Business of Medicine: Recent Episodes

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Host: Mary Katherine Cheeley, PharmD, BCPS, CLS, FNLA
Guest: Shelby Yaceczko, MS, RDN-AP, CNSC
The burden of malnutrition across the globe is very high, with hospitals and care teams being directly impacted. Here with Dr. Mary Katherine Cheeley to share what we need to know about the relationship between nutritional deficiencies and health economics in the hospital is Ms. Shelby Yaceczko, an Assistant Clinical Professor in the Department of Nutrition at the University of the Pacific in Sacramento, California.

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Host: John J. Russell, MD

Guest: Joseph E. Bavaria, MD

Featuring a wide range of disciplines and a new approach to comprehensive care, what do we need to know about the Aorta Center at Penn Medicine? Dr. John Russell is joined by Dr. Joseph E. Bavaria to dive into this aortic program and discuss a new approach to comprehensive care.

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Host: Charles Turck, PharmD, BCPS, BCCCP

Guest: Kathryn Gallagher, MS, RN, BSN

Guest: Kate Newcomb-DeSanto, MSN, RN, MSW

What does Penn Medicine’s newly-opened patient room facility have to offer? Dr. Charles Turck is joined by Penn Medicine Clinical Advisors Kathy Gallagher and Kate Newcomb-DeSanto to discuss the new pavilion and how it's revolutionizing patient care.

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Host: Charles Turck, PharmD, BCPS, BCCCP

Guest: Emily Carroll, JD, MSW

The No Surprises Act aims to protect consumers from surprise medical bills. But how exactly does it go about doing that, and what’s the current status of its implementation? Joining Dr. Charles Turck to share progress and challenges associated with the No Surprises Act is Ms. Emily Carroll, a senior legislative attorney for the American Medical Association's Advocacy Resource Center.

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Host: Charles Turck, PharmD, BCPS, BCCCP

Guest: Chris H. Cooper

Can new mask technology made with innovative materials better protect us from the coronavirus? Dr. Charles Turck speaks with Chris Cooper, Chief Science Officer and CEO of Airlock389, on improving mask technology after the supply shortage of masks during COVID-19.

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Host: Linda Bernstein, Pharm.D.

The U.S. Food and Drug Administration announced its approval of Ebanga (Ansuvimab-zykl) for the treatment of the ebola virus infection in adults and children. To learn more about the second ebolavirus treatment to receive approval, Dr. Linda Bernstein walks us through this new drug.

Published December 29, 2020

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Host: Linda Bernstein, Pharm.D.

As a growing number of pharmaceutical companies refuse to provide discounts to 340B hospitals for drugs dispensed at community-based pharmacies, a federal lawsuit is challenging the U.S. Department of Health and Human Services in order to fight for patient communities harmed by this refusal. On this episode of The Drug Report, Dr. Linda Bernstein dives into this lawsuit.

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Host: Linda Bernstein, Pharm.D.

A sedative commonly used in anesthesia, dexmedetomidine hydrochloride has been the subject of many news reports over the past few months. But most recently, the FDA announced approval for Aurobindo Pharma’s dexmedetomidine hydrochloride in 0.9% sodium chloride injection. In this episode of The Drug Report, Dr. Linda Bernstein reviews recent approvals of dexmedetomidine hydrochloride on initially intubated and mechanically ventilated patients.

Published December 17, 2020

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Host: Linda Bernstein, Pharm.D.

Asthma remains a significant global health problem, and more than 25 million Americans suffer from it. How have the National Asthma Education and Prevention Program’s guidelines changed to help manage this chronic condition? In this episode of The Drug Report, Dr. Linda Bernstein reviews new guidelines on the management of asthma in adolescents and adults.

Published December 10, 2020

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Host: Linda Bernstein, Pharm.D.

To prevent the flu from spreading concurrently with COVID-19, The U.S. Food and Drug Administration has expanded the approved indication for baloxavir marboxil to include post-exposure prevention of influenza. On this episode of The Drug Report, Dr. Linda Bernstein dives into this oral anti-influenza drug.

Published December 2, 2020

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Host: Linda Bernstein, Pharm.D.

This episode of The Drug Report takes a look at a COVID-19 cocktail comprised of the coadministration of casirivimab and imdevimab, which has proven to decrease hospitalization and emergency room visits.

Published November 30, 2020

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Host: Linda Bernstein, Pharm.D.

The U.S. Food and Drug Administration has granted Eli Lilly and Company’s trial vaccine for COVID-19 an Emergency Use Authorization, or EUA. On this episode of The Drug Report, learn more about this monoclonal antibody and how the company plans on distributing it.

Published November 30, 2020

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Host: Linda Bernstein, Pharm.D.

With the spread of the COVID-19 pandemic, fewer children have received a measles vaccination, and progress towards eliminating this disease has halted. How can pharmacists encourage more pediatric measles vaccinations? In this episode of The Drug Report, Dr. Linda Bernstein takes a look at the vast number of children globally who’ve yet to receive this vaccine.

Published November 30, 2020

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Host: Linda Bernstein, Pharm.D.

Pfizer and BioNTech recently announced that their mRNA vaccine for the COVID-19 virus was 90 percent effective, and the companies plan to apply for Emergency Use Authorization. This episode of The Drug Report dives into this vaccine’s Phase 3 clinical trial and explores developments made by other companies in the search for a COVID-19 vaccine.

Published November 30, 2020

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Host: Linda Bernstein, Pharm.D.

In light of the COVID-19 pandemic, the Centers for Disease Control and Prevention, or the CDC, plans to use pharmacies to increase access to the COVID-19 vaccine when it is ready for distribution. In this episode of The Drug Report, Linda Bernstein will explain the CDC’s recently-developed Vaccination Program Interim Playbook.

Published November 17, 2020

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Host: Linda Bernstein, Pharm.D.

The Food and Drug Administration announced that Remdesivir is the first treatment for COVID-19 to receive their approval. To help us better understand this antiviral agent, Dr. Linda Bernstein discusses emerging studies uncovering the benefits and limitations of Remdesivir.

Published November 6, 2020

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Host: Matt Birnholz, MD

Guest: Carol Vargo, MHS

Guest: Sheryl Hirsch, MD, FAAP

Guest: Thomas Eppes, MD

The American Medical Association is one of the leading medical organizations across the country that have been working to provide physicians with the tools and resources they need to continue caring for patients and to keep their practices financially afloat amid the COVID-19 pandemic. Joining Dr. Matt Birnholz to review the AMA’s guidance for reopening practices during the pandemic and how some practices have begun to reopen are Carol Vargo from the AMA, pediatrician Dr. Sheryl Hirsch, and family physician Dr. Thomas Eppes.

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Guest: Charles Turck, PharmD, BCPS, BCCCP

With the growing amount of illicit pharmaceutical drugs and medical supplies filling the global market amid the COVID-19 pandemic, are we at risk of facing another public health crisis? Listen in as Dr. Charles Turck brings this troubling trend to light.

Published June 3, 2020

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Host: Jennifer Caudle, DO

Guest: Todd Askew

What’s being done to address the range of issues like the PPE shortage, lack of testing, and financial shortfalls encountered during the COVID-19 pandemic? Here to share his team’s advocacy efforts to help tackle these and other challenges is Todd Askew, the American Medical Association's Senior Vice President of Advocacy.

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Host: Matt Birnholz, MD

Guest: April Taylor, MS, MHA, CPPS, CPHQ

Every organization has disaster preparedness plans for one-day and one-week events like fires, hurricanes, and earthquakes, but how do those plans come into play during a pandemic like COVID-19 when there isn’t an end date in sight? Joining Dr. Matt Birnholz to discuss this and more is April Taylor, Senior Director of Improvement and Project Management at the Children’s Hospital of Philadelphia.

Published May 13, 2020

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Host: Paul Doghramji, MD

Guest: Jonathan Stokes

The World Health Organization recently listed antibiotic resistance as one of the biggest threats to global health, causing researchers to search for potential antibiotic candidates to combat this crisis. To find one such candidate, one research team turned to an unexpected source: artificial intelligence.

Here to walk us through the team’s approach and findings is Johnathon Stokes, the lead author of the study that identified a powerful new antibiotic compound.

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Host: Linda Bernstein, Pharm.D.

The Drug Enforcement Administration (DEA) issued a new guidance for the issuance of oral Schedule II prescriptions in light of the COVID-19 pandemic and nationwide public health emergency. Pharmacist Dr. Linda Bernstein details the DEA’s temporary exceptions to the regulations to ease prescribing and dispensing of these controlled substances during this challenging time.

Published April 24, 2020

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Host: Linda Bernstein, Pharm.D.

Join pharmacist Dr. Linda Bernstein as she highlights several articles from recent literature describing coagulopathies in severely ill COVID-19 patients in China. She explores the cause and effect theories behind these findings and whether the observed coagulopathies are due directly to the virus, the critically ill condition of the patient that predisposes them to thromboembolism, or some combination of the two.

Published April 24, 2020

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Host: Linda Bernstein, Pharm.D.

The US Food and Drug Administration has authorized clinicians to prescribe chloroquine and hydroxychloroquine for hospitalized patients with COVID-19, despite warnings from scientific advisers that no randomized controlled trial has been conducted to support the drugs’ safety and efficacy in this population. Pharmacist Dr. Linda Bernstein takes us through the FDA’s decision process, the parameters of the issuance, and comments made by the experts on this emergency ruling.

Published April 24, 2020

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Host: Linda Bernstein, Pharm.D.

Critical medicine shortages during the COVID-19 pandemic, particularly for drugs required to support patients on mechanical ventilation, is the focus of this episode of The Drug Report. Pharmacist Dr. Linda Bernstein describes the urgent appeals made by major healthcare organizations, related reports highlighting the serious impact of these shortages on fill rates for critical medicines, and progress being made at the federal level to remedy the situation.

Published April 21, 2020

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Host: Linda Bernstein, Pharm.D.

Tune in as pharmacist Dr. Linda Bernstein looks at a few of the novel approaches researchers all over the world are taking to conquer the novel coronavirus in addition to evaluating what these approaches may mean for today and potential viral mutations going forward.

Published April 21, 2020

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Host: Linda Bernstein, Pharm.D.

Join pharmacist Dr. Linda Bernstein as she outlines the United States Health and Human Services’ authorization of licensed pharmacists to order and administer FDA-approved COVID-19 tests as well as the priority patient testing categories as set forth by the U.S. Public Health Service.

Published April 21, 2020

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Host: John J. Russell, MD

In the absence of FDA-approved therapies and vaccines to battle the COVID-19 pandemic, healthcare professionals on the frontlines are turning to malarial medicines like chloroquine and hydroquinone to treat their patients—despite the fact that there’s no evidence to support their use. But this isn’t the first time that medicines have been used for a different purpose than what they were intended for, as Dr. John Russell explains.

Published April 21, 2020

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Host: Linda Bernstein, Pharm.D.

The Centers for Disease Control provided a guidance for pharmacy staff to minimize their risk of exposure to the COVID-19 virus and reduce customer risk during the pandemic. Pharmacist Dr. Linda Bernstein presents highlights of the guidance that offers recommendations on ways to minimize viral exposure when medication dispensing along with methods to minimize patient-to-patient contact.

Published on April 17, 2020

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Host: Linda Bernstein, Pharm.D.

The Food and Drug Administration has issued a guidance on its temporary policy for certain risk evaluation and mitigation strategies (REMS) requirements during the COVID-19 pandemic that include laboratory monitoring and imaging studies. Pharmacist Dr. Linda Bernstein discusses the guidance and its impact on patient access to certain REMS drugs when patients self-isolate or are subject to quarantine due to COVID-19.

Published April 17, 2020

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Host: Linda Bernstein, Pharm.D.

The American Society of Health Systems Pharmacists (ASHP) recently published recommendations for prescribers, pharmacists and patients when considering the proper use of experimental treatments during the COVID-19 pandemic. Inappropriate prescribing of experimental treatments “just in case” or for patients not at high risk of severe illness may lead to insufficient supplies of critical medicines that are needed to treat other patients who depend on these medicines.

Linda Bernstein, Pharm.D., reports on this important guidance designed to limit drug shortages and the worsening of existing shortages that can occur when practitioners and patients stock up and hoard their medication supplies.

Published April X, 2020

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Host: Linda Bernstein, Pharm.D.

The World Health Organization (WHO) and partners recently announced it was launching an international clinical trial with the goal of generating significant worldwide data from thousands of patients to find the most effective treatments for COVID-19. Pharmacist Dr. Linda Bernstein brings you an update on the WHO SOLIDARITY trial, which will offer clinicians simplified procedures to enable even overloaded hospitals to participate.

Published April 17, 2020

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Host: Linda Bernstein, Pharm.D.

Pharmacist Dr. Linda Bernstein highlights the key points of a New England Journal of Medicine article that given the available evidence, the authors and multiple specialty medical societies believe that—despite theoretical concerns and uncertainty pertaining to the effect of RAAS inhibitors on ACE2 and its potential relationship to COVID-19 severity—RAAS inhibitors should be continued in patients who are otherwise in stable condition who are at risk for or are being evaluated for COVID-19. Abrupt withdrawal of RAAS inhibitors in high-risk patients, including those who have heart failure or have had myocardial infarction, may result in clinical instability and adverse health outcomes.

Published April 17, 2020

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Host: Linda Bernstein, Pharm.D.

This special episode of The Drug Report provides an update regarding the antiviral Remdesivir, which is the first investigational therapeutic to be studied under an FDA-approved NIH adaptive randomized controlled clinical trial for hospitalized COVID-19 patients. Currently, there are three options through clinical trials for obtaining remdesivir for the treatment of hospitalized patients with COVID-19 and pneumonia in the United States, as pharmacist Dr. Linda Bernstein explains.

Published April 10, 2020

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Host: Linda Bernstein, Pharm.D.

On this episode of The Drug Report, pharmacist Dr. Linda Bernstein focuses on a recent CVS Health announcement of their new plan that allows employers and health plan sponsors to work within a formulary and plan design to offer all types of diabetes medications—including insulin—at zero-dollar out of pocket for their members without raising costs for the plan sponsor or increasing premiums or deductibles for all plan members.

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Host: Linda Bernstein, Pharm.D.

In this episode of The Drug Report, pharmacist Dr. Linda Bernstein highlights some diabetes medications that have achieved or are pending approval for new indications pertaining to cardiovascular disease risk reduction.

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Host: Linda Bernstein, Pharm.D.

Although there are currently no antiviral medicines or vaccines licensed by the FDA for the treatment and prevention of COVID-19, some progress has been made as the first investigational therapeutic is to be studied under an FDA-approved NIH adaptive randomized controlled clinical trial for hospitalized COVID-19 patients. Pharmacist Dr. Linda Bernstein reports on this and other investigational therapies.

Published March 27, 2020

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Host: Joshua Sharfstein, MD

Guest: Stephanie Desmon

Recent volatility in the financial markets have shaken investors and left everyone asking: Are we currently in a financial crisis? Author and expert on financial crises Kathleen Day of the Johns Hopkins Carey Business School talks to Stephanie Desmon of the Johns Hopkins Center for Communication Programs about how the novel coronavirus is affecting local and global economies and what consumers should do right now.

Published March 19, 2020

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Host: Brian P. McDonough, MD, FAAFP

Guest: Cecilia Van Cauwenberghe

What was once a sci-fi tale is now a reality, but unlike the aliens and monsters common to this genre, artificial intelligence isn’t something healthcare professionals need to fear. On the contrary, it may just be the key to unlocking new solutions in the pharmaceutical industry, as Dr. Cecilia Van Cauwenberghe explains.

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Host: Brian P. McDonough, MD, FAAFP

Guest: Carmine Attanasio

Get a glimpse into the future of healthcare as Carmine Attanasio the Senior Product Manager with Digital Mylemoa Marketing at Celgene, shares how social media is changing the landscape in patient education.

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Host: Brian P. McDonough, MD, FAAFP

Guest: Jeanne Venella, DNP, MS, CEN, CPEN

Jeanne Venella, Vice President of Clinical Operations at Stel Life, Inc., talks about the benefits and limitations of the electronic records system in healthcare from her perspective as a nurse.

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Host: Brian P. McDonough, MD, FAAFP

Guest: Christopher Spagnuola, MD, FAAOS

As with any technology, there are benefits and limitations to the computerization of healthcare. On the plus side, as Dr. Christopher Spagnuola explains, electronic medical records are streamlining communication between medical providers when it comes to prescriptions, and telemedicine is revolutionizing post-op following orthopedic surgery. But there are unfortunately some downsides to this technology as well.

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Host: Brian P. McDonough, MD, FAAFP

Guest: Daniel Tropeano

Join Daniel Tropeano, CEO of the Pennsylvania and Delaware Region with United Healthcare, as he shares how technology has helped improve the personalization of healthcare and the utilization of the various wellness programs available to healthcare members.

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Host: Brian P. McDonough, MD, FAAFP

Guest: Richard Snyder, MD

Get a behind-the-scenes look into how Independence Blue Cross teamed up with Penn Medicine to identify opportunities for improving patient satisfaction and their access to and coordination of care by utilizing EMR data and medical claims data. Richard Snyder, Senior Vice President and Chief Medical Officer at Independence Blue Cross, shares his insights into this venture.

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Host: Tim Rush

Dr. Johnny Shen, a family practice physician trained in Houston, TX, investigated whether there could be another way to achieve work-life balance early in his career. What he discovered was locum tenens. This aha moment set him on a unique and fulfilling career path that has both defied his expectations and changed the perception of the healthcare industry.

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Host: Tim Rush

Guest: Noel Lumpkin, MD

Dr. Noel Lumpkin, author of Road Warrior Physician, produces a must-read for all physicians, no matter their career stage. Through her insights, Dr. Lumpkin will equip you with the tools you need to begin your career as a locum tenens physician—from the steps to take, the benefits received, and job landscape.

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The FDA has made strides in improving transparency and data access, and has implemented tools to allow the pharmaceutical industry and the public to transform raw data into usable information. One of these tools is called the FDA Adverse Event Reporting System (FAERS) Public Dashboard. In this episode, the architects of the FAERS Public Dashboard – Deputy Director of the Regulatory Science Staff Suranjan De, and Acting Team Lead in Regulatory Science Information Sanjay Sahoo—both of CDER’s Office of Surveillance and Epidemiology, highlight their work with this new online tool.

