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Primary Care Pearls

Author: Primary Care Pearls (PCP) Podcast

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A medical education podcast focused on primary care made by learners, for learners and - most importantly - led by our patients' stories. Episodes released every two weeks.
28 Episodes
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In this episode, Helen Cai and Dr. Faith Crittenden chat with Katherine and Dr. Porto about the challenges and opportunities of relying on infant formula, especially if it wasn’t a parent’s original plan. === Outline === Chapter 1: The realities of Infant Feeding Chapter 2: The history and science behind formula Chapter 3: Safe practices in handing infant formula Chapter 4: Formula’s unintended benefits on family life === Learning Points === All infant formula are safe and complete due to...
In this episode, Helen Cai chats with Dr. Chen and Dr. Nardella about the challenges and joys involved with feeding babies through breastfeeding. === Outline === Chapter 1: Motivation for Learning Chapter 2: Counseling on benefits of Breastfeeding Chapter 3: Collecting a history and troubleshooting Chapter 4: Not all situations are the same === Learning Points === Breastfeeding Pain is Not Normal: While some tenderness may occur in the very early days, ongoing pain, is a sign of a problem...
In this episode, Dr. Liang chats with Alexis and Dr. Quinn about the challenges involved with helping adolescents transition care into the adulthood. === Outline === Chapter 1: Building a team of specialists Chapter 2: Transitions to adult care Chapter 3: The role of parents Chapter 4: Parting advice Chapter 5: Conclusion === Learning Points === While it’s tempting to think of adolescents as simply younger versions of adult patients, we need to recognize that they have their own needs and...
In this episode, Dr. Liang interviews Dr. Quinn (Adolescent Health Provider) and Alexis (Teenager) on her personal experience with navigating social media, mental health struggles, and reproductive health with her healthcare providers. === Outline === Chapter 1: Definitions Chapter 2: Establishing a relationship with the patient Chapter 3: Mental health Chapter 4: Social media Chapter 5: Sexual and reproductive health Chapter 6: Conclusion === Learning Points === First impressions a...
In the final episode of the ESRD series, Dr. Montano and Bernstein discuss the implications and mechanisms behind dialysis and our patients share their experiences with both dialysis and kidney transplantation. === Outline === Chapter 1: Approaching dialysis Chapter 2: Hemodialysis vs peritoneal dialysis Chapter 3: Practicalities of living on dialysis Chapter 4: Kidney transplantation === Learning Points === Hemodialysis and peritoneal dialysis are the two primary options for long-term re...
In this first episode of the ESRD series, Dr. Montano and Bernstein discuss how to diagnose kidney failure while Drs. Hart and Aklilu wrestle with the fraught history of using race in the measurement of kidney function. === Outline === Chapter 1: A gradual progression Chapter 2: A history of EGFR through the lens of race Chapter 3: Involving the nephrologist Chapter 4: Medication adjustments and monitoring === Learning Points === The symptoms underlying a progression from CKD to ESR...
In our final episode of the Geriatric series, Dr. Xu and Drs. Ouellets discuss how to manage neurocognitive disorders in elderly patients. Daniel facilitates the conversation with a sweet couple navigating these challenges. === Outline === Chapter 1: An Unexpected Diagnosis Chapter 2: Diagnosing Dementia Chapter 3: Dementia Treatment and Specialist Care Chapter 4: Supporting Caregivers === Learning Points === Dementia is characterized by both functional and cognitive impairment. Whil...
In our first episode of the Geriatric series, Dr. Xu and Drs. Ouellets discuss how to have difficult topics with patients involving death and loss of function. Darius facilitates the conversation with a beautiful couple facing these existential questions. === Outline === Chapter 1: Introduction to Advance Care Planning Chapter 2: Discussing Difficult Topics Chapter 3: Who’s in the room? Stakeholders Chapter 4: Key Elemaents of an Advance Care Plan === Learning Points === We can define adv...
