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.
Episodes
Thursday Feb 20, 2020
Thursday Feb 20, 2020
Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)
Host: Tracy McCray
Episode 5 of 10: Dr. Casey Clements, an emergency physician and practice leader, who works in the opioid stewardship program at Mayo Clinic-Rochester, shares his insights on opioid therapy from the Emergency Department perspective. What is drug diversion? How do you know a patient isn’t receiving prescriptions from multiple physicians?
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/z7mbxj/Ep_19-Opioid_Edition_5_Acute_Prescribing_Emergency_Room_Prescribing.pdf
Tuesday Feb 18, 2020
Tuesday Feb 18, 2020
Guest: Aaron J. Krych, M.D. (@DrKrych)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Hip pain is common, but the pain generators don’t always present in a typical fashion. When do you order x-rays or MRI’s? Dr. Aaron Krych, orthopedist, covers beyond the classic symptoms into atypical presentations you won’t want to miss. He’ll also cover how to help your patient decide when it’s time for a hip replacement and how long should you expect a hip arthroplasty to last.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Thursday Feb 13, 2020
Thursday Feb 13, 2020
Guest: David C. Patchett, D.O.
Host: Tracy McCray
Episode 4 of 10: Family practitioner, Dr. David Patchett, from Mayo Clinic in Arizona shares the additional challenges associated with prescribing opioids to special populations, and discusses how and when to reassess a patient’s therapy. How do you know when to taper a patient? What are the symptoms of opioid withdrawal and how can you mitigate them?
Claim CME credit at ce.mayo.edu/opioidpc.
Episode transcript: https://mcdn.podbean.com/mf/web/pxsjez/Ep_18-Opioid_Edition_4_Treating_Special_Populations_Situations.pdf
Tuesday Feb 11, 2020
Tuesday Feb 11, 2020
Guest: Eric T. Matey, Pharm.D., R.Ph. (@MateyPh)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Pharmacogenomics can help us predict an effective therapeutic response or avoid an adverse drug reaction before ever starting a medication. Listen in for the scoop on what this is and how it’ll impact your practice from a leading pharmacogenomics pharmacist at Mayo Clinic, Dr. Eric Matey.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
- Pharmacogenomics for Your Practice – Online Course
- Use of Codeine and Tramadol Products in Breastfeeding Women - Questions and Answers https://www.fda.gov/drugs/postmarket-drug-safety-information-patients-and-providers/use-codeine-and-tramadol-products-breastfeeding-women-questions-and-answers
- PharmGKB is a comprehensive resource that curates knowledge about the impact of genetic variation on drug response for clinicians and researchers https://www.pharmgkb.org/
- The Genetic Information Nondiscrimination Act (GINA) of 2008 https://www.genome.gov/about-genomics/policy-issues/Genetic-Discrimination
Thursday Feb 06, 2020
Thursday Feb 06, 2020
Guest: David C. Patchett, D.O.
Host: Tracy McCray
Episode 3 of 10: Dr. David Patchett, family practitioner at Mayo Clinic in Arizona, answers common questions family practitioners often face when treating patients with pain management issues. What are best practices when prescribing opioid therapy? How do you weigh the potential benefits of opioid therapy with the identified risks?
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/vgd4rt/Ep_17-Opioid_Edition_3_Family_Practitioners-Assessing_the_Patient.pdf
Tuesday Feb 04, 2020
Tuesday Feb 04, 2020
Guest: Ronald R. Butendieck, Jr. M.D.
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Lupus can be challenging to diagnosis. Dr. Ron Butendieck discusses common presentation and some of the more enigmatic symptoms. What role does genetics play? Geography? Race? Dr. Butendieck details when you should include lupus on your differential and how to approach lab testing and treatment.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
- 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus https://doi.org/10.1002/art.40930
Friday Jan 31, 2020
Friday Jan 31, 2020
Guest: Colin M. Bucks, M.D.
Host: Amit K. Ghosh, M.D.
“I think that fear can be valuable…we’re at a time when it’s just fine to be fearful if it provokes you to vigilance and discipline…You’re disciplined because you’re afraid, that keeps you sharp, but panic is dangerous. I don’t mind fear, panic is dangerous.” - Colin M. Bucks, M.D.
