CommonSpirit Health Physician Enterprise: Recent Episodes
CommonSpirit Health Physician Enterprise
CommonSpirit Health hosted part two of our Grand Rounds series discussing the pharmacotherapeutic approach to obesity care.
See Part One here.
Please find the most up to date guidance on the Medical Management of Obesity here.
Speaker:
- Thu Le, PharmD, Clinical Pharmacist, Dignity Health
- Mahmuda Tasneem, MD, Internal Medicine, Virginia Mason Franciscan Health
Panelist:
- Layla A. Abushamat, MD, MPH, DABOM, Endocrinologist and Assistant Professor, Section of Cardiovascular Research, Baylor College of Medicine
- Anila Chadha, MD, Obesity Medicine Internist, Dignity Health Medical Group – Bakersfield
CommonSpirit Health hosted a Grand Rounds session discussing the pharmacotherapeutic approach to obesity care. This is the first in a two-part series on the topic.
See Part Two here.
Speaker:
Layla A. Abushamat, MD, MPH, DABOM, Endocrinologist and Assistant Professor, Section of Cardiovascular Research, Baylor College of Medicine
Anila Chadha, MD, Obesity Medicine Internist, Dignity Health Medical Group – Bakersfield
Panelist:
Thu Le, PharmD, Clinical Pharmacist, Dignity Health
Mahmuda Tasneem, MD, Internal Medicine, Virginia Mason Franciscan Health
Are you putting too much trust in your health and fitness tech? In this 5-Minute Check In, we ask: Can your smartwatch really detect AFib and is your ring accurately monitoring sleep? We're diving deep into the scientific data to reveal what these devices actually promise vs. what they actually deliver. Get the insights in just a few minutes.
Guests: Dr. Thomas McGinn, SEVP and Chief Physician Executive Officer; Dr. Ankita Sagar, System VP Clinical Transformation and Well-Being; Dr. Phil Chang, Chief Medical and Quality Officer; and Brooke Burgess, System Director Clinical Communications
Studies: https://www.jacc.org/doi/10.1016/j.jacadv.2025.102133
https://pubmed.ncbi.nlm.nih.gov/41230431/
CommonSpirit Health hosted a Grand Rounds session discussing the treatment of menopausal symptoms in women with cancer. The discussion included strategies on optimizing quality of life with oncologic safety.
Speaker:
- Marina Frimer, MD, FACOG, FACS, Associate Chief, Research and Academic Development, Central Region; Director, Clinical Cancer Research, Northwell Health Cancer Institute at Rego Park; Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Long Island Jewish Medical Center; Associate Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
Panelist:
- Claire Hoppenot, MD, Assistant Professor, Gynecologic Oncology, Dan L. Duncan Comprehensive Cancer Center, Baylor College of Medicine
Moderator:
- Amy Brockmeyer, MD, Section Head of Gynecologic Oncology, Department of Surgery, Virginia Mason Franciscan Health
The second Grand Rounds session discussing the Ebola Outbreak in DRC and Uganda.
Speakers:
Ankita Sagar, MD, MPH, FAACP, FAMWA, System Vice President of Clinical Transformation and Well-Being, CommonSpirit Health
Christopher Baliga, MD, NW Region Medical Director of Infection Prevention and Employee Health, SCrPT ID Co-Chair, CommonSpirit Health Infection Prevention Council, CommonSpirit Health
Join Chief Physician Executive Officer Dr. Thomas McGinn and infectious disease expert Dr. Renuga Vivekanandan for a focused discussion on Ebola and Hantavirus. This quick, informative session is designed for healthcare professionals, offering key insights to understand these diseases, address patient concerns, and uphold best practices.
Topic: Re-Emerging Infectious Diseases (Part 1): Hantavirus, Tick-Borne Diseases (STARI and Alpha-gal), Candida auris, Dengue, and Measles
Speakers:
- Renuga Vivekanandan, MD, Market VP CMO Physician Enterprise CHI Health Midwest, Professor, Creighton University School of Medicine
- Christopher Baliga, MD, NW Region Medical Director of Infection Prevention and Employee Health, SCrPT ID Co-Chair, CommonSpirit Health Infection Prevention Council, CommonSpirit Health
CommonSpirit Health hosted a Grand Rounds session discussing pediatric antimicrobial stewardship guidelines for upper respiratory infections.
Speakers:
- Michael Dudas, MD, Chief, VMMC Pediatrics, Deputy Chief, VMMC Primary Care, Chair, CommonSpirit Pediatric Collaborative
- Lilia Parra-Roide, MD, Chair, Pediatrics, Professor of Pediatrics, Creighton University School of Medicine
- Scott Piazza, DO, Medical Director of Informatics for Pacific Central Coast Health Centers, Adjunct Faculty for the Marian Family Medicine Residency Program, Chair, Department of Family and Community Medicine, Marian Regional Medical Center
- Claire Swartwood, PharmD, BCPS, BCIDP, Clinical Pharmacist — Antimicrobial Stewardship Program, Department of Pharmacy, Mountain Region
- Kenneth Foerster, MD, MBA, Senior Regional Medical Director, Prompt Care, Urgent Care, COHE, Virginia Mason Franciscan Health
Moderator:
- Ankita Sagar, MD, MPH, FACP, FAMWA, System Vice President, Clinical Transformation and Well-Being, CommonSpirit Health
CommonSpirit Health hosted a Grand Rounds session discussing updates in hypertension diagnosis and management.
Speakers:
- Kavita Chawla, MD, FACP, MHA, CRC, Medical Director, Value Based Arrangements and Provider Engagement, Director, Evidence-Based Medicine Dissemination and Implementation, Department of Primary Care, Virginia Mason Franciscan Health — Kirkland Medical Pavilion
- Debra Rockman, RN, MBA, CPHRM, CPHQ, System Vice President — Ambulatory Quality, CommonSpirit Health
Moderator:
- Gary Greensweig, DO, FAAFP, National Primary Care Service Line Leader, CommonSpirit Health
Speakers:
- Mital Patel, MD, Director of Hematology and Medical Oncology, Dignity Health Cancer Institute at St. Joseph's Hospital and Medical Center
- Ronald Gagliano, MD, System Vice President, Oncology Service Line, Physician Executive and Chairman, Department of Surgery, Dignity Health Medical Group Arizona
Moderator
- Ankita Sagar, MD, MPH, FACP, FAMWA, System Vice President, Clinical Transformation and Well-Being
Learning Objectives:By completion of this program, attendees will be able to:
Inpatient
- Identify the latest diabetes wearable devices and their approach to inpatient use.
- Determine the approach to perioperative management of diabetes medications.
- Recognize and manage endocrinopathies from use of immune checkpoint inhibitors.
Outpatient
- Identify candidates for Type 1 Diabetes antibody screening and the significance of early detection for disease-modifying therapies.
- Formulate a comorbidity screening strategy for patients with Type 2 Diabetes, focusing on Metabolic Associated Steatotic Liver Disease (MASLD) evaluation.
- Appropriately screen patients with hypertension for primary hyperaldosteronism, accurately interpret lab results, and identify common medication interferences that may impact diagnostic testing.
Speakers:
- Jennifer Bernard, MD, Medical Director Endocrinology, St. Anthony Hospital, Medical Director of Specialty Services, Common Spirit Denver Metro
- Rani Kulkarni, MD, Medical Director, Comprehensive Diabetes Care Program, Saint Joseph Medical Center (Tacoma, WA), Virginia Mason Franciscan Health
Moderator:
- Thomas Frederickson, MD, FACP, SFHM, MBA, System VP Hospital Medicine Operations
Learning Objectives:By completion of this program, attendees will be able to:
- Review publications from 2025 that influence the practice of hospital medicine.
- Apply an updated understanding of recent data to common clinical scenarios.
- Identify and apply a new clinical practice related to recent evidence-based updates.
Speakers:
- Stephanie Sherman, MD, Associate Program Director and Academic Hospitalist, Baylor College of Medicine
- Zaven Sargsyan, MD, Associate Professor, Hospital Medicine, Baylor College of Medicine
Moderator:
- Thomas Frederickson, MD, FACP, SFHM, MBA, System VP Hospital Medicine Operations
The landscape of hypertension management is evolving, and the 2025 guidelines offer significant updates since their 2017 predecessors. Our new video provides a concise overview of these changes, covering critical areas from detection and evaluation to new treatment strategies. We delve into updated measurement recommendations, the emphasis on primary aldosteronism screening, and revised treatment targets. This informative resource is designed to help you understand the latest insights and implications for patient care.
Guests: Dr. McGinn, Dr. Sagar, and Dr. Kavita Chawla, Director of EBM Education, Virginia Mason Franciscan Health
Guidelines: https://www.ahajournals.org/doi/10.1161/HYP.0000000000000249
In this myth-busting ‘5-Minute Check In’ episode, Dr. Thomas McGinn, Dr. Ankita Sagar, and Brooke Burgess break down the evidence behind the most popular health topics trending on social media — helping you separate fact from fiction in just a few minutes.
Topics discussed:
-
Myth or fact: Does "cold plunging" reduce inflammation and support recovery?
- Studies/Articles:
- https://pmc.ncbi.nlm.nih.gov/articles/PMC11778651/
- https://www.sciencefriday.com/segments/cold-plunge-health/
-
Myth or fact: Does raw milk support immune health and gut health?
-
Studies/Articles:
- NIH: https://www.nih.gov/news-events/news-releases/high-h5n1-influenza-levels-found-mice-given-raw-milk-infected-dairy-cows
- NEJM: https://www.nejm.org/doi/full/10.1056/NEJMc2405495
- Studies/Articles:
Guests:
Ankita Sagar, MD, System Vice President, Clinical Transformation and Well-Being, and Brooke Burgess, System Director, Clinical Communications
Learning Objectives:By completion of this program, attendees will be able to:
- Evaluate VTE risk factors in medical patients and apply appropriate prophylaxis strategies.
- Develop a management plan for VTE prophylaxis in post-surgical patients, including considerations for bleeding risk.
- Analyze VTE prophylaxis recommendations specific to neurosurgical and orthopedic populations.
- Apply VTE prevention strategies in trauma patients while considering contraindications and optimal dosing.