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Host: Jennifer Caudle, DO

Guest: Joanna Petrides, PsyD

Career fatigue is a staggering epidemic where not only the healthcare professionals suffer, but so do their patients and family members. Join Dr. Jennifer Caudle as she speaks with Dr. Joanna Petrides, Clinical Psychologist and Resident Research Director of Family Medicine at Rowan University School of Osteopathic Medicine, about the warning signs physicians need to be aware of and the preventative measures that can be implemented to help keep them healthy.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Using a recent case study based on the Geisinger Medical Center, Drs. Russ Faust and Randy Wong explore whether you should skip traditional marketing methods like direct mail and instead connect with job seekers via social media.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Gone are the days when asking for reviews seemed desperate or unprofessional. Now it is much more acceptable, and in fact, patients expect it! Join Drs. Russ Faust and Randy Wong as they explain the importance of getting past the embarrassment and asking patients for reviews.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Transparency is a funny word in medicine. We don't use it often, but it’s how you begin the process of connecting with your patients. And to help you make that connection, Drs. Russ Faust and Randy Wong share the two types of transparency that will enable you to engage your current patients and develop new ones.

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Host: Randall Wong, MD

Host: Russell Faust, MD

It’s a fine line between creating content that’s relevant and content that’s spammy. To help you find that balance, Drs. Russ Faust and Randy Wong share the secret to creating valuable content that’s read, remembered, and most importantly, shared.

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Host: Randall Wong, MD

Host: Russell Faust, MD

With more and more browsers requiring websites to obtain an SSL certificate, Drs. Russ Faust and Randy Wong explain why you need to tell visitors—and even more importantly, browsers—that your website is secure and trustworthy.

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Host: Randall Wong, MD

Host: Russell Faust, MD

When it comes to your practice, you probably have some conditions that you’d rather treat than others…we all do! That’s why Drs. Russ Faust and Randy Wong break down the key strategies that will get you noticed by the patients you want to reach the most.

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Host: Andrew Wilner, MD, FACP, FAAN

Are you a retired physician looking to get back into the field of medicine? Or do you want to resume your clinical practice after taking a few years off? Then listen in as Dr. Andrew Wilner speaks with Dr. Leonard Glass, founder of the Physicians Retraining and Reentry program, about why he created the program in collaboration with UC San Diego School of Medicine, who the ideal candidate is, and how you can apply.

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Karen Friedman returns with another season of Speaking of... a series devoted to divulging presentational tips and tricks that turn boring into brilliant. With these helpful tools, you'll find yourself becoming an impactful leader and effective communicator throughout all aspects of life.

Tip 1: Present the Problem

Presenting the problem before the solution not only gives people a reason to listen, but as Karen Friedman explains, it also gives you the opportunity to connect with your audience and gain rapport and trust.

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Host: John J. Russell, MD

Guest: Judd Hollander, MD

In the early 1900s, about 40% of doctor visits were made in a patient’s home. Today, with the rise of telehealth technologies, more than 7 million patients are once again receiving care in the comfort of their own homes.

Join Dr. John Russell as he speaks with Dr. Judd Hollander, Associate Dean for Strategic Health Initiatives at Sidney Kimmel Medical College at Thomas Jefferson University and Professor and Vice Chair of Finance and Healthcare Enterprises in the Department of Emergency Medicine, on the benefits and risks of implementing telemedicine in your practice.

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Host: Alicia A. Sutton

Guest: Andrew Rosenberg, JD, MP

Guest: Thomas Sullivan

Join in as Andrew Rosenberg, JD, MP, Senior Advisor of CME Coalition and Thomas Sullivan, President, and Founder of Rockpointe, discuss how CE providers will be able to offer a PI-QI improvement activity under the Medicare Access and CHIP Reauthorization Act (MACRA). They will also address the MACRA law’s physician incentives for quality care under Medicare, a breakdown of the Quality Payment Program and CE Opportunities, the newly adopted QI CME Improvement Activity, and more!

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Host: Brian P. McDonough, MD, FAAFP

Tobacco use accounts for nearly half a million deaths in the U.S. each year and is the leading cause of lung cancer, according to the American Lung Association.

However, the economic and societal costs of smoking are also staggering. Every year, Americans spend more than $300 billion, which includes both medical care and lost productivity. Unfortunately, some people will have to pay more depending on the state in which they live.

Host Dr. Brian McDonough chats with analyst Jill Gonzales from Wallethub, a financial website that calculated the true per-person cost of smoking in each of the 50 states and the District of Columbia.

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Host: Randall Wong, MD

Host: Russell Faust, MD

The value you provide on your website through your articles on healthcare will translate into trust. Once trusted, consumers (patients) then consider to purchase goods or services (such as making an appointment). Every successful business, brand, and website is trusted. Is yours?

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Host: Randall Wong, MD

Host: Russell Faust, MD

Curating content is a method of content marketing by which an expert (i.e. you) provides an analysis, explanation, or opinion about a current topic in healthcare.

Russ and Randy explain the advantages of curating content and why it is such a natural way to build traffic for a healthcare professional.

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Host: Russell Faust, MD

Host: Randall Wong, MD

Podcasting is the fastest growing medium and reaches across all generations, giving you the opportunity to reach unique audiences and new patients.

Russ and Randy share a few easy steps to starting your own health care podcast.

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Host: Alicia A. Sutton

Guest: Hilary Schmidt, PhD

Guest: John Ruggiero, PhD, MPA, CHCP

Guest: Gregory Salinas, PhD

Guest: Nili Solomonov

Annually, there are around 150,000 certified activities produced in the US annually. However, meta-analyses and research estimates that less than 20% of those educational activities drive behavior change and probably less than 5% lead to improvements in patient outcomes. With a vast array of continuing education (CE) activities available to healthcare professionals (HCPs) and the delay in data on the effectiveness and outcomes of CE activities, it's difficult for HCPs and CE stakeholders to determine the most effective education that has the greatest potential to lead to behavior change thus improving patient care.

During the Alliance for Continuing Education in the Healthcare Professions annual meeting host Alicia Sutton speaks with guests Hilary Schmidt, PhD, John Ruggiero, PhD, MPA, CHCP, Gregory Salinas, PhD, and Nili Solomonov in a two-part interview covering:

  • The current state of CE activities and address the lack of objective, reliable, and empirical assessment available to prospectively identify CE activities that have the greatest potential to lead to improvements in health care practice.
  • The development of a new Instructional Design Rating Scale and its reliability and predictive validity in driving behavior change through rigorous research methods based on the science of human learning.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Newsjacking can increase your SEO and website traffic by injecting your own thoughts and ideas on trending news stories. Health care newsjacking works the same way, culling the web for trending health care topics and then writing about them for your clinical blog. Though similar to curating, newsjacking differs in that stories are published more timely. In fact, the best time to release a newsjacking story is before it even becomes a trending topic.

Russ and Randy discuss some best practices to newsjacking: how to monitor the web, tools to use, and how to efficiently keep up with current events.

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Host: Randall Wong, MD

Host: Russell Faust, MD

YouTube is the second largest search engine in the world, which means that video reaches a massive audience second only to Google.

In this episode, Russ and Randy explain why you should consider adding a video channel to your marketing strategy, engaging the viewer and providing value by educating and/or demonstrating clinical techniques.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Video editing software is important and useful for any video you might want to publish on the Internet, on platforms such as Vimeo or YouTube. Screen capture software allows you to capture video of your computer screen, often used to create a video of a PowerPoint presentation, and allows you to add voiceover and other features.

Russ and Randy review their favorite software tools for video editing and screen capture, remarking on the ease of use, price, and features for these tools.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Want to write a killer eBook? Want to write an eBook using best practices?

Writing an eBook can be easy, but there are ways to do it better. Russ and Randy give top recommendations and tips to creating a great eBook.

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Host: Tim Rush

Guest: Gail Curtis

In May 2017, the American Academy of Physician Assistants (AAPA) House of Delegates approved a new policy, referred to as the Optimal Team Practice Guidelines. These guidelines were intended to expand access to care and better fit the PA profession to the current healthcare marketplace. What does this policy mean for the physician assistant field in terms of patient care, how will they collaborate with physicians, and what new career opportunities will emerge moving forward?

Host Tim Rush talks with Gail Curtis, President and Chair of the AAPA Board of Directors, about ways in which these PA practice guidelines will change the physician assistant profession.

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Host: Randall Wong, MD

Host: Russell Faust, MD

There are dozens of ways to communicate digitally with one another, but email remains the preferred method for your marketing communications to current and potential patients. No need to be distracted by the fact that you may not be using the “latest” social media platform to direct-message with your patients; email is likely the preferred medium used by your patients…and you!

Russ and Randy discuss why you should continue to use email and not worry as much about comparative social media platforms to direct-message with patients.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Maintaining an up to date website and engaging in social media can be a real hassle and time crunch. Plugins can allow you to auto post from your website to a social media account.

Russ and Randy share some tips to managing this efficiently and easily. They also review two social media dashboards that will allow you to manage multiple accounts simultaneously.

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Host: Randall Wong, MD

Host: Russell Faust, MD

This episode celebrates Russ's and Randy's first year of podcasting on healthcare and medical Internet marketing. They now have over 60 episodes and have been religious about weekly publishing.

Russ and Randy reflect on this milestone to share some lessons learned over their first year.

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Host: Maurice Pickard, MD

Guest: Robert Pearl, MD

Most patients wrongly assume the “best” care is dependent mainly on the newest medications, the most complex treatments, and the smartest doctors. But according to physician and author Dr. Robert Pearl, Americans tend to look for healthcare solutions in the wrong places.

Host Maurice Pickard chats with Dr. Pearl, author of Mistreated: Why We Think We’re Getting Good Health Care—And Why We’re Usually Wrong, about the subconscious misperceptions that have become so commonplace in medicine today. Dr. Pearl explains how modifying the structure, technology, financing, and leadership of American healthcare could radically improve quality outcomes.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Search engines rank web pages, not websites. This means that each of your web pages has an outstanding chance to rank highly and well. Paying attention to the techniques of search engine optimization (SEO), including keyword usage, can help your individual pages outrank the competition. You will want to take particular advantage of this concept when writing your About pages.

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Host: Russell Faust, MD

Bryan Vartabedian, M.D. has been blogging and using Twitter since 2008, but he doesn't do it to build his practice. As an early adopter, Bryan has become an authority on digital technology, social media and the future of medicine. His blog, 33charts.com, was started to help physicians learn about digital exposure, and was NOT created to attract patients. Listen to this unique perspective about using digital visibility to create opportunity.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Every website needs a way for interested patients to contact your office, “opt-in” to become a subscriber and, if you are ready to engage readers, a way for readers to leave a comment. Most of these features can be easily (and cheaply) added to your website via plugins. This episode will show you how.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Want to start a podcast? Podcasting can be an excellent way to expand your digital audience and grow your practice. Podcasting is cheap, easy to do, and reaches a new audience for your practice. In addition, more people listen to a podcast now than ever before. Podcasts are the largest growing medium across the Internet.

Drs. Russ Faust and Randy Wong share their experiences and learned tips in the art of podcasting.

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Host: Andrew Wilner, MD, FACP, FAAN

Guest: Michael Weisberg, MD

What happens when you are admitted to the hospital as a patient, and the physician assigned to be your doctor has never seen you before and knows absolutely nothing about you?

Says Dr. Michael Weisberg, gastroenterologist and author of The Hospitalist, situations like these are increasingly common in modern medicine and can have disastrous consequences for patients.

Dr. Weisberg joins host Dr. Andrew Wilner to talk about his novel, which underscores how doctors are now at heightened risk of being thwarted by the modern health care system.

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Host: Brian P. McDonough, MD, FAAFP

Recently, Millennials (those born after 1980) have become the largest generation in the U.S. workforce and are also the fastest-growing population of customers in the marketplace. By extension this makes them a dominant player in the health care field, both as patients and providers. But Millennials exhibit different attitudes toward employment, consumerism, health, and wellness compared to previous generations, with greater emphasis on social responsibility. This challenges conventional thinking on workforce management and customer/patient engagement.

Dr. Brian McDonough sits down with Brian Peavey, CEO of real estate company Profitshare, about the shifting paradigm toward social responsibility in Millennials.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Want to speed up your site? Want to improve your SEO? These WordPress plugins can improve your website download speed, a crucial variable in the SEO equation. Making your website faster and improving your SEO will help you get the high rankings you want. And don’t let the technical jargon scare you. If Russ and Randy can use these plugins, so can you!

Drs. Russ Faust and Randy Wong share a few of their personal favorite plugins for making your website faster.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Any website can get hacked. There are 3 facets of website security: backing up your website, thwarting hackers (unauthorized use), and repairing hacked files. Restoring a hacked website can take weeks compared to a single click if you have a backup. It should be your priority.

Drs. Russ Faust and Randy Wong discuss their favorite security plugins to keep your site safe from hackers by preventing unauthorized access, blocking entire countries from accessing your site, and scanning for malware.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Here's a compelling reason to build your health care website with Wordpress.org: plugins. Plugins can enhance your website by allowing customized design, navigation, and features. Want an email option? There's a plugin for that. Want added security? There are several for that as well. Most are free, and many offer "premium" upgrades.

Drs. Russ Faust and Randy Wong share a few of their personal favorite plugins for health professional websites.

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Host: Matt Birnholz, MD

Guest: Michael Freytag

Throughout his time as Managing Director of Blacktree Healthcare Consulting, Michael Freytag has seen many changes in the healthcare system. In this program, he will discuss how consulting firms aim to help health care providers optimize the new technologies that are available, as well as adapt to the changing political and economic policies. Dr. Matt Birnholz hosts.

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Host: Matt Birnholz, MD

Guest: Harold Mondschein

The surgical field is always being improved by cutting edge technology, but the processes used to connect surgical centers to hospitals lack innovation. Dr. Matt Birnholz sits down with Harold Mondschein, CEO and Co-Founder of Medtel Inc. to discuss methods of improving surgical outcomes by capturing structured data. Through better analytics, healthcare providers can better coordinate surgical care while reducing costs and inefficiencies.

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Host: Brian P. McDonough, MD, FAAFP

Guest: Katherine Schneider, MD

What does MACRA mean to the clinical practice environment, and how will it impact your own practice? Dr. Katherine Schneider, President and CEO of the Delaware Valley Accountable Care Organization, discusses how MACRA is affecting physician practices. Host Dr. Brian McDonough joins her to outline what physicians can do to prepare for the changing landscape of payment through Medicare.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Telling a story can be a compelling way to share your content. A story can be a way to convey your brand, your culture, and your mission. A story can even be a way to share clinical content.

Drs. Russ Faust and Randy Wong share reasons why storytelling can be a powerful way for both large corporations and small practices to convey their content and spread their message with transparency and authenticity.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Every doctor has a Power Point presentation. Have you considered taking a "screencast," also known as video screen capture, of your presentation and adding your own voiceover? It's much easier and cheaper (free?) than you think.

Drs. Russ Faust and Randy Wong share a few of the trusted tools available to publish your first educational video.

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Host: Jennifer Caudle, DO

Guest: Vince Parry

In today’s digital world, the way that people interact with health care is very different than in the past. Guest Vince Parry, President and Chief Branding Officer at Parry Branding Group, says there are fundamental problems in the way healthcare companies and their advertising agencies currently market health and wellness brands across digital media. Host Dr. Jennifer Caudle will lead a discussion of the current brand “identity crisis” and how healthcare brands can better capitalize on the current digital landscape to improve outcomes.

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Host: Randall Wong, MD

Host: Russell Faust, MD

Repurposing your content or using different platforms to recycle existing content makes you more efficient, gains more followers, and widens your appeal. But repurposing is not the same as "copy and paste." Rather, it means that you create similar content of the same subject, but on different platforms (e.g. audio, video, etc.). Drs. Russ Faust and Randy Wong elaborate.

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Host: Matt Birnholz, MD

MACRA’ is one of the hottest buzzwords in clinical medicine and health policy today. But in a fast-changing legislative landscape, questions arise on the current and future directions for MACRA, as well as best practices for all of us going forward.

Host Dr. Matt Birnholz talks with AMA Washington Counsel, Ashley McGlone and Laura Hoffman, Assistant Director of Federal Affairs, about the top questions on MACRA that everyone wants to know.

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Host: Matt Birnholz, MD

Guest: Daniel Tropeano

From the Villanova Health Summit's Speaker Event, host Dr. Matt Birnholz speaks with Daniel Tropeano, CEO of UnitedHealthcare of Pennsylvania & Delaware. Mr. Tropeano reflects on the challenges facing the health insurance industry in a changing policy landscape, and the evolving roles of providers and payers in meeting these challenges.

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Host: Matt Birnholz, MD

Guest: Robert McNally, MD

From the Villanova Health Summit's Speaker Event, host Dr. Matt Birnholz speaks with guest Dr. Robert McNally, President, and CEO of GeoVax, Inc. They discuss the challenges that biotech companies face when bringing vaccines through clinical trials, and the long-term project being conducted by his colleagues to deliver an HIV vaccine to market.

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Host: Brian P. McDonough, MD, FAAFP

Dr. Brian McDonough chats with Deadly Prescription author Dr. Robert Marx, Professor of Surgery and Chief of the Division of Oral and Maxillofacial Surgery at the University of Miami School of Medicine. The two discuss powerful impacts that corporate conflicts of interest from pharmaceutical companies can have on patient health.

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This week, hosts Mark Masselli and Margaret Flinter speak with Chip Kahn, CEO of the Federation of American Hospitals which represents over a thousand of the nation's owner-operated hospitals. The long time health industry strategist speculates on changes to health coverage for millions of Americans under the GOP health reform bill, and what it might mean for the hospital industry and health care in this country.

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Host: Brian P. McDonough, MD, FAAFP

Dr. Brian McDonough welcomes Lee Buckler, Director, Chief Executive Officer and President of RepliCel Life Sciences based in Vancouver, BC. Mr. Buckler and his colleagues are tackling a mix of medical and cosmetic issues that include hair regeneration, repair of painful and debilitating tendon injuries and rejuvenation of damaged skin.

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Host: John J. Russell, MD

What if Americans put aside their differences and worked together to fix America's broken healthcare system? What changes need to be made in order to make health care both accessible and affordable without compromising excellent quality of care standards for patients? These and other crucial questions form premise behind the book We CAN Fix Healthcare: The Future is NOW.

Host Dr. John Russell sits down with Dr. Stephen Klasko, President and CEO of Jefferson University and Jefferson Health and author of We CAN Fix Healthcare: The Future is NOW.

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Host: Brian P. McDonough, MD, FAAFP

Alzheimer’s Disease is the most common cause of dementia among people aged 65 and older. With the population of older Americans growing, research for new therapies becomes ever more critical. Yet one of the most important factors in advancing research, fundraising, has been hampered by numerous challenges.

