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.

May 11, 2021

What You Need to Know About Eustachian Tubes and Tonsils

Guest: Laura J. Orvidas, M.D.

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

Tonsils and eustachian tubes often get taken for granted until they cause problems. Eustachian tube dysfunction is quite common and usually resolves on its own, however some patients will develop recurrent eustachian tube dysfunction and it can result in recurrent episodes of otitis media, especially in children. Although recurrent tonsillitis used to be the most common indication for tonsillectomy, more children are having this procedure for disordered breathing conditions, such as obstructive sleep apnea. In this episode, we’ll discuss disorders of the eustachian tube and tonsils with Laura J. Orvidas, M.D., an otolaryngologist at the Mayo Clinic.

Specific topics discussed:

  • Purpose of the eustachian tube
  • Definition of eustachian tube dysfunction
  • Physical exam findings of eustachian tube dysfunction
  • Recurrent eustachian tube dysfunction in children and potential for recurrent episodes of otitis media
  • When pressure equalization tubes are indicated
  • Relationship between pharyngitis and tonsillitis
  • Viral versus bacterial causes of tonsillitis
  • How to suspect a peritonsillar abscess
  • Indications for tonsillectomy
  • Management of tonsil stones

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

April 19, 2021

Mayo Clinic Q&A: Vacation Travel, Vaccines for Teens and More COVID-19 News

This episode is shared from Mayo Clinic Q&A and was recorded in April, 2021

To claim credit visit: https://ce.mayo.edu/covid19podcast 

Guest:  Gregory A. Poland, M.D. (@drgregpoland

Host: Halena M. Gazelka, M.D. (@hmgazelkamd)  

 If you're fully vaccinated for COVID-19 you can travel domestically and where travel is allowed internationally, according to new interim travel guidelines from the Centers for Disease Control and Prevention (CDC). Even with those recommendations the CDC continues to recommend not traveling unless it is essential. Regardless, the CDC strongly recommends people continue to wear a face mask, practice social distancing and sanitize their hands.

Meanwhile, COVID-19 vaccine research is continuing in teenagers. "The early data show equal safety in young people aged 12 to 16," says Dr. Gregory Poland, an infectious diseases expert and head of Mayo Clinic's Vaccine Research Group. "I think this is going to imply that, somewhere between this fall and Christmas, we're going to be able to offer the (COVID-19) vaccine to every age group."

In this Mayo Clinic Q&A podcast, Dr. Poland answers a number of listener questions, including how long the COVID-19 vaccines are predicted to last and if the current transmission research still supports wiping down household items. Dr. Poland also explains why someone who has had COVID-19 should still get a COVID-19 vaccine.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

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

February 8, 2021

COVID-19 Miniseries Episode 63: Mayo Clinic Q&A - #AskTheMayoMom about Sports Participation During COVID-19

This episode is shared from Mayo Clinic Q&A and was recorded in February, 2021

To claim credit visit: https://ce.mayo.edu/covid19podcast 

Guest:  David B. Soma, M.D. (@DrDaveSoma); Talha Niaz, M.B.B.S.

Host: Angela C. Mattke, M.D. (@DrAngelaMattke)

There are many benefits to sports participation for children and adolescents. However, during the COVID-19 pandemic, activities such as youth sports have been put on hold or modified to decrease the spread of COVID-19. Also, the scientific community is learning about when it is safe to return to sports participation following COVID-19 infection.  

On the Mayo Clinic Q&A podcast, "Ask the Mayo Mom" host and Mayo Clinic pediatrician, Dr. Angela Mattke is joined by Dr. David Soma, a pediatric sports medicine physician at Mayo Clinic Children's Center, to discuss sports participation during the COVID-19 pandemic and what you need to know about return to play after COVID-19 infection. Also joining Drs. Mattke and Soma is Dr. Talha Niaz, a pediatric cardiologist at Mayo Clinic. 