Speaker:Thomas Vendegna, MD, CMO, Central Coast, California Market
Moderator:
John Morelli, MD, System Vice President, Acute Care Clinical Service Line, Physician Enterprise
Panelists:
Christian Chiavetta, DO, FACOI, FACP, SFHM, Medical Director, Northridge Hospital Medical Center
Ruby Skinner, MD, FACS, CMO, Community Hospital of San Bernardino
William Wang, MD, DrPH, CPE, CMO, Glendale Memorial Hospital and Southern California Market
Wyndham Strodtbeck, MD, System Vice President, Anesthesia and Perioperative Medicine, Physician Enterprise
Here are the links to our favorite podcasts of 2025:
- AI and evidence-based medicine: YouTube | Podcast
- Fall Prevention & Cardiovascular Training: YouTube | Podcast
- Best practices for type 2 diabetes mellitus management: YouTube | Podcast
- Fall Update: YouTube Podcast
- Plain English Podcast: https://podcasts.apple.com/us/podcast/plain-english-with-derek-thompson/id1594471023
- Hark! Podcast: https://podcasts.apple.com/us/podcast/hark-the-stories-behind-our-favorite-christmas-carols/id1595835931
- Radio lab: https://radiolab.org/
- Crime Junkie: https://podcasts.apple.com/us/podcast/crime-junkie/id1322200189
- Discussion on antibiotic prescribing, including a deeper dive in urgent care and pediatric settings
- Review of a new study published in the Annals of Internal Medicine looking at antibiotic, glucocorticoid, and opioid prescribing in urgent cares and opportunities to reduce medication overuse
- How CommonSpirit is working with Patient-Centered Outcomes Research Institute (PCORI) to implement evidence-based strategies for improving antibiotic prescribing practices
Guest: Dr. Michael Dudas
Pediatrician, Virginia Mason Franciscan Health
Chair, CommonSpirit Health Pediatric Collaborative
Myth or fact: One form of fall prevention intervention is superior to all others.
Do you know which intervention reigns supreme? In this episode we explore diverse therapies and a recent systematic review and meta-analysis.
Myth or fact: Comparing running vs. weightlifting. Is there one single "best" training regimen for weight loss and mitigating cardiovascular disease? Dr. McGinn and Dr. Sagar compare the evidence and effectiveness of aerobic, resistance, and combined training.
Studies:
https://www.nejm.org/doi/full/10.1056/NEJMoa1616338
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0210292
On Friday, Oct. 17, the Physician Enterprise hosted a Grand Rounds session discussing evidence-based updates for respiratory immunization clinical guidelines.
We also have this additional resource available related to fall viruses and immunizations:
5-Minute Check In: Fall Viruses and Vaccinations
https://youtu.be/PowPADYqzGA?si=x_G3XJY_335rcdW2
Thomas McGinn, MD, MPH, SEVP, Chief Physician Executive Officer and guests Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction, and Dr. Hana El Sahly, Professor Molecular Virology and Microbiology, Baylor College of Medicine discuss the upcoming fall virus season, including a look at vaccine guidance and recommendations for flu, COVID-19, RSV, and pneumococcal disease.
Join us for an in depth discussion on AI and evidence-based medicine using insights from a recent BMJ study on computer-aided detection in the diagnosis of polyps in adult patients.
Guests:
- Farid Foroutan, PhD, Ted Rogers Centre for Heart Research, Toronto
- Ankita Sagar, System VP for Clinical Standards and Variation Reduction
Discussion includes:
- The importance of validating AI against the evidence
- Living clinical practice guidelines
- Guardrails on applying AI to the bedside
Learning Objectives:
- Understand and analyze the key challenges facing healthcare systems in addressing the needs of an aging population with increasing rates of chronic and advanced illnesses.
- Describe the intersection of age-friendly care, geriatric and palliative care principles, and their synergistic application in improving the quality of life for individuals with multiple medical conditions.
- Identify strategies for implementing a more integrated and compassionate age friendly care approach that addresses the medical, functional, emotional, and social well-being of both patients and their family caregivers.
Speaker:
- Maria Torroella Carney, MD, FACP, Professor, Institute of Health System Science, Feinstein Institutes for Medical Research; Chief, Geriatric and Palliative Medicine, Northwell Health; Associate Professor, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
Moderator:
- Gary Greensweig, DO, FAAFP, System SVP/Chief Physician Executive, Physician Enterprise; Interim Chief Medical & Quality Officer (CMQO)
Panelists:
- Barbara Martin, PhD, ACNP-BC, MPH, System Senior VP of Advanced Practice
- Prentice Lipsey, President & CEO, Senior Living & Transitional Care, CommonSpirit Health
Learning Objectives:
- Describe the 4M’s and recognize how to implement them in clinical practice
- Distinguish between robust and frail individuals
- Build inpatient and outpatient treatment plans based on mobility and frailty using the 4M’s
Speakers:
- Mary Spivey, MD, CHI Health Internal Medicine
- Kimberly Kudron, MPT, Physical Medicine and Rehabilitation, CHI Health
- Priscilla James, ARNP, Adult Gerontology Acute Care Nurse Practitioner, Virginia Mason Franciscan Health
- Michael Perlovsky, MD, Market Medical Director, Hospital Medicine, Mountain Region
- Leah Wulfekoetter, MSN, MBA, RN, Nursing Director at Saint Elizabeth Medical Center, CHI Health
Guest: Dr. Rajan K. Merchant, Allergy, Asthma, and Clinical Immunology Specialist, Dignity Health Woodland Clinic
- Neffy is the first FDA approved nasal spray epinephrine drug, providing needle-free alternative to EpiPens and similar medicines
- Omalizumab for the treatment of multiple food allergies (References: NEJM article)
- Palforzia and oral immunotherapy for peanut allergies (References: https://evidence.nejm.org/doi/full/10.1056/EVIDoa2300145)
In this episode, Dr. Thomas McGinn and guest expert Dr. Nezar Falluji discuss a new NEJM publication that explores the approaches for patients with symptomatic severe tricuspid regurgitation, comparing the outcomes and adverse events of transcatheter replacement to medical therapy.
Guest: Dr. Nezar Falluji, Interventional Cardiologist
System Physician Vice President, CommonSpirit Health National Cardiovascular Service Line
Article discussed: https://www.nejm.org/doi/full/10.1056/NEJMoa2401918?query=WB&cid=NEJM%20Weekend%20Briefing,%20January%2011,%202025%20DM2381304_NEJM_Non_Subscriber&bid=-1550043199
New article in JAMA asks the age-old question: Are routine EKGs in asymptomatic healthy adults helpful? Dr. McGinn and guest experts review the evidence and latest guidelines.
Guests:
Dr. Ankita Sagar
System Vice President for Clinical Standards and Variation Reduction, Physician Enterprise
Associate Clinical Professor of Medicine, Creighton University
Dr. Gary Greensweig
System Senior Vice President and Interim Chief Medical & Quality Officer (CMQO), CommonSpirit Health
Studies referenced: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2820721?guestAccessKey%3Db122716f-826f-4a09-82cb-e32aa6fa0f43%26&sa=D&source=calendar&ust=1733927688755673&usg=AOvVaw39iMVRrJYFLIVN1EdHa6ml
Guidelines referenced:
- https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/cardiovascular-disease-risk-screening-with-electrocardiography
- https://www.aafp.org/family-physician/patient-care/clinical-recommendations/all-clinical-recommendations/cw-ekg.html
This Grand Rounds session discusses delirium among older adults, the first in a series of age-friendly initiative sessions discussing the care approach for aging patients.
Moderators:
John Morelli, MD, System VP Acute Care Clinical Service Line
Thomas Frederickson, MD, FACP, SFHM, MBA, System VP Hospital Medicine Operations
Speaker:
Rajesh Tampi, MD, MS, DFAPA, DFAAGP, Professor and Chairman, Department of Psychiatry, Creighton University School of Medicine
Panelists:
Nikhil Seth, MD, Assistant Professor, Baylor College of Medicine
Connor Rowan, PharmD, Clinical Pharmacist with Geriatric Expertise, Virginia Mason Franciscan Health
Implementing SDOH/Health-Related Social Needs Screening and Management in Ambulatory Care. Our speaker for the session is Kevin Fiori, MD, MPH, MS, FAAP, from Montefiore Einstein, a premier academic health system known as a pioneer in the space and one of the largest value-based providers for health-related social needs assessment and value-based whole-person care.
Panelist:
Corey Karlin-Zysman, MD, Chief of the Physician Enterprise
Barbara J. Martin, PhD, ACNP-BC, MPH, System Senior Vice President, Advanced Practice
Learning Objectives:
- Summarize current evidence, guidance and rationale for health-related social needs (HRSN) screening in clinical practice.
- Describe lessons learned from Montefiore Health System's experience implementing and scaling HRSN screening and navigation support.
- Identify future directions for integrating HRSN screening and support in health care delivery.
Physician Enterprise Grand Rounds session discussing best practices for Type 2 Diabetes Mellitus Management.
Our speakers for the session are Mandeep Bajaj, MBBS, Vice Chair for Clinical Affairs and a Professor in the Department of Medicine at Baylor College of Medicine, and Avin P. Pothuloori, MD, Assistant Professor of Medicine at Creighton University School of Medicine.
Panelist
Debra Rockman, RN, MBA, System Vice President of Ambulatory Quality, CommonSpirit Health
Guest: Dr. Hana El Sahly, Professor, Kyle and Josephine Morrow Chair, Molecular Virology and Microbiology Vaccine and Treatment Evaluation Unit, Baylor College of Medicine
Discuss the latest updates and clinical implications of Bird Flu/H5N1 and the measles outbreak.
Bird flu/H5N1
- Overview
- Infection rates
- Risk of transmission to humans
- Prevention
- Surveillance
Measles
- Overview
- Outbreak status compared to prior years
- Infection rates
- Vaccine recommendations
Resources:
https://www.nejm.org/doi/full/10.1056/NEJMoa2414610
https://www.cdc.gov/bird-flu/situation-summary/index.html
https://www.cdc.gov/measles/hcp/vaccine-considerations/index.html
Our speaker for the session is Summer Peregrin, PharmD, Ambulatory Clinical Pharmacist at Dignity Health Medical Group — Arizona, and one of the authors of the Opioid Toolkit for CommonSpirit Health.
Learning Objectives
- Review the current state of the opioid epidemic
- Recognize signs and symptoms of a potential opioid overdose
- Build greater understanding of naloxone and its use to treat an opioid overdose
- Summarize best practices in emergency response to an opioid overdose
Panelists
- Shawna Sharp, RN, System Director Clinical Transformation, Physician Enterprise
- Marijka Grey, MD, MBA, FACP, System Vice President Ambulatory Transformation & Innovation, Physician Enterprise
Our speaker for the session is Justin Reynolds, MD, the Medical Director of Liver Transplant and Chief of Hepatology at the St. Joseph's Hospital and Medical Center in Phoenix, Arizona.
Learning Objectives:
Provide updates to the current landscape of steatotic (fatty) liver disease, including recent nomenclature changes.