Host Dr. Brian McDonough talks with Charles Fushcillo Jr., President and Chief Executive Officer of the Alzheimer’s Foundation of America about the challenges in securing additional funding for Alzheimer’s Research.

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Host: Tim Rush

There is an expectation among many doctors finishing residency to seek and sign long term work contracts with hospitals and private practices. But for some, this particular career trajectory can feel limited and even restrictive to achieving work/life balance.

Dr. Johnny Shen, a family practice physician trained in Houston, TX, investigated whether there could be another way. His discovery of locum tenens, normally considered "side work" within parts of the medical community, set him on a unique and fulfilling career path that has both defied expectations and changed the way others think of the practice.

Dr. Shen joins host Tim Rush to discuss perspectives on locum tenens as a distinct career path for young physicians

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Host: Matt Birnholz, MD

The Affordable Care Act was passed in 2010 to provide more Americans access to affordable quality health insurance and to reduce health care spending. But have these goals actually been met, and if not, what will it take to get there?

On this episode of Voices From American Medicine, Dr. Matt Birnholz speaks with James Capretta, a Resident Fellow at the American Enterprise Institute, studying health care, entitlement, and US budgetary policy, as well as global trends in aging, health, and retirement programs. Mr. Capretta has directed several major studies, including one on reforming US healthcare according to market principles and consumer choice.

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The increasing cost of prescription drugs in the United States has become a source of growing concern for patients, prescribers, payers, and policy makers. A new study examined the reasons for these high prices and also suggests policy changes that could help contain costs.

Researchers from Brigham and Women’s Hospital reviewed the medical and health policy literature on prescription drug prices in the U.S. and found high drug costs stem from various factors such as market exclusivity, limitations on payers and their ability to negotiate prices, and limitations on competition.

The researchers state that the most realistic short-term strategies include enforcing stricter requirements for exclusivity rights, ensuring timely generic drug availability, providing greater opportunities for price negotiation by patients, and effectively educating patients, prescribers, payers, and policy makers about these choices.

[Watch more videos of The JAMA Report]

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The FDA recently approved a new class of cholesterol-lowering drugs called PCSK9 inhibitors. These new medications could substantially reduce heart attacks, strokes and cardiovascular deaths, however they are very expensive. A new study evaluated the cost-effectiveness of this therapy and how increased use might affect the U.S. healthcare system.

Researchers from the University of California San Francisco used a simulation model that included all U.S. adults 35 and older and evaluated outcomes such as expected numbers of deaths due to cardiovascular disease, heart attacks and strokes, and balanced this with the cost and potential benefits of these drugs.

With an estimated 9 million people eligible for this therapy and a price of $14,000 per patient per year, researchers estimated that total prescription drugs expenditures could increase by 40 percent. In order to be cost-effective, the PCSK9 inhibitor costs would have to come down to about $4,000 a year.

[Watch more videos of The JAMA Report]

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Host: Matt Birnholz, MD

Guest: Robin Zon, MD, FACP

Value-based, patient-centered care has become the destination for all branches of medicine, and is the philosophy driving modern payment reform initiatives like MACRA. But the unique care delivery needs in each specialty challenge the notion that one payment model can serve everyone. And nowhere has this become more relevant than in the field of oncology.

Dr. Matt Birnholz joins Dr. Robin Zon, practicing oncologist and vice president and senior partner at Michiana Hematology-Oncology in South Bend, Indiana. Dr. Zon serves as Chair-Elect of ASCO's Government Relations Committee was Past Chair of the Clinical Practice Committee, which alongside other stakeholders at ASCO developed a Patient-Centered Oncology Payment (PCOP) model. Recently, Dr. Zon presented this information at the recent AMA House of Delegates meeting in June. She speaks to the phases of this model, how it can function as a defined APM under MACRA, and its demonstrated positive impacts on oncology care pathways.

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Host: Matt Birnholz, MD

Guest: Lawrence Kosinski, MD

The advancement of the Medicare Access and CHIP Reauthorization Act (MACRA) has catapulted Alternative Payment Models into the spotlight for identifying new value-based approaches to care. But questions persist as to the roles that specialists can and should play in the design and implementation of APMs, how these models will cut healthcare costs, and which administrative partnerships are needed to make them successful.

Dr. Lawrence Kosinski, a practicing gastroenterologist with The Illinois Gastroenterology Group, is pioneering one such APM that applies an innovative method for tracking patients between clinic visits. The model, called SonarMD, for which Dr. Kosinski is founder and Chief Medical Officer, provides a web-based platform that pings patients beyond practice settings to help get ahead of issues before they become emergencies.

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Host: Matt Birnholz, MD

From the floors of the Villanovans in Healthcare event at Villanova University, Dr. Matt Birnholz speaks with Jermaine Bromell, Founder and CEO of Better Health Network, a startup dedicated to providing health support services for underserved communities in partnership with faith-based organizations. The two discuss ways for companies and non-profits to better address health disparities in larger communities through direct support and targeted referral services.

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Host: Matt Birnholz, MD

Guest: Michael Russomano

In many discussions that focus on achieving quality improvements for clinical care, the roles of healthcare industries are often either excluded or, worse yet, painted as oppositional to patient interests. But a new model of health care delivery positions the industrial sector as a key partner in the interprofessional team, with a common mission to improve patient outcomes nationwide.

From the Villanova Healthcare Speaker Event, Dr. Matt Birnholz speaks with Michael Russomano, President, CEO, and Global Business Head of Wyeth Nutrition, a Nestle business. Mr. Russomano, who also serves as a member of the Board of Directors for the Alzheimer's Association, joins Dr. Birnholz to discuss opportunities for the healthcare industry to partner with clinical, administrative, educational, and patient advocacy groups in advancing quality of care.

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Therapeutic substitution is a practice that replaces chemically different compounds within the same class of medications for one another. A new study examined how using this practice could save money on prescription drug costs.

Researchers from the Ohio State University reviewed records of more than 107,000 patients between 2010 and 2012 and looked at their prescription drug use and estimated how much money could be saved using therapeutic substitution.

The authors report that an extra $73 billion was spent between 2010 and 2012 on brand name medications. Therapeutic substitution could help lower those costs. Although therapeutic substitution is somewhat controversial, the authors conclude that if implemented in a way that does not negatively affect quality of care, this is a useful approach to decreasing healthcare costs.

[Watch more videos of The JAMA Report]

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Host: Brian P. McDonough, MD, FAAFP

Guest: Daniel Tropeano

How do we manage the rising costs of healthcare while still maintaining a high level and quality of care? With more costs falling on the consumer these days, one of the biggest challenges in healthcare is dealing with these increased expenses.

From the Villanova Healthcare Speaker Event, Host Dr. Brian McDonough chats with Daniel Tropeano, Executive Director of United Healthcare, about the challenges insurance companies are facing with the growing costs of healthcare.

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Host: Brian P. McDonough, MD, FAAFP

Guest: Michael Russomano

Guest: Sandra Gomberg

Guest: Daniel Tropeano

Guest: Gene Kestenbaum

Guest: Lawrence Sherman

An expert panel of health professionals representing hospital admistration, pharmaceuticals, insurance providers, patient advocacy, and medical education convene to strategize new ways for health care industry sectors to work together to improve quality of care for patients. The panel participants also discuss their respective and complementary visions for the future of health care services, including ways that technological innovations such as social media are changing the landscape of medicine.

The panel participants are:

  • Michael Russomano: President, CEO and Global Business Head of Wyeth Nutrition, a Nesle Company
  • Sandra Gomberg: Chief Operating Officer at Aria Health System
  • Daniel Tropeano: Executive Director for United Healthcare
  • Gene Kestenbaum: Past Chair of the Board for the Crohn's & Colitis Foundation of America
  • Lawrence Sherman: Senior Vice President of TOPEC Global

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Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG

Many physicians are daunted by the contract negotiation process for a new job. They often worry that employers will retract their offers if candidates try and negotiate for a more favorable contract.

Dr. Renee Allen sits down with Arden Miller, JD, attorney with Cohen, Pollack, Merlin and Small P.C. in Atlanta, Georgia to talk about best practices for contract negotiation. They discuss guidelines physicians should employ while going through this process and ways to ensure an agreement is reached that is mutually beneficial to all involved.

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Host: Matt Birnholz, MD

Dr. Matt Birnholz speaks with Dr. Angela Garnder, past president of ACEP and Chief of Operations, Quality and Patient Safety at University of Texas Southwest. They discuss the importance of social media in the health care industry and ways to utilize this platform to enhance patients' experiences in hospitals and beyond.

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Host: Matt Birnholz, MD

Dr. Matt Birnholz sits down with Dr. Carl Schultz, Research Director at the Center for Disaster Medical Sciences at University of California, Irvine. Dr. Schultz is a Professor of Emergency Medicine at the UC Irvine and recipient of the Disaster Medical Science Award at ACEP. He talks about the challenges of securing funding for disaster relief in the field and the integration of citizen volunteers in a disaster incident.

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How do you make sure that the right people are doing the right jobs at the right time, helping medical practices function more efficiently?

Alicia Sutton chats with Ray Saputelli, Executive Vice President and CEO of the New Jersey Academy of Family Physicians, about transforming medical practices to run as more cohesive units.

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This week, hosts Mark Masselli and Margaret Flinter speak with Katherine Baicker, PhD, the C. Boyden Grey Professor of Health Economics at the T.H. Chan School of Public Health at Harvard. An expert on the health and economic impacts from gaining insurance coverage, she discusses her noted study of the Oregon Medicaid Experiment as well as the impact of the Medicaid Expansion under the Affordable Care Act.

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Host: Frank Russomano

Interest in health policies related to drug pricing has spiked in recent times. While remarkable research discoveries have positively escalated the pharmaceutical industry with release of more novel drugs, the question on how drugs should be priced is continually resurfacing. How are high drug costs justified when they become financially inaccessible to many patients, and what measures are being put in place to address these access gaps?

Host Frank Russomano welcomes Andrew Rosenberg J.D. of the CME Coalition and Thomas Sullivan, President of Rockpointe Corporation and editor of Policy and Medicine, to discuss recent developments in drug pricing.

Host Frank Russomano welcomes Andrew Rosenberg J.D. of the CME Coalition and Thomas Sullivan, President of Rockpointe Corporation and editor of Policy and Medicine. - See more at: https://reachmd.com/programs/voices-from-american-medicine/all-things-educational-panel-discusses-independent-cme-sunshine-act-reporting/7901/#sthash.CkKA6uPe.dpuf

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To some, end of life care in the United States is considered resource intensive, expensive, and inattentive to patients' needs. So how does the United States compare to other countries? A new study examined several health care measures at the end of life for cancer patients in five European countries, Canada and the United States.

Researchers from the University of Pennsylvania Perelman School of Medicine compared the health care experience for cancer patients older than 65, in Canada, Belgium, Germany, England, the Netherlands, Norway and the United States. They examined several clinical measures during the final six months of life.

The United States and Netherlands had the lowest percentage of patients dying in the hospital. The United States also had the fewest hospitalizations and the smallest number of days patients spent in the hospital. In contrast, intensive care admissions were twice as common in the United States compared to the other countries.

During the last six months of life, patients in Norway and Canada had higher hospital costs than patients in the United States. There was less spending in Germany and Belgium, but the lowest expenditures were in the Netherlands and …

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Host: Matt Birnholz, MD

The model of emergency medicine enshrines the principles of universality, portability, freedom of choice, and equity in care for all those who walk through the door. Yet despite accounting for only 2% of healthcare costs nationwide, emergency departments receives criticism for contributing to the financial crisis of American health care. Are these criticisms justified, or does the ED coversely represent a potential solution?

Joining Dr. Matt Birnholz to discuss emergency medicine's current and future roles in healthcare policy, accounting, and quality improvement is Dr. James C. Mitchiner, attending emergency physician at St. Joseph Mercy Hospital in Ann Arbor and clinical assistant professor of emergency medicine at the University of Michigan Medical School. He is also medical director at Michigan’s federally designated health care quality improvement organization. Dr. Mitchiner received the Colin C. Rorrie Jr., PhD Award for Excellence in Health Policy for a career dedicated to advocating for more efficient, affordable healthcare in America.

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Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG

Dr. Latisha Rowe, founder of Click It Clinic, a pioneer for telemedicine providing patients with a new standard of care, discusses how this model of care can positively impact patients within the U.S. Dr. Rowe reviews the safety of telemedicine, and the beneifts to both patients and health care providers.

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Host: Jennifer Caudle, DO

The Meaningful Use program from the Centers for Medicare & Medicaid Services (CMS) was designed to help make electronic health records fully functional, enabling better coordination of care for physicians and more transparency of information for patients. However, the rollout of this program proved to be far rockier than anticipated, as errors and communication gaps from EHR systems led to practice penalties despite heavy investments and best intentions toward compliance. What will the future hold for this dysfunctional program on a national scale, and how can clinicians find success in their respective practices amidst these challenges?

Joining host Jennifer Caudle, DO at the American Osteopathic Association's annual medical education conference, OMED2015 in Orlando, FL to discuss strategies for better EHR integration is Laura Wooster, Vice President of Public Policy for the AOA.

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Financial incentives for physicians or patients are one way healthcare organizations are trying to improve health outcomes. A new study examined whether providing these financial incentives would help improve low-density lipoprotein cholesterol (LDL-C) in patients with a high-risk for cardiovascular disease.

Researchers from the University of Pennsylvania, Philadelphia studied 1,500 patients and 340 primary care physicians. Physicians were randomly assigned to one of four groups. One group solely focused on providing physicians with financial incentives, while another group focused on financially rewarding patients when they showed improvements in their cholesterol levels. A third group consisted of shared incentives for both physicians and patients, while the last group (a control group) did not receive any financial incentives.

Overall, shared financial incentives for both physicians and patients, but not incentives to physicians or patients alone, resulted in a significant reduction of LCL-C levels at 12 months.

[Watch more videos of The JAMA Report]

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Host: Barnett Mennen, MD

Physician Quality Reporting Systems, or PQRS, are here to stay in clinical medicine. Within the field of gastroenterology, understanding the metrics of PQRS can make a substantial difference in the success of a practice. Joining host Dr. Barry Mennen to detail the ins and outs of PQRS in gastroenterology is Dr. Ziad Gellad, Assistant Professor of Medicine, Director of Quality in the Division of Gastroenterology, and Director of Clinical Improvement in the Department of Medicine at Duke University Medical Center.

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Host: John J. Russell, MD

Wealth, or the appearance thereof, is often portrayed in American popular culture not by the allocation of one's assets, but rather the number of assets. As such, the most common mechanism by which healthily employed Americans get into financial trouble is, simply, from owning "too much stuff." Health care professionals, especially those in higher income positions, are particularly susceptible to this problem after experiencing delayed financial gratification for so many years in training. What is the seasoned clinician in financial crisis to do?

Dr. John Russell welcomes James Hemphill, Chief Investment Strategist and Managing Director of TGS Financial Advisors, and author of Changing Outcomes: A Financial Recovery Strategy for Peak-Career Physicians. Mr. Hemphill discusses strategies for making significant changes to a troubled financial portfolio, from pushing savings to making assets more functional and productive.

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Host: Matt Birnholz, MD

Dr. Matt Birnholz welcomes Patrick Higgins, President and Chief Operating Officer of Tekmira Pharmaceuticals, to discuss his research team's inspiring journey toward developing a cure for Hepatitis C. Following this success, Tekmira aims to accelerate the pace of research and development for a novel Hepatitis B drug.

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Host: Matt Birnholz, MD

From the floor of ACOG's annual scientific meeting, Dr. Matt Birnholz welcomes Dr. Leonard Glass, Founder and President of Physician Retraining & Reentry (PRR), a comprehensive educational platform which enables licensed physicians to reenter practice on a part-time basis in adult general practice outpatient clinics. It is also being considered as a means for recently established specialist physicians to expand their patient profile by including general practice, as well as the physicians with physical impairment who must transition to primary care because of manual dexterity is diminished for any number of reasons.

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Host: John J. Russell, MD

Physicians are expected to memorize and maintain an enormous amount of clinical information on a wide variety of topics. But when it comes to financial management, it's this particular population that often comes up the shortest. Perhaps the most at-risk individuals within this community are the young physicians just out of training. For this group, having endured anywhere from 8 to 15 years of low wage training, financial disasters are just a few instant gratification purchases away.

Dr. John Russell welcomes James Hemphill, author of PAY YOURSELF FIRST: A Financial Guide for Doctors Entering Practice, Mr. Hemphill is Chief Investment Strategist and Managing Director of TGS Financial Advisors.

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Host: Frank Russomano

There are far too many diseases that do not have proven means of prevention or effective treatments. As such, health care providers must gain better insights into the biology of these diseases to make a difference for the millions of patients who suffer from them. Precision medicine is an emerging approach for treatment and prevention that accounts for individual variability in genes, environment, and lifestyle. Host Frank Russomano welcomes Brian Wells, Associate Vice President of Health Technology and Academic Computing at Penn Medicine, to discuss how Penn Medicine contributes to the precision medicine initiative, from technological developments to supportive infrastructures.

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Host: Frank Russomano

The role of continuing medical education (CME) within government is an important and ever-changing area of high interest and scrutiny among many stakeholders. The CME Coalition is an advocacy group working directly with government officials, lobbyist and other healthcare interest groups to help define and refine what CME is, and the role supporters have in medical education.

Host Frank Russomano, reporting from the floor of the Alliance for Continuing Education in the Health Professions Annual Industry Summit in Philadelphia, speaks with Andrew Rosenberg and Thomas Sullivan. Mr. Rosenberg is Founding Partner of Thorn Run Partners and Senior Advisor for the CME Coalition. Thomas Sullivan is President of Rockpointe Corp., a science-based medical education company, and editor of Policy and Medicine, a website devoted to legal, regulatory, and compliance issues affecting the pharmaceutical and device industry.

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This week, Hosts Mark Masselli and Margaret Flinter speak with Dr. Glenn Steele, President and CEO of Geisinger Health System in Pennsylvania, a physician-led, integrated health system serving 2.8 million patients across 44 counties. Dr. Steele discusses Geisinger’s integrated health services organization lauded for its innovative care delivery models and cost containment strategies that have yielded better outcomes and high-value care.

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Host: Jennifer Caudle, DO

Practicing medicine has many rewards, but it also carries its fare share of challenges. Physicians face many of the same obstacles as other entrepreneurs and business owners looking to find innovative ways to market themselves and, most importantly in the medical arena, service their patients. Joining Dr. Jennifer Caudle to discuss the practice and business model for one such physician entrepreneur is Dr. Tracei Ball, founder of OnCall Mobile Medical and Wellness, which provides house calls in the metropolitan area of Charlotte, North Carolina.

