:24 - The inexplicable relationship between love and loss 52:04 - The deep sense of meaning inherent in the work of a physician and what makes it “real” 54:41 - Q&A: How physicians can better navigate the challenging expectations patients have as well as medical skepticism1:04:05 - Q&A: How we can better incorporate interfaith dialogue into medical training and practiceDr. Jay Wellons is the author of All That Moves Us (2022) and can be found on Twitter/X at @JayWellons5.Dr. Sunita Puri is the author of That Good Night (2019) and can be found on Twitter/X at @SunitaPuriMD.