Learn about treatment options for individuals with MASLD/MASH including when to refer to specialty care.
Discuss the epidemic of MASLD/NAFLD, as well as the increasing burden of MASH/NASH.
Learn methods to assess individuals for at-risk MASH, emphasizing non-invasive tests and their role in clinical care.
In this episode of the 5-Minute Check In with Dr. Thomas McGinn, our myth-busting team takes on two popular topics submitted by our providers:
- 5G radiation: Whether you are near a cell phone tower or holding a cell phone too close to your head, is 5G radiation harmful?
- Vitamin D: this supplement is marketed as a cure all for preventing falls, fractures, and even dementia. Should patients be routinely screened if they have no indication for deficiency?
Watch as we compare popular beliefs to the latest evidence.
Links:
5G Radiation
- https://www.cancer.gov/about-cancer/causes-prevention/risk/radiation/cell-phones-fact-sheet#is-the-radiation-from-cell-phones-harmful
- https://www.cancer.org/cancer/risk-prevention/radiation-exposure/cellular-phone-towers.html
- https://pubmed.ncbi.nlm.nih.gov/35350069/
Vitamin D
- https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/vitamin-d-deficiency-screening
- https://www.acpjournals.org/doi/full/10.7326/M14-1659?download=true&journalCode=aim
Hear from three of our Physician Enterprise Academic Excellence Award Winners as they share their award winning papers for 10 minutes, before breaking into a panel discussion/Q&A.
Una Lee, MD
Urology Physician Lead
Virginia Mason Franciscan Health
Category: Practice Innovation
Paper Title: Creating an Extraordinary Experience for Women Undergoing Cystoscopy: A Patient-Centered Approach to Process Improvement
Rachel Bond, MD, FACC
System Director, Women's Heart Health Dignity Health in Arizona
Creighton University School of Medicine
Category: Health Equity Research
Paper Title: Cardiovascular Disease Risk Factors in Women: The Impact of Race and Ethnicity: A Scientific Statement From the American Heart Association
Anne Kennard, DO
Associate Program Director, OB/GYN Residency
Chief, Integrative and Lifestyle Medicine
Marian Regional Medical Center, Santa Maria CA
Category: Medical Humanities
Paper Title: Contemplative medicine: A practical approach to "Well-Being 2.0" in medicine
In this episode of the 5-Minute Check In with Dr. Thomas McGinn, Infectious Disease expert Dr. Renuga Vivekanandan joins us for an update on the winter virus season.
Topics Discussed:Influenza
COVID-19
RSV
Pneumonia
Disease X*
Guest: Renuga Vivekanandan, MD, Infectious Disease Expert, Division VP and CMO Physician Enterprise - Midwest, Professor, Associate Dean for Clinical Affairs, Creighton University School of Medicine
*Disease X was identified as malaria after this recording. Learn more:
https://www.cbsnews.com/news/congo-mystery-disease-identified-severe-malaria-deaths-women-children/
In this episode our myth-busting team discusses the use of PRN antihypertensive medication in hospitalized patients without hypertensive emergencies.
Watch as we compare popular beliefs to the latest evidence:
Studies referenced:
- https://doi.org/10.1161%2FHYPERTENSIONAHA.121.17279
- https://doi.org/10.1001/jamainternmed.2019.3007
Guests: Dr. Ankita Sagar and Dr. Thomas Frederickson, System VP Hospital Medicine, CommonSpirit Health and Assistant Clinical Professor of Medicine, Creighton University School of Medicine.
Osteoporosis significantly impacts morbidity and mortality in the U.S., with approximately 12.3 million adults (USPSTF) in the United States aged 50 and over expected to be living with the disease. Osteoporotic fractures result in severe consequences such as functional impairment, chronic pain, reduced quality of life, and loss of independence. Furthermore, the clinical and economic burden of osteoporosis is substantial, with annual costs projected to be $25.3 billion by 2025 (AJMC).
The U.S. Preventative Task Force (USPSTF) recommends screening and treatment of osteoporosis in adults. Accordingly, CommonSpirit Health, Physician Enterprise has adopted the evidence based guidelines of professional societies, including American College of Physicians (ACP), American Association of Clinical Endocrinologists (AACE), and Endocrine Society, on screening and treatment to prevent osteoporotic fractures.
Speakers:
Kavita Chawla, MD, MHA, FACP, Primary Care Physician, Kirkland Medical Center, Virginia Mason Franciscan Health
Bryan C Jiang, MD, Internal Medicine Endocrinology, Diabetes and Metabolism, Baylor College of Medicine Houston, Texas
Panelist:
Anne Wright, DMSc, MPAS, PA-C, DFAAPA, System Director Advanced Practice Ambulatory Care, CommonSpirit Health
Topics covered:
- Defining antimicrobial stewardship
- New randomized clinical trial looking at how stewardship prompts improve antibiotic selection for pneumonia
- Resources and how CommonSpirit Health is taking action and addressing this important topic
Guest expert: Dr. Renuga Vivekanandan, Infectious Disease Expert, Division VP and CMO Physician Enterprise - Midwest, Professor, Associate Dean for Clinical Affairs, Creighton University School of Medicine
Infectious Disease expert Dr. Renuga Vivekanandan joins us for a preview of what to expect this season. Topics covered:
- Viruses
- Influenza
- COVID-19
- RSV
- West Nile
- MPox
- Vaccines
Guest: Dr. Renuga Vivekanandan, infectious Disease expert and Division VP and CMO Physician Enterprise - Midwest, Professor, Associate Dean for Clinical Affairs, Creighton University School of Medicine.
Back by popular demand, our mythbusting team takes looks at two new health topics making headlines and compares popular beliefs to the latest evidence:
- Is exercise as effective as other treatments to help depression?
- Meta-analysis: https://www.bmj.com/content/384/bmj-2023-075847
- Do tattoos cause lymphoma?
- Study: https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00228-1/fulltext
- Plus a discussion on correlation vs. causation
Guest: Dr. Ankita Sagar
System Vice President for Clinical Standards and Variation Reduction, Physician Enterprise and Associate Clinical Professor of Medicine, Creighton University
Previous Myth-Busting EpisodesAre full body, preventative scans helpful or harmful for healthy individuals?
https://www.buzzsprout.com/1903646/15388164
Fasting and Statins: Do statins cause muscle aches and is it necessary to fast before labs?
https://www.buzzsprout.com/1903646/13919434
Water Consumption and Vegetarian Diets: How much water do we really need and are vegetarian or vegan diets truly healthy?
https://www.buzzsprout.com/1903646/14691788
Components of social connection are associated with mortality, but research examining their independent and combined effects in the same dataset is lacking. That has now changed thanks to a recent study published in BMC Medicine. We're joined by the primary author of that study to discuss the results and to get his perspective on social connectivity, loneliness and isolation and the impact on mortality.
Discussed:
Subjective and objective types of social connection
Analysis of more than 458,000 participants with full data from the UK Biobank cohort linked to mortality registers
What types of loneliness and social isolation are linked to a higher risk of death
Potential implications for screening
Guest: study author and Clinical Research Fellow at the University of Glasgow Dr. Hamish Foster
References:
Study: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-023-03055-7
Surgeon General Advisory: https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdf
Surgeon General Report on Social Connection: www.hhs.gov/sites/default/files/sg-social-connection-general.pdf
Back by popular demand, the latest myth-busting episode of the 5-Minute Check In with Dr. McGinn takes a closer look at another popular and controversial topic:
Are full body, preventative scans helpful or harmful for healthy individuals?
Watch as we separate fact from fiction and compare popular beliefs to the evidence.
Previous Myth-Busting Episodes
Myth-Busting — Fasting and Statins
Do statins cause muscle aches and is it necessary to fast before labs?
https://www.buzzsprout.com/1903646/episodes/13919434-5-minute-check-in-mythbusting-headlines-and-common-misconceptions
Myth-busting - Water Consumption and Vegetarian Diets
How much water do we really need and are vegetarian or vegan diets truly healthy?
https://www.buzzsprout.com/1903646/episodes/14691788-health-myth-or-fact-comparing-clinical-beliefs-to-the-evidence-episode-2
Learning Objectives (and corresponding articles):
Identify medications best avoided by older adults in most circumstances or specific clinical scenarios (JAGS)
Discern the benefits, harms, and efficacy of different smoking cessation pharmacotherapies and e‐cigarettes (Annals of Internal Medicine)
Evaluate the effectiveness, harms, and benefits of newer diabetic medications on mortality, cardiovascular and renal outcomes (Cochrane Review)
Understand the utilization of eGFRcr versus eGFR based on creatinine and cystatin C levels (eGFRcr-cys) in older adults (Annals of Internal Medicine)
Quantify trends in racial/ethnic disparities in TB incidence among U.S.-born persons (Annals of Internal Medicine)
Recognize the well-being and turnover rates of physicians and nurses as well as actionable factors on adverse clinician outcomes (JAMA)
The benefits of puppies: https://psycnet.apa.org/fulltext/2023-97081-001.html
Presenter:
Ankita Sagar, MD, MPH, FACP, System Vice President, Clinical Standards and Variation Reduction, Associate Clinical Professor of Medicine at Creighton University School of Medicine
Guests:
Barbara Martin, PhD, System Senior Vice President, Advanced Practice
Corey Karlin Zysman, MD, System Senior Vice President, Physician Enterprise, Arizona and Nevada
Learning Objectives:
-Review the history and flawed assumptions in the use of race and how race-specific PFT reference equations might lead to health disparities.
-Understand the evidence behind the recommendation to use race-neutral reference equations.
-Review the quantitative impact of switching from race-specific to race-neutral reference equations.
-Assess the many remaining gaps in our understanding of how to use pulmonary function tests to improve health.
Speakers:
Nirav Bhakta, MD, Associate Professor of Medicine, Pulmonary and Critical Care at the University of California, San Francisco
Dr. Bhakta is a national thought leader and Vice-chair of the American Thoracic Society Pulmonary Function Testing Committee. Dr. Bhakta co-chaired the ATS workshop on race and PFTs that led to the publication of the 2023 ATS Statement.