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Host: Tim Rush

A physician can attain a great amount of wealth over his/her career. But the first few years of practice are crucial in determining a doctor’s financial future. Host Tim Rush welcomes author of PAY YOURSELF FIRST: A Financial Guide for Doctors Entering Practice, James “Jim” Hemphill. Mr. Hemphill is Chief Investment Strategist and Managing Director of TGS Financial Advisors.

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Host: Alicia A. Sutton

Guest: Ray Saputelli

Healthcare costs in the U.S. are among the highest in the world, yet health outcomes remain in the bottom tiers compared to other developed countries. How might the care delivery model be changed to affect change in this regard, and who is leading the way?

Joining host Alicia Sutton to examine one state's efforts to replace volume of care with value in care, driving down costs while improving outcomes, is Ray Saputelli, Executive Vice President of the New Jersey Academy of Family Physicians.

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This week, Mark and Margaret speak with Dr. Rajiv Bhatia, founder and director of The Civic Engine, which assists civic leaders in strengthening the economic divers of health in communities. A physician, data scientist, and former Director of Occupational and Evironmental Health for the City of San Francisco, Dr. Bhatia has spent his career championing economic and environmental justice for low-income workers and families. Dr. Bhatia recounts the trajectory of this work, from the use of health impact assessments for advocacy for minimum wage increases and paid sick days laws to the deployment of environmental inspectors to monitor and enforce labor standards.

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Host: Frank Russomano

Trauma care is one of the most complex health system infrastructures in the US. Depending on the type of injury sustained, a patient may require multidisciplinary intervention from any and/or every medical and surgical specialty, as well as all branches of allied health professionals, at a moment's notice. Given these requirements, the notion to physically move an entire trauma care center, from its staff and patient populations to its equipment, records, and maintenence operations, is a daunting challenge. At Penn Medicine, this monumental task was recently undertaken and completed successfully. Leading the effort was Garry L. Scheib, Chief Operating Officer of the University of Pennsylvania Health System, and Executive Director of the Hospital of the University of Pennsylvania. He joins host Frank Russomano to reflect on lessons learned from overseeing one of the biggest trauma care transition projects in American history.

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Host: Tim Rush

On average, women in medicine earn 12 to 15 thousand dollars less per year than male counterparts. Many explanations have been suggested throughout the years, from tangible factors such as maternity leave and associated preferential part time work options, to intangible factors such as "fewer negotiation skills" and "less competitiveness." Regardless of how grounded or far-fetched these explanations may be, the fact remains that a significant pay gap continues to exist in today's workforce. Why is this still the case, and what can be done about it? Addressing these and other questions is Abi Rimmer, reporter and Deputy Editor for the Careers section of the British Medical Journal. Ms. Rimmer wrote a recent article in the BMJ titled "Why do female doctors earn less money for doing the same job?"

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Host: Alicia A. Sutton

Guest: Bill Levisay, MBA

Past success is not always a predictor of future success, and nowhere is this clearer than in the medical field. But what can medicine draw from the unprecedented successes and colossal failures of the corporate world? Joining host Alicia Sutton to discuss the gravity of success, and ways to avoid failure in the wake of that success, is Bill Levisay, Chief Customer Officer at Bolthouse Farms in Atlanta, GA.

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This week, hosts Mark Masselli and Margaret Flinter speak with Sara Collins, PhD, Vice President of Health Care Coverage and Access at the Commonwealth Fund, a non-partisan foundation dedicated to promoting a high-functioning health care system. Dr. Collins discusses the Fund's recent report showing a marked improvement in the reduction of the uninsured in America since the first open enrollment and the increased utilization of health care among the previously uninsured.

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Host: Frank Russomano

“One cannot understand policy without appreciating the philosophy that is driving it.” That’s a passage taken from author Philip Klein's book, Overcoming Obamacare: Three Approaches to Reversing the Government Takeover of Health Care. Mr. Klein is commentary editor of the Washington Examiner, where he writes about domestic politics and policy, and runs the opinion section. He joins host Frank Russomano to discuss strengths and limitations of the Affordable Health Care legislations, and the plausible alternatives that would need to be implemented before considering an overhaul of current policies.

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This week, Mark and Margaret speak with Steven Brill, journalist, entrepreneur, and author of Bitter Pill: Money, Politics, Back-Room Deals, and the Fight to Fix our Broken Healthcare System. Mr. Brill's work has made national headlines upon its recent release, contending that the American healthcare system is woefully inadequate despite the country's $3 trillion dollar expenditure which outpaces than the next 10 biggest spenders combined.

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Host: Shira Johnson, MD

Guest: Meryl S. LeBoff, MD

Osteoporosis is a major public health threat for an estimated 54 million Americans 50 years of age and older. In the U.S. today, 10.2 million individuals are estimated to already have the disease and 43.4 million more are estimated to have low bone mass, placing them at increased risk for osteoporosis and fractures. Because bone density tends to decline with age, the problem of osteoporosis has reached epidemic proportions with the rapidly aging population. It is estimated that by 2020 over 61 million Americans will have osteoporosis or low bone mass. Join host Dr. Shira Johnson welcomes Dr. Meryl LeBoff, Endocrinologist; Chief of the Calcium and Bone Section at Brigham Women's Hospital in Boston, Massachusetts; and, trustee of the National Osteoporosis Foundation.

About NOF & Fracture Liaison Service (FLS)

NOF has adopted the 20/20 Vision of the National Bone Health Alliance (NBHA), of which NOF is a founding member. The goal is to reduce bone breaks by 20% by the year 2020.

Approximately 2 million fractures are caused by osteoporosis each year. Compliance around osteoporosis and post-fracture quality measures is not consistent despite the existence of several NCQA and CMS healthcare provider quality measures. The solution to resolving the 75 …

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Host: Alicia A. Sutton

Guest: Ray Saputelli

The American Academy of Family Physicians estimates that approximately 52,000 more primary care physicians will be needed in the workforce by 2025 in order to maintain basic standards of care for the American population. But in a climate where medical professionals are increasingly turning away from general medicine to pursue higher paying niche specialties, the challenge to counter a looming shortage of primary care physicians rises exponentially. What actions, incentives, and culture changes will be needed to bring primary care back into prominence? Joining host Alicia Sutton to examine this issue is Ray Saputelli, Executive Vice President of the New Jersey Chapter of the American Academy of Family Physicians.

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Host: Brian P. McDonough, MD, FAAFP

Join Dr. Brian McDonough as he discusses the past versus present environments of medical practice with award winning journalist Steven Jacob. The two discuss a myriad of important topics encircling primary care, from the rise of concierge physicians and micropractices to accountable care organizations and healthcare costs.

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This week, Mark and Margaret speak with Secretary of Health and Mental Hygiene for the State of Maryland, Dr. Joshua Sharfstein, who also served as Chief Deputy Secretary of the Food and Drug Administration. Maryland has major reforms underway in hospital pricing and health care funding that incorporate incentives to reduce hospitalizations - and it's working.

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Host: Brian P. McDonough, MD, FAAFP

Dr. Brian McDonough welcomes Charles Cleary, President and CEO of Leadership Outcomes, Inc, a healthcare management consulting firm. Mr. Cleary's specialty is in helping healthcare organizations define outcomes to sustain the highest levels of medical & surgical quality care, patient engagement, satisfaction and retention. Their discussion centers on the ever-present mandate for higher quality care at greater efficiency and lower cost, and how individual practitioners and organizations alike can work to turn the seemingly impossible into reality.

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This week, Mark and Margaret speak with Adam Dole, Presidential Innovation Fellow at the White House and former entrepreneur-in-residence at the Mayo Clinic. Mr. Dole is developing better interfaces between patient information and clinical practice from the unique perspective of consumer design. As such, he is illustrating novel ways in which non-medical professionals are helping to transform the health care system.

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This week, Mark and Margaret speak with Regina Herzlinger, health industry expert and pioneer of the concept for consumer-driven health care. Ms. Herzlinger is the Nancy R. McPherson Professor of Business Administration Chair at the Harvard Business School. She was the first woman to be tenured and chaired at Harvard Business School and the first to serve on a number of corporate boards. She is widely recognized for her innovative research in health care, including her early predictions of the unraveling of managed care, the rise of consumer-driven health care, and the advent of health care-focused factories (terms that she coined).

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This week, Mark and Margaret speak with Alan Weil, Editor-in-Chief of Health Affairs, published by Project HOPE - a leading peer-reviewed journal on health policy thought and research. Before that, Mr. Weil was Executive Director of the National Academy for State Health Policy, a non-partisan organization helping states achieve excellence in health policy and practice. Mr. Weil, an attorney, was director of the New Federalism Project at the Urban Institute. A frequent speaker and author on health reform topics, Mr. Weir co-edited several books including Welfare Reform: The Next Act and Federalism and Health Policy. Mr. Weil served on President Clinton's Consumer Commission on Quality in the Health Care Industry, co-authoring the "Patient's Bill of Rights".

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Host: Jennifer Caudle, DO

The journal Academic Medicine recently reported that medical students, compared to age-matched fellow college graduates, reported significantly higher rates of burnout. What is happening to our 80,000 US medical students? Host Dr. Jennifer Caudle welcomes Dr. Richard Gunderman to discuss the issues of burnout in our young doctors, exhaustion in our more seasoned physicians, and the impacts both trends have on our healthcare system. Dr. Gunderman is Professor and Vice Chairman of the Department of Radiology at Indiana University, with faculty positions in pediatrics, medical education, philosophy, philanthropy, and liberal arts.

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This week, Mark and Margaret speak with Dr. Elizabeth Bradley, Director of or the Yale Global Health Initiative and Faculty Director of the Global Health Leadership Institute. Dr. Bradley is author of The American Health Care Paradox: Why Spending More is Getting Us Less, which examines reasons for America's extremely high health costs and poor outcomes. Dr. Bradley is a Professor of Public Health Policy at the Yale School of Public Health. She earned her Bachelor's at Harvard, her MBA at the University of Chicago, and her PhD at Yale.

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Host: Tim Rush

In this edition of Your Career in Healthcare, host Tim Rush welcomes Philippa Kennealy, MD. Dr. Kennealy is President of The Entrepreneurial MD and works with physicians who are striving to become entrepreneurs and build their own successful businesses or thriving practices. She discusses how she assists in providing support, education and resources that are specifically attuned to their business goals.

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This week, Mark and Margaret speak with Dr. Wendy Everett, CEO of the Network for Excellence in Health Innovation (NEHI). With a breadth of health care experience spanning several decades, Dr. Everett's vision for NEHI since its founding in 2002 has been to create an independent, research-based organization convening diverse members of the health care industry to achieve the common goal of addressing the most urgent health care issues. Under her leadership, this vision has resulted in ground breaking research on medical innovation, patient safety, health care spending and health care information technology, and has influenced significant national policy changes. Dr. Everett works with public and private policymakers to translate NEHI's research findings into long-term solutions that improve health care quality and lower health care costs.

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Host: Tim Rush

How important is the resume/CV for a physician or other healthcare provider looking to make a job switch? What about the do's and don'ts for interviewing in this special population? And what are employers looking for in healthcare professionals of each practice level? Host Tim Rush welcomes Stephanie Rollheiser, Vice President of the locum tenens division at CompHealth, to discuss these and other important questions related to job searching. 

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This week, Mark and Margaret speak with Kevin Counihan, CEO of AccessHealthCT. the state-based insurance marketplace launched in Connecticut. The system has worked so well, it's being adopted by Maryland which has had a myriad problems with its own exchange. Mr. Counihan helped set up the Massachusetts model in 2006 and is considered a thought leader in creating high-functioning exchanges.

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This week, Mark and Margaret speak with Ed Cantwell, Executive Director of the Center for Medical Interoperability, a not for profit dedicated to promoting interoperability of medical devices within the hospital setting and the electronic health record. The Center is launching an affordable communications system poised to entice hospitals and stakeholders to align their efforts to make medical device interoperability possible. It is an effort poised to save 30 billion dollars in wasted health care spending.

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This week, Mark and Margaret speak with health economist Francois de Brantes, CEO of the Health Care Incentives Improvement Institute, which is seeking evidence-based pathways to meaningful payment reform in health care. The institute has just come out with a report card on health industry pricing transparency, for which 45 of the 50 states received failing grades.

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This week, Mark and Margaret speak with Lynne Thomas Gordon, CEO of the American Health Information Management Association (AHIMA), the professional association that represents more than 40,000 specially educated health information management professionals who work throughout the healthcare industry. Their conversation will center on the organization's efforts on behalf of its members to serve the healthcare industry and the public by managing, analyzing, and utilizing data vital for patient care -- and making it accessible to healthcare providers when it is needed most.

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This week, Mark and Margaret speak with Bradley Merrill Thomas, General Counsel and co-founder of the mHealth Regulatory Coalition, on the new FDA guidelines for mHealth App Development. Mr. Bradley is conducting a "mobile medical app road show" at medical teaching institutions across the country to inform clinicians and developers on the new FDA regulatory landscape in the emerging world of medical app development.

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This week, Mark and Margaret speak with Dr. Rushika Fernandopulle, Co-founder and CEO of Iora Health and the former Executive Director of the Harvard Interfaculty Program for Health Systems Improvement. Iora Health is creating new, more efficient and cost-effective systems of care delivery to improve the health of the patients they serve.

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This week, Mark and Margaret speak with Margaret E. O'Kane, President of the National Committee for Quality Assurance (NCQA), an independent, nonprofit organization that improves health care quality through measurement, transparency and accountability. O'Kane has served as co-chair of the National Priorities Partnership and is a board member of the Foundation for Informed Decision Making and the American Board of Medical Specialties. Modern Healthcare has named her one of the Top 25 Women in Healthcare three times, most recently in 2013.

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This week, Mark and Margaret speak with Former HHS Secretary and Utah Governor Michael Leavitt, founder and CEO of Leavitt Partners, a leading health industry consulting firm. Governor Leavitt discusses the rapidly changing landscape of health care and the need to deploy measures that will help reduce health care spending while still improving care.

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Host: Brian P. McDonough, MD, FAAFP

In America, we spend over 2.6 trillion dollars on health care each year, yet we rank 37th in the world for health care outcomes. Speaking on this and other stark revelations of American healthcare is Dr. Ted Epperly, author of the Fractured:America's Broken Health Care System and What We Must Do to Heal it. In this discussion, Dr. Epperly draws on his decades of experience as a family physician to identify the system s gaps and disparities and propose a compelling strategy to mend them, with the goal of creating an integrated, accessible, patient-centered approach to health and medicine.

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This week, Mark and Margaret speak with Robert Pearl, MD, executive director and CEO of The Permanente Medical Group. As CEO of the largest medical group in the nation, Dr. Pearl is responsible for the health care of 3.4 million Kaiser Permanente members. The Permanente Medical Group comprises approximately 8,000 physicians and 33,000 staff members and operates 21 medical centers in Northern California. He was selected as executive director and CEO of The Permanente Medical Group in 1998. In addition, he is the president and CEO of the Mid-Atlantic Permanente Medical Group, which serves 500,000 members in Maryland, Virginia and the District of Columbia.

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This week, Mark and Margaret speak with Cathy Schoen, Sr. VP of the Commonwealth Fund about her recent report in Health Affairs comparing insurance industry complexities and outcomes in the US versus 10 other wealthy nations.

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This week, hosts Mark Masselli and Margaret Flinter speak with Dr. Steven Spear, MIT Sloan School, author of "Decoding the DNA of the Toyota Production System" and the award winning Harvard Business Review article "Fixing Healthcare From the Inside". Dr. Spear is an expert in applying Toyota's LEAN production principles to improving efficiency in health care.

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Host: Brian P. McDonough, MD, FAAFP

Host Dr. Brian McDonough is joined by Susan Weiner, a dietician based in Long Island, NY and author of The Complete Diabetes Organizer: Your Guide to a Less Stressful and More Manageable Diabetes Life. Their discussion offers tips for clinicians to better help their patients with this chronic condition.

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Host: The Endocrine Society

Highlights from ENDO, the 95th Annual Meeting of The Endocrine Society. The Endocrine Society is the world's oldest, largest, and most active organization devoted to research on hormones and the clinical practice of endocrinology. Download the program to hear global thought leaders discuss the newest and exciting presentation at this year's meeting.

Diabetes Diagnosis and Management is presented by The Endocrine Society and its Hormone Health Network. This annual workshop focuses on current issues in clinical diabetes management and provides state-of-the art updates. The complete Diabetes Diagnosis and Management recording is free on endosessions.org. To hear more from ENDO 2013, visit endosessions.org

Program Highlights * William F. Young, MD, from the Mayo Clinic, Rochester, MN, Immediate Past-Presdient of The Endocrine Society provides an overview of this year's sessions * Sophie Jamal, MD, PhD, FRCPC from the University of Toronto reviews her research in osteoporosis and chronic kidney disease * Heather B. Patisaul, PhD, from North Carolina State University describes the endocrine disruptions on puberty when exposed to chemicals in the environment * Alex Stagnaro-Green, MD, MHPE, George Washington School of Medicine provides insights on new data in thryoid disease and pregnancy * Richard S. Legro, MD, FACOG, Penn State …

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Host: The Endocrine Society

Diabetes Highlights from ENDO, the 95th Annual Meeting of The Endocrine Society. The Endocrine Society is the world's oldest, largest, and most active organization devoted to research on hormones and the clinical practice of endocrinology. In this program, you will hear from global thought leaders on the important role of diabetes in your practice, new technologies, emerging therapies and research.

Diabetes Diagnosis and Management is presented by The Endocrine Society and its Hormone Health Network. This annual workshop focuses on current issues in clinical diabetes management and provides state-of-the art updates. The complete Diabetes Diagnosis and Management recording is free on endosessions.org. To hear more from ENDO 2013, visit endosessions.org

Program Highlights Listen to hear these global thought leaders:

  • Carol Wysham, MD, University of Washington School of Medicine, Spokane, WA provides an overview of the key presentations from this year's meeting
  • Robert Eckel, MD, University of Colorado, Aurora, CO shares his research on the emerging cardiovascular disease risk factors
  • Edmond Ryan, MD, University of Alberta, Edmonton, Alberta, Canada discusses the screening and diagnosing of gestational diabetes
  • Steven Kahn, MB, ChB, VA Puget Sound Health Care System, Seattle, WA, reviews the relationship of the …

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Hosts Mark Masselli and Margaret Flinter from CHC's Conversations on Health Care program speak with Dr. Kavita Patel, Managing Director of Delivery System Reform and Clinical Transformation at the Brookings Institution, and Co-Chair of the Bipartisan Policy Center's Health Professional Workforce Initiative. Dr. Patel discusses their recently released reports which examine the need for better national planning strategies for projecting health care work force needs in the future.