In this episode, Dr. Barenboim and Dr. Holt discuss the important role that medications and mutual support groups play in helping James maintain sobriety from alcohol. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === Chapter 1: Managing Alcohol Withdrawal in the Outpatient Setting Chapter 2: Medications for AUD Chapter 3: Recovery Group/Social Support === Learning Points === Although our training has historically f...
In this episode, Dr. Barenboim and Dr. Holt explore a couple's journey through a changing relationship to alcohol and when it became an alcohol use disorder. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === Chapter 1: Early Development of a Relationship with Alcohol Chapter 2: Diagnosing AUD Chapter 3: Approaching the Conversation Chapter 4: Motivational Interviewing === Learning Points === Someone’s relationship w...
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In this episode, Dr. Vasudevan and Dr. Moreno explore the ever-expanding treatment options for Obeisty, and our patient tells us about his experience with some of these interventions. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Lifestyle Changes (Diet/Exercies) 3. Chapter 2: Weight Loss Medications 4. Chapter 3: Bariatric Surgery 5. Chapter 4: Advise to Young Clinicians and Fell...
In this episode, Dr. Vasudevan and Dr. Moreno unpack our patient's experience with weight and how it's impacted his life. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Personal Relationship to Weight 3. Chapter 2: Impact of Weight on Mental Health 4. Chapter 3: Relationship with PCP 5. Conclusion === Learning Points === Commonly used measures of obesity include BMI and waist circ...
In this episode, Nate and Justin discuss ways that Tina could modify her food environment to keep moving toward her health goals. They also discuss the tricky aspect of social determinants of health and how that may (or may not?) hamper our efforts to help patients achieve healthy lifestyles. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Food Environment 3. Chapter 2: Social Deter...
In this episode, Nate and Justin discuss the powerful technique of motivational interviewing to figure out how to help Tina inch closer towards her own goals. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Taking a Dietary History 3. Chapter 2: Motivational Interviewing 4. Conclusion === Learning Points === Changes in food habits and eating patterns can mean breaking patterns that have ...
In this episode, Nate, Justin, and Tina sit around the proverbial dinner table to discuss different types of eating patterns or "diets" and why a whole food plant-based diet might deserve a spot at the top of the food chain. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Types of Eating Patterns 3. Chapter 2: Whole Food Plant-Based Diet 4. Chapter 3: Emotional and Psychological Nature of...
In our inaugural episode of the nutrition series, Nate, Justin and our patient, Tina, tackle nutrition myths and what it means to eat for joy. Pretty ambitious... did they bite off more than they can chew?? Listen to find out. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Tina's Story 3. Chapter 2: Eating for Joy 4. Chapter 3: Busting Nutrition Myths 5. Conclusion === Learni...
In the final episode of our hypertension series, Taylor and Dr. Gallagher discuss the causes of high blood pressure and management in special populations. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Causes of Primary Hypertension 3. Chapter 2: Secondary Hypertension 4. Chapter 3: Treating Hypertension in Special Populations 6. Conclusion === Learning Points === About 90% of patie...
In the second episode of our hypertension series, Taylor and Dr. Gallagher discuss lifestyle modifications and medications used in the treatment of high blood pressure. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Setting goals 3. Chapter 2: Lifestyle modifications 4. Chapter 3: Initiating Pharmacotherapy 5. Chapter 4: Adherence to Medications 6. Conclusion === Learning Points ==...
In the first episode of our hypertension series, our patient Taylor joins us for a discussion on receiving and coming to terms with a diagnosis of high blood pressure. Share your reactions and questions with us at Speak Pipe . We might feature you on a future episode! === Outline === 1. Introduction 2. Chapter 1: Taylor's Story/Hypertensive Urgency 3. Chapter 2: Defining Hypertension 4. Chapter 3: Measuring Blood Pressure 5. Chapter 4: White Coat Hypertension 6. Concl...
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