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Postcall Podcast

Author: MDedge

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We know clinicians are tired. They spend hours and hours each week entering data into EHRs, checking protocol, and hopefully, treating patients. This is about an hour every week where they can come to talk about the things they love, the things that burn them out, and the reason they got into this in the first place. The next time you're post-call, or even if you just feel like it, spend it with us. The information in this podcast is provided for informational and educational purposes only.
56 Episodes
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Medical Muggle Nick Andrews and Emi Okamoto, MD, discuss a new survey about using the appropriate language when referring to patients. They also get into how banning sugary drinks went over at one California institution and talk about what physicians need to know about CBD.  *** Help us improve this podcast! Please click here to take this short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 *** The interview this week is with Elisabeth Poorman, MD, MPH. Dr. Poorman is a clinical instructor of medicine at the University of Washington, Seattle.  *** Timestamps: Sugary drink ban (01:22) Cardiologists and diabetes (03:51) Calling patients by their disease (06:41) What you need to know about CBD (11:21) Interview with Dr. Poorman (18:27) *** Links: UCSF Bans Sugary Drinks (Medscape) Cardiologists and treating diabetes (Medscape) Referring to patients by their disease (Medscape) What you need to know about CBD (MDedge) Elisabeth Poorman, MD, MPH: Website Academic Bio Twitter MDedge Writings *** You can contact Nick and Emi by emailing podcasts@mdedge.com and you can follow on Twitter at @Nick_Andrews__ or on Instagram @medicalmuggle. For more MDedge Podcasts, go to mdedge.com/podcasts.
Medical Muggle Nick Andrews and Emi Okamoto, MD, talk about the recent research in the New England Journal of Medicine about burnout and harassment in surgical residency. They also discuss the research in JAMA Internal Medicine about how patient behavior positively and negatively affects physicians, trainees, and medical students.  * * *  Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 * * *  The interview this week is with MDedge reporter Kari Oakes on her article about addressing female physicians by their appropriate title: Doctor.  You can follow Nick on Twitter at @Nick_Andrews__ and on Instagram @medicalmuggle. Timestamps: Jack Strong, MD, dies (01:08) Surgical residency discrimination, abuse (01:45) Impact of patient behavior on docs (08:15) #MyFirstNameIsDoctor/Addressing female physicians appropriately (12:35) Interview with Kari Okas (12:40) Links: Jack Strong, MD, Obit/Memoriam (Nola.com) Discrimination, abuse, harassment, and burnout in surgical residency training (N Engl J Med.) Demeaning patient behavior takes a toll (MDedge) #MyFirstNameIsDoctor (MDedge) The scene from A Few Good Men (YouTube) For more MDedge Podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com Interact with us on Twitter: @MDedgeTweets
Medical Muggle Nick Andrews and Emi Okamoto, MD, talk about football: the injuries, the NFL's Crucial Catch campaign, and what to tell patients and parents about football injuries and injuries from all sports.  * * *  Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019 * * * The interview this week is with Jeff Pearson, DO, a family practice clinician practicing in Carlsbad, Calif. Dr. Pearson uses humor, magic, and general tomfoolery to forge a connection with his patients.  Timestamps: Learn about the survey (01:00) Dogs extend life (01:30) Dogs combat burnout (03:03) NFL Crucial Catch campaign (05:15) Crucial Catch criticism (06:31) Sports injuries (09:50) Would you let your kid play football? (14:44) Relevant links: Dogs extend life (WebMD) Dogs combat burnout (MDedge) NFL Crucial Catch campaign Crucial Catch criticism (KevinMD) NFL player Kelechi Osemele fined for getting surgery (ProFootballTalk) Football (European Soccer) Neuromuscular disorders (MDedge) Brain Injuries from sports linger for one year (MDedge) Dr. Jeff Pearson Medicine-in-Motion   You can contact Nick and Emi by emailing podcasts@mdedge.com and you can follow Nick on Twitter at @Nick_Andrews__ or on Instagram @medicalmuggle.   For more MDedge Podcasts, go to mdedge.com/podcasts. Email the show: podcasts@mdedge.com  
No free medical advice