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Hosts Mark Masselli and Margaret Flinter from CHC's Conversations on Health Care program speak with David Chase, CEO and Founder of Avado, and former leader of Microsoft's Health business. He's created a Patient Portal and Relationship Management system, designed to give the patient a seat on the care team, that will help patients better-manage their chronic disease by fostering better communication between patients and providers.

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Host: Alan S. Brown, MD, FACC, FAHA, FNLA

Joining Dr. Alan Brown is Revathi Balakrishnan, MD, MPH, a general cardiology fellow at NYU and winner of the NLA Young Investigator Competition. Dr. Balakrishnan's research, titled "Prevalence of unrecognized prediabetes, diabetes and metabolic syndrome in patients undergoing non-urgent PCI," found that nearly 1 out of every 10 patients admitted to the NYU cardiac catheterization lab had diabetic hemoglobin A1c levels (6.5 and over) without a prior diagnosis of diabetes. An even larger proportion had prediabetes (57%) and metabolic syndrome (54%). Put another way, only 30% of the patients undergoing PCI had a normal glycemic status on admission. Drs. Balakrishnan and Brown reflect on these concerning results and discuss the need for a call to action among preventive cardiologists.

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Host: Tim Rush

As physicians' incomes diminish with reduced insurance reimbursement, physicians are faced with the problem of how to continue to offer high quality care without going broke. Some have turned to physician extenders and others have increased their patient loads to cover the increasing cost of running an office. There are lots of ways to "make money" and lots of reasons but staying within the ethics of practice is a bit tricky. Host Tim Rush welcomes Dr. Michael Greenberg, practicing dermatologist at the Illinois Dermatology Institute in Chicago, IL. Dr. Greenberg will discuss how his practice incorporates a "win-win-win" strategy that helps his practice, his patients and local charities.

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Host: Brian P. McDonough, MD, FAAFP

The Patient-Centered Medical Home: it may be a novel concept in practice, but it draws from ideals that are well known to all practitioners. In this discussion with host Dr. McDonough, Dr. Richard Snyder, a family physician and senior vice president and chief medical officer for Independence Blue Cross (IBC) in Philadelphia, provides his dual perspective on Patient-Centered Medical Homes from both clinical and insurance company settings.

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Host: Lawrence Sherman, FACEHP, CCMEP

Joining host Lawrence Sherman for a conversation on the enduring impacts of live education for health professionals are Ray Saputelli, Executive Vice President of the New Jersey Academy of Family Physicians, and Marissa Seligman, Chief of Clinical & Regulatory Affairs and Compliance Officer for Pri-Med Institute.

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Host: Lawrence Sherman, FACEHP, CCMEP

Trends in medical education can change quickly between the various disciplines and levels of care providers, from physicians to pharmacists to nurses. Janet W. Cline, President of Creative Educational Concepts, Inc, describes the process of building and working with interdisciplinary teams to develop professional education of interest to multiple players in the healthcare system.

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Host: Lawrence Sherman, FACEHP, CCMEP

How do physicians provide oversight toward the development of CME content, and what are the criteria for ensuring content relevancy at the point of care? Host Lawrence Sherman is joined by Drs. Scott Hirshman and William Mencia to discuss these and other considerations for physician involvement in CME direction.

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Host: Lawrence Sherman, FACEHP, CCMEP

What does professional development really mean in today's medical community, and how does this understanding shape the quality of clinical content for performance improvement? Host Lawrence Sherman is joined by Drs. Debra Gist and Ted Bruno to discuss these and other considerations, including which professional development tools medical professionals can utilize to better acquire information at the point of care.

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Host: Lawrence Sherman, FACEHP, CCMEP

What should practicing health care professionals know about the foundations for creating strong continuiing medical education, and how does the Alliance for Continuing Education in the Health Professions help in this regard? Joining host Lawrence Sherman is Robin King, Executive Director and CEO of the ACEHP, to talk about the modern nuances in generating quality medical education.

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Guest: Brad Douglas

Host: Tim Rush

Host Tim Rush welcomes Brad Douglas, Vice President of Business Development for GMD/HIPAA Safeguard, a strategic protection and insurance solutions company. Mr. Douglas will discuss HIPPA Data Breech Protection and the benefits and great risks clinicians need to know to safeguard patient data. Join us in this educational and informational dialogue! Download today!

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Guest: Paresh Dandona, MD, PhD

Host: Farhad Zangeneh, MD

Host Dr. Farhad Zangeneh welcomes Paresh Dandona MD, PhD, Professor and Chief of Endocrinology in the Department of Medicine at the University of Buffalo. His Specialty and Research Focus are in Endocrinology, Diabetes and Metabolism. He is also the Founder & Medical Director of the Diabetes-Endocrinology Center of Western New York. In this program, Dr. Dandona will be discussing insulin induced cardioprotection, inflammatory and oxidative stress in acute myocardial infarction. He will also review hyperglycemia and cardiotoxicity in acute myocardial infarction. Please take a listen!

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Host: Farhad Zangeneh, MD

Guest: Paul Jellinger

In diabetes management, clinicians typically measure glycemic control with fasting plasma glucose (FPG) and premeal glucose measurements, and HbA1c. And, the goals for each of these measurements have been established based on the results of many clinical trials. However, the majority of patients with diabetes fail to achieve these glycemic goals. Elevated postprandial glucose (PPG) concentrations may contribute to suboptimal glycemic control. Host Dr Farhad Zangeneh is joined by Dr. Paul Jellinger who will address the issue of postprandial glucose and its complications.

Paul S. Jellinger, MD and Master of the American College of Endocrinology (MACE) serves as Professor of Medicine on the voluntary faculty at the University of Miami and served as Chief of the Section of Endocrinology at Memorial Regional Hospital in Hollywood, Florida. Dr. Jellinger served as president of the AACE, the ACE and the Florida Endocrine Society. Dr. Jellinger has been active on the AACE Board of Directors.

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Guest: Yehuda Handelsman, MD

Host: Farhad Zangeneh, MD

Dr Farhad Zangeneh is joined by Dr. Yehuda Handelsman, Medical Director at the Metabolic Institute of America; President of the American Association of Clinical Endocrinologists; and, Chair & Program Director, "Annual World Congress on Insulin Resistance, Diabetes & CVD".Dr. Handelsman will discuss the recent growing concerns between diabetes, anti-diabetes agents, and the increased prevalence of various cancers. Currently available data are limited, controversial, and confusing. The AACE and health care providers believe that this is a critically important area that needs further clarification.

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Guest: Anthony J. Cannon, MD

Host: Farhad Zangeneh, MD

Host Dr. Farhad Zangeneh welcomes Dr. Anthony J. Cannon as they discuss the recently published studies that reviewed the association of sugary drinks, childhood obesity and epidemic increase of Type-2 diabetes. What are we doing? Are we getting better? And, ultimately, what we can be doing today, as clinicians and parents?

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Guest: Kathleen "Kittie" Wyne, MD, PhD, FACE

Host: Farhad Zangeneh, MD

Host Dr. Farhad Zangeneh welcomes Dr. Kathleen "Kittie" Wyne from the The Methodist Hospital Research Institute (TMHRI) in Houston where she also coordinates their clinical research program in The Diabetes Research Center. Dr. Wyne discusses the changing classification of diabetes and pre-diabetes and how and when we should make the diagnosis. She also discusses the criteria for both diabetes and pre-diabetes and the tools available for clinicians.

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Guest: Larry Kraska

Host: Shane Jackson

Managing the high demands of medicine and trying to keep a physician office profitable is no easy task. What about the demands of being on staff at a hospital system? Or, multiple clinics? So, how do you try to manage your practice/profession, do it well and be happy? Is that possible? Well, answering these questions and more is Larry Krazka, CEO of MESA Medical Group in Lexington, Kentucky. Larry will discuss the unique practice management structure that has been set up in his organization and the value it brings to his physicians, advanced health care professionals and ultimately our patients.

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Guest: Joanna Shepherd-Bailey, PhD

Host: Shane Jackson

The medical malpractice liability system has been viewed as the reason for the rising cost of health care, skyrocketing insurance premiums, and the driver of patient defensive medicine. All estimates try to quantify the medical liability system itself. Studies and analysis have been to capture all interested parties. However, very little has been done from the pateint's perspective. Host Shane Jackson welcomes Professor Joanna Shepherd-Bailey, PhD, law professor at Emory University, who shares this perspective.

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Guest: Jay Walker

Host: Shane Jackson

TEDMED is a community of people who are passionate about imagining the future of health and medicine. Once a year, the organization holds a "grand gathering" where leaders from all sectors of society come together for three and a half days. They explore the promise of technology and the potential of human achievement across all medical fields. Jay Walker, Curator of TEDMED, discusses unique aspects of this event from the perspective of a novel continuing medical education resource.

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Guest: Robert Busch, MD

Host: Farhad Zangeneh, MD

Host Dr. Farhad Zenganah is joined by Dr. Robert Busch and they will be discussing current incretin treatment options and what is in the pipeline. They will discuss the differences between oral and injectables incretin treatment options and how clinicians can individualize treatment options for their patients, while determining the benefits and risks. 

Robert Busch, MD, is a practicing endocrinologist and founding member of The Endocrine Group in Albany, New York. Dr. Busch is a member of the board of trustees at the Albany College of Pharmacy. He has enthusiastically enjoyed teaching medical students, pharmacists, physician assistants, nurse practitioners, and physicians for over 25 years.He is a principal investigator in numerous clinical trials.

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Guest: George Grunberger, MD, FACP, FACE

Host: Farhad Zangeneh, MD

Host Dr. Farhad Zangeneh welcomes Dr. George Grunberger on a discussion on how to attain the best glucose control for our patients and how to do it safely. The discussion stems from altering lifestyle changes for our patients, addressing how to set individualized targets for our patients and identifying whats the best course of action.

Dr. George Grunberger, founder and chairman of the Grunberger Diabetes Institute in Bloomfield Hills, Michigan. He is Clinical Professor of Internal Medicine and Molecular Medicine & Genetics at Wayne State University School of Medicine in Detroit. Dr. Grunberger has published well over 100 original peer-reviewed manuscripts in addition to reviews and book chapters. His research spans subjects from molecular underpinning of insulin resistance to clinical studies on diabetes and its complications.

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Guest: Jeffrey M. McFarlane, ARNP

Host: Tim Rush

Host, Tim Rush, is joined by Jeffrey M. McFarlane, ARNP, who will be discussing how he became a medical entrepreneur. They review the need in the medical marketplace, how Jeffrey developed the idea and prototypes and finally, the pearls and pitfalls in becoming an inventor.

Jeffrey M. McFarlane is a Nurse Practitioner and started his career in nursing at Indian River State College in Fort Pierce, Florida, graduating with an Associates degree in Nursing Sciences in 1997. After a few years of prototyping, design changes, and vibration research he developed an effective first generation prototype which he calls the V.I.A. (Vibration Induced Analgesia) Comfort Clip. Currently, he is using the device for allergy shots, pediatric immunizations, lab draws, and joint pain related to arthritis, and injuries of the hand. It also is being used for pain management and physical therapy of the hands and wrists.

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Guest: Thomas W. Rossi

Host: Tim Rush

Host Tim Rush speaks with Thomas Rossi, Vice President of HCA Physician Recruitment, about the art of planning one's long term career goals within a fluid, dynamic environment of modern medicine.

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Host: Alan S. Brown, MD, FACC, FAHA, FNLA

Guest: Spencer Kroll, MD, PhD

The Food and Drug Administration has warned that patients taking cholesterol-fighting statins face a small increase in the risk of higher blood-sugar levels and of being diagnosed with diabetes. There has been conflicting information from several large trials about the effects of statin therapy on the development of diabetes and glycemic control.

Join host Dr. Alan Brown and Dr. Spencer Kroll, diplomate of the American Board of Clinical Lipidology and a board certified Internist. He also serves on the board of directors of the Northeast Lipid Association and runs The Cholesterol Treatment Center, a lipid clinic in Marlboro, New Jersey.

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Host: Lawrence Sherman, FACEHP, CCMEP

Join host Lawrence Sherman at this year's meeting of the Alliance for Continuing Education in the Health Professions (ACEHP), formerly the Alliance for CME, held on January 21-24, 2012 in Orlando, Florida.

His two guests are:

  • Dr. Catherine Grichnik, Director of the Center for Educational Excellence at the Duke Clinical Research Institute. She is also Associate Dean for Duke CME and Professor of Anesthesia at Duke University. Dr. Grichnik discusses interdsciplinary learning environments for physicians.
  • Dr. Jack Kues, Vice President of the ACEHP and Associate Dean for Continuous Professional Development at the University of Cincinnati. Dr. Kues discusses the evolution of CME and its impact on practicing healthcare professionals.

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Host: Lawrence Sherman, FACEHP, CCMEP

Join host Lawrence Sherman at this year's meeting of the Alliance for Continuing Education in the Health Professions (ACEHP), formerly the Alliance for CME, held on January 21-24, 2012 in Orlando, Florida, for a discussion of novel mentoring opportunities in today's medical community.

His guest is Bob Kristofco, MSW, Director of the Medical Education Group for Pfizer Pharmaceuticals.

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Host: Lawrence Sherman, FACEHP, CCMEP

Join host Lawrence Sherman at this year's meeting of the Alliance for Continuing Education in the Health Professions (ACEHP), formerly the Alliance for CME, held on January 21-24, 2012 in Orlando, Florida.

His two guests are:

  • Dr. Sharon Confessore, Director of Change Management and Learning at Bon Secours Health System, discussing self-guided learning strategies for physicians, and
  • Dr. Nancy Davis, Executive Director of the National Institute for Quality Improvement in Education (NIQIE), discussing the impact of CME/CE quality standards on healthcare professionals.

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Host: Lawrence Sherman, FACEHP, CCMEP

Join host Lawrence Sherman at this year's meeting of the Alliance for Continuing Education in the Health Professions (ACEHP), formerly the Alliance for CME, held on January 21-24, 2012 in Orlando, Florida, for a discussion of the impact of REMS (risk evaluation and mitigation strategies) on the practicing physician.

His guest is Dr. Murray Kopelow, Chief Executive Officer of the Accreditation Council for Continuing Medical Education.

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Host: Matt Birnholz, MD

This program will address the increasing prevalence of overweight, obese and type 2 diabetes conditions in our patient population. Physicians and healthcare professionals are confronted with multiple treatment and management challenges for type 2 diabetes. Treatment goals and care-delivery systems often present barriers to patients and clinician in achieving recommended therapeutic targets. These barriers will be identified along with suggested resources to assist in addressing these obstacles.

Presenting this Prova Education Activity is Dr. Brian McDonough, Clinical Professor of Family Medicine at Temple University School of Medicine and Chairman of the Department of Family Medicine at St. Francis Hospital.

This is Part 3 of a lecture in three parts.

Part 1 >>

Part 2 >>

To view the complete video recording of this and other Prova Education Activities, visit http://www.provaeducation.com

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Host: Matt Birnholz, MD

This program will address the increasing prevalence of overweight, obese and type 2 diabetes conditions in our patient population. Physicians and healthcare professionals are confronted with multiple treatment and management challenges for type 2 diabetes. Treatment goals and care-delivery systems often present barriers to patients and clinician in achieving recommended therapeutic targets. These barriers will be identified along with suggested resources to assist in addressing these obstacles.

Presenting this Prova Education Activity is Dr. Brian McDonough, Clinical Professor of Family Medicine at Temple University School of Medicine and Chairman of the Department of Family Medicine at St. Francis Hospital.

This is Part 2 of a lecture in three parts.

Part 1 >>

Part 3 >>

To view the complete video recording of this and other Prova Education Activities, visit http://www.provaeducation.com

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Host: Matt Birnholz, MD

This program will address the increasing prevalence of overweight, obese and type 2 diabetes conditions in our patient population. Physicians and healthcare professionals are confronted with multiple treatment and management challenges for type 2 diabetes. Treatment goals and care-delivery systems often present barriers to patients and clinician in achieving recommended therapeutic targets. These barriers will be identified along with suggested resources to assist in addressing these obstacles.

Presenting this Prova Education Activity is Dr. Brian McDonough, Clinical Professor of Family Medicine at Temple University School of Medicine and Chairman of the Department of Family Medicine at St. Francis Hospital.

This is Part 1 of a lecture in three parts.

Part 2 >>

Part 3 >>

To view the complete video recording of this and other Prova Education Activities, visit http://www.provaeducation.com

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Host: Matt Birnholz, MD

ReachMD, in cooperation with HealthDay, Presents Conference Coverage of the 71st Annual Meeting of the American Diabetes Association, held from June 24 to 28 in San Diego.

This year's meeting attracted more than 14,000 participants from around the world, including scientists, physicians, and other health care professionals. The conference highlighted the latest advances in diabetes research and improving patient care, with presentations focusing on treatment recommendations and advances toward a cure for diabetes.

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Guest: Aimee Payne, MD, PhD

Host: Tim Rush

Dr. Aimee Payne is assistant director of the medical scientist training program at the University of Pennsylvania and the core director of the Penn Skin Disease Research Center, where she focuses on the autoimmune blistering disease pemphigus vulgaris, a potentially fatal disorder in which autoantibodies against desmosomal cell adhesion molecules cause blistering of the skin and mucous membranes. She takes host Tim Rush on a tour of her career path combining clinical dermatology and research medicine. They discuss the balance of clinical work and research, as well as the role of women in research.

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Guest: Robert Mather

Host: Tim Rush

Why should employers run a background check on new hires? And why do small businesses in particular need to think about performing background checks? Robert Mather, CEO of Pre-Employ, of one of the largest background screening firms in the United States, running tens of thousands of background checks every day, joins host Tim Rush to discuss the advice they give to employers, and what they tell job seekers about performing a background check on themselves. Also, can you re-check your current employees?

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Host: Steven Edelman, MD

Guest: Sunder Mudaliar, MD

How can we prevent and treat pre-diabetes? Can a pill delay or prevent the onset of disease in high-risk individuals? Host Dr. Steven Edelman talks to Dr. Sunder Mudaliar, clinical professor of medicine in the division of endocrinology and metabolsim at the VA Medical Center and University of California San Diego School of Medicine, about the data on pioglitazone for diabetes prevention and the results of the ACT NOW study.

