Episodes
Tuesday Aug 13, 2019
A Nephrologist’s Take on Renal Function Testing
Tuesday Aug 13, 2019
Tuesday Aug 13, 2019
Guest: Suzanne M. Norby, M.D. (@SuzanneNorby)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
When should we be concerned about an elevated creatinine level? What role should the creatinine level, GFR, BUN, and cystatin C play in determining renal function? Dr. Suzanne Norby discusses the common findings in renal function testing, the various factors that can influence the test results, and when to consider imaging.
Deeper Dive:
Tuesday Aug 06, 2019
Preventative Screening for Elderly Patients: When to Stop and What to Stop
Tuesday Aug 06, 2019
Tuesday Aug 06, 2019
Guest: Ying Ying (Christina) Chen, M.D.
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Preventative health care becomes more complicated as patients age. Do screening tests continue to improve the quality and duration of our elderly patient’s lives? Dr. Christina Chen discusses her process for determining the appropriateness of preventative health screening for patients over 65 and steps through what a generalist should know about the comprehensive geriatric assessment to help maximize independence for our patients.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
- US Preventative Health Task Force https://www.uspreventiveservicestaskforce.org/Page/Name/tools-and-resources-for-better-preventive-care
Thursday Aug 01, 2019
Sports-Related Concussions: When in Doubt, Sit Them Out
Thursday Aug 01, 2019
Thursday Aug 01, 2019
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
Tuesday Jul 30, 2019
Airline Emergencies: A Pilot-Physician’s Perspective Part 2
Tuesday Jul 30, 2019
Tuesday Jul 30, 2019
Guest: Robert Haddon, M.D., M.S. & Maryjane (MJ) F. Harris, D.O.
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Who decides when the plane needs to land due to a medical emergency and what’s involved in those decisions? What’s the protocol for CPR on board and what tools are available to help with resuscitation? What happens when a passenger dies on a flight? Drs. Haddon and Harris step through the intricacies of responding to in-flight emergencies and the ethics involved.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Jul 23, 2019
Airline Emergencies: A Pilot-Physician’s Perspective Part 1
Tuesday Jul 23, 2019
Tuesday Jul 23, 2019
Guests: Robert Haddon, M.D., M.S. & Maryjane (MJ) F. Harris, D.O.
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Are you required to respond? If you do, what are your responsibilities? What are your liability risks and protections? Dr. Harris steps through some recommendations for responding to in-flight emergencies. Dr. Haddon runs through what you should ask as part of the physical exam while in-flight and why these questions are important.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Jul 16, 2019
Predominant Management Strategies for Irritable Bowel Syndrome
Tuesday Jul 16, 2019
Tuesday Jul 16, 2019
Guest: Stephanie L. Hansel, M.D., M.S. (@SLHanselMD)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
What causes Irritable Bowel Syndrome (IBS)? What diets are recommended? What is gut-brain access and what does it have to do with IBS? Dr. Hansel covers treatment recommendations for IBS-diarrhea predominant, IBS-constipation predominant, and IBS-mixed type, including the role of bile acid malabsorption.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
Tuesday Jul 02, 2019
Microaggressions in Medicine
Tuesday Jul 02, 2019
Tuesday Jul 02, 2019
Guests: Catherine W. Njathi-Ori, M.D., Erin K. O'Brien, M.D. (@ErinOBrienMD), Nafisseh S. Warner, M.D. (@nafisseh_warner)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
What are microaggressions? How do you recognize them? How do you address them? Efficient teams and effective health care require diverse and inclusive environments. Drs. Njathi-Ori, O’Brien, and Warner present on microaggressions in medicine, the evidence in gender gap research, and give you tools to address microaggressions when they happen in your environment.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday May 28, 2019
Preventive Therapies for Breast Cancer
Tuesday May 28, 2019
Tuesday May 28, 2019
Guest: Sandhya Pruthi, M.D. (@DrSandhyaPruthi)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
How can we help women at high risk of breast cancer manage their risk? How do you rank these risks and approach their management? Dr. Pruthi discusses what you can do and tools that you can use to help calculate risk and what to do with the information you have.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
- Breast cancer risk assessment tools:
- Gail model https://bcrisktool.cancer.gov/
- IBIS tool http://www.ems-trials.org/riskevaluator/
Monday May 27, 2019
Meeting the Needs of Our Female Veterans
Monday May 27, 2019
Monday May 27, 2019
Guest: Ashley Laganiere, CVSO
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Female veterans can face significant barriers to receiving proper care. As the number of female service members increases, what can we do to help address these barriers and facilitate access to the care they need? What resources exist and how do we identify this population if they do not readily self-identify as veterans?
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
- National Association of County Veterans Service Officers: https://www.nacvso.org/
- Minnesota Association of County Veterans Service Officers: https://www.macvso.org/index.html
- VA Women’s Health Research Network: https://www.hsrd.research.va.gov/for_researchers/womens_health/
- Military Health and Health Care https://www.rand.org/topics/military-health-and-health-care.html
Tuesday May 21, 2019
Lyme Disease: When to Test, When to Treat
Tuesday May 21, 2019
Tuesday May 21, 2019
Guest: Bobbi S. Pritt, M.D. (@ParasiteGal)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
How do you detect Lyme’s disease without the rash? What are the implications for our patients if we miss it? If you practice in an endemic area what are the guidelines for treatment when your patient has been bitten by a tick? Dr. Bobbi Pritt discusses Lyme disease detection, prophylaxis, and some of the long-term consequences of Lyme disease. Listen now to learn the ABCs of tick bite prevention.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
- CDC Guidelines for Tick Bite Prophylaxis: https://www.cdc.gov/ticks/tickbornediseases/tick-bite-prophylaxis.html
- Dr. Pritt's “Creepy, Dreadful, Wonderful Parasites” blog https://parasitewonders.blogspot.com/
Tuesday May 07, 2019
Management of HIV and the Barriers to a Cure
Tuesday May 07, 2019
Tuesday May 07, 2019
Guest: Stacey A. Rizza, M.D. (@DrStaceyRizza)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
How close are we to having an immunization for HIV? What’s on the horizon? When should your patients be referred to an HIV center or clinic for care? How do you connect a patient that wants local care when a center isn’t close by? Dr. Rizza discusses the management of HIV, pharmacotherapy, and goals of treatment in the second episode of this two-part HIV mini-series.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Apr 30, 2019
Screening for HIV: Who Are You Missing?
Tuesday Apr 30, 2019
Tuesday Apr 30, 2019
Guest: Stacey A. Rizza, M.D. (@DrStaceyRizza)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Can you predict who has HIV and who doesn’t? Do you order universal HIV screening? What screening tests should be ordered and what happens when the results are positive or equivocal? When is a false negative possible? What is the effective window for post-exposure prophylaxis? Dr. Stacey Rizza discusses HIV and progression to AIDS, medical exposures, and screening in the first episode of this two-part HIV mini-series.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
- Universal screening: https://doi.org/10.1016/j.mayocp.2012.06.021
Tuesday Apr 09, 2019
Time’s Up Healthcare: Accelerating a Safe, Equitable, Dignified Workplace
Tuesday Apr 09, 2019
Tuesday Apr 09, 2019
Guest: Sharonne N. Hayes, M.D. (@SharonneHayes)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
The healthcare system is not immune to bias, harassment, and discrimination. How do we create a climate of mutual respect? How do we empower bystanders to step up? How do we create systems and procedures to ensure consistent messaging and action when these things occur? Listen in as Dr. Sharonne Hayes discusses the Time’s Up Healthcare movement and what you can do to get involved.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
Tuesday Mar 26, 2019
Finding Balance and Harmony in the Face of Illness: Integrative Medicine
Tuesday Mar 26, 2019
Tuesday Mar 26, 2019
Guest: Ying Ying (Christina) Chen, M.D.
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
How does integrative medicine differ from alternative and complementary medicine? Are the practices evidence-based? How and when can these techniques be applied in your current practice? Listen as Dr. Christina Chen discusses the practice of integrative medicine and its impact on her patients.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Feb 19, 2019
Communicating with Humility: Lessons Learned
Tuesday Feb 19, 2019
Tuesday Feb 19, 2019
Guest: Katherine W. Arendt, M.D. (@arendt_katie)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
We practice effective communication with our patients but how effectively do we communicate with our co-workers? At home after a long day? Dr. Katie Arendt discusses how to utilize humility and emotional intelligence to communicate effectively and build awareness of confirmation bias and ladders of inference.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Feb 12, 2019
Tuesday Feb 12, 2019
Guest: Sandhya Pruthi, M.D. (@DrSandhyaPruthi)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Dr. Sandhya Pruthi, a breast disease specialist in Mayo Clinic’s Breast Diagnostic Clinic, discusses why we don’t use ultrasound as a primary screening test for breast cancer. Listen in for the pros and cons of different types of imaging studies and which are used for screening versus diagnostic testing. Also discussed is the role genetic testing should play in breast cancer screening, who should have testing done, and what tests are available, including when a care plan should include a genetic counselor.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Jan 22, 2019
Provider and Patient Bias: What Do We Do About Culture's Thumbprint in Medicine?