No free medical advice

2019-10-1800:44:05

Nick Andrews and Emi Okamoto, MD, talk about how to decrease the number of phone calls to your office, how more and more people view mental illness as a threat, and how to handle it when your family and friends ask for medical advice.  The interview this week is Taylor Brana, DO, the founder, producer, and host of the Happy Doc Podcast.  Timestamps: Is mental illness threatening? (01:58) Preview gender empowerment conversation (06:08) How to decrease your office phone calls (06:58) Should you charge your friends for medical advice? (09:25) Meet the guest (14:15) Interview (18:50) Links: People view mental illness as a threat (Medscape) #MyFirstNameIsDoctor (MDedge) Decreasing office phone calls (reddit) Charging your family and friends for medical advice? (reddit) The Happy Doc Podcast For more MDedge Podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com  
In episode 51, Nick and Emi Okamoto, MD, discuss what makes a good doctor-patient relationship, how EMRs affect burnout, and when, if ever, it's okay to have had a drink before a clinical shift.  The interview portion of this episode comes from Ilana Yurkiewicz, MD, who hosts a discussion about difficult conversations that residents and fellows need to have with their patients. Dr. Yurkiewicz, along with Emily Bryer, DO, and Ronak Mistry, DO, address those times when a patient asks what you would do if the patient were your family member, and how much patients really want to know about their situation.  Dr. Yurkiewicz is a hematology/oncology fellow at Stanford (Calif.) University and the host and producer of the Clinical Correlation segment of Blood & Cancer, the official podcast of MDedge Hematology/Oncology. Dr. Bryer and Dr. Mistry are both at the University of Pennsylvania, Philadelphia. You can contact Nick and Emi by emailing podcasts@mdedge.com, and you can follow Nick on Twitter at @nick_andrews__ or Instagram at @medicalmuggle.  Time stamps: Good doctor-patient relationships (01:40) Drinking before the clinic? (03:20) How EMRs affect ob.gyn. care (07:27) Hard conversations with Dr. Ilana Yurkiewicz (15:20) Links: What Makes a Good Doctor-Patient Relationship? (Medscape) The electronic medical record's role in ObGyn burnout and patient care (MDedge/ObGyn) Downloadable PDF Having a beer before a shift (Reddit: r/medicine) Ilana Yurkiewicz, MD Academic Profile Blood & Cancer Hard Questions Column Emily Bryer, DO  Ronak Mistry, DO For more MDedge Podcasts, go to mdedge.com/podcasts Email the show: podcasts@mdedge.com  
Nick and Emi Okamoto, MD, talk about the changes you'd like to see to electronic medical records systems as well as some issues with data and reporting in recent dietary studies. The interview this week is Luke S. Johnson, MD, a dermatologist with a focus on pediatric dermatology at the University of Utah. Dr. Johnson is the founder and co-host of the brand new Dermasphere podcast.  You can contact Postcall at podcasts@mdedge.com and you can follow Nick Andrews on Twitter at @nick_andrews__. Timestamps: Transplant surgeon gets Hep C-positive heart: 01:51 Pediatric milk recommendations: 04:33 Red meat data: 07:42 What changes would you make to your EMR/EHR?: 11:50 Interview with Luke Johnson, MD: 19:00 Links: Transplant surgeon gets Hep C-positive heart Milk recommendations New Kids' Guidelines: Drink Milk, Water, Avoid Plant-Based 'Milk' New recommendations on what young children should drink Red Meat Recommendations Red Meat OK'd in New Guideline But Critics Call Foul Panel releases guidelines for red meat, processed meat consumption EMR/EHR changes Reddit thread Luke Johnson, MD Dermasphere Podcast Home MDedge IQ Dermatology Quizzes
The creator of The Nocturnists podcast, Emily Silverman, MD, talks inspiration, storytelling, time management, and being a doctor. Nick and Emi Okamoto, MD, discuss the latest medical school to make their tuition free, which internal medicine subspecialties women are and aren't choosing, and more.  Links: Weill Cornell free tuition Women residency/subspecialty choices Video games and your heart Emily Silverman, MD: Twitter (@ESilvermanMD) Website Professional Bio The Nocturnists: Website Upcoming events Episodes Contact the show at podcasts@mdedge.com or follow host Nick Andrews on Twitter: @Nick_Andrews__
Nick Andrews and Emi Okamoto, MD, break down the screens and devices doctors interact with in and out of the clinic. The interview guest this week is Sarah Mojarad (@Sarah_Mojarad), who is a medical and science educator and lecturer. Ms. Mojarad gives Tweetorials about social media and medicine.  Time Stamps: Are you still a doc with all this screen time? (01:54) How doctors get their media (06:16) Medical devices getting hacked (12:27) Interview with Sarah Mojarad (19:41) Relevant Links: Are patients the next cyberattack targets? If you spend more than 80% of your day staring at a screen, you are no longer a doctor Time-squeezed physicians: Here's how your colleagues obtain key information Sarah Mojarad: Twitter Academic biography Personal website You can contact Postcall by emailing us at podcasts@mdedge.com.    
National Suicide Prevention Week interview with Janae Sharp of the Sharp Index, which is a resource for physician suicide awareness, prevention, and research.  Emi Okamoto, MD, and Nick have a mini journal club about the med student perspective on suicide and burnout and how Groupon can save you and/or your patients money on some medical procedures.  Time stamps:  Journal Club (01:51) Groupon saves money (02:22) Trump administration moves to ban non-tobacco flavored e-cigarettes (08:00) Med student perspective on suicide (09:47) Interview introduction (14:02) Interview with Janae Sharp (17:51) Relevant links: Journal club articles Groupon (Medscape) Med student perspective (Medscape) Flavored vape ban Interview: Janae Sharp LinkedIn Janae Sharp Twitter Sharp Index Questionnaire Donate Scholarships  You can contact Postcall by emailing Nick and/or Emi at podcasts@mdedge.com or finding Nick on Twitter @Nick_Andrews__    
A special lecture for suicide prevention day, week, and month from our sister podcast, the Psychcast.  Click here for more episodes of the Psychcast. Show Notes By Jacqueline Posada, MD Introduction Suicide in general population increased by 30% since 1999. The suicide rate was 14 people in every 100,000 up from 10.5 people per 100,000 in 1999. 400 physicians die per year. However, there is not great data collection about profession-specific suicide Suicide is the leading cause of death in male residents and the 2nd leading cause of death in female residents This represents a serious loss of the medical profession as well as the thousands of patients who lose their physician as well    Risks factors for physician suicide   Psychological: Physicians tend be contentious, perfectionistic, and compulsive. They are able to cope with delayed gratification, and this may lead to a false sense of ability to cope with all obstacles, without failures. Medicine presents physicians with many obstacles such as the deaths of our patients and human frailty. Human imperfection and physician failures are juxtaposed against these traits listed above Historical and genetic risk factors: Past suicide attempt and presence of mood disorder Untreated depression is an especially high risk for physicians as they may leave their mental illness untreated due to stigma As of 2017, 32 of 48 state licensing boards continue to question doctors about their mental health history. There is increased risk of suicide with the presence of the long arm version of the serotonin transporter gene and history of childhood trauma Workplace risk factors: Physicians identify electronic medical records (EMR) and increased documentation demands as contributing to burnout and less job satisfaction EMR means that doctors feel like they spend more time with records than face to face with patients. With EMR there is less eye contact and direct connection with patients so it’s hard to foster relationships Physicians feel the stress of increased use of technology and connectivity via cell phones and the need to “keep up”    Change in culture As a profession we are starting to talk about physician suicide; acknowledgment of the issue can lead to change. ACGME and other workplaces are starting to integrate physician wellness into curriculums and culture. References:  NCHS Data Brief No. 330. 2018 Nov.“Suicide mortality in the United States, 1999-2017” Yaghmour, NA et al. Acad Med. 2017 Jul. 92(7):976-83.“Causes of death of residents in ACGME-accredited programs 2000 through 2014” Implications for the learning environment” Babbott S et al. J Am Med Inform Assoc. 2014 Feb;21(e1):e100-61. Electronic medical records and physician stress in primary care: Results from the MEMO Study” Gold KJ et al.Gen Hosp Psychiatry. 2013 Jan-Feb;35(1):45-9. “Details on suicide among U.S. physicians: Data from the National Violent Death Reporting System” ACGME Symposium on Physician Well-Being
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Nick Andrews

Enjoyed this lecture fr Dr. Balon

Aug 22nd
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