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Guest: Lutz Heinemann, PhD

Host: Steven Edelman, MD

Biosimilar insulin is an attractive market to a number of American and European pharmaceutical companies. Biosimilar insulin manufacture is complicated for a number of reasons. Guest host Dr. Timothy Bailey talks with Dr. Lutz Heinemann, director of scientific services at Profil Institute for Clinical Research in San Diego and headquartered in Neuss, Germany, about the challenges and guidelines around producing safe and effective biosimilars. And, for healthcare providers, what are the practical aspects of switching to a biosimilar insulin?

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Guest: Janis Roszler, CDE, RD, LD/N

Host: Steven Edelman, MD

About half of men with diabetes experience some kind of sexual dysfunction, and the numbers for women are not far behind. This week's guest, Janis Roszler, ceritified diabetes educator and marriage and family therapist, discusses the connection between sexual function and both physical and emotional well-being in patients living with diabetes. She makes the case for adding sexual function to the list of issues we talk about with patients who have diabetes. What are the causes of sexual dysfunction in these patients? Could drugs that help men also help women? Dr. Steven Edleman hosts.

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Guest: Stephen Ponder, MD, CDE

Host: Steven Edelman, MD

A new study suggests newly trained physicians may not be adequately prepared to treat patients with diabetes. Host Dr. Steven Edelman, talks with Dr. Stephen Ponder, pediatric endocrinologist at Texas A&M, with 27 years of professional experience in the management of children with diabetes, about the implications for the next generation of patients and Dr. Ponder's recommendations for a mentoring system to provide additional training to young physicians.

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Guest: John Walsh, PA, CDE

Host: Steven Edelman, MD

Insulin pump practice studies reveal new approaches in the management of diabetes,  including carb-counting, carb boluses, hypoglycemia and transdermal insulin drug delivery. What are actual pump practices that lead to improved control? Join host Dr. Steven Edelman and his guest, John Walsh, PA, and certified diabetes educator at Advanced Metabolic Care and Research in Escondido, California, as they discuss pump practices that lead to improved control.

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Guest: Jane Seley, DNP, MPH

Host: Steven Edelman, MD

The transition from hospital to home for patients with diabetes can be challenging, from glycemic targets, guidelines for initiating insulin therapy, the various types of insulin and oral agents to general nutrition. What are the current recommendations for the transition from hospital to home for patients living with diabetes? Join host Dr. Steven Edelman and his guest, Dr. Jane Jeffrie Seley, diabetes nurse practitioner and certified diabetes educator at New York-Presbyterian Hospital Weill Cornell Medical Center, as they discuss the differences in the current AACE and ADA inpatient and outpatient recommendations.

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Guest: Linda Siminerio, RN, PhD, CDE

Host: Steven Edelman, MD

Insulin therapy can be challenging for both the patient with diabetes and their healthcare provider— from needle phobia to weight gain. How can healthcare providers shorten the learning curve to understanding insulin and its benefits? Join host Dr. Steven Edelman and his guest, Dr. Linda Siminerio, associate professor at the University of Pittsburgh School of Medicine, as they discuss insulin fact and fallacy for patients and providers.

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Guest: David Henderson, MD

Host: Steven Edelman, MD

Antipsychotic medications have dramatically increased in prescriptions, including additional FDA-approved usages for bipolar and depression as well as off-label use. Side effects of these drugs, such as abdominal weight gain, lipid and blood pressure changes, and elevations in fasting glucose, may contribute to metabolic syndrome.  What are the impacts of increased use of antipsychotic medications on diabetes? Join host Dr. Steven Edelman and his guest, associate professor of psychiatry at Harvard Medical School, Dr. David Henderson, as they discuss the need for healthcare providers to be proactive: understanding the patient's risk factors, medical history and the risk-benefit ratio in order to treat effectively.

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Guest: Jeffrey La Belle, PhD

Host: Steven Edelman, MD

Many patients do not test blood glucose levels as often as they should, due to pain associated with the finger stick, as well as the need for an excess of testing paraphernalia. This week's guest discusses a potential non-invasive test on the horizon that would use tears to measure glucose levels. Dr. Jeffrey La Belle, biomedical engineering research professor in the School of Biological and Health Systems Engineering in Arizona State University's Ira A. Fulton Schools of Engineering and the Biodesign Institute, discusses promising new research in testing that may improve effectiveness and compliance with measuring blood glucose.

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Guest: Eric Rackow, MD

Host: Steven Edelman, MD

The percentage of healthcare spending on chronic illnesses is increasing exponentially; critically for patients with diabetes. How can healthcare providers help their aging population to manage their diabetes and avoid costly hospital stays through home care management? Join host Dr. Steven Edelman and his guest, professor of medicine at the New York University School of Medicine, Dr. Eric Rackow, as they discuss new approaches for home care management strategies for patients living diabetes.

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Host: Gary Epstein

Guest: Alice Coombs, MD

A form of the universal healthcare debated in nationwide healthcare reform was implemented in 1996 in the state of Massachusetts. Dr. Alice Coombs, immediate past-president of the Massachusetts Medical Society, critical care specialist at South Shore Hospital and anesthesiologist with South Shore Anesthesia Associates, reports to host Gary Epstein on practicing and paying for medical care under universal coverage.

This week's guest was nominated by:

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Host: Bruce Japsen

Guest: Andrew Sama, Dr.

The emergency room has long been an entry point for medical care for the seriously injured, young parents with a sick child and increasingly poor uninsured Americans with nowhere to turn. But policymakers increasingly see the emergency room as less like those depicted on shows like Grey's Anatomy as a place for patients to abuse the system and run up costs. Dr. Andrew Sama, vice president of the American College of Emergency Physicians, tells host Bruce Japsen about how he thinks emergency doctors are beneficial to cost-effective medical care and why patients can and should turn to emergency departments. 

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Guest: Howard Bauchner, MD

Host: Bruce Japsen

For 127 years, the Journal of the American Medical Association has been one of the nation's best-known medical journals. This summer, its 16th editor, pediatrician Dr. Howard Bauchner, takes over editorial oversight from Dr. Catherine DeAngelis, who has served as the Journal's editor since 2000. Dr. Bauchner talks to host Bruce Japsen about the steps he plans to take in order to lead the publication into a new era of medicine, and a new digital age of medical publications.

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Guest: Natalie Strand, MD

Host: Steven Edelman, MD

The management of diabetes is an ongoing challenge for both the healthcare provider and patient in terms of balancing insulin regimens, glucose monitoring, diet and exercise. How does the diabetes educator help to "win the race" for a patient with diabetes? Join host Dr. Steven Edelman and his guest, interventional pain management physician and winner of the Amazing Race, Dr. Natalie Strand, as they discuss the integral role of the diabetes educator in the management of diabetes.

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Guest: Simon Heller, MD

Host: Steven Edelman, MD

In 2004 the American Diabetes Association working group defined the threshold of hypoglycemia as 70 mg/dl. The clinical definition continues to attract controversy with a standard vs. dynamic solution. What are considerations that need to be made in terms of the clinical definition of hypoglycemia? Join host Dr. Steven Edelman and his guest, professor of clinical diabetes at the University of Sheffield, Dr. Simon Heller, as they discuss the challenge with the current threshold of hypoglycemia.

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Guest: Patrick O'Connor, MD

Host: Steven Edelman, MD

A push away from the "one size fits all" approach to diabetes care, including subgroup analyses, patient preference, genetic factors and electronic records, is changing the way healthcare providers are caring for their patients. How do healthcare providers reflect these changes in their practices? Join host Dr. Steven Edelman and his guest, clinician of family medicine and senior investigator for HealthPartners, Dr. Patrick O'Connor, as they discuss a personalized approach to diabetes management.

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Guest: Gayle Sulik, PhD

Host: Matt Birnholz, MD

Host: Michael Greenberg, MD

Pink ribbon campaigns have been highly successful in rallying recognition and funding around breast cancer. But our guest thinks the cheerful image of such campaigns whitewashes realities of the disease, both in terms of statistics and patient experiences. Plus: Warnings about the drug cocktail known as “bath salts,” and a novel innovation for biomarking GI ailments with color.

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Guest: Eric Topol, MD

Host: Timothy Bailey, MD

The challenges of treating diabetes include long-term monitoring and management, lifestyle change and adherence to medication. How are digital technology and genomics shaping the management of diabetes? Join guest host Dr. Timothy Bailey and his guest Dr. Eric Topol, director of the Scripps Translational Science Institute, as they discuss how digital technologies can improve glucose monitoring and genomics is leading to individualized treatment. Dr. Topol, who does not have diabetes, describes his personal experience living with continuous glucose monitoring for one week.

Disclosures Dr. Eric Topol has disclosed that he has received grants for clinical research from sanofi-avenitis. Dr. Topol has also disclosed that he has served as an advisor or consultant to sanofi-aventis and Daiichi Sankyo.

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Guest: Elizabeth Kovacs, PhD

Host: Timothy Bailey, MD

Experimental approaches, including the suppression of certain immune cells to speed difficult wounds, may lead healthcare professionals to advances in the treatment of diabetic wounds. What are the therapeutic strategies and implications for our patients with diabetes? Join guest host Dr. Timothy Bailey and his guest, director of research at the Burn & Shock Trauma Institute at Loyola University Medical Center, Dr. Elizabeth Kovacs, as they discuss the latest research in suppressing certain immune cells to speed healing of slow-to-heal wounds.

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Guest: Louis Aronne, MD

Host: Steven Edelman, MD

Treatment regimens for diabetes and obesity are merging. Healthcare professionals are taking a new view to the management of diabetes including rearranging diabetes medication regimens from a glucose control and weight-neutral perspective. What do healthcare professionals need to know to help their patients manage their diabetes? Join host Dr. Steven Edelman and his guest, clinical professor of medicine at Cornell Medical College, Dr. Louis Aronne, as they discuss considerations of drug therapies as weight neutral for treating their patients with type 2 diabetes.

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Guest: Juan Pablo Frías, MD

Host: Steven Edelman, MD

Patients living with type 1 diabetes who are involved in athletics present particular challenges to approaching to their management, medication regimen and nutrition. How can healthcare professionals help their type 1 athletes optimize their performance and manage their diabetes? Join host Dr. Steven Edelman and his guest, director of research at TeamType1, Dr. Juan Frias, as they discuss restrictions, research, monitoring and adjusting insulin therapy for endurance type 1 athletes.

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Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA

Guest: Patrick Killeen, PA-C

As the Patient Protection and Affordable Care Act passes its first anniversary, Patrick Killeen, president of the American Academy of Physician Assistants (AAPA), joins host Lisa Dandrea Lenell to discuss some main legislative changes, geared toward improving patient care and outcomes, that the AAPA hopes to see implemented by the 112th United States Congress. The topics include: physician assistants' ability to continue treating patients through end-of-life hospice care; clearance to prescribe medication for opioid addiction; and eligibility for Medicaid electronic health record initiative payments.

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Guest: Jonathan Fridell, MD

Host: Aaron Carroll, MD

Although most patients with type 1 diabetes are able to rely on insulin to effectively manage their condition, sometimes insulin is not enough. When should these patients consider pancreas and/or kidney transplant? Dr. Jonathan Fridell, surgical director of the pancreas transplant program at Indiana University Health, talks with host Dr. Aaron Carroll about the benefits of separate or simultaneous pancreas and kidney transplantation, and says that such transplants can effectively cure patients of their type 1 diabetes. Of course, not every patient with type 1 diabetes is an appropriate candidate for transplant, and sometimes the side effects of immunosuppresive drugs are serious. What are the factors that influence a patient's eligibility for pancreas and kidney transplant? If a patient already has a kidney transplant, are there any disadvantages to getting a pancreas transplant, since these patients are already on immunosuppressive medications? 

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Guest: William Polonsky, PhD, CDE

Host: Timothy Bailey, MD

A majority of type 2 patients do not understand the benefits of structured self-monitoring of blood glucose and healthcare professionals lack the time to explain the values and the time to review the values themselves. What is the benefit of structured self-monitoring of blood glucose in patients with type 2 diabetes? Join guest host Dr. Timothy Bailey and his guest, founder of the Behavioral Diabetes Institute, Dr. William Polonsky, as they discuss the challenges and barriers for both healthcare professionals and patients with structured self-monitoring of blood glucose. 

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Guest: Candis Morello, PharmD, CDE

Host: Steven Edelman, MD

Medication adherence is one of the most challenging aspects of managing patients with diabetes. The majority of diabetes patients taking more than one oral agent do not adhere to their prescribed regimens. What is the key to successful adherence to drug regimens in patients living with diabetes? Join host Dr. Steven Edelman and his guest, associate professor of clinical pharmacy at UCSD Skaggs School of Pharmacy and Pharmaceutical Sciences, Dr. Candis Morello, as they discuss results from a recent study on medication adherence for patients living with diabetes.

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Guest: Sidney Ontai, MD, MBA

Host: Gary Epstein

The first conversation in this series highlighting practicing physicians' unique accomplishments, perspectives, triumphs, and challenges, and the strategies they use in their practice, introduces listeners to Dr. Sidney Ontai: a Hawaii-born physician who began his career near Los Angeles, California, before building a career in rural Texas. In West Texas, Dr. Ontai still makes house calls, and extends care to his patients with high-tech telemedicine and high-speed video for patients in isolated small towns up to 100 miles away.

This week's guest was nominated by the

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Host: Mimi Secor, DNP, FNP-BC, FAANP

Guest: Kirsten Wister, NP

After years working in clinical practice in rural Arizona, NP Kirsten Wister had a vision for her own practice that would allow her to offer integrative medicine and treat poor and needy patients. Like some other rural states in the US, the state of Arizona allows NPs to run a practice without a physician's oversight, as well as admit patients to some acute and sub-acute facillities, and prescribe medication. She and host Mimi Secor talk about how she opened her practice in Sierra Vista, 75 miles south of Tucson, in March 2011, and the patients who were invested in having this practice in the community to the extent that they staffed it voluntarily, and the value she's found in collaborating with physicians despite the fact Arizona law does not require it.

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Guest: Barbara Phillips, NP

Host: Mimi Secor, DNP, FNP-BC, FAANP

Thousands of nurse practitioners across the country run their own practices. But for those who have never been self-employed, the challenges of starting their own business can seem daunting. Nurse practitioner Barbara Phillips, business coach, consultant and CEO of NP Choice, LLC, joins host Mimi Secor to discuss how to start your own business in seven steps, from the concept stage to the day you open your doors to patients.

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Guest: Carl Orringer, MD, FACC, FNLA

Host: Alan S. Brown, MD, FACC, FAHA, FNLA

The Medicare donut hole, underemployment, and loss of employment can all put patients in situations that make affording lipid medications difficult to impossibl. Host Dr. Alan Brown talks to Dr. Carl Orringer, director of the Lipid Clinic and Preventive Cardiovascular Medicine Program at University Hospitals Case Medical Center, about strategies for working with patients who are having trouble affording their lipid medications. The solutions include pill-splitting when appropriate, discount drug stores, and novel recycled drug repository programs which are available in 38 states. What can we do to help patients whose financial circumstances do not only make medication adherence challenges, but are also related to an unhealthy diet and limited access to opportunities for physical activity.

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Guest: Tom X. Lee, MD

Host: Bruce Japsen

A new primary care model is making news across the country that offers personalized medicine, like the concierge healthcare that is becoming more common, but at a much more affordable price. Dr. Tom Lee, founder of One Medical Group, with offices in San Francisco and New York, is looking to set a nationwide example for primary medical care by offering personalized consierge services to several thousand patients while taking a variety of insurance plans (including Medicare), tells host Bruce Japsen about this model.

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Host: Steven Edelman, MD

Guest: Azza El-Remessy, PhD, RPh

Retinopathy is one of the most common complications for patients living with diabetes but there are few treatment options and no early-stage interventions. How is research helping to pinpoint potential targets for early intervention and a possible oral treatment? Join host Dr. Steven Edelman and his guest, assistant professor and director of clinical and experimental therapeutics at the University of Georgia, Dr. Azza El-Remessy, as they discuss the latest research into the potential of statins to prevent diabetic-related blindness.

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Guest: Jeffrey Kullgren, MD, MPH

Host: Bruce Japsen

When a patient visits the doctor's office, time is precious. But, given the rising cost of medical care in the United States, making time for direct and open conversation with patients about healthcare prices has never been more important. Dr. Jeffrey Kullgren of Penn Medicine tells host Bruce Japsen about the need for doctors to find a moments in their busy schedules for patient education on comparative costs of care.

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Guest: Kathleen Marinelli, MD

Host: Bruce Japsen

With breast-feeding a hot topic across the nation and more women being encouraged to do so, there is a rise in the development of milk banks. Dr. Kathleen Marinelli, director of lactation support services at Connecticut Children's Medical Center and medical director of Mother's Milk Bank of New England, tells host Bruce Japsen about the trend toward milk banks, how they are regulated and the safety and efficacy of using another woman's breast milk. 

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Guest: George Blackburn, MD, PhD

Host: Maurice Pickard, MD

Food nutrition labels are becoming ubiquitous— in restaurants, on the front of packaged food, and soon, on meat products. But is all of this nutrition information actually impacting consumer behavior and encouraging healthier food choices? Hosted by Dr. Maurice Pickard's guest is Dr. George Blackburn, associate professor of surgery and nutrition, associate director of the division of nutrition, and the S. Daniel Abraham chair in nutrition medicine at Harvard Medical School, says nutrition labeling is beneficial, but all of the information can be overwhelming. How can we help consumers and patients, find clarity in the food aisles, and steer away from marketing "nutrition keys" featured on the front of many packaged foods? How could nutrition fact labels be re-designed to improve consumer understanding?

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Guest: Julia Pallentino, MSN, JD, ARNP-BC

Host: Mimi Secor, DNP, FNP-BC, FAANP

Though the number of malpractice suits involving nurse practitioners is extremely low compared to other medical providers, as the number of nurse practitioners increases, so does the number of malpractice suits. Nurse practitioner Julia Pallentino, a former medical malpractice attorney in Tallahassee, Florida, joins host Mimi Secor to explain what she calls the "4 C's" of reducing risk of a lawsuit— communication, caring, competance and charting.

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Guest: Tom Baranowski, PhD

Host: Steven Edelman, MD

How are video games showing promise as a behavior change strategy to improve children's diets? Newly-funded video-game programs are specifically designed to lower risk of type 2 diabetes and obesity in children. Join host Dr. Steven Edelman and his guest, professor of pediatrics at Baylor College, Dr. Tom Baranowski as they discuss innovative approaches to behavior change incorporating video games for children. Watch trailers for these games at www.archimage.com.

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Guest: Linda Raynes Mahony, MS, RD, CDE

Host: Steven Edelman, MD

Fifty percent of patients living with diabetes will require some sort of renal replacement therapy. What percent will go on to renal transplantation and what are the recommendations for the management of these patients? Join host Dr. Steven Edelman and his guest, transplant dietitian at the University of California, San Diego, Linda Raynes Mahony, as they discuss medications, nutrition and overall management of renal transplant patients.