Panelists:
Thomas R. Vendegna, MD, Pulmonology and Critical Care, CMO French Hospital Medical Center (Facilitator)
Jeff Sippel, MD, Critical Care Medicine, UC Health
Robert Wiebe, MD, CMO, CommonSpirit Health
Suchitra Pilli, MD, Interventional Pulmonology and Critical Care, Medical Director for Respiratory Therapy, CHI Health Omaha, Assistant Professor, Creighton University
Gary Greensweig, DO, Chief Physician Executive, Physician Enterprise, CommonSpirit Health
Ankita Sagar, MD, System Vice President, Clinical Standards and Variation Reduction, Physician Enterprise, Associate Clinical Professor of Medicine at Creighton University School of Medicine
First-of-its-kind medication shows promise for liver disease patients
- Metabolic dysfunction-associated steatotic liver disease (MASLD), formerly known as non-alcoholic fatty liver disease (NAFLD), is estimated to affect nearly one-quarter of adults in the United States. Nonalcoholic steatohepatitis (NASH) is a form of MASLD that can cause liver fibrosis, cirrhosis, liver failure, and liver cancer. It is one of the most common reasons why patients need liver transplants.
- The FDA recently granted accelerated approval to resmetirom, the first medication to treat nonalcoholic steatohepatitis (NASH) and liver fibrosis.
- Prior to the FDA approval, there were no approved drugs to treat this disease
In this 5-minute check in, we review the promising phase 3 data from a randomized trial that led to FDA approval including the results, the implications for patient care, and the potential to transform the landscape of NASH management
Guest: Dr. Justin Reynolds, Associate Professor, Creighton University School of Medicine, Gastroenterologist and Transplant Hepatologist, St Joseph's Hospital and Medical Center Transplant Center in Phoenix, Arizona.
Study: https://www.nejm.org/doi/10.1056/NEJMoa2309000
This special session will explore the transformative impact of gene therapy for sickle cell disease. The session includes the firsthand perspective of Ms. Victoria Gray.
Ms. Gray is the first patient in the United States to undergo revolutionary CRISPR treatment for Sickle Cell Disease. After decades of pain and struggle, Ms. Gray's CRISPR procedure has not only modified her affected cells, she has not needed any transfusions and has not experienced any pain attacks.
In addition to Ms. Gray's story, the session will provide a brief update on gene therapy and treatment of Sickle Cell Disease. The session faculty will also discuss the ethical considerations surrounding patient selection, cost of gene therapy, and policies currently in place/needed for ensuring equitable access.
The session is meant to be an introduction to the implications the gene therapy revolution may have on individuals, health care organizations, and the broader landscape of health care delivery in the United States.
Watch our recent 5-Minute Check In about Sickle Cell Disease: https://youtu.be/clUcAR_tPbw?si=cW6Df4i6_S0bnbOa
As part of our ongoing commitment to advancing health equity and evidence-based medicine, CommonSpirit Health has been leading the way in adjusting the use of race and ethnicity in various clinical calculators, first with eGFR and now with pulmonary function tests. In this 5-minute check in, we take a look at:
The history and flawed assumptions in the use of race and how race-specific PFT reference equations lead to health disparity including misdiagnosis and inappropriate treatment.
Updated recommendations from the American Thoracic Society (ATS) to remove the use of race in the evaluation and interpretation of spirometry in favor of race-neutral equations.
The application of race-neutral GLI equations on clinical decision-making and overall impact on patient outcomes.
The next steps CommonSpirit is taking to transition the equation to race-neutral.
Supporting articles:
https://www.atsjournals.org/doi/full/10.1164/rccm.202302-0310ST
https://www.acpjournals.org/doi/10.7326/M23-2960
Guest: Dr. Thomas Vendegna, Pulmonologist and Critical Care and CMO French Hospital Medical Center
This is our 50th episode! Thanks to everyone that has participated as a guest or has watched our videos.
In this episode of the 5-Minute Check In with Dr. McGinn, we take a closer look at CommonSpirit Health's updated breast cancer screening guidelines.
Topics discussed in this episode include:
- Reviewing screening best practices on risk stratification for breast cancer into average, intermediate, and high risk
- Screening recommendations
- Integrating the criteria into the process of care
- Screening approach for patients with high density breast tissue
The episode also includes discussion of the ways in which CommonSpirit is leveraging technology to identify patients eligible for breast cancer screening.
Guests:
Ankita Sagar, MPH, FACP, System Vice President, Clinical Standards and Variation Reduction, Physician Enterprise
Dr. Jessica Croley, Medical Oncologist, Co-lead OCI Breast Clinical Council, CHI St. Joseph
Watch other cancer screening videos here:
Cancer Screening Overview: https://www.youtube.com/watch?v=VESsQ...
Lung Cancer Screening: https://youtu.be/5czY2s3PblY?si=KdhYG...
Colorectal Cancer Screening: https://youtu.be/CxJbXdGQCQU?si=88oIn...
Learning Objectives:
- Differentiate between usual care, palliative care, and hospice care
- Identify patients who may benefit from palliative care or hospice
- Discuss outcome data supporting early palliative care intervention
- Describe opportunities for integrating palliative care into the management of the patient with serious illness
Speakers:
Dr. Paige Farinholt, Hospice and Palliative Medicine, CHI St. Luke's Health; Assistant Professor Hematology and Oncology, Baylor College of Medicine
Dr. Mark Beiter, Palliative Medicine, Virginia Mason Franciscan Health
Panelists:
Sara Powers, NP, Adult Health Wound Care and Palliative Medicine, Mercy Regional Medical Center
Dr. Anne C. Rossigno
Dr. Gary Greensweig, Chief Physician Executive, Physician Enterprise
Learning Objectives:
- Discuss the barriers and the necessary resources required for successful rapid up-titration of GDMT
- Recognize the appropriate timing for referral of patients with advanced heart failure for percutaneous/surgical intervention
- Understand indications/contraindications for HF patients requiring advanced therapies (i.e., transplant or mechanical circulatory support)
- Recognize the current advanced non-medical therapy available for heart failure patients
- Anticipate future advancements in non-medical therapy on the brink of mainstream
Speakers:
Selma Mohammed, MBBS, Advanced Heart Failure and Transplant Cardiology, CHI Health
Kenneth Liao, MD, PhD, FACS, Professor and Chief, Cardiothoracic Transplantation and Circulatory Support, Baylor College of Medicine
Panelists:
Andrew Civitello, MD, FACC, Associate Professor, Cardiology, Medical Director, Heart Transplant Program, Baylor College of Medicine
Alexis Edward Shafii, MD, FACS, Associate Professor of Surgery, Cardiothoracic Transplant and Circulatory Support, Baylor of Medicine
In this episode of clinical mythbusting, we’re taking a look at two commonly held health beliefs and comparing them to the evidence:
Do we really need to drink so much water?
Is a vegetarian or vegan diet healthy?
Watch and see what the evidence shows.
See the first Mythbusting Episode: https://youtu.be/dU1eW-r_wH8?si=tscRd6EQ7L6S8DAJ
In honor of March as Colorectal Cancer Awareness Month, we are taking a closer look at our updated colorectal cancer screening guidelines, including risk-based screening, engaging patients, the best approach to screening, incidence and prevalence by age group (including rising incidence with younger patients) and more.
Guests: Ankita Sagar, Devi Mukkai-Krishnamurty Colorectal Surgeon, Associate Professor, Creighton University School of Medicine
Please see our other videos about cancer screening:
Cancer Screening Overview: https://youtu.be/VESsQIpgwlE?si=BgzNZI1huWpUMO4z
Lung Cancer Screening: https://youtu.be/5czY2s3PblY?si=Obtw6adw9DxlfivF
Learning Objectives:
Define the key pharmacologic therapies for HFrEH and HFpEF and describe their optimal use in specific patient population
Discuss the barriers and the necessary resources required for successful rapid up-titration of GDMT
Identify how improvement in medical therapy influences patient outcomes, including hospitalizations, re-admissions, and mortality
Speakers:
Biykem Bozkurt, MD, PhD, Professor of Cardiology, Baylor College of Medicine
Selma Mohammed, MBBS, Advanced Heart Failure and Transplant Cardiology, CHI Health
Panelists:
Joseph Rogers, MD, President and Chief Executive Officer, Texas Heart Institute
Jessica Brown, MD, Cardiology and Heart Failure Specialist, Baylor St. Luke's Medical Group Woodlands North Houston Heart Center
Moderator:
Reza Ardehali, MD, Ph.D., FAHA, Professor and Chief of Cardiology, Baylor College of Medicine
Guests: Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction and Dr. Suchitra Pilli, Interventional Pulonologist and Critical Care, Creighton University School of Medicine
Discussed: updated lung cancer screening guidelines including the move to risk-based screening, screening criteria recommendations, integrating the criteria into the process of care, and follow-up to positive screenings. Also covered: ways in which we're leveraging technology to identify patients eligible for lung cancer screening.
Related podcasts:
5-Minute Check In Lung, Breast, and Colon Cancer Screening Overview: https://www.buzzsprout.com/1903646/episodes/14402059
Lung Cancer Screening Based on Risk Stratification Grand Rounds: https://www.buzzsprout.com/1903646/episodes/14144736
Learning Objectives:
- Define the clinical definition of HFrEF, HFmidREF, and HFpEF
- Describe the current epidemiology, economic burden, and quality standards
- Explain the underlying pathophysiology of HFrEF and HFpEF with associated signs and symptoms
Speakers:
Ajith P. Nair, MD, FACC, FAHA, Assistant Professor, Cardiology, Baylor College of Medicine
Nikolaos A. Diakos, MD, PhD, Interventional Cardiologist and Heart Failure Specialist, Texas Heart Institute
Panelists:
Jessica Brown, MD, Cardiology and Heart Failure Specialist, Baylor St. Luke's Medical Group Woodlands North Houston Heart Center
Moderator:
John A. Flynn, MD, MBA, MEd, System Senior Vice President, Physician Enterprise, CommonSpirit Health, Texas
In this 5-minute check in we're reviewing how CommonSpirit has created streamlined preventative screening algorithms for lung, breast, and colon cancer.
Issues addressed include:
- Updated and simplified guidelines: changes we've made using best available evidence
- Combining USPSTF and NCCN
- Why we're shifting from age- to risk-based screening
- Future state: clinical decision support and embedding into the EMR
- Automation: Our focus on making screening more efficient, providing the support to help ensure providers are spending their valuable time in the right places
In the coming weeks, we will do a deep dive into each topic and guidelines.
Learning Objectives:
Discuss updates in medical weight loss
Identify ongoing barriers to weight loss management
Speakers:
Layla A. Abushamat, MD, MPH, Assistant Professor, Baylor College of Medicine
Mahmuda Tasneem, MD, Internal Medicine and Obesity Medicine, Virginia Mason Franciscan Health
Panelists:
Anila Chadha, MD, Obesity Medicine Specialist, Dignity Health Medical Group — Bakersfield
Thu Le, PharmD, Clinical Pharmacist, Dignity Health
Erin Sharp, PharmD, System Director Retail Pharmacy Services, CommonSpirit Health
.