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 

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

February 2, 2021

Want to Know About Pediatric Enuresis? Well, Urine Luck

Guest: Patricio Gargollo, M.D. (@pgargollo)

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

Enuresis is relatively common in children, estimated to be present in as many as 5 to 10% of 7-year-olds. This represents up to 7 million children in the United States. As you can imagine, it carries significant social implications for the child. Our guest for this podcast is Dr. Patricio Gargollo, a pediatric urologist at Mayo Clinic in Rochester, Minnesota. Dr. Gargollo will address the natural history of enuresis, how to evaluate the child with enuresis, how often it represents a structural urologic problem and how often a treatable cause is found. Practical advice for parents of children with enuresis is also discussed.

Specific topics:

  • Potential for children with enuresis to have bladder control problems when they develop into adulthood.
  • Social impact of enuresis on a child.
  • Potential risk factors and causes of enuresis.
  • The role of genetics and enuresis.
  • The natural history of enuresis.
  • How often a structural urologic problem is found to explain enuresis.
  • Pharmacologic treatment options.
  • The evaluation of a child with enuresis.

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

January 14, 2021

COVID-19 Miniseries Episode 58: Mayo Clinic Q&A - #AskTheMayoMom about COVID-19 and School Children

This episode is shared from Mayo Clinic Q&A and was recorded in January, 2021.

Guests: Emily R. Levy, M.D. (@EmilyLevy797); Nipunie S. Rajapakse, M.D., M.P.H. (@nrajapakseMD)

Host: Angela C. Mattke, M.D. (@DrAngelaMattke)

Around the world, COVID-19 vaccinations are underway, but only in adults. Pfizer's vaccine has been authorized for ages 16 and up, while Moderna's vaccine is currently authorized for ages 18 and up. Vaccines are generally tested in adults first to ensure they are safe for pediatric trials. Both Pfizer and Moderna now have clinical trials underway to study the safety and effectiveness of COVID-19 vaccines in children. 

This edition of the Mayo Clinic Q&A podcast features an #AskMayoMom episode hosted by Dr. Angela Mattke, a pediatrician at Mayo Clinic Children's Center. Joining Dr. Mattke to discuss COVID-19, vaccines and children are Dr. Nipunie Rajapakse, a Mayo Clinic pediatric infectious diseases physician, and  Dr. Emily Levy, a Mayo Clinic pediatric critical care and infectious diseases expert. Dr. Levy also discusses multisystem inflammatory syndrome in children, also known as MIS-C.

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19

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

September 22, 2020

Mayo Clinic Q&A: #AskTheMayoMom about COVID-19 and School Children

This episode is shared from Mayo Clinic Q&A and was recorded in September, 2020. 

Guest:  Angela C. Mattke, M.D. (@DrAngelaMattke

Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar

The COVID-19 pandemic continues to create challenges, including returning to school with hybrid learning modules for children. There are also anxieties and uncertainties to navigate, while trying to follow COVID-19 guidelines. 

In this "Mayo Clinic Q&A" podcast, Dr. Angela Mattke, a Mayo Clinic pediatrician and host of #AskTheMayoMom, talks about the concerns her patients have, and what important things parents and caregivers should take into consideration when helping children stay healthy. 

AskMayoExpert COVID-19 Resources: https://askmayoexpert.mayoclinic.org/navigator/COVID-19 

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

January 21, 2020

A Public Health Emergency – The State of Sleep in Children

Guest: Robin M. Lloyd, M.D. (@DrRobinLloyd

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

Insomnia has a 25 – 50% incidence rate in children. Dr. Robin Lloyd discusses the patterns and differences of disordered sleep in pediatric patients. She covers the impact technology integration has had, sleep apnea, genetic conditions, and obesity. What are red flag snoring symptoms in children? What are the signs of sleep apnea? 

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

Deeper Dive: 

November 5, 2019

Perception of Risk in Adolescent Substance Use Disorder

Guest: Tyler S. Oesterle, M.D., M.P.H. (@OesterleMD)

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

What are the current trends in substance abuse in the adolescent population? Is nicotine still the primary gateway? What questions should you be asking patients and their families? Dr. Tyler Oesterle covers what leads to experimentation, how it is changing in today’s landscape, and how adolescent addiction and treatment differs from adults, and some medications that can be helpful.