What is it like in the field during an outbreak? What global response lessons have we learned from SARS and Ebola? Dr. Colin Bucks discusses how access to information accelerates response time in present day outbreaks and the role public education, infrastructure, disparities, and access to supplies, plays in helping to contain one.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
To claim credit click here: https://ce.mayo.edu/covid19podcast
For the most up to date COVID-19 (Novel 2019 Coronavirus) information:
- CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html
- WHO: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
Other Resources mentioned in the episode:
- Ontario The SARS Commission: Spring of Fear http://www.archives.gov.on.ca/en/e_records/sars/report/index.html
- Lancet Infectious Diseases - Immunogenicity of chimeric haemagglutinin-based, universal influenza virus vaccine candidates: interim results of a randomised, placebo-controlled, phase 1 clinical trial https://doi.org/10.1016/S1473-3099(19)30393-7
Friday Jan 31, 2020
Friday Jan 31, 2020
Guest: Matthew J. Binnicker, Ph.D. (@DrMattBinnicker)
Host: Justin D. Kreuter, M.D. (@KreuterMD)
In a special crossover episode from Mayo Clinic Lab Medicine Rounds, Dr. Justin Kreuter discusses what we know so far, what clinicians should be looking for, and what this means for lab testing with Dr. Matthew Binnicker.
Time Stamps
00:00 Podcast Intro
00:41 What do we know so far about the novel coronavirus?
02:35 How does this novel coronavirus stack up to influenza?
04:35 Is there still value in getting your flu shot now (this year) if you haven’t gotten it yet?
05:08 Where should people go to get the latest and best information related to the novel coronavirus?
06:36 What should the health care provider be looking for related to the novel coronavirus?
08:18 I’m glad you mentioned the incubation period, is that something we know with this novel coronavirus?
09:15 What do the laboratorians need to have in mind and what does this mean for the hospital clinical labs?
10:50 So, people can test positive for the coronavirus without having this specific novel coronavirus strain?
12:02 So if somebody sent a sample down to a clinical lab, and I was truly positive for the novel coronavirus, I could have a negative result?
12:45 Can you elaborate on when a physician should pick up the phone relative to the new novel coronavirus outbreak?
14:43 Is there a risk to laboratory personnel for the infection to spread when they are handling the samples?
15:20 When should we be suspecting this novel coronavirus?
16:03 What should someone do if they suspect their patient has novel coronavirus?
16:33 As this is an evolving outbreak, where should folks go for the latest information?
WHAT IS LAB MEDICINE ROUNDS?
A Mayo Clinic curated podcast for physicians, laboratory professionals, and students; hosted by Dr. Justin Kreuter (the Bow Tie Bandit of Blood) and featuring trending topics from subject-matter experts.
Subscribe to Lab Medicine Rounds at: https://podcasts.apple.com/us/podcast/lab-medicine-rounds/id1478310691
For feedback and suggestions email MCLEducation@mayo.edu
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
To claim credit click here: https://ce.mayo.edu/covid19podcast
Deeper Dive:
For the most Up-To-Date COVID-19 (Novel 2019 Coronavirus) information visit:
Friday Jan 31, 2020
Friday Jan 31, 2020
Recorded Monday, January 27, 2020, at the 32nd Annual Selected Topics in Internal Medicine Conference
Speaker: Pritish K. Tosh, M.D. (@DrPritishTosh)
Dr. Pritish Tosh, a Mayo Clinic infectious disease, emergency preparedness, pandemic planning, and biodefense expert; gives a concise overview of the 2019 novel coronavirus (2019-nCoV) and what the numbers really mean.
Want to attend live next year? https://ce.mayo.edu/internal-medicine/content/33rd-annual-selected-topics-internal-medicine-2021
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Click here to claim credit: https://ce.mayo.edu/covid19podcast
Deeper Dive:
For the most Up-To-Date COVID-19 information visit:
Thursday Jan 30, 2020
Thursday Jan 30, 2020
Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)
Host: Tracy McCray
Episode 2 of 10: What are the different guidelines when treating chronic versus acute pain with opioid therapy? Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about the importance of “starting low and going slow.” What are the alternatives for chronic pain management? Dr. Gazelka also covers non-pharmacological and implantable device alternatives for the treatment of pain.
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/bkc6ac/Ep_16-Opioid_Edition_2_Managing_Acute_and_Chronic_Pain.pdf
Tuesday Jan 28, 2020
Tuesday Jan 28, 2020
Guest: Gary N. Toups, M.D.