The FDA has approved the first cell-based gene therapies for sickle cell disease. In this extended episode, Dr. McGinn is joined by Creighton Geneticist and Bioethicist Fr. Kevin FitzGerald and Dr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, to dive into this significant milestone.
Together they discuss CRISPR technology, treatment strategies, bioethics, and what this means for patients and providers alike in our battle against this devastating disease.
Read more: https://www.fda.gov/news-events/press...
Guest: Dr. Christopher Huerter, Professor and Division Chief Dermatology at Creighton University School of Medicine
Breakthrough treatments: Checkpoint inhibitors like Ipilimumab have changed the way we treat melanoma. Now, a new cutting-edge adoptive cell therapy with tumor-infiltrating lymphocytes (TIL) has shown promise in metastatic melanoma treatment trials. A new phase III trial compares TIL to Ipilimumab immunotherapy as first- or second-line treatment in patients with advanced melanoma with remarkable results.
Article: https://www.nejm.org/doi/full/10.1056/NEJMoa2210233
Learning Objectives:
- Promoting evidence-based cancer screening and prevention strategies
- Understanding risk factors related to eligibility for lung cancer screening
- Identifying the key aspects of a successful lung cancer screening program
- Recognizing the ways in which technology can be leveraged for identifying patients eligible for lung cancer screening
Speakers:
- Suchitra Pilli, MD, Pulmonary Medicine, Interventional Pulmonology, CHI Health Omaha Nebraska
Panelists:
- Misho Hubka, MD, Thoracic Surgeon, Medical Director, Virginia Mason Cancer Center and head of Thoracic surgery program
- Peter Emanuel, MD, Vice President of Oncology, CommonSpirit Health Oncology Clinical Institute
- John D. Chelico, MD, MA, FACP, FAMIA, System Chief Medical Information Officer
5-Minute Update Lung Cancer Screening Podcast:
https://www.buzzsprout.com/1903646/14497449
What does the winter virus season have in store? Dr. McGinn and Dr. Vivekanandan (Division Chief, Infectious Disease and Professor at Creighton School of Medicine) look at the winter virus trends including where we currently are and what to expect this season with COVID, Influenza, RSV and pneumonia. They also discuss the so-called "White Lung" syndrome, a recent pneumonia outbreak making headlines, and whether there is any cause for concern.
Dr. Thomas McGinn and cardiac electrophysiology expert Dr. Arash Aryana focus on afib and the use of ablation, including a new randomized controlled trial that compares the success of Pulmonary Vein Isolation (PVI) against PVI plus Posterior Wall Isolation (PWI) using the posterior "Box" isolation approach. Dr. McGinn and Dr. Aryana discuss:
- PVI vs. PVI + PWI and whether there is a significant difference in results
- Whether the data supports posterior “box” isolation as a preferred strategy
- A comparison of "box" vs. "direct" posterior wall ablation methods
Learning Objectives:
-Promoting evidence-based cancer screening and prevention strategies
-Discerning between patients with average, below average, and above average risk
-Recognizing the differences between modalities available for colorectal cancer screening
Speakers:
-Devi Mukkai Krishnamurty, MBBS, Colorectal Surgery, General Surgery, CHI Health Omaha Nebraska
-Ron Gagliano, MD, Colorectal Surgeon, Chair, Surgery DHMG, and Associate CMO for the Dignity Health Cancer Institute in Phoenix
Panelist:
Peter Emanuel, MD, Vice President of Oncology, CommonSpirit Health Oncology Clinical Institute
Learning Objectives:
- Promoting evidence-based cancer screening and prevention strategies
- Discerning between patients with average, below average, and above average risk
- Recognizing the differences between imaging modalities available for breast cancer screening
Speakers:
- Jessica Croley, MD, Breast Medical Oncologist, OCI Breast Clinical Council Lead
- Peter Eby, MD, FSBI, FACR, Section Head of Breast Imaging, Virginia Mason Medical Center
- Jamie Hui, MD, Radiologist in Breast Imaging, Virginia Mason Franciscan Health
Panelists:
- Peter Emanuel, MD, Vice President of Oncology, CommonSpirit Health Oncology Clinical Institute
Myth vs. Fact: New series on mythbusting, comparing the culture of medicine with the evidence.
Dr. Thomas McGinn and Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction, tackle two commonly held beliefs and compare them to the data:
1) Statins and whether they cause muscle aches
2) Fasting before labs
New Guidelines for Asthma Management and Changes in Biologics featuring Dr. Rajan Merchant, Allergy, Asthma, and Clinical Immunology Specialist at Woodland Clinic. Discussed: 1) key recommendations for primary care from the Global Initiative for Asthma (GINA) update and 2) S.M.A.R.T. (Single Maintenance and Reliever Therapy 3) Biologics
Articles referenced:
https://www.nature.com/articles/s41533-023-00330-1
https://erj.ersjournals.com/content/early/2019/12/12/13993003.01872-2019.article-info
Learning Objectives:
Review best practices in screening for suicidal ideation
Illustrate strategies for addressing suicidality in primary care using standard suicide risk scales
Speaker:
Jonathan DeHaan, MD, Psychiatry, Virginia Mason Franciscan Health Medical Group
Andrew Trindle, LICSW, Manager, Outpatient Behavioral Health, Virginia Mason Hospital and Seattle Medical Center
Learning Objectives:
- Describe the epidemiology of depression among adults
- Discuss the assessment of depression among adults
- Enumerate the treatments for depression among adults
Speakers:
Rajesh Tampi, MD, Professor and Chairman, Department of Psychiatry, Bhatia Family Endowed Chair in Psychiatry, Creighton University School of Medicine
Panelists:
Debra Rockman, RN, MBA, CPHRM, CPHQ, System VP, Ambulatory Quality
Monique Díaz, MD, Chief Medical Information Officer, Physical Medicine and Rehabilitation
Learning Objectives:
- Review best practices in screening and diagnosis
- Illustrate treatment strategies
- Identify and strategize to overcome common challenges
Speaker:
Jyotsna Ranga, MD, FAPA, DFAACAP, Associate Professor of Medicine at Creighton University School of Medicine, Program Director of Psychiatry Residency and Child/Adolescent Fellowship Programs at Creighton University, Vice Chair Child and Adolescent Psychiatry
Panelists:
Scott Piazza, DO, Medical Director of Informatics, Pacific Central Coast Health Centers, Faculty, Marian Family Medicine Residency Program
Michael Dudas, MD, Chair of Pediatric Ambulatory Collaborative Steering Committee, Chief of Pediatrics, Deputy Chief of Primary Care, Virginia Mason Franciscan Health
Dr. Vivekanandan and Dr. Hotez join Dr. McGinn for a deep dive discussion on RSV including vaccine strategy; options for infants, pregnant women and seniors; benefits vs. risks; and why people who qualify should get the RSV vaccine.
Guests:
Dr. Renuga Vivekanandan, Division Chief, Infectious Disease, Creighton School of Medicine
Dr. Peter Hotez, Professor and Dean National School of Tropical Medicine at Baylor College of Medicine and Co-Director Texas Children's Hospital Center for Vaccine Development
FDA says Popular Decongestant is Ineffective and the Impact of Coffee on Arrhythmia
Guest: Dr. Kavita Chawla, Chair - EBM Education Committee, Internal Medicine, Virginia Mason Franciscan Health
Articles referenced:
https://www.nejm.org/doi/full/10.1056/NEJMoa2204737
In this 5-minute check in, Dr. McGinn and guest Dr. Kavita Chawla review two health care topics making headlines:
An F.D.A. panel says a common decongestant found in many over-the-counter cold medicines is ineffective. Dr. McGinn and Dr. Chawla discuss the findings and what this means for patients.
The “CRAVE” trial (Coffee and Real-time Atrial and Ventricular Ectopy) published in the NEJM studies the short term impact of caffeine on palpitations in relatively healthy people. Dr. McGinn and Dr. Chawla review the impact of coffee on PACs, PVCs as well as on step counts and sleep.
Dr. Thomas McGinn discusses what to expect for Fall viruses and their respective vaccinations this year.
Discusses appropriate use of pronouns and terminology to be utilized in communication with members of the LGBTQ+ community in an inclusive and equitable manner, in keeping with the values and ethics of health care delivery.
Speakers:
Dr. Mark Goodman, Creighton University School of Medicine, American Academy of HIV Medicine Specialist
Dr. Michael A. Green, Program Director, Creighton University, Department of Family Medicine
Joshua Lumsden, PA-C, Internal Medicine Physician Assistant, LGBTQ Health
Guests: Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction, Physician Enterprise and Dr. Nick Stine, System SVP Population Health, Physician Enterprise.
Overview: Screening and Treatment of Hepatitis C. CommonSpirit Health is pioneering clinical standards in the treatment of Hepatitis C to ensure our physicians and APPs are equipped with the necessary tools to identify and treat positive cases.
During this 5-minute check in we discuss this important topic including:
- Advancements and breakthroughs in treatment
- Updated guidelines and resources available (including pharmacy and virtual screening tool)
- The imperative to screen all adult patients at least once in their lifetime
Watch the Grand Rounds for an in depth conversation on this important topic with system experts covering screening, management, treatment, and our virtual screening tool through Baylor St. Luke’s Project ECHO program. https://www.youtube.com/watch?v=4LceAEdoTcE
Preview of upcoming topics:
Flu/RSV/COVID
Asthma
Mythbusting
In the headlines: Coffee consumption and impact on health as well as FDA panel says a common decongestant is ineffective
This session will encompass an overview of the management of Hepatitis C in primary care and subspecialty medicine.
Dr. Justin Reynolds will review the basic principles of managing Hepatitis C, screening methodologies for advanced fibrosis in Hepatitis C patients, and the framework for initiating treatment with direct-acting antiviral (DAA) regimens.
Dr. Saira Khaderi will present insights into the Baylor St. Luke's Project ECHO program, which facilitates coaching for primary care physicians and APPs across Texas and CommonSpirit Health, focusing on effective Hepatitis C patient management through virtual case-based discussions.
Dr. Erin Sharp and Dr. Nicholas Stine will engage in a thoughtful panel discussion regarding the importance and feasibility of treating Hepatitis C within our communities.
The objectives of the presentation include:
By the end of the presentation, participants will be able to compare and contrast oral and injectable forms of pre-exposure prophylaxis (PrEP) for HIV prevention, identifying their respective safety profiles, efficacy, and potential advantages or limitations.
Following the presentation, participants will be able to discuss the importance of medication adherence in PrEP effectiveness, and develop strategies to promote and support adherence among patients.
At the conclusion of the presentation, participants will be able to describe the guidelines for prescribing PrEP, including assessing sexually active patients, conducting baseline laboratory testing, and implementing ongoing assessments to ensure patient safety and optimal outcomes.
By the end of the presentation, participants will be able to identify different methods of covering the cost of PrEP, including insurance coverage and pharmaceutical patient assistance programs, and provide guidance to patients on accessing financial resources to support PrEP utilization.
Speakers:
Paul Lovely, MHL, Executive Director CARE Center
Benjamin Lomeli, Biomedical Prevention Services Coordinator
Christine Gutierrez, NP, CARE Center
Marcia Alcouloumre, MD, Medical Director CARE Program
Can AI like Chat GPT guide clinical decision making and does it have a place in clinical practice?
In this 5-minute check in, Dr. McGinn, Dr. Gary Greensweig and Dr. Ankita Sagar run three different case studies with strong evidence for diagnosis and therapeutic intervention through Chat GPT and reviewed the results. Watch the 5-minute check in to see whether Chat GPT was helpful and might have opportunity in clinical practice or completely missed the mark.
Grand Rounds/Clinical Update to discuss physician and APP well-being with special guest Diane Thompson, MD, from Centura Health who will share her experiences with their well-being program, "Physician and APP Well-being: Stressors, Strengths and Solutions." Following the presentation, we will reflect on the well-being activities ongoing throughout the Physician Enterprise.
Learning Objectives:
- Helping providers become familiar with symptoms of burnout using the Maslach Burnout Scale
- Understanding how and why peer coaching works
- Differentiating between peer coaching and mentoring
Panelists:
- Dr. Greg Anderson, Co-Chair of Physician Enterprise Physician/APP Engagement and Experience Council, Co-Chair of Physician Enterprise Professional Well-being and Fulfillment Committee
- Barbara J. Martin, PhD, ACNP-BC, MPH, System SVP, Advanced Practice, Co-Chair of Physician Enterprise Professional Well-being and Fulfillment Committee
- Anne Wright, DMSc, MPAS, PA-C, DFAAPA, System Director, Advanced Practice, Well-being Sub-Committee Co-Lead
Key points to be covered:
Health professionals are uniquely positioned to help bring members of our community into a greater state of readiness to participate in climate solutions.
Of all global health care greenhouse gas emissions, the U.S. health care system contributes about 27%, which is more than the health care system of any other nation.
Organizations like CommonSpirit Health have the potential for broad climate action influence across the health care industry, by leveraging partnerships with suppliers, our GPO and NGOs to enact change.
Speakers:
Sr. Mary Ellen Leciejewski, OP, System Vice President, Environmental Sustainability
Rachelle R. Wenger, MPA, System VP, Public Policy and Advocacy Engagement
Kelly Paul, System Director Supply Chain, Training, Education and Communications
Rob Vandling, CEM, CAP, CDSM, System Manager, Utility Services
In this episode, the third in our health policy series, Dr. McGinn is joined by health services researcher and thought leader Dr. Peter Cram for a wide-ranging discussion on the issue of readmissions as a quality metric, including looking at the complexity of the measure through the lens of:
- Practicing Clinicians
- Department Chairs and CMOs
- Health systems, including research findings and international health system comparisons
Other topics covered include the interplay of length of stay and readmissions and HRRP.
Dr. Cram has published over a hundred peer reviewed papers, many in top tier journals and often challenging many closely held assumptions in the area of health policy.
Article discussed: JAMA: https://jamanetwork.com/journals/jama/fullarticle/2797277
Previous episodes:
Medicare Advantage 101, Trends & Recent Headlines
https://www.buzzsprout.com/1903646/12785423
Medicaid Redetermination
https://www.buzzsprout.com/1903646/12690681
Topic: Second episode focused on policy and impact on patient care. Today's focus is Medicare Advantage, including a primer on what it is, how it works, and CommonSpirit Health's approach including how we're growing in medicare advantage and value-based lives and how we're engaging in comprehensive, proactive care through initiatives like annual wellness visits. Also discussed Medicare and medicare advantage trends, recent news headlines and controversy, risk adjustment factor scoring (RAF).
We also honor nurses as part of nursing week next week.
Guest: Dr. Nick Stine, System SVP, Population Health, national expert
Watch the first policy episode on the End of the Public Health Emergency and Medicaid Redetermination here: https://www.youtube.com/watch?v=yjdOVKPAqjM&t=13s
Topics Covered:
Review the story behind this improvement initiative, focused on identifying the latest guidelines on diagnosis of CKD, the roadmap of improvement, stakeholders involved, and the challenges overcome by teamwork and collaboration across various teams.
Acknowledge the needs of the community and the inequity addressed by this initiative.
Share the community outreach efforts to ensure populations at risk of CKD are aware of and engaged in improving the early diagnosis of CKD.
Recognize the importance of curbing the progression of CKD through the medications such as SGLT2 inhibitors.
Our goal is to recognize the milestone of the 96% of CommonSpirit laboratories that have transitioned, with an eye toward the future of chronic kidney disease diagnosis and management.
Guest Speakers:
Khalid Bashir, MD, FACP, FASN, Associate Professor Department of Medicine, Chief Renal Division, Creighton University School of Medicine; Associate Director, CHI Nephrology, Omaha, Nebraska
Victor Waters, MD, JD, FCLM, Chief Medical Officer, Dignity Health Arizona Market
E. Gaye Woods, MBa, System Vice President, CommonSpirit Health, Equity and Inclusion
Nathan Ziegler, PhD, System Vice President, Diversity, Leadership and Performance Excellence; Office of Diversity, Inclusion, Equity, and Belonging
Ankita Sagar, MD, MPH, FACP, System Vice President, Clinical Standards and Variation Reduction, Physician Enterprise
Today is the first of several conversations about policy updates and their impacts on patient care. On this 5-minute check in, we cover two major issues: the ending of the COVID-19 Public Health Emergency and Medicaid Redetermination.
COVID-19 Public Health Emergency: implications for treatments/prescriptions, vaccines, and testing including coverage, cost, and availability.
Medicaid Redetermination: what is happening, implications, and engaging with patients
Note: Information shared is as of April 17. We will continue to provide updates as they are available.
Guests:
Dr. Corey Karlin-Zysman, System SVP, Southwest Division, Physician Enterprise
Dr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction
Alyssa Keefe, System SVP, Public Policy Advocacy
Topic: Treatment of early stage lung cancer, including implications for how we treat lung cancer and standards for lung cancer screening
Guest: Dr. Thomas Templin, Thoracic Surgeon, Chief of Surgery, St. Joseph Medical Center, Virginia Mason Franciscan Health
Article discussed: https://www.nejm.org/doi/full/10.1056/nejmoa2212083
Lung Cancer Screening Guidelines: https://www.cdc.gov/cancer/lung/basic_info/screening.htm
Advances in the Diagnosis & Mgmt of Endometriosis
Endometriosis affects 176 million women worldwide — around 10% of the population
Discussion includes diagnosis and management of endometriosis, with a focus on recent clinical updates.
Special Guests:
John Coté, MD, OB/GYN, Assistant Professor, Creighton University Medical School
Kelly Fairfield, PT, Pelvic Health Navigator, CHI Health Rehabilitation Care
Mitigating Firearm Violence in Our Communities
A conversation around gun safety and gun violence prevention and removing barriers to potentially challenging conversations.
Guest Speakers:
Shelly Schlenker, EVP and Chief Advocacy Officer
Laura Krausa, System Director Advocacy Programs
Katie Ryan, System Director, Grassroots Advocacy and NV Government Relations, CommonSpirit Health/Dignity Health St. Rose Dominican
March is Colorectal Cancer Awareness Month. In this episode, Dr. McGinn covers a new trial published in the NEJM looking at whether colonoscopies reduced cancer deaths and discusses the effectiveness of screening options for patients.
Article: https://www.nejm.org/doi/10.1056/NEJM...
Guests:
Dr. Nick Jansson
Ambulatory Quality and Population Health Medical Director, Interim AACMO for Primary Care, Women's Health, Pediatrics
Virginia Mason Franciscan Health
Dr. Devi Mukkai-Krishnamurty
Associate Professor of Surgery
Creighton School of Medicine
Key Insights/Content Covered:
Initial approaches to management of obesity
Review indications for weight loss surgery
Review the FDA-approved medications for obesity
Outline strategies for treatment of weight recidivism
Special Guests:
Layla Abushamat, MD, Endocrinology, Diabetes & Metabolism Specialist, Baylor St. Luke's Medical Group
Yong Choi, MD, Weight Loss and Bariatric Surgeon, Baylor St. Luke's Medical Group
Stephanie Sisley, MD, Pediatric Endocrinologist, Assistant Professor Baylor College of Medicine
A new study looks at the benefit of using Paxlovid regardless of vaccination status
Nirmatrelvir Plus Ritonavir for Early COVID-19 in a Large U.S. Health System https://www.acpjournals.org/doi/10.7326/M22-2141
The Federal Public Health Emergency ends on May 11. Here is a preview of what we need to know
White House statement: https://www.whitehouse.gov/wp-content/uploads/2023/01/SAP-H.R.-382-H.J.-Res.-7.pdf
May 11 Roadmap: https://www.hhs.gov/about/news/2023/02/09/fact-sheet-covid-19-public-health-emergency-transition-roadmap.html
Reflection on the Lenten season from Thomas Kopfensteiner, STD, Chief Mission Officer, CommonSpirit Health
https://care.commonspirit.org/Physician-Enterprise-Landing-Pages_02-22-23-Lenten-Reflection.html
The concept of behavioral economics or "nudging" and how nudging can help physicians and APPs adopt new evidence in a more rapid fashion.
Guests: Dr. Safiya Richardson, Assistant Professor, NYU Grossman School of Medicine and Dr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, Physician Enterprise
Articles discussed:
https://www.researchprotocols.org/2023/1/e42653
https://jamanetwork.com/journals/jamacardiology/fullarticle/2798971
Featuring Rachel Bond, MD, FACC, Women's Heart Health System Director, Dignity Health, Arizona; Assistant Professor, Department of Internal Medicine, Creighton University School of Medicine and Laurence Shields, MD, System Physician Vice President, Women and Infant Clinical Institute
Key Insights/Content Covered:
The intersection of maternal health and cardiovascular disease and how they impact social determinants of health across the maternal health continuum.
Best practice strategies and solutions to improve maternal health morbidity and mortality, especially in the greatest risk populations.
The role the cardio-obstetrics/maternal heart team plays in improving outcomes across the care continuum.
Dr. Tom McGinn discusses the latest medical news about obesity with Dr. Layla Abushamat and Dr. Stephanie Sisley, both endocrinologists from Baylor College of Medicine.