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

August 8, 2019

Things to Look For in a Sports Physical

Guest: Daniel P. Montero, M.D. (@DanMonteroMD

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

Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 2: Who can do these types of exams? What questions are important to cover in the history? What’s the ideal lead time prior to participation that patients should be screened? Dr. Montero discusses the ins and outs of pre-participation sports physicals and the common findings from his practice.

To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport

Deeper Dive: 

August 1, 2019

Sports-Related Concussions: When in Doubt, Sit Them Out

Guest: Cara C. Prideaux, M.D. 

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

Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 1: According to the CDC, sports concussions have reach epidemic levels. Dr. Cara Prideaux discusses risks for concussions, evaluation signs and symptoms, and when referral and imaging is recommended. What should be happening on the sidelines when one of your patients has an event? What are the recommendations for recovery and returning your patients to school and sports? Dr. Prideaux details the dangers of returning too early and what to do when patients are making a delayed transition back to normality. To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport

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

Deeper Dive:

  • American Medical Society for Sports Medicine Position Statement on Concussion in Sport Harmon KG, Clugston JR, Dec K, et al American Medical Society for Sports Medicine position statement on concussion in sport British Journal of Sports Medicine 2019;53:213-225. http://dx.doi.org/10.1136/bjsports-2018-100338 
June 18, 2019

Addressing Misinformation and Vaccine Hesitancy in a Post-Fact Society

Guest: Gregory A. Poland, M.D. (@drgregpoland)

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

The World Health Organization has listed vaccine hesitancy as a Top 10 Global Health Threat. How do you discuss vaccine myths with vaccine hesitant patients? What are the true risks associated with vaccines? How do you navigate conversation with a patient who refuses a flu vaccine because they had one in the past and still got the flu? Dr. Gregory Poland discusses vaccine hesitancy, immunization in pregnancy, late-season flu vaccines, antigenic burden and the evidence behind single session multiple vaccine administration, and the ethics of health care provider immunizations.

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

Deeper Dive:

January 15, 2019

Pediatric Traumatic Brain Injury and Concussion

Guest: Sherilyn W. Driscoll, M.D. 

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

Traumatic brain injury in children represents a significant public health problem and they account for over one-half million emergency department visits per year. It’s estimated that traumatic brain injuries affect as many as one in five children by the age of 15. These brain injuries can have lifelong effects on a child’s development, including their ability to learn and participate effectively in social activities. Today we’re joined by Dr. Sherilyn Driscoll, a consultant in Pediatric Physical Medicine and Rehabilitation at the Mayo Clinic Children’s Center in Rochester. Her areas of interest include brain and spinal cord injury, cerebral palsy, and spina bifida.

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

Deeper Dive: 

December 25, 2018

You Did What? Uncovering What Kids Are Ingesting

Speaker: Charlotte S. Van Dorn, M.D. 

Today’s special episode is an excerpt from the Mayo Clinic Pediatric Days Conference. This annual conference provides an interdisciplinary update in the latest strategies for providing timely and effective evidence-based diagnosis and management plans for multiple aspects of pediatric and young adult health. Today’s selected presentation, “You Did What? Uncovering What Kids are Ingesting” is presented by Dr. Charlotte S. Van Dorn, a Mayo Clinic Pediatric and Intensive Care Specialist.

December 11, 2018

Pediatric Abuse: Recognition, Assessment, and Downstream Impact

Guest: Arne H. Graff, M.D. (@arne_graff)

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

Child abuse is a serious problem, both within the U.S. and around the world. In 2012, Child Protective Services agencies estimated that approximately 9 out of 1000 children in the U.S. were victims of child maltreatment and this was felt to underestimate the true scope of the problem. A recent study by the CDC estimated that one in four children experience some form of maltreatment in their lifetimes. Today we’re joined by Dr. Arne Graff, a family physician and Division Chair of Child Abuse and Pediatrics, practicing at Mayo Clinic, Rochester, Minnesota.

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

December 5, 2016

Truthful and Fearless

Today’s talk, Truthful and Fearless - Talking Through Vaccine Hesitancy, was presented by Nicole K. Callahan, Certified Nurse Practitioner and Dr. Derek L. Weyhrauch. It was given at the Internal Medicine Review Conference in September, 2015 in Rochester, Minnesota. ©2016 Mayo Foundation of Medical Education and Research