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Guest: Matthew Riddle, MD

Host: Steven Edelman, MD

Patients on insulin therapy require personalized approaches to their mealtime intervention. What are the choices for patients who need something more to control glucose after meals? Join host Dr. Steven Edelman and his guest, professor of medicine at the Oregon Health & Science University, Dr. Matthew Riddle as they discuss meal time interventions for the treatment of type 2 diabetes.

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Guest: Robert M. Blumm, PA-C

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA

Even in times of economic recession, the job outlook for physician assistants is very good. Money Magazine recently ranked PA as the second best job in the country, and US News and World Report ranks PA as the top career in America. However, like most jobs, there is still increased competition for employment. PA Bob Blumm, surgical assistant and distinguished fellow of the AAPA, talks with host Lisa Dandrea Lenell about what you need to do to get prepared for your next job interview.

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Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA

Guest: Robert M. Blumm, PA-C

One of the appealing aspects of the profession for many physician assistants is flexibility in employment. Is there a "norm" in terms of employment? Many PAs have developed jobs outside the traditional clinical setting, including in TV, film, forensic medicine and academics. Bob Blumm, distinguished fellow of the American Academy of Physician Assistants, joins host Lisa Dandrea Lenell to discuss the array of jobs available to physician assistants, and where career growth opportunities may lie in the future.

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Guest: Gary Falcetano, PA-C

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA

As the medical publishing industry evolves, and journals expand into non-print new media, it's a good time to explore the function of medical journals in the professional lives of PAs and NPs. Will the experience of receiving a journal in the mail soon be a thing of the past? What do we get out of print media that we don't get online, and vice versa? And, in addition to clinical practice information, what can the engaged reader get out of the publications they read? PA Gary Falcetano, publisher of Clinician Reviews and Emergency Medicine, joins host Lisa Dandrea Lenell to discuss the relevance of PA/NP journals, their evolution in the 21st century, and a model for an engaged journal reader.

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Host: Lawrence Sherman, FACEHP, CCMEP

At this year's meeting of the Alliance for CME, January 26-29, 2011, in San Francisco, host Lawrence Sherman, discusses healthcare reform, collaborative learning, maintenance of licensure, and more, with:

  • Dr. Jack Kues, assistant vice president of continuous professional development at the University of Cincinatti Academic Health Centers
  • Leah Newkirk, director of health policy at the California Academy of Famly Physicians
  • Dr. Hank Chaudhry, president and CEO of the Federation of State Medical Boards
  • Dr. Joseph Scherger, vice president of primary care at Eisenhower Medical Center in Rancho Mirage, California

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Guest: Diana Zuckerman, PhD

Host: Maurice Pickard, MD

The lap-band device dramatically reduces the size of a patient's stomach, and as such, it can be effective for weight loss in very obese patients. It offers at least one major advantage over gastric bypass surgery, in that the lap-band can be removed. But can the lap-band procedure also be safe and effective for patients who are even slightly obese, or do the potential risks outweigh the benefits for these patients? Dr. Diana Zuckerman, president of the National Research Center for Women & Families and its cancer prevention and treatment fund in Washington, D.C., discusses the criteria for patients to receive lap-banding. What concerns surround the issue of lowering the body-mass index (or BMI) threshold for patients eligible for this procedure? What are the long-term risks of lap-bands? Dr. Maurice Pickard hosts.

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Guest: Hank Cardello

Host: Bruce Japsen

With the US amid an obesity epidemic, the White House has made healthy eating a national priority. But will market forces eventually undermine and sabotage this high-profile effort to curtail obesity? Hank Cardello, a fellow of the Washington DC think tank the Hudson Institute, and director of its Obesity Solutions Institute and author of the book Stuffed: An Insider's Look at Who's (Really) Making America Fat, talks with host Bruce Japsen about how to persuade companies that product offerings which help reduce, instead of increase, the country's waistline can also improve the corporate bottom line.

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Guest: Carolyn Robinowitz, MD

Host: Bruce Japsen

While much of the nation's attention is focused on new medical benefits under the healthcare overhaul signed into law by President Obama, mental health advocates are stepping up attention to the Mental Health Parity and Addiction Equity Act, which began providing benefits to millions of patients with addictions, depression and other mental illness. The act was designed to put mental health services on equal footing with other medical services. Dr. Carolyn Robinowitz, past president of the American Psychiatric Association, tells host Bruce Japsen about this law and its importance for physicians and their patients.

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Host: Jack Lewin, MD

Guest: Rashi Fein, PhD

What can we learn from the past century of healthcare policy that can better inform how we develop such policies today? How has the landscape of medicine and economics surrounding health policy changed, and how have these changes influenced health policy? Join host Dr. Jack Lewin as he welcomes guest Dr. Rashi Fein, professor of the economics of medicine emeritus in the department of global health and social medicine at Harvard Medical School in Boston, and author of the book, Learning Lessons: Medicine, Economics and Public Policy. Although the Affordable Care Act is thousands of pages in length, Dr. Fein suggests that policy makers "keep it simple," even with the most complex health policy issues, in order to have an efficient system that is easy to implement. How can such complicated health policy issues be clearly explained?

Produced in Cooperation with

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Host: Jack Lewin, MD

Guest: Harry Greenspun, MD

Will healthcare reform do enough to alleviate the current problems in our system, or is the entire delivery model in need of a substantial re-design? Dr. Harry Greenspun, chief medical officer of Dell Services and co-author of the book Reengineering Health Care: A Manifesto for Radically Rethinking Health Care Delivery, says that while health care reform has changed payment models, reform has not done enough to change the delivery system. What elements of our current system are most in need of re-engineering, and how have some organizations successfully transformed their delivery models? Dr. Jack Lewin hosts.

Produced in Cooperation with

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Guest: Neal Kaufman, MD, MPH

Host: Steven Edelman, MD

Methods of positive behavioral change for people living with diabetes is vital to the overall management of diabetes. What is the value of behavior change for people living with diabetes and their professional counterparts? Join host Dr. Steven Edelman and his guest, professor of pediatrics and public health at the University of California, Los Angeles, Dr. Neal Kaufman, as they discuss the need for behavior modification in the treatment of type 2 diabetes.

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Guest: Sheri Colberg-Ochs, PhD

Host: Steven Edelman, MD

Today's general exercise regimens for patients living with type 2 diabetes should emphasize a combination of both aerobic exercise and resistance training. What are the new guidelines concerning exercise and what do physicians needs to know when they prescribe exercise for their type 2 patients? Join host Dr. Steven Edelman and his guest, professor of exercise science at Old Dominion University, Dr. Sheri Colberg, as they discuss the American College of Sports Medicine/American Diabetes Association joint statement on exercise for type 2 diabetes.

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Guest: Edward Damiano, PhD

Host: Steven Edelman, MD

Guest: Steven Russell, MD, PhD

The latest research into the use of glucagon and insulin in a closed-loop system is promising for the management of type 1 diabetes. How will the use of a bihormonal system benefit patients, and what is the path of treatment? Join host Dr. Steven Edelman and his guests, associate professor of biomedical engineering at Boston University, Dr. Edward Damiano, and instructor of medicine at Harvard Medical School, Dr. Steven Russell, as they discuss the challenges of a closed-loop system.

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Guest: R. Keith Campbell, BPharm, MBA

Host: Steven Edelman, MD

Changes in both care and treatment of diabetes reflect trends in healthcare that may need revision. How can healthcare professionals benefit from new pharmacotherapies for their patients living with diabetes? Join host Dr. Steven Edelman and his guest, professor of pharmacy, Keith Campbell, as they discuss trends in healthcare that may require revisions for the care of people living with diabetes.

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Guest: Betsy Nicoletti

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA

ICD-10, HIPPA and OIG sounds more like secret code than medical codes. What do you need to know in order to understand the ever changing world of medical coding and how can you be prepared for what's to come? Betsy Nicoletti, author of The Field Guide to Physician Coding and co-founder of codapedia.com, helps explain to host Lisa Dandrea Lenell how practices can manage changes in coding through technology and billing procedures.

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Guest: Betsy Nicoletti

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA

Every year brings changes to Medicare and Medicaid billing, and 2011 is no exception. This year, one main difference is the addition of an annual wellness visit. Betsy Nicoletti, author of The Field Guide to Physician Coding, helps host Lisa Dandrea Lenell sort out new billing codes and rules to help your practice stay compliant, while at the same time maximizing benefits of CMS.

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Guest: Karl Steinberg, MD, CMD

Host: Eric Tangalos, MD

"Advance directive" is an umbrella term that encompasses end-of-life documents, including a living will and durable power of attorney for healthcare. Such documents can be scary for many patients, and as such, advance directives are not very common among the general US population. Yet these documents can be powerful tools in ensuring patients receive the type of care they desire. What do physicians need to know about advance directives in caring for patients at the end of life? Dr. Karl Steinberg, associate medical director for skilled nursing care at Scripps Coastal Medical Center in Vista, California, discusses variations, misconceptions and confusion surrounding advance directives, and says there is room for improvement. Many states have enacted Physician Orders for Life Sustaining Treatment (POLST) programs to address end-of-life care issues. What do these programs involve, and how effective are such programs in alleviating confusion with end-of-life care? Dr. Eric Tangalos hosts.

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Guest: Sally Hara, MS, RD, CDE, CSSD

Host: Janice Baker, MBA, RD, CDE, CNSC

Exercise is essential for controlling blood sugar levels in patients with diabetes but benefits also present a set of unique challenges to athletes. What are the concerns medical professionals should be aware of and monitor for their athletes living with diabetes? Join guest host Janice Baker and Sally Hara, certified specialist in sports dietetics, as they discuss prescribing exercise regimens for the diabetic athletes.

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Guest: Lois Jovanovic, MD, MACE

Host: Steven Edelman, MD

Universal guidelines in screening, diagnosis and early treatment for diabetes and pregnancy are presenting opportunities for the physician and patient to better manage their diabetes and the health of the newborn babies. What are the standards and what is the clinical relevance? Join host Dr. Steven Edelman and his guest, chief scientific officer of the Sansum Diabetes Research Institute, Dr. Lois Jovanovic, as they discuss the need to screen all pregnant women for diabetes.

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Guest: Timothy Jost

Host: Bruce Japsen

Consumer groups for decades have criticized and wondered how much money health insurance companies actually spend on medical care. Under the health care reform law, they will actually come closer to knowing thanks to the so-called medical-loss ratio provisions of the legislation. Host Bruce Japsen talks with Washington and Lee University School of Law health reform expert Timothy Jost about the impact medical-loss ratio rules will have on physicians and their patients.

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Guest: Roland Goertz, MD

Host: Bruce Japsen

If patients take advantage of flexible spending accounts to help pay for their medical care, the health reform law is triggering some changes for them and doctor practices. Most notably, over the counter items like pain relievers and allergy meds will require a prescription. Host Bruce Japsen talks with Dr. Roland Goertz, president of the American Academy of Family Physicians about how patients and their doctors can prepare for these health reform law changes.

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Guest: Wendell Potter

Host: Gary Epstein

Host of Voices From American Medicine, Gary Epstein, talks this week with Wendell Potter, author of Deadly Spin: An Insurance Company Insider Speaks Out on How Corporate PR is Killing Health Care and Deceiving Americans. Mr. Potter made headlines as a former PR executive for the insurance industry turned whistle blower, testifying before Congress about insurance companies'  influence over medical decisions and PR tactics to stymie the debate around healthcare reform and the public option.

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Guest: William Polonsky, PhD, CDE

Host: Janice Baker, MBA, RD, CDE, CNSC

Stress is an integral element in the management of diabetes. What are key questions healthcare professionals can ask of their patients dealing with diabetes-related stress? Join guest host Janice Baker, CDE, RD and her guest, founder of the Behavioral Diabetes Institute, Dr. William Polonsky, as they discuss the basics of stress and diabetes and we can better help our patients living with diabetes.

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Host: Janet Wright, MD

Guest: James Scheulen, PA-C

Guest: Jeffrey Trost, MD

Door-to-balloon time for a patient with ST-segment elevation myocardial infarction (or STEMI) should be less than 90 minutes. Wireless electrocardiography (or EKG) programs around the country are helping to reduce door-to-balloon time by transmitting EKG data to hospitals via broadband internet, where a specialist at the hospital makes a diagnosis and prepares to treat the incoming patient. What are some of the challenges, and advantages, of such programs? Mr. Jim Scheulen, chief administrative officer for the Johns Hopkins Department of Emergency Medicine and president of Johns Hopkins Emergency Medical Services, and Dr. Jeffrey Trost, assistant professor in cardiology, director of the Cardiac Catheterization Laboratory and director of the Interventional Cardiology Program at Johns Hopkins Bayview Medical Center, helped create a Baltimore consortium of hospitals that donated wireless EKG technology to the city's paramedic units. How effective has the Baltimore program been at improving treatment for MI patients, and how is this program similar to others around the country? Dr. Janet Wright hosts.

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Guest: John Buse, MD, PhD

Host: Steven Edelman, MD

The recent American Diabetes Association / European Association for the Study of Diabetes consensus panel produced their treatment algorithm to control glycaemia in type 2 diabetes. How can healthcare professionals treating patients with type 2 diabetes provide additional prandial intervention to reach A1c targets? Join host Dr. Steven Edelman and his guest, professor of medicine at the University of North Carolina School of Medicine, Dr. John Buse, as they discuss the results of the glargine-exenatide combination study and its implications for a preferred treatment algorithm. 

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Guest: Barbara Levy, MD

Host: Bruce Japsen

As health reform brings a focus on the budget for Medicare, a little-known but influential group with links to the AMA and specialty societies is getting a closer look. It's called the Relative Value Scale Update Committee and it is at the center of a debate over whether doctors have too much control over the flow of taxpayer dollars in the Medicare program. Dr. Barbara Levy, chair of the RUC tells Bruce Japsen about how this group works and the importance of what it does. In a previous segment, he spoke with Tom Scully, senior counsel in Alston & Bird, LLP, in Washington, DC, and former head of the Centers for Medicare & Medicaid Services, about the other side of this debate.

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Guest: Jay Skyler, MD

Host: Steven Edelman, MD

Can immune intervention stop the disease process of type 1 diabetes? Join host Dr. Steven Edelman and his guest, professor of medicine, pediatrics and psychology at the University of Miami, Dr. Jay Skyler, as they discuss the diagnosis, screening, testing and current immunotherapy research for the prevention and intervention of type 1 diabetes.  

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Guest: Vivian Fonseca, MD, FRCP

Host: Steven Edelman, MD

When should healthcare professionals treating patients with type 2 diabetes consider using insulin or incretin treatment or both? Join host Dr. Steven Edelman and his guest, president-elect of the American Diabetes Association and professor of medicine at Tulane University, Dr. Vivian Fonseca, as they discuss comparative and contrasting effects of both insulin and incretin treatment, the incretin effect and the clinical efficacy and safety of incretin-based therapies.

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Guest: Frank Britt

Host: Matt Birnholz, MD

Host: Michael Greenberg, MD

Our guest is Frank Britt, president and CEO of medical education provider Pri-Med, with us to talk about Pri-Med's new Open Network initiative, designed to bring new models for delivering education to the practicing clinician. Plus: medical jargon. Do you talk up or down to your patients? Are there terms that should never be said in front of patients? And, we're bringing back some medical terms that nobody's used in so long, they've practically disappeared altogether.

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Guest: Mark Chassin, MD, MPP, MPH

Host: Bruce Japsen

An estimated 4 out of 5 serious medical errors involve miscommunication that occurs when care is 'handed off' from one care provider to another. Dr. Mark Chassin, president of the Joint Commission, the organization that's studied handwashing and potentially dangerous acronyms and abreviations, tells host Bruce Japsen about how the Commission's Center for Transforming Health Care and 10 hospitals and health systems across the country are working to improve patient care by improving communication between 'senders' and 'receivers.'

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Guest: Thomas Scully, JD

Host: Bruce Japsen

In a two-part series, as health reform brings a focus on the budget for Medicare, we look from two sides at a little known but influential group convened by the American Medical Association. It's called the Relative Value Scale Update Committee and some critics say it has too much control over the flow of taxpayer dollars in the Medicare program. Tom Scully, senior counsel in Alston & Bird, LLP, in Washington, DC, and former head of the Centers for Medicare & Medicaid Services, tells host Bruce Japsen about problems with the AMA's role in the so-called RUC. In an upcoming program, Bruce Japsen talks with Dr. Barbara Levy, chair of the Relative Value Scale Update Committee.

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Guest: Humayun Chaudhry, DO

Host: Lawrence Sherman, FACEHP, CCMEP

Maintenance of Certification and Maintenance of Licensure are topics on the mind of every physician. But what is required and what is proposed? And how does this relate to continuing medical education? This program is a discussion of New Maintenance of Certification and Maintenance of Licensure initiatives and their implications for practicing physicians. Host Lawrence Sherman's guest is Dr. Humayun Chaudhry, president and CEO of the Federation of State Medical Boards of the United States, a national not-for-profit organization representing the 70 medical and osteopathic boards of the United States.

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Guest: Alberto Hayek, MD

Host: Steven Edelman, MD

Diabetes research is the cornerstone for new opportunities in the treatment of patients living with diabetes. How will the newly formed Pediatric Diabetes Research Center serve this goal? Join guest host, certified diabetes educator Janice Baker and Dr. Alberto Hayek, professor of pediatrics and co-director of the UC San Diego's Pediatric Diabetes Research Center, as they discuss the need for collaboration in both biochemistry, molecular and cell-based therapies for the treatment of diabetes.

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Guest: Jill Jones

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA

Guest: Jennifer Puleo

The recession has not slowed the demand for cosmetic procedures. Last year, more than 10 million surgical and non-surgical procedures were performed in the United States last year. Advanced practice clinicians are getting hired to help keep up with demand, performing lasers, botox and fillers. Jill Jones, CEO of Aesthetic Advancements, Incorporated, in Atlanta and NP Jennifer Puleo, owner of Faces of South Tampa in Florida, joins host Lisa Dandrea Lenell to discuss the training and opportunities in this growing field.

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Host: John Lynn

Health information technology (or HIT) is touted by many to help practices cut costs, but can also be daunting to consider. Host John Lynn, founder of EMRandHIPAA.com, addresses some of the most common questions about HIT with guests from the Practice Fusion Connect User Conference in San Francisco, on November 5, 2010. How can clinicians implement new technologies without going over budget or disrupting the flow of their practices? What are some questions to ask when shopping for an electronic health record (or EHR) system, and what do clinicians need to know about EHR incentives as well as qualifying for meaningful use?         

Featured guests include:

  • Camille Williams, practice manager from ENT Associates of South Atlanta in Marietta, Georgia
  • Ken Harrington, practice manager from Washington Endocrine Clinic in Washington, DC
  • Robert Rowley, MD, chief medical officer of Practice Fusion

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Guest: Christine Kessler

Host: Mimi Secor, DNP, FNP-BC, FAANP

What makes Americans fat? Diet isn't entirely to blame. Christine Kessler, who is a nurse practitioner in the department of endocrinology and metabolic medicine at a Washington, DC, teaching hospital, joins host Mimi Secor to discuss the many variables that are attributed to obesity in this country. They also look at what nurse practitioners can do to help their patients come up with strategies for living healthier lives.

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Under the Affordable Care Act, Medicare will launch a Shared Savings Program for groups of health care providers that join forces, with or without hospitals or health plans, to form legal entities that agree to take responsibility for the quality, cost, and overall care of a population of patients. What will these accountable care organizations (ACOs) look like? Who will step forward to form them? What are the best pathways and likely hurdles to achieving ACO status? What are the risks of entering the arena, and what are the expected benefits for clinicians and patients? In a roundtable discussion moderated by Dr. Thomas Lee, experts Lawrence Casalino, Elliott Fisher, and Gail Wilensky explored these and other questions.

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Guest: G. Alexander Fleming, MD

Host: Bruce Bloom, DDS, JD

Researchers are looking at hundreds of ways to treat and cure type one diabetes. Most of the advances so far have come in newly diagnosed children. Is there anything on the horizon to help adults with established type one diabetes? Dr. Alexander (Zan) Fleming, chairman and chief medical officer of Exsulin, joins host Dr. Bruce Bloom to discuss the new therapies for reversing established diabetes.

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Guest: Allen Lichter, MD

Host: Lawrence Sherman, FACEHP, CCMEP

Against a background of controversy over conflicts of interest, the relationship between continuing medical education and commercial supporters is evolving. Dr. Allen Lichter, chief executive officer of the American Society of Clinical Oncology (ASCO), joins host Lawrence Sherman to discuss how best to forge a path to governing interactions between CME and industry support that will both make for great education and continue to involve the corporations that have a vital stake in the maintenance of high quality healthcare.

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Guest: Joseph Kim, MD, MPH

Host: Lawrence Sherman, FACEHP, CCMEP

Guest: Brian McGowan, PhD

Where does the learning experience start and end? Where does social media fit into learning? Host Lawrence Sherman continues his conversation with Dr. Joseph Kim, physician technologist and vice president of medical affairs and technology at Medical Communications Media, Inc., and Dr. Brian McGowan, chair of the Alliance for CME's Committee on Emerging Technology, about how new technologies are being incorporated into lifelong learning to improve both the quality of education for physicians and care for patients.

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Guest: Joseph Kim, MD, MPH

Host: Lawrence Sherman, FACEHP, CCMEP

Guest: Brian McGowan, PhD

Host Lawrence Sherman talks with Dr. Joseph Kim, who is a physician technologist and vice president of medical affairs and technology at Medical Communications Media, Inc., and Dr. Brian McGowan, chair of the Alliance for CME's Committee on Emerging Technology, to find out how new technologies, including social media, are being incorporated into lifelong learning to improve both the quality of education for physicians and care for patients.

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Guest: Carmella Evans-Molina, MD, PhD

Host: Bruce Bloom, DDS, JD

As the epidemic of type 2 diabetes in the United States grows, researchers are investigating hundreds of ways to treat and cure diabetes. Some of these methods include exogenous insulin, while other ideas being explored require more complex changes in our understanding of cellular biology. Dr. Carmella Evans-Molina, assistant professor at the Indiana University School of Medicine, who holds a faculty appointment in the division of endocrinology, diabetes, and metabolism and the Herman B Wells Center for Pediatric Diabetes Research, joins us to discuss molecular mechanisms of diabetes, and potential methods of prevention related to these mechanisms. Dr. Bruce Bloom hosts.  

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Guest: Steven Wittlin, MD

Host: Lee Freedman, MD

It is often thought that patients with diabetes have more "silent" heart disease than patients without diabetes: Coronary artery disease is a leading cause of death among these patients. But is screening all asymptomatic patients with diabetes for the condition prudent, or should we exercise caution when considering cardiac screening? Dr. Steven Wittlin, associate professor of medicine and clinical director of the endocrine/metabolism division at the University of Rochester in New York, makes screening recommendations based on the recent Detection of Ischemia in Asymptomatic Diabetics (DIAD) study. Dr. Lee Freedman hosts.

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Guest: Christopher Slatore, MD

Host: Mary Leuchars, MD

Systemic corticosteroids increase the risk of diabetes, but what about in patients who take high-dose inhaled corticosteroids? How do we best manage the risk-benefit equation in patients with chronic obstructive pulmonary disease (or COPD)? Dr. Christopher Slatore, assistant professor in the division of pulmonary and critical care medicine, Portland VA Medical Center / Oregon Health and Sciences University, in Portland, Oregon, discusses the association between inhaled corticosteroid use and serum glucose concentration. Dr. Mary Leuchars hosts.

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Guest: Amy Ozier, PhD, RD

Host: Steven Edelman, MD

The EADS (Eating and Appraisal Due to Emotions and Stress) questionnaire developed by Dr. Amy Ozier, registered dietitian and certified health education specialist, and assistant professor and facilitator of the Certificate of Graduate Study for Eating Disorders and Obesity at Northern Illinois University, helps healthcare professionals determine how psychological and physical factors modulate how much patients with diabetes eat. Does this tool help to bridge the gap when a psychologist is missing from a multi-disciplinary team?  Dr. Ozier joins host Dr. Steven Edelman to discuss overeating as a contributing factor in a patient's overall health, the impact of hyperglycemia and treatment that helps modulate behavior.

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Guest: Robert Henry, MD

Host: Steven Edelman, MD

The potential benefits of a new class of medications, sodium-dependent glucose cotransporter-2 therapy (or SGLT-2s), for type 2 diabetes is promising, but where will they fit in the treatment of diabetes and what are the risks? Join host Dr. Steven Edelman and his guest, professor of medicine at the Veterans Affairs Medical Center in San Diego, California, Dr. Robert Henry, as they discuss the mechanism, benefits and potential cardiovascular risks of this new class of medication.

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Guest: Shereen Arent, JD

Host: Steven Edelman, MD

Healthcare reform will have significant implications for both patients living with diabetes and the healthcare professionals treating diabetic patients. How will healthcare reform impact current treatment, access and affordability? Join host Dr. Steven Edelman and his guest, executive vice president of government affairs & advocacy of the American Diabetes Association, Shereen Arent, as they discuss the impact of reform to cost of patient care, current and future prevention programs and the Affordable Care Act.

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Guest: Carolyn Paris, MD

Host: Mary Leuchars, MD

Improved living conditions and hygiene may be contributing to the rise of type 1 diabetes in children, but does the "hygiene hypothesis" fully explain the onset of type 1 diabetes in this population? What factors might explain the increased incidence of type 1 diabetes among pediatric patients in the US, Sweden and Finland, in particular? Dr. Carolyn Paris, pediatrician and emergency medicine specialist at the Center for Clinical and Translational Research at Seattle Children's Hospital, explores the indirect evidence that examines environmental influences in the development of type 1 diabetes in children. Dr. Mary Leuchars hosts.

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Guest: Tatjana Rundek, MD, PhD

Host: Maurice Pickard, MD

Hundreds of millions of people may have insulin resistance worldwide. What is the connection between insulin resistance and the risk of ischemic stroke? Dr. Tatjana Rundek, associate professor of neurology and director of the clinical translational research division in the department of neurology of the Miller School of Medicine at the University of Miami, Florida, discusses her research on the risk of developing ischemic stroke among non-diabetic patients with insulin resistance with host Dr. Maurice Pickard. How can lipid-lowering medications help reduce the risk of stroke for non-diabetic patients with insulin resistance, and are any other medications on the horizon for these patients?

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Guest: Hugh Tildesley, MD

Host: Lee Freedman, MD

Metformin is often the first line of therapy for patients with type 2 diabetes: it is relatively inexpensive, available, and has proven efficacy. However, metformin is contraindicated for patients with renal insufficiency, a common comorbidity in diabetes. Do the benefits of metformin outweigh the risks for those with renal insufficiency, or should we use caution when considering metformin for these patients? Dr. Hugh Tildesley, clinical professor in the department of medicine, division of endocrinology at the University of British Columbia at St. Paul's Hospital in Vancouver, Canada, considers the safety of metformin in patients with diabetes. What approach should clinicians use when considering metformin for patients with type 2 diabetes who have some degree of renal impairment? Dr. Lee Freedman hosts.

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Guest: Michelle Lee

Host: Tim Rush

How do you best assess the match between you as an employer and a potential employee? What are the most challenging aspects of hiring a perfect fit for your place of employment? Michelle Lee, president and CEO of the Georgia-based staffing firm Medical Staffing Resources, joins host Tim Rush to review best practices and tools to use when hiring new talent.

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Guest: Craig Wargon, DPM

Host: Steven Edelman, MD

Patients with diabetes commonly need treatment for peripheral neuropathy. What are common symptoms and what should a physician be looking for in each patient visit? Join host Dr. Steven Edelman and his guest, practicing physician in the division of podiatric surgery at Kaiser Permanente, Dr. Craig Wargon, as they discuss symptoms, treatment and the need to glycaemic control in patients with diabetes.

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Guest: Joanna Jiang, MD

Host: Bruce Japsen

The new health reform law will take steps to encourage patients to use preventive tests and screenings to head off chronic conditions, like diabetes, that extract a huge toll on the nation's medical care budget. Exactly how much does diabetes care cost the medical system, and where is the money going? Dr. Joanna Jiang, senior research scientist at the AHRQ (the Agency for Healthcare Research and Quality), tells host Bruce Japsen about the origin of hospital costs and its surprising toll on the system.

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Guest: James Laidler, MD

Host: Bruce Japsen

The move to re-cast high fructose corn syrup as "corn sugar" come out of the demonization of high fructose corn syrup by some in the medical community. But is high fructose corn syrup's reputation scientifically justified, and what does it mean for physicians and their patients? Dr. Jim Laidler, an MD and researcher in the area of molecular biology, talks with host Bruce Japsen about the much-maligned high fructose corn syrup and whether it is worse for health than other sugars and common substitutes.

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Guest: Jeffrey Nicholson, PhD, PA-C

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA

All PAs hope to never be sued. But if it happens, will malpractice coverage pay for legal costs and court awards? Is employer-provided malpractice coverage enough, and what are the differences between the types of policies? PA Jeff Nicholson, president of the American Academy of Physician Assistants in Legal Medicine, sorts out these issues and others with host Lisa Dandrea Lenell. They also look at whether additional policies are needed, depending on the PA's specialty.

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Guest: Adam Weinstein

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA

With Web-based technologies, the click of a mouse can give doctors and advanced practice clinicians access to their diabetic patients' records follow-up information, and save them from having to search through charts or request information from other doctors. Adam Weinstein is the manager of the clinical intelligence team for Athenahealth in Watertown, Massachusetts. He joins host Lisa Dandrea Lenell to talk about setting up your practice to meet diabetic recognition goals. They look at the requirements, advantages, costs and time it takes to set up the data and tracking tools. 

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Host: Mimi Secor, DNP, FNP-BC, FAANP

Guest: Eileen O'Grady, PhD, RN, NP

Every day, we hear about the rise of chronic disease and rates of obesity. How do we persuade patients to change their behavior in order to become healthier? A new answer may lie in the field of wellness coaching. Dr. Eileen O'Grady, nurse practitioner, wellness coach and visiting professor at the Leinhard School of Nursing at Pace University in New York City, talks with host Mimi Secor about the evidence-based methodology behind wellness coaching. They also cover certification requirements and how NPs and PAs interested in career opportunities in this field can set up a wellness practice.

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Guest: Eileen O'Grady, PhD, RN, NP

Host: Mimi Secor, DNP, FNP-BC, FAANP

How does the medical home fit into the rapidly changing healthcare model in the United States? The idea of the medical home isn't a new one. It's actually based on a concept created by the American Academy of Pediatrics in the 1960s. Dr. Eileen O'Grady, nurse practitioner and visiiting professor at the Leinhard School of Nursing at Pace University in New York, joins host Mimi Secor to explain how the medical home works, the technology needed to set it up and the opportunities the advanced practice clinician will play in this healthcare model.

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Guest: Patti Duprey

Host: Mimi Secor, DNP, FNP-BC, FAANP

Chronic disease is on the rise in the United States — especially diabetes. More than 57 million Americans suffer from pre-diabetic symptoms. With a shortage or primary care doctors, who will take on the role of treating these patients? Nurse Practitioner Patty Duprey, director of the Diabetes Center in North Conway, New Hampshire, joins host Mimi Secor to discuss why NPs are in the perfect position to take over care of patients with diabetes and why a team approach and teaching patients self-management skills are the keys to successful treatment.

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Guest: Ann Albright, PhD, RD

Host: Steven Edelman, MD

The Centers for Disease Control and Prevention is aggressively becoming hands-on in the prevention of type 2 diabetes. A new national diabetes prevention program is under way under the tutelage of previous successful clinical research and trials results. What can healthcare professionals treating patients with diabetes learn and how can they get involved? Join host Dr. Steven Edelman and his guest, the director of the division of diabetes translation at the Centers for Disease Control and Prevention, Dr. Ann Albright, as they discuss the criteria for the National Diabetes Prevention Program.

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Guest: Emmanuel Baetge, PhD

Host: Steven Edelman, MD

Current stem cell therapy research is leading the way into producing functional pancreatic, insulin-producing cells. How will this translate into clinical trials and human therapy for diabetes from a scale, delivery and efficacy position? Join host Dr. Steven Edelman and his guest Dr. Emmanuel Baetge, chief scientific officer of Viacyte, Inc., as they discuss the benefits of stem cell research therapy for diabetes.

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Guest: Elizabeth Sheehan

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA

Seven hundred women a day receive medical care inside moldy tents on the grounds of what once was the Grace Children's Hospital in Port-au-Prince, Haiti. But their circumstances will soon improve, thanks to an innovative nonprofit organization, Containers to Clinics, launched by PA Elizabeth Sheehan. Containers to Clinics converts empty shipping containers into state-of-the-art medical facilities in rural areas where electricity, running water and quality medical care are hard to find. Lisa Dandrea Lenell talks to Sheehan about where the idea for Containers to Clinics came from, what it takes to set up a container and what the organization is doing to help the people of Haiti following the devastating earthquake in January 2010.

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Guest: Robert Cuddihy, MD

Host: Steven Edelman, MD

There have been impressive results with incretin-based therapy for patients with type 2 diabetes: improved A1C, beta-cell preservation and weight loss are some of the benefits. But do healthcare professionals need to temper their enthusiasm for this novel therapy? Join host Dr. Steven Edelman and his guest, medical director of the International Diabetes Center, Park Nicollet Health Services, Dr. Robert Cuddihy, as they discuss whether incretin-based therapy holds promise of a truly disease-modifying therapy.

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Guest: Jennifer B. Green, MD

Host: Steven Edelman, MD

What is known about the relationship between glucose control and cardiovascular disease in diabetes? The recent Bypass Angioplasty Revascularization Investigation 2 Diabetes (BARI 2D) trial provides some interesting results on the relationship between type 2 diabetes and silent myocardial infarction. Join host Dr. Steven Edelman and his guest, assistant professor of medicine in the division of endocrinology, metabolism and nutrition at Duke University, Dr. Jennifer Green, as they discuss the role of glycemic control to cardiovascular disease in both sexes.

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Host: Jack Lewin, MD

Guest: Francois de Brantes, MS, MBA

As we all strive to improve quality of care, two crucial questions remain at the heart of the issue: How do we define, and identify, quality in practices, hospitals and other health care settings? Then, how can new methods of identifying quality in practices help improve the standardization of processes and care that patients receive? Join host Dr. Jack Lewin and his guest, Francois de Brantes, executive director of the Health Care Incentives Improvement Institute in Newton, Connecticut, which manages the Bridges to Excellence and PROMETHEUS payment programs. Mr. de Brantes talks about the specific data that can help identify quality, and ways to utilize these data to improve and facilitate quality improvement. How does identifying quality in cardiovascular practices coincide with the increasing interest in value-based health care delivery?

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Guest: Barbara Phillips

Host: Mimi Secor, DNP, FNP-BC, FAANP

Millions of people worldwide have Facebook, LinkedIn and Twitter accounts. What do you need to know about today's Internet-savvy e-Patient, who uses online tools to share information with their medical providers, search for medical information, and manage and cope with their medical conditions. Nurse practitioner Barbara Phillips, founder and CEO of NP Choice, LLC, joins host Mimi Secor to discuss how to  effectively connect with your patients, and how to set up online policies and online identities.

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Guest: David Kendall, MD

Host: Steven Edelman, MD

The assessment of intensive glycemic control in preventing cardiovascular disease is unclear. Discrepancies in recent clinical trials such as ACCORD, ADVANCE, PROactive and UKPDS 80 may reflect difference in study design and patients, versus glycemic control. How can using the Archimedes model illuminate this quandary? Join host Dr. Steven Edelman and his guest, chief scientific and medical officer of the American Diabetes Association, Dr. David Kendall, as they discuss the effect of glycemic control on macrovascular outcomes in patients with diabetes.

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Guest: John Adams, PhD

Host: Bruce Japsen

Health insurance companies are pushing physician ratings to steer more patients to what they see as less expensive but higher quality medical care. But doctors are finding these new measurements aren't always accurate. John Adams, a senior statistician at RAND Health in the Statistical Research and Consulting Group, tells host Bruce Japsen how doctor ratings are being used, their limitations, and their potetial impact as future quality measures. 

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Guest: Frederick Wendt, RPh

Host: Eric Tangalos, MD

As medication costs continue rising, what strategies can help long-term care facilities reduce drug expenditures, while still providing the best quality of care for patients? Fred Wendt, RPh, vice president of pharmacy services for Senior PharmaStrategies in Burleson, Texas, says one of the most significant pharmacy issues in long-term care is the Drug Enforcement Administration's current position on the nursing facility staff as agent of the physician, with regard to controlled substances. How is the role of the consultant pharmacist changing in long-term care? What programs can help long-term care facilities reign in drug costs, while maintaining high quality care for patients, particularly in the area of diabetes? Dr. Eric Tangalos hosts.