In alignment with the American Society of Breast Surgeons (ASBS) and National Comprehensive Cancer Network, the CommonSpirit Health Physician Enterprise will adopt an evidence-based approach to the diagnosis and management of Atypical Lobular Hyperplasia (ALH) and classical-type LCIS (cLCIS).
Guest speakers:
Peter Eby, MD, Chief of Breast Imaging Virginia Mason Medical Center
Colleen O'Kelly Priddy, MD, FACS, Breast Surgical Oncologist and Medical Director, Mission Hope Breast Center
Quynh Le, DO, Breast Surgical Oncologist, Virginia Mason Medical Center
Commemorating Rev. Dr. Martin Luther King, Jr. Day
Quadrademic
Preview of Upcoming Episode Topics
Obesity: https://publications.aap.org/pediatrics/article/doi/10.1542/peds.2022-060640/190443/Clinical-Practice-Guideline-for-the-Evaluation-and?autologincheck=redirected
Nudges: https://jamanetwork.com/journals/jamacardiology/fullarticle/2798971
Paxlovid: https://drive.google.com/file/d/15se0l3Nk09JI3LPJCaM9yqYX0ceTkjtX/view?usp=share_link
Colonoscopy: https://jamanetwork.com/journals/jama/fullarticle/2798744
Readmissions: https://jamanetwork.com/journals/jama/fullarticle/2797277
Podcast Recommendation: https://podcasts.apple.com/us/podcast/kelly-corrigan-wonders/id1532951390?i=1000592832114
2022 CommonSpirit Health Physician Enterprise National Abstract Competition Winners
Abstract Title: Dedicated Atrial Fibrillation (AF clinics) can significantly reduce hospital admissions while improving clinical diagnosis and long-term management
Summary: Given the prevalence of Atrial Fibrillation, it remains an important factor in hospitalizations and readmissions. Studies have consistently shown the advantages of early interventions and ambulatory-based management of exacerbations. This initiative shows the promise that ambulatory teams dedicated to the management of atrial fibrillation are a viable option for providing high-quality care.
Academic Affiliation: Virginia Mason Franciscan Health - University of Washington School of Medicine
2022 CommonSpirit Health Physician Enterprise National Abstract Competition Winners
Abstract Title: Improving the Transition into Adulthood Process for Children with Neurodevelopmental Disabilities
Summary: Children with neurodevelopmental disabilities and their caregivers face additional challenges as patients transition into adulthood. This study evaluated the preferences of topics that caregivers vs clinicians would like to address during "transition" visits. This highlights a growing acceptance that patient-centered care ensures there is dedicated time to discuss the needs, questions, and queries of patients/caregivers, especially for children with neurodevelopmental disabilities.
Academic Affiliation: Baylor College of Medicine/ Texas Children's Hospital
2022 CommonSpirit Health Physician Enterprise National Abstract Competition Winners
Abstract Title: Is Open Left Thoraco-Abdominal Esophagectomy A Viable Option In The Era Of Minimally Invasive Esophagectomy?
Summary: Decisions about the best surgical approach and management of advanced cancer are complex for many reasons. Improving our understanding of the short-term outcomes and oncologic prognosis holds significant promise in helping aid decision-making in invasive cancers like esophageal cancer.
Academic Affiliation: Virginia Mason Franciscan Health
A look at the current RSV (and related viral illnesses affecting children) epidemic, including current and new developments.
Guest speaker: Flor Muñoz, MD, Associate Professor of Pediatrics and Infectious Diseases at Baylor College of Medicine, and Director of Transplant Infectious Diseases at Texas Children’s Hospital in Houston, TX.
Genetic sequencing is one of the most rapidly growing areas of diagnostic medicine with uses in primary prevention and surveillance planning across cancers, cardiovascular disease, and more. The session will focus on how to utilize clinical genetic screening and testing as a modality to provide evidence-based, patient-centered care in the ambulatory care setting.
Speakers:
Jennifer Posey, MD, PhD, Assistant Professor, Department of Molecular & Human Genetics at Baylor College of Medicine
Jill Tapper, MHA, CG (ASCP), System Director, Precision Medicine
Hitashi Bansal, MS, LCGC, Cancer Genetic Counselor at Virginia Mason Franciscan Health
In this episode:
1) The current surge in RSV and influenza cases, including the latest viral activity numbers
2) The impact on children and older adults and what to tell parents with sick kids
3) Co-infections
4) Therapeutics
5) Antibiotic management
6) Wishes for a happy holidays and reminder to nominate for the PE Vision Awards
Special guests:
Dr. Renuga Vivikanandan, Infectious Disease expert, Creighton University
Dr. Mike Dudas, CHI Health and Pediatrician and Chief of Pediatrics, Virginia Mason Medical Center
Additional information:
AAP: Guidance on RSV Prophylaxis, Handling Surge of Pediatric Patients with Respiratory Infections
https://drive.google.com/file/d/1llUb...
AAP: Caring for Patients in Inpatient and Outpatient Settings During Episodes of Surge
https://drive.google.com/file/d/1_0ML...
AAP: Use of Palivizumab Prophylaxis to Prevent Hospitalization From Severe Respiratory Syncytial Virus Infection During the 2022-2023 RSV Season
https://drive.google.com/file/d/1ZeDK...
CDC: COVID vs. Influenza
https://www.cdc.gov/flu/symptoms/flu-...
CDC: COVID-19 Severe Symptoms
https://www.cdc.gov/coronavirus/2019-...Show less
The session will focus on the comprehensive care workflow, including Artificial Intelligence workflow, software demonstration and how we interact as clinicians, as well as the patient flow/journey and how all aspects are synchronized.
Our speaker will be Dr. Vishal B. Jani, System Stroke and Neuro-Intervention Medical Director, Associate Professor, Creighton University School of Medicine. Panelists will include Dr. Annaliese Bosco, Neurologist, Assistant Professor, Creighton University School of Medicine; Candy Garner, APRN, Neurology Nurse Practitioner; and Drew Wellenstein, PA-C, Neurology Physician Assistant.
Removal of Asymptomatic Kidney Stones
Guest: Dr. Joan Delto, Assistant Professor of Urology at Creighton University Medical Center.
Article: https://www.nejm.org/doi/full/10.1056/NEJMoa2204253?query=TOC&cid=NEJM%20eToc,%20August%2011,%202022%20DM1336611_NEJM_Subscriber&bid=1107521800
Other topics covered:
Rise in RSV and New Maternal Vaccination
Nominate for the 2023 PE Vision Awards
An overview of key clinical updates for physicians and advanced practice providers in the realm of hospital medicine.
This Grand Rounds is focused on updates in Precision Medicine and Immunotherapy in Oncology. Dr. Peter Emanuel, System Physician Vice President, Oncology Clinical Institute, lead the session joined by panelist Dr. Samer Shihabi, specialist in Hematology/Oncology, Dignity Health Mercy Medical Group.
CDC Flu Data and Vitamin D and Multivitamins: Helpful or Hurtful?
Dr. Thomas McGinn discusses this topic with Dr. Bryan Jiang, Assistant Professor Endocrinology, Baylor College of Medicine
Article: https://acpinternist.org/weekly/archives/2022/08/02/1.htm?utm_campaign=FY22-23_NEWS_INTERNIST_DOMESTIC_080222_EML&utm_medium=email&utm_source=Eloqua
In recognition of Breast Cancer Awareness Month, this week's Grand Rounds Clinical Update will discuss innovations in breast cancer treatment, including a new groundbreaking study on the treatment of metastatic breast cancer with guest expert Dr. Shahzad Siddique, medical oncologist, Chair of Medical Specialties, Mercy Medical Group. This treatment will provide a new option for a large population of HER2-negative patients.
Physician Enterprise began a special series on best practices about gun safety, injury prevention, and evidence-based practice that can mitigate the toll of deaths related to firearm violence in our neighborhoods, communities, and workplaces. This first session focused on the research for gun injury mitigation as well as the approach to discussing gun safety with patients and families.
Dr. Thomas McGinn, CommonSpirit Health Physician Enterprise EVP discusses:
- Omicron Numbers and the new Bivalent Vaccine
- October is Breast Cancer Awareness Month and we have a guest expert Dr. Shahzad Siddique, medical oncologist, Chair of Medical Specialties, Mercy Medical Group, joining us to discuss a new groundbreaking study on the treatment of metastatic breast cancer that will provide a new option for a large population of patients with HER2 negative receptors
NEJM article: https://drive.google.com/file/d/1QhQq3Ka-u86r0IB9YqYNuNYZCx3081Um/view?usp=sharing
Wishing our APPs a Happy APP Week
RSVP for the clinical symposium: https://peclinicalsymposium.virtualeventsite.com/
Join us for a deeper dive into the COVID-19 bivalent booster including discussion around immune response, insights for patients on when to get boosted, the outlook for fall/winter, and whether we may eventually have an annual booster in the future. Dr. Hotez also shares updates on international vaccine efforts.
Our special guest is Dr. Peter Hotez, Professor and Dean National School of Tropical Medicine at Baylor College of Medicine and Co-Director, Texas Children's Hospital Center for Vaccine Development. Dr. Hotez is a Nobel Peace Prize Nominee and one of the thought leaders in the country and around the world regarding the COVID-19 vaccine.
Physician Enterprise hosted a Grand Rounds Clinical update focused on the latest information and data on Long COVID.
Guest Experts:
Dr. Fidaa Shaib, Chief Medical Officer, Baylor College of Medicine, and Associate Professor, Pulmonary and Critical Care Medicine, Baylor College of Medicine
Dr. Maureen Tierney, Chair, Department of Clinical Research and Public Health, and Professor at Creighton University School of Medicine
Dr. Rob Quinn, Chief Executive Officer, Dignity Health Medical Foundation
Elissa Love, MS, PA-C, Assistant Professor, Physician Assistant Program, Baylor College of Medicine
Dr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, Physician Enterprise, CommonSpirit Health
During this session, Dr. Shaib discussed their team's approach to the management of Long COVID and lessons learned. Dr. Tierney spoke about her experience as an infectious disease physician and public health expert in addressing COVID-19, long COVID, and its implications on the population's health. Furthermore, we reviewed two manuscripts dedicated to furthering our collective understanding about Long COVID and vaccinations. Please find the links below for these manuscripts.
JAMA: Association Between BNT162b2 Vaccination and Long COVID After Infections Not Requiring Hospitalization in Health Care Workers
Journal of Infectious Diseases: Global Prevalence of Post-Coronavirus Disease 2019 (COVID-19) Condition or Long COVID: A Meta-Analysis and Systematic Review
Patients with aortic valve disease may be candidates for trans-aortic valve implementation (TAVI) or surgical valve replacement. This Grand Rounds Clinical Update is focused around the recent randomized control trial looking at the non-inferiority of TAVI vs. surgical valve replacement in patients with moderately increased operative risk. In addition, the discussion focuses on the clinical applicability of this data and how this may impact the care and counseling we offer to patients.
