Mayo Clinic Talks

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.

Mild Cognitive Impairment

Host: Darryl S. Chutka, M.D. Guest: Ronald C. Petersen, M.D., Ph.D. We all experience cognitive changes as we age. If you doubt this, try learning to play the piano with a group of 7-and 8-year-olds and see who sounds best at the recital. We tend to have difficulty with new learning and can struggle with short term memory. When do these cognitive changes become pathologic? Dementia results in a gradual decline in cognitive abilities, memory and behavior, severe enough to interfere with daily life. Between the cognitive changes that occur with aging and those with dementia, there is another medical entity, mild cognitive impairment. How does it differ from the normal cognitive changes of aging? How does it differ from dementia? And is it important for us to recognize it? These are some of the questions I’ll be asking my guest for today’s podcast, Ronald C. Petersen, M.D., Ph.D., a neurologist and internationally recognized expert in the field of dementia as we discuss “Mild Cognitive Impairment”.  Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

11-04
33:02

Prostate Cancer

Host: Darryl S. Chutka, M.D. Guest: Daniel M. Frendl, M.D., Ph.D. Prostate cancer is quite common in middle age and older men and represents the second most common malignancy diagnosed in this population. Only skin cancer is more common. Early diagnosis is important and carries an excellent prognosis. There are several management options available for localized disease and some new treatments which can be used for both aggressive and more advanced disease. When should active surveillance be used when prostate cancer has been diagnosed? How does radiation therapy compare to surgical prostatectomy regarding long-term outcomes and what are some of the newer treatment options available for advanced disease? These are some of the questions I’ll be asking my guest, Daniel M. Frendl, M.D., Ph.D., a urologist from the Department of Urology at the Arizona campus of the Mayo Clinic as we discuss “Prostate Cancer”. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

10-30
26:03

Prostate Cancer Screening

Host: Darryl S. Chutka, M.D. Guest: Daniel M. Frendl, M.D., Ph.D. If your practice includes middle age and older men, you’ve very likely diagnosed prostate cancer. It’s the most diagnosed non-skin cancer in men in the U.S. Its incidence rises with age, with a median age of around 66 years. When found early, prostate cancer is very treatable, and in most cases, curable. Prostate specific antigen, or PSA is very effective in detecting early prostate cancer, but its use has been controversial due to the risk of overdiagnosis and overtreatment. What are the current recommendations for prostate cancer screening with PSA? What’s the role of the digital rectal exam? How should we be using the PSA and what other tests are available for prostate cancer screening? The topic for this podcast is “Prostate Cancer Screening” and I’ll be asking these questions to my guest, Daniel M. Frendl, M.D., Ph.D., a urologist at the Arizona campus of the Mayo Clinic. Tune in this Thursday for our next episode on "Prostate Cancer" releasing October 30, 2025. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

10-28
28:20

Obstetric and Gynecologic Health Series: Labor and Delivery

Guest: Rebecca Smith, Ph. D, APRN, CNM Hosts: Danielle O’Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP Rebecca Smith provides a comprehensive overview of labor and delivery, including the stages of labor, assessment techniques, and monitoring practices. The episode also addresses potential complications and their management. Learning Objectives: Describe the stages, duration, and monitoring of labor and delivery. Compare and contrast complications that may arise during pregnancy and delivery. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

10-23
21:28

Obstetric and Gynecologic Health Series: Complicated Pregnancy

Guest: Julie Lamppa, APRN, CNM Hosts: Danielle O’Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP Julie Lamppa discusses complications that can arise during pregnancy, including gestational diabetes, preeclampsia, and other abnormalities. This episode emphasizes early recognition and multidisciplinary management. Learning Objectives: Differentiate various pregnancy complications and their clinical implications. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

10-21
44:29

Obstetric and Gynecologic Health Series: Gynecologic Pain Disorders

Guest: Jenna Wygant, APRN, CNP, DNP Hosts: Danielle O’Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP Jenna Wygant discusses common gynecologic pain disorders such as endometriosis and pelvic inflammatory disease. The episode highlights diagnostic challenges and treatment strategies to improve patient outcomes. Learning Objectives: Identify conditions contributing to gynecologic pain. Review signs/symptoms, risk factors, diagnostic approaches, and treatment options. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

10-16
18:17

Obstetric and Gynecologic Health Series: Gynecologic Cancer

Guest: Casey Lawler, P.A.-C Hosts: Danielle O’Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP This episode provides an overview of gynecologic cancers, including cervical, ovarian, uterine, and vulvar cancers. Casey Lawler shares insights into the causes, risk factors, and clinical management of these conditions. Learning Objectives: Describe the major types of gynecologic cancers. Compare and contrast causes, risk factors, signs/symptoms, diagnostic methods, and treatment options.   Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

10-14
16:54

Obstetric and Gynecologic Health Series: Breast Cancer

Guest: Susan Kok, M.D. Hosts: Danielle O’Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP Dr. Susan Kok joins the podcast to explore both non-invasive and invasive breast cancers. This episode covers risk factors, symptom recognition, diagnostic tools, and treatment modalities, with a focus on individualized care and shared decision-making. Learning Objectives: Understand the spectrum of non-invasive breast cancers. Identify risk factors, symptoms, and diagnostic tools for invasive breast cancers. Discuss treatment options tailored to diagnosis and patient preferences. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

10-07
38:10

Obstetric and Gynecologic Health Series: Benign Breast Tumor Conditions

Guest: Danielle O’Laughlin, PA-C, MS Hosts: Danielle O’Laughlin, PA-C, MS and Jenna Wygant, APRN, CNP, DNP In this episode, Danielle O’Laughlin discusses benign breast tumor conditions and other non-cancerous growths. Listeners will gain insight into the clinical presentation, diagnostic evaluation, and management strategies for these common breast findings. Learning Objectives: Review the types of benign breast tumors and their clinical features. Differentiate between symptoms, diagnostic approaches, and treatment options for various benign breast conditions. Learn more about this series: Mayo Clinic Talks: Obstetric and Gynecologic Health | Mayo Clinic School of Continuous Professional Development Connect and listen with Mayo Clinic Podcasts | Mayo Clinic School of Continuous Professional Development

09-30
10:56

Vascular Medicine Series: Vascular Wound Treatments

Host: Darryl S. Chutka, M.D. Guest: Matthew (Mark) Melin, M.D. Vascular wounds can be quite challenging. If untreated, they can lead to infection, even sepsis, hospitalization and occasionally, amputation. Effective treatment requires an accurate diagnosis and recognition of the specific type of vascular wound you’re dealing with. Even when the type of wound is correctly identified and is being treated appropriately, healing can be slow. What diagnostic tools are available to help us? How does a venous insufficiency ulcer differ from an arterial ulcer? What’s the best treatment for these wounds and when should we refer our patient to a vascular specialist? The topic for this podcast is “Vascular Wound Treatments” and these are some of the questions I’ll be asking my guest, Matthew (Mark) Melin, M.D., a vascular specialist from the Department of Cardiovascular Medicine at the Mayo Clinic. Mayo Clinic Talks: Vascular "What's Circulating" | Mayo Clinic School of Continuous Professional Development Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

09-23
29:25

Claiming Your Voice and Why Women in Medicine Need a Clear Professional Narrative

Host: Darryl S. Chutka, M.D. Guest: Neha P. Raukar, M.D., M.S. Women in medicine have made significant strides over the past few decades, yet some still face a variety of challenges and barriers. They commonly encounter inequalities that can affect their professional growth and overall well-being. Common issues include pay disparity, underrepresentation in leadership positions and gender discrimination, just to name a few. Some medical specialties tend to be male-dominated and can be less welcoming to women. As a result, women physicians have higher rates of professional burnout and often experience a less satisfying career. My guest for this podcast is Neha P. Raukar, M.D., M.S., an emergency medicine physician at the Mayo Clinic. The topic we’ll be discussing is “Claiming Your Voice and Why Women in Medicine Need a Clear Professional Narrative”. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts

09-19
16:11

Vascular Medicine Series: Vascular Malformations

Host: Darryl S. Chutka, M.D. Guests: Haraldur Bjarnason, M.D.; and Megha M. Tollefson, M.D. Vascular malformations are anomalies of vessels that can cause a variety of potentially serious health problems depending on their type, location, and size. They may involve arterial, venous or lymphatic vessels. They’re often progressive and may enlarge over time. They’re best diagnosed with one or more imaging studies and the treatment depends on the type of vascular malformation. Management usually requires a multi-disciplinary approach in order to be most effective. What are the most common types of vascular malformations? What organs are typically involved? What are some of the more serious medical complications they may cause and how should we manage them? The topic for this podcast is “Vascular Malformations” and these are questions I’ll be asking my guests, Haraldur Bjarnason, M.D., an interventional and vascular radiologist and Megha M. Tollefson, M.D., a dermatologist, both from the Mayo Clinic. Mayo Clinic Talks: Vascular Medicine Series | Mayo Clinic School of Continuous Professional Development Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

09-18
22:33

Vascular Medicine Series: Thoracic Outlet Syndrome

Host: Darryl S. Chutka, M.D. Guests: Sam Farres, M.D.; and Ryan A. Meverden, PA-C Thoracic outlet syndromes is a great masquerader and often mistaken for a variety of other health conditions including cervical radiculopathy, carpal tunnel syndrome, rotator cuff injury or even multiple sclerosis. It has several causes which account for the variety of its clinical presentations. Because of this, the diagnosis is commonly delayed or diagnosed incorrectly.  Yet, it’s crucial to establish an early and accurate diagnosis as this can prevent potential progression of neurologic damage or in some cases life-threatening vascular complications. It also prevents unnecessary treatments and inappropriate interventions. The topic for this podcast is “Thoracic Outlet Syndrome” and my guests include Ryan Meverden, PA-C, a physician assistant in the Vascular Center at the Rochester campus of the Mayo Clinic and Sam Farres, M.D., Division Chair of Vascular Surgery at the Florida campus of the Mayo Clinic. As we discuss thoracic outlet syndrome, we’ll review the variety of presenting symptoms, potential complications, appropriate tests to evaluate patients and effective management strategies. Mayo Clinic Talks: Vascular Medicine Series | Mayo Clinic School of Continuous Professional Development Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

09-16
18:00

Vascular Medicine Series: Peripheral Arterial Disease

Host: Darryl S. Chutka, M.D. Guest: Stan Henkin, M.D. Peripheral arterial disease is a manifestation of atherosclerosis and becomes more common with advancing age.  In its early stages, it can be quite difficult to diagnose. Although claudication is the most classic symptom, many remain asymptomatic, especially if they have limited ability to ambulate. Although risk factor modification is important in disease management, overall treatment options have been somewhat disappointing. How can we diagnose PAD early and are there advantages in recognizing the disease in an early stage? What are the best ways to establish a diagnosis and what treatment options do we have available?  Our topic for this podcast is “Peripheral Arterial Disease” and these are questions I’ll asking my guest, Stan Henkin, M.D., a vascular medicine specialist from the Department of Cardiovascular Medicine at the Mayo Clinic. Mayo Clinic Talks: Vascular Medicine Series | Mayo Clinic School of Continuous Professional Development Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

09-11
34:20

Vascular Medicine Series: How to Choose Your Anticoagulant

Host: Darryl S. Chutka, M.D. Guest: Ana I. Casanegra, M.D., M.S. For many decades, we really only had one option for providing chronic anticoagulation, warfarin. We learned how to manage the many drug and food interactions, frequently changing the warfarin dose as we tried to keep our patients in therapeutic range. Now we have a variety of choices with the direct-acting oral anticoagulants, or DOAC’s. How do the newer agents compare to warfarin in effectiveness? Are they really safer than warfarin? Do they ever require any monitoring? What’s the latest on reversing the anticoagulant effect? I’ll be discussing these topics and more with my guest, Ana I. Casanegra, M.D., M.S., a vascular medicine specialist at the Mayo Clinic. The topic for this podcast is “How to Choose Your Anticoagulant”. Mayo Clinic Talks: Vascular Medicine Series | Mayo Clinic School of Continuous Professional Development Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

09-09
30:31

Vascular Medicine Series: The New Era in Aortic Imaging

Host: Darryl S. Chutka, M.D. Guests: Christopher Francois, M.D. The risk of thoracic aortic dissection increases as the diameter of the aorta widens. A diameter greater than 5 cm is associated with an increased risk of dissection in the general population. Patients with Marfan Syndrome have defective connective tissue and dissection commonly occurs with diameters less than 5 cm. Other health conditions associated with aortic dilation and potential dissection include Ehlers Danlos and those with bicuspid aortic valves.  It therefore becomes extremely important to accurately assess the aorta. Fortunately, we now have a variety of imaging tools available and several of these tools are relatively new. My guest for today’s podcast is Dr. Christopher Francois, from the Department of Diagnostic Radiology at the Mayo Clinic and he’ll bring us up to date regarding the most recent imaging techniques as we continue our series on vascular medicine. We’ll discuss who’s at risk for an aortic aneurysm, when some of the more traditional imaging is indicated and when we should consider some of the newer imaging tools. Mayo Clinic Talks: Vascular Medicine Series | Mayo Clinic School of Continuous Professional Development Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

09-04
24:32

Vascular Medicine Series: Hereditary Aortic Aneurysms and Dissection

Host: Darryl S. Chutka, M.D. Guests: Thais D. Coutinho, M.D., and Kristen A. Sell-Dottin, M.D. Genetic factors predispose selected individuals to hereditary aortic aneurysms leading to aortic dilation and potential dissection.  They can be seen in a variety of known genetic syndromes, and they differ from aortic aneurysms associated with aging and chronic, uncontrolled hypertension. Early recognition is critical in the management of these patients in preventing serious, often life-threatening aortic dissection. How common are hereditary aortic aneurysms? When and how should we screen patients for this condition? Is a genetic consultation recommended? When should we involve a vascular surgeon when at risk patients are identified? These are some of the questions I’ll be asking my guests, Thais D. Coutinho, M.D., a cardiologist and cardiac surgeon, Kristen A. Sell-Dottin, M.D., both from the Mayo Clinic. We’ll be discussing “Hereditary Aortic Aneurysms and Dissection” as part of our podcast series on “Peripheral Vascular Disease”. Mayo Clinic Talks: Vascular Medicine Series | Mayo Clinic School of Continuous Professional Development Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts 

09-02
32:14

Correcting Facial Paralysis Associated with Bell’s Palsy

Host: Darryl S. Chutka, M.D. Guest: Jacob K. Dey, M.D. Bell’s Palsy is the most common cause of 7th cranial nerve dysfunction and clinically, it has a relatively abrupt onset resulting in unilateral facial paralysis. Fortunately, the majority of patients recover completely without treatment. Unfortunately, in some cases, the facial paralysis is persistent, and surgical intervention may be indicated to help restore facial symmetry. When do patients reach maximum improvement in their facial asymmetry? What is facial synkinesis? What are the various surgical options and how is it determined which one is best for the patient? The topic for this podcast is “Correcting Facial Paralysis Associated with Bell’s Palsy” and these are some of the questions I’ll be asking my guest, facial plastic surgeon, Jacob K. Dey, M.D., from the Division of Facial Plastic & Reconstructive Surgery at the Mayo Clinic. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts

08-26
32:46

Measles and Vaccine Hesitancy

Host: Darryl S. Chutka, M.D. Guest: Gregory A. Poland, M.D. Measles is a viral illness that very recently was considered rare in this country but unfortunately has seen a resurgence in recent times. It’s highly contagious and can lead to severe complications including encephalitis and potentially death. There is an effective vaccine and it’s typically administered along with mumps and rubella as the MMR. The vaccine was introduced in the 1960’s and resulted in a dramatic reduction in the incidence of measles. Despite overwhelming evidence of the vaccine’s safety and efficacy, vaccine hesitancy has resulted in measles outbreaks in communities with lower immunization rates. The topic for today’s podcast is measles and my guest is Greg A. Poland, M.D., a general internist and vaccine research specialist at the Mayo Clinic. We’ll discuss the clinical manifestations of measles, the measles vaccine, vaccine hesitancy and how we as clinicians can most effectively educate our patients about measles. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts Are you a medical professional, ready to ignite your passion and fuel your success? Join us October 23rd-25th in beautiful Pasadena, California or via livestream for GRIT, where innovation meets inspiration. GRIT in Medicine: Growth, Resilience, Inspiration & Tenacity 2025 will empower healthcare professionals with skills and resources to excel through productivity, personal development, and professional community. Leaders in business and healthcare will present evidence-based strategies and practical tips and tools to promote professional and personal well-being, and you’ll leave encouraged and energized for excellence. Visit ce.mayo.edu/GRIT2025 by September 1st with the discount code GRIT2025 to save $100 on registration. See you soon for GRIT!

08-19
27:49

Integrative Oncology

Host: Darryl S. Chutka, M.D. Guest: Stacy D. D’Andre, M.D. When we diagnose a patient with cancer, we typically focus on finding the most effective treatment for that malignancy: surgery, radiotherapy, chemotherapy, or immunotherapy. However, to a patient, the diagnosis of cancer means much more. Patients commonly experience fear and anxiety just from receiving the diagnosis. Other symptoms may include insomnia, depression, pain, and symptomatic effects from the treatment including nausea, loss of appetite and fatigue to name just a few. The Mayo Clinic Comprehensive Cancer Center has developed an integrative approach to help patients manage the variety of symptoms associated with malignancy. It centers around a multi-disciplinary team which assesses each patient individually and incorporates a variety of complementary treatments as well as physical and emotional support. It also includes nutrition and dietary supplement counseling and recommendations regarding exercise and movement. In this podcast, we’ll learn more about this fascinating approach to treating patients with cancer as we discuss “Integrative Oncology” with my guest, Stacy D. D’Andre, M.D., from the Department of Oncology at the Mayo Clinic. Connect with us and learn more here: https://ce.mayo.edu/online-education/content/mayo-clinic-podcasts Are you a medical professional, ready to ignite your passion and fuel your success? Join us October 23rd-25th in beautiful Pasadena, California or via livestream for GRIT, where innovation meets inspiration. GRIT in Medicine: Growth, Resilience, Inspiration & Tenacity 2025 will empower healthcare professionals with skills and resources to excel through productivity, personal development, and professional community. Leaders in business and healthcare will present evidence-based strategies and practical tips and tools to promote professional and personal well-being, and you’ll leave encouraged and energized for excellence. Visit ce.mayo.edu/GRIT2025 by September 1st with the discount code GRIT2025 to save $100 on registration. See you soon for GRIT!

08-12
24:49

elham

such a great topic I hope gender and racial discrimination, along with other gaps in the field of medicine, diminish, allowing all students to pursue education based on their abilities and skills, regardless of gender, race, or appearance, and freely choose their specialized fields

12-26 Reply

Jenny Mummert

Such a useful discussion. Thank you.

10-29 Reply

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