Tuesday Jan 22, 2019
Tuesday Jan 22, 2019
Guest: Sharonne N. Hayes, M.D. (@SharonneHayes)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Dr. Sharonne Hayes discusses the impact of unconscious bias in medicine and how providers can take steps to acknowledge, address, and mitigate these cultural imprints on our automatic thought processes. She then turns the tables discussing patient bias and how health systems and providers can protect and support staff who have been harassed, along with processes that can be put in place to systematically address existing practices that fosters bias.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
- Project implicit can be found at: https://implicit.harvard.edu/implicit/takeatest.html
Tuesday Jan 15, 2019
Pediatric Traumatic Brain Injury and Concussion
Tuesday Jan 15, 2019
Tuesday Jan 15, 2019
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:
- For the CDC’s Heads Up program, visit https://www.cdc.gov/headsup/
Tuesday Dec 25, 2018
You Did What? Uncovering What Kids Are Ingesting
Tuesday Dec 25, 2018
Tuesday Dec 25, 2018
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.
Tuesday Dec 04, 2018
Handling Difficult Conversations: Pearls from Palliative Medicine
Tuesday Dec 04, 2018
Tuesday Dec 04, 2018
Speaker: Elise C. Carey, M.D. (@elisecarey)
Today’s episode is an excerpt from the 2018 Mayo Clinic Principles of Pain Management & Palliative Care conference. Today’s selected presentation, “Help! My Patient is Crying! Addressing Emotion in Patient Interactions,” is presented by Dr. Elise Carey, Mayo Clinic general internist and palliative care physician.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Nov 27, 2018
Benefits and Risks of Hormone Therapy in Women
Tuesday Nov 27, 2018
Tuesday Nov 27, 2018
Guest: Ekta Kapoor, M.B.B.S. (@Ektasinghkapoor)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
For years, healthcare providers routinely prescribed hormone therapy for the management of women with postmenopausal symptoms as well as to reduce the risk of cardiovascular disease and the treat osteoporosis. Then, in 2002, the Women’s Health Initiative was published and our views of hormone therapy changed. Parts of the study’s findings were criticized leading to confusion as to whether hormone therapy was as effective as we assumed as well as whether hormone therapy was exposing women to excessive health risks. To help us sort out the benefits and risks of hormone therapy in women, we’re joined by Dr. Ekta Kapoor, a Mayo Clinic internist and specialist in the Menopause and Women’s Sexual Health Clinic.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Nov 20, 2018
The Dangers of Distraction and Balancing Connectivity
Tuesday Nov 20, 2018
Tuesday Nov 20, 2018
Guest: Robin G. Molella, M.D., M.P.H. (@rmolella)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
The percentage of the US population that uses a cell phone is increasing every year. Currently, it is estimated that over 95% of the population own a cell phone and over 75% own some type of smartphone. This is up from 35% compared to statistics from 2011. While these devices certainly make our life more interesting, they can also serve as a major distraction. Studies suggest that drivers using a mobile phone are four times more likely to be involved in a motor vehicle accident. Nearly half of all adults who text say they have either sent or read a text message while driving. Today we are joined by Dr. Robin Molella, a Mayo Clinic physician in the Division of Preventative, Occupational and Aerospace Medicine, and an expert in public health issues.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Oct 30, 2018
Tuesday Oct 30, 2018
Guest: Jacqueline M. Thielen, M.D. (@JacquelineThie5)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Hypoactive sexual desire in females is one component of sexual dysfunction in women. It’s a sensitive topic and one that doesn’t often get discussed in the clinician’s office. What’s the best way to ask about this problem and how do we manage it once we know it exists in our patients? We’ll discuss these issues with a women’s health specialist Dr. Jacqueline Thielen, a Mayo Clinic general internist in the Menopause & Women’s Sexual Health Clinic at Mayo Clinic in Rochester.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Aug 14, 2018
Sexual History Taking--Why Sexual Health Matters
Tuesday Aug 14, 2018
Tuesday Aug 14, 2018
Why is it important to talk about sexual history? What questions should we ask to get a detailed sexual history? Today we’re talking about sexual history taking and why sexual health matters. Presented by Dr. Suneela Vegunta, a physician in the Mayo Clinic Women’s Health Center, today’s special episode is an excerpt from the Mayo Clinic Women’s Health Update held in Scottsdale, Arizona. This annual conference addresses a variety of health issues that are unique to women while highlighting medical conditions that may cause different symptoms in women. The Mayo Clinic 15th Annual Women’s Health Update will be held at The Scott Resort and Spa in Scottsdale, Arizona, February 28 - March 2, 2019. We invite you to network with your colleagues and Mayo Clinic faculty by registering at ce.mayo.edu.
Tuesday Apr 10, 2018
Opioid Edition 10: Side Effects Management
Tuesday Apr 10, 2018
Tuesday Apr 10, 2018
Guest: Molly A. Feely, M.D. (@mollyfeelymd)
Host: Tracy McCray
Episode 10 of 10: Dr. Molly Feely, who is board certified in palliative care, internal medicine, and family medicine now practicing full time palliative care at Mayo Clinic in Rochester, talks about best practices for Management of Opioid Side Effects.
Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.
Episode transcript: https://mcdn.podbean.com/mf/web/gt8znj/Ep_27-Opioid_Edition_10_Side_Effects_Management.pdf