Special Guests:
Dr. Nezar Falluji, MPH, FACC, FSCAI, System Physician VP Cardiovascular Service Line
Dr. Waleed Kayani, Interventional Cardiologist and Assistant Professor at the Baylor College of Medicine
Dr. Thomas McGinn
Dr. Gary Greensweig
Dr. Ankita Sagar
Dr. Thomas McGinn, EVP CommonSpirit Health Physician Enterprise covered:
- Latest Omicron Numbers plus Omicron Booster News
- Labor Day
- Alzheimer's Controversy and Implications for Patient Care with special guest Dr. Sanjay Singh
- Podcast Recommendation
Supporting materials:
FDA Authorizes Moderna, Pfizer-BioNTech Bivalent COVID-19 Vaccines for Use as a Booster Dose https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-update-fda-authorizes-moderna-pfizer-biontech-bivalent-covid-19-vaccines-use
On a lighter note podcast recommendation: CDC Director Rochelle Walensky discusses how she's planning to restructure the agency and how she aims to improve COVID-19 messaging and data collection: https://podcasts.apple.com/us/podcast/the-journal/id1469394914?i=1000577476316
CommonSpirit Health Physician Enterprise EVP, Dr. Thomas McGinn discusses Polio, Influenza/COVID Twindemic (Fall Predictions, Omicron Booster, 2022 Testing Algorithm), and Vaccine Rate Declines
Guests:
Dr. Renuga Vivekanandan, Division Chief of Infectious Disease and Associate Professor at Creighton University and Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction.
Links:
Omicron Booster:
Moderna: https://investors.modernatx.com/news/news-details/2022/Moderna-Announces-Omicron-Containing-Bivalent-Booster-Candidate-mRNA-1273.214-Demonstrates-Superior-Antibody-Response-Against-Omicron/default.aspx
Pfizer: https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-announce-omicron-adapted-covid-19
2022 COVID/Influenza Testing for SYMPTOMATIC Ambulatory Patients (note - let's just use this internally): https://docs.google.com/document/d/1fsmbWNFS5trBaOAVzfugDeEgpVCUC02qb-ym-8OjbP4/edit?usp=sharing
Polio Vaccine: https://www.cdc.gov/vaccines/vpd/polio/public/index.html
Childhood Vaccination Toolkit for Clinicians: https://www.cdc.gov/vaccines/hcp/childhood-vaccination-toolkit.html
Clinical Update: Respiratory Viruses and Updated Testing Recommendations
Respiratory viruses will be a significant cause of acute upper respiratory infection in the coming months. This Friday, the Physician Enterprise will host a Grand Rounds Clinical Update focused on the diagnosis of common respiratory viruses (including COVID-19 and Influenza A/B) as we prepare for the fall and winter months. By the end of this session, attendees will review the algorithm for the diagnosis of acute upper respiratory infections, recommendations for vaccinations, and considerations in triaging patients toward care.
Special Guests:
Karen Dykes, ARNP, Director Infection Prevention/Infectious Disease, St. Anne Hospital, Virginia Mason Franciscan Health
Dr. David Quimby, Assistant Professor Infectious Disease, Creighton School of Medicine
Dr. Lilia Parra-Roide, Medical Director, Dignity Health Medical Group-Arizona Pediatrics; Professor of Pediatrics, Creighton University School of Medicine
Dr. Thomas McGinn
Dr. Gary Greensweig
Dr. Ankita Sagar
Clinical Update: Hepatitis C Screening and Management
Dr. Cezarina Mindru, Assistant Professor of Medicine, Baylor College of Medicine
Dr. Nicholas Stine, SVP for Population Health at CommonSpirit Health
Dr. Manasa Velagapudi, CHI Health Clinic Infectious Disease (CUMC - Bergan Mercy)
Dr. Thomas McGinn, EVP, CommonSpirit Health Physician Enterprise
Dr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, CommonSpirit Health
Dr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise
On this week's CommonSpirit Health Physician Enterprise 5-Minute Check-In, Dr. Thomas McGinn discusses:
Omicron and Fall Boosters, Alzheimer's Research Controversy, Latest on Aortic Valve Surgery (TAVI vs. Surgery)
Guest expert: Dr. Waleed Kayani, Interventional Cardiologist and Assistant Professor at the Baylor College of Medicine
Links:
Alzheimer’s study
https://www.science.org/content/article/potential-fabrication-research-images-threatens-key-theory-alzheimers-disease
TAVI vs. Open Surgery in JAMA: https://jamanetwork.com/journals/jama/article-abstract/2792251?guestAccessKey=fd139882-beae-4ba1-9dcd-a4b6c7fc0e31&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jama&utm_content=etoc&utm_term=051722
On this week's CommonSpirit Health Physician Enterprise 5-Minute Check-In, Dr. Thomas McGinn discusses:
- Omicron
- Meta-Analysis: At-Home COVID Testing Sensitivity and Specificity
Article: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1004011
Guests to discuss the meta-analysis: Dr. Renuga Vivekanandan, Division Chief of Infectious Disease and Associate Professor at Creighton University, and Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction.
- Kudos to our colleagues in Phoenix, Chattanooga, and Little Rock
New Research: Treating Mild Hypertension in Pregnancy Results in Improved Material and Neonatal Outcomes
The following NEJM articles were referenced in the session: Treatment for Mild Chronic Hypertension during Pregnancy (2022) and Less-Tight versus Tight Control of Hypertension in Pregnancy (2015).
Speakers:
Laurence Shields, MD, Maternal-Fetal Medicine Specialist, System Physician Vice President, Women and Infant Clinical Institute
Andrew Rubenstein, MD, Academic Chair of Women’s Health, Obstetrics and Gynecology, Dignity Health Medical Group at St Joseph's Hospital and Medical Center, Associate Professor and Vice-Chair at the Creighton University School of Medicine-Phoenix Campus
Curtis Cook, MD, OB/GYN, Medical Director Maternal and Fetal Medicine, St. Joseph’s Hospital and Medical Center — Phoenix/East Valley
Dr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, CommonSpirit Health
Dr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise
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On this week's CommonSpirit Health Physician Enterprise 5-Minute Check-In, Dr. Thomas McGinn discusses what Clinicians need to know about Monkeypox. He features guest expert Dr. David Quimby, Assistant Professor Infectious Disease, Creighton School of Medicine.
On this week's CommonSpirit Health Physician Enterprise 5-Minute Check-In, Dr. Thomas McGinn discusses:
- Omicron update
- Game-changing article on the treatment of mild HTN during pregnancy with Dr. Larry Shields, System Physician Vice President, Women and Infants Clinical Institute: https://www.nejm.org/doi/full/10.1056/NEJMoa2201295?query=featured_home
- Lighter note in honor of Father's Day, a fun video featuring a father and son singing a Beatles cover: https://youtu.be/8cYCubol7a0 Happy Father's Day!
CommonSpirit Health physicians discuss CT or Invasive Coronary Angiography in Stable Chest Pain
The panel includes:
Dr. Juan Plana Gomez, Baylor St. Luke's Medical Center, Cardiovascular Health
Dr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, CommonSpirit Health
Dr. Nezar Falluji, System Vice President, Cardiovascular Service Line, CommonSpirit Health
Dr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise
On this week's CommonSpirit Health Physician Enterprise 5-Minute Check-In, Dr. Thomas McGinn discusses:
- Omicron Update
- The Meta-Analysis and Systematic Review of Long COVID with Dr. Ankita Sagar and Renuga Vivekanandan
CommonSpirit Health physicians discuss Evidence-Based Best Practices to Improve Care and Reduce Costs.
The panel includes:
Dr. Nicholas Stine, Senior Vice President for Population Health, CommonSpirit Health
Dr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction, CommonSpirit Health
Dr. Helena Moon, System Director, Clinical Programs, Enterprise Population Health, CommonSpirit Health
Dr. Julian Mitton, System Director for Population Health Policy, CommonSpirit Health
Dr. Rosa Vicente-Soto, Executive Director, North State Quality Care Network (NSQCN), San Joaquin Quality Care Network (SJQCN), Central Valley Quality Care Network (CVQCN)
Dr. Thomas McGinn, EVP, CommonSpirit Physician Enterprise
Dr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise
On this week's CommonSpirit Health Physician Enterprise 5-Minute Check-In, Dr. Thomas McGinn discusses:
- Omicron Update
- Nonoperative or Surgical Treatment of Acute Achilles’ Tendon Rupture
- Happy Nurses Week
- Podcast about the World's Largest Animal Highway
Links:
Long haul COVID-19 Meta-Analysis:
https://academic.oup.com/jid/advance-...
Achilles:
https://www.nejm.org/doi/full/10.1056...
World's Largest Animal Highway
https://podcasts.apple.com/us/podcast...
Physician experts from CommonSpirit Health discuss updates in the care and treatment of MS including the role of Epstein-Bar Virus:
Dr. Tom McGinn, EVP, Physician Enterprise
Dr. George Hutton, Baylor College of Medicine, Dept of Neurology
Dr. Ankita Sagar, System Vice President for Clinical Standards and Variation Reduction at CommonSpirit Health
Dr. Gary Greensweig, Chief Physician Executive, Physician Enterprise
On this week's CommonSpirit Health Physician Enterprise 5-Minute Check-In, Dr. Thomas McGinn discusses:
- Omicron Update
- NEJM: Use of Troponin I after Cardiac Surgery: https://www.nejm.org/doi/full/10.1056/NEJMoa2000803
- NEJM: Reducing Practice Variation and Avoidable Drug Spending (a thought leadership article from the CommonSpirit Health Population Health Team):
https://catalyst.nejm.org/doi/full/10.1056/CAT.21.0375
- The Ecological Impact of our 2.3 million Virtual Visits
- Congratulations to our Physician Enterprise Vision Award Winners (see all winners here: https://docs.google.com/presentation/d/190VEIcPVXscOMKfVThsosvlOqZibuYIWbZGGwhS7kn4/edit?usp=sharing)
CommonSpirit Health Physician Enterprise 5-Minute Check In with Dr. Thomas McGinn features:
- Omicron update
- New booster recommendations: https://docs.google.com/presentation/d/1qJ9t-eVVZZ3Nm1Ox0imAViukqwsb3ZM79o9DjnxbpNQ/edit?usp=sharing
- Black and Latinx patients bear a disