Category: Education

Timely consultations relevant for family medicine, primary care, and general internal medicine topics for physicians, nurse practitioners, physician assistants, and residents. Offering CME credit for most episodes at https://ce.mayo.edu/podcast. Produced by @MayoMedEd.

June 29, 2021

Primary Care Management of the Post-Prostate Cancer Patient

Guest: Matthew K. Tollefson, M.D. (@MattTollefsonMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Other than skin cancer, prostate cancer is the most common cancer in men in the United States and will affect 1 in every 6 men 65 years and older. Fortunately, when detected early, it is very treatable. Long-term follow-up of patients with treated prostate cancer is usually performed by primary care providers. How often should these patients be seen? How much of an exam is recommended? Which tests should be ordered? When are imaging tests indicated and which studies are the most helpful? This podcast will address these questions and more as we discuss the primary care management of the post-prostate cancer patient with Dr. Matthew Tollefson, a urologist from the Mayo Clinic.

Specific topics discussed:

  • Current treatment options for prostate cancer
  • Determinants for choosing one of the treatment options for prostate cancer
  • When and how often patients should receive follow-up for prostate cancer
  • Laboratory tests recommended for the follow-up of prostate cancer patients
  • When a detectable PSA is concerning following prostate cancer treatment
  • Imaging studies recommended for following prostate cancer patients and when they are indicated
  • Treatment options for recurrent prostate cancer
  • Future treatment options for prostate cancer which have potential

Additional resources:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 18, 2021

Identifying Breast Cancer in Men

Guest: Kathryn J. Ruddy, M.D. (@KathrynRuddyMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Breast cancer in men is very uncommon, about 1/100th as common as in women. It’s expected that this year, just under 3000 men are likely to be diagnosed with it, and just over 500 men will die from breast cancer. Because it’s so uncommon, there are very few good studies which have been completed to educate us about this disease. Kathryn Ruddy, M.D., an oncologist at Mayo Clinic’s Rochester campus joins us to discuss breast cancer in men and what we should do as primary care clinicians to care for our male patients who may be at increased risk to develop it. We’ll cover how breast cancer in males differs from that in females, its risk factors, how it’s diagnosed, and the survival rates of men with a diagnosis of breast cancer.

Specific topics:

  • Prevalence of breast cancer
  • How most breast cancers in men are found
  • The recommended evaluation of a male patient with suspected breast cancer
  • Risk factors for breast cancer in men
  • Treatment for male breast cancer
  • Survival rates for breast cancer in men

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

April 27, 2021

Fact or Fiction: Erectile Dysfunction Treatments

Guest: Tobias S. Kohler, M.D., M.P.H.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Erectile dysfunction not only causes lifestyle changes, but it may also be the first symptom of peripheral vascular disease. Since many men are reluctant to mention erectile dysfunction to their healthcare provider, it’s important for us to ask our patients whether it is a problem and be knowledgeable in the appropriate evaluation of patients who have it. This reluctance may cause many to seek out readily available but ineffective treatments from questionable sources, even though there are a variety of proven, effective treatments that can be prescribed. Tobias S. Kohler, M.D., M.P.H., a Mayo Clinic Urologist, joins us to discuss the impact of erectile dysfunction, the currently available effective treatments, as well as the unproven, ineffective products currently being used.

Specific topics discussed:

  • The first historical appearance of treatments for erectile dysfunction
  • Most common causes of dysfunction
  • Appropriate evaluation of patients who present with erectile dysfunction
  • Review of the currently available effective treatment options
  • Reasons men are reluctant to mention the topic of erectile dysfunction to their provider
  • Review of some ineffective treatments currently being promoted

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

February 5, 2019

Prostate-Specific Antigen (PSA) Testing: A Urologist’s Perspective

Guest: Mitchell R. Humphreys, M.D. (@MayoMitch)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Prostate cancer is a very common malignancy in men, second only to skin cancer. Despite the fact that it’s one of the more treatable malignancies, it remains the 2nd leading cause of cancer death in men. When diagnosed early, it has an excellent prognosis. The 5-year survival rate approaches 100% in those with local or regional disease. Although screening for prostate cancer is available, the use of screening tests has been controversial and recommendations regarding its use, confusing. Listen in to get a urologist’s perspective.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

January 8, 2019

Does Size Really Matter? Benign Prostatic Hyperplasia (BPH): Evaluation, Management, and Treatment

Guest: Mitchell R. Humphreys, M.D. (@MayoMitch)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Our topic for discussion today is benign prostatic hyperplasia, or BPH. By age 60, it’s estimated that 50% of men will have some symptoms of BPH. While BPH is not a life-threatening condition, and only rarely does it result in serious health consequences, it commonly causes symptoms affecting men’s lifestyle. Our guest today is Dr. Mitchell Humphreys, chair of the Department of Urology at Mayo Clinic Arizona and Dean of the Mayo Clinic School of Continuous Professional Development.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.