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
What is hyperbaric oxygen therapy? What types of conditions outside of decompression illness can benefit from it? Dr. Gary Toups gives a fascinating look at the history of the practice and current advances in the field. He also discusses what conditions and types of non-healing wounds can benefit from oxygen therapy and which are not good candidates.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
- Healing with Hyperbaric Oxygen Therapy https://youtu.be/Uc0FiCEd1fQ?list=PLnAoNb5Mx-v68JrYbNCDavCSZ5lnFNaMf
- Hyperbaric Oxygen Therapy at Mayo Clinic https://www.mayoclinic.org/tests-procedures/hyperbaric-oxygen-therapy/about/pac-20394380
Thursday Jan 23, 2020
Thursday Jan 23, 2020
Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)
Host: Tracy McCray
Episode 1 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester walks us through the basics of opioids and the current state of this national crisis. What is an opioid? How bad is the opioid epidemic and how did we get here?
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/5d7ztu/Ep_15-Opioid_Edition_1_The_Opioid_Crisis_and_Pain_Management.pdf
Tuesday Jan 21, 2020
Tuesday Jan 21, 2020
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:
- BEARS Screening Tool for Assessment of Sleep in Children: https://doi.org/10.1016/j.sleep.2004.07.015
- American Academy of Sleep Medicine Recommended Amount of Sleep for Pediatric Populations: https://doi.org/10.5664/jcsm.5866
Tuesday Jan 14, 2020
Tuesday Jan 14, 2020
Guest: Stephen L. Kopecky, M.D. (@DrSteveKopecky) and R. Scott Wright, M.D.
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Dr. Stephen Kopecky and Dr. Steve Wright throw down in this debate over best practice and appropriate use of cholesterol-lowering medications. Listen in to get the perspective of two leading cardiologists on statins, PCSK9i's, fish oil, side effects, and patient education.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Jan 07, 2020
Tuesday Jan 07, 2020
Guest: Jonathan D. Barlow, M.D. (@JonBarlowMD)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Golfer’s Elbow, Tennis Elbow, Boat-antifouling-pain-elbow…medial and lateral epicondylitis can result from a variety of repetitive activities. Dr. Jon Barlow lays out the differences between some commonly seen elbow pain generators and extends the discussion to radial tunnel syndrome, olecranon bursitis, stress fractures, and more.
Dr. Barlow shares recommendations for treatment, including why you shouldn’t use steroid injections for elbow pain, when bracing may be beneficial, how to determine ulnar nerve involvement in medial epicondylitis, and ruling out referred pain.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Dec 31, 2019
Tuesday Dec 31, 2019
Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
A MUST listen episode: 70% of Americans are overweight or obese and inactive and it’s not getting better. Dr. Ed Laskowski gives an eye-opening overview on our current state of health at a global level and what we can do about it for ourselves and for our patients. As little as 10 minutes of physical activity a week lowers all-cause mortality! 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:
- Overweight, Obesity, and Mortality in a Large Prospective Cohort of Persons 50 to 71 Years Old; N Engl J Med 2006; 355:763-778 DOI: 10.1056/NEJMoa055643 https://www.nejm.org/doi/full/10.1056/NEJMoa055643?query=recirc_curatedRelated_article
- Physical Activity Guidelines for Americans https://www.hhs.gov/fitness/be-active/physical-activity-guidelines-for-americans/index.html
- Beneficial associations of low and large doses of leisure time physical activity with all-cause, cardiovascular disease and cancer mortality: a national cohort study of 88,140 US adults. British Journal of Sports Medicine 2019 http://dx.doi.org/10.1136/bjsports-2018-099254
Tuesday Dec 24, 2019
Tuesday Dec 24, 2019
Guest: J. Taylor Hays, M.D. (@jtaylorhays)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
How do you treat nicotine dependent patients with other substance use disorders, and which do you start with? Does quitting tobacco increase these patients’ risk for relapse of other substances? What should you do with the patient that has “tried everything?” Dr. Taylor Hays sheds light on helping some of your most challenging patients to quit smoking.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Dec 17, 2019
Tuesday Dec 17, 2019
Guest: Esther Choo, M.D. (@choo_ek)
Hosts: Anjali Bhagra, M.D. (@anjalibhagramd) and Joshua B. Murphy, J.D.
As a health policy researcher, Dr. Esther Choo approaches problems analytically; critically examining the data and sharing the insights. She’s applied this to her work with TIME’S UP Healthcare to address gender equity and sexual harassment in medicine. Some of the same barriers that create health disparities impact the healthcare workforce. Addressing these issues will require changing organizational culture, how do we move to a more horizontal power structure without sacrificing all of the efficiencies of a vertical structure?
Find more GRIT in Medicine episodes here.
Deeper Dive:
- The National Academies of Sciences, Engineering, and Medicine Report on Sexual Harassment of Women- Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine https://www.nap.edu/read/24994/chapter/1
Episode transcript: https://mcdn.podbean.com/mf/web/txwesy/Ep_118-Creating_Efficient_Organizational_Systems_to_Build_Safe_Equitable_and_Dignified_Workplaces.pdf
Tuesday Dec 10, 2019
Tuesday Dec 10, 2019
Guest: J. Taylor Hays, M.D. (@jtaylorhays)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Through a combination of health policy, smoke-free environmental changes, education, and treatment availability, smoking prevalence among adults has dropped significantly. But that’s not the case for our patients with mental health disorders. Dr. Taylor Hays dispels the myths around nicotine dependence and mental health disorders like depression, anxiety, bipolar disorder, and schizophrenia. He’ll fill you in on how to help these patients quit and what quitting looks like for this patient population.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Dec 03, 2019
Tuesday Dec 03, 2019
Guest: Daniel L. Hurley, M.D.
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Communication helps to establish a relationship between practitioner and patient but how do you build the necessary trust within the short time frame of an appointment slot? Dr. Daniel Hurley covers some of the most common communication mistakes even the experts make and offers some tips you can use to communicate more effectively.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Nov 26, 2019
Tuesday Nov 26, 2019
Guest: J. Taylor Hays, M.D. (@jtaylorhays)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Quitting smoking is one of the hardest things for our patients to do. The clinical target of nicotine replacement and other quit therapies is not to smoke. Clinical outcomes vary among the pharmacologic treatments, relapses are common, and some patients become addicted to those treatments. Dr. J. Taylor Hays unravels some of the do’s and don’ts when it comes to counseling and treating these patients.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Tuesday Nov 19, 2019
Tuesday Nov 19, 2019
Guests: Philip T. Hagen, M.D. and Melanie D. Swift, M.D. (@swifzdh)
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
Do you self-manage your health? Do you avoid regular routine screenings? Drs. Hagen and Swift from the Mayo Clinic Physician Health Center layout the evidence supporting the need for organizational support that directly addresses the barriers of time, safe space, and confidentiality. If you have a practitioner as a patient, how can you partner with colleagues in Occupational Medicine to confidentially, accurately, and efficiently evaluate what impact the conditions or medications may have on your patient’s ability to practice?
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
- Mayo Clinic Physician Health Center https://www.mayoclinic.org/departments-centers/preventive-occupational-aerospace-medicine/physician-health-center/overview
- A survey of physicians’ perceptions of their health care needs Steffen MW, Hagen PT, Benkhadra k, Molella RG, Newcomb RD, Murad MH. Occupational Medicine, Volume 65, Issue 1, January 2015, Pages 49–53, https://doi.org/10.1093/occmed/kqu145
Tuesday Nov 12, 2019
Tuesday Nov 12, 2019
Guest: Clayton T. Cowl, M.D., M.S.
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
What conditions should trigger you to do a preflight assessment for your patients? What special precautions should be taken for patients with heart failure, who’ve recently had surgery, or are pregnant? Dr. Cowl dives into the physiological challenges a mildly hypoxic and high-altitude environment can have on your patients as they age and manage chronic illnesses.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
Deeper Dive:
- Aerospace Medical Association – Medical Considerations for Airline Travel https://bit.ly/2qLAKVg
- American College of Chest Physicians – Guidelines and Resources https://bit.ly/2qJGSxi
Tuesday Nov 05, 2019
Tuesday Nov 05, 2019
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.
Tuesday Oct 29, 2019
Tuesday Oct 29, 2019
Guest: Denise M. Dupras, M.D., Ph.D.
Host: Darryl S. Chutka, M.D. (@ChutkaMD)
How do new drugs make it to market? How do generics come to market and what are the differences in the approval process? Dr. Denise Dupras details the process from discovery to mass market release, safety, the electronic health record, rising costs, and a few affordability tips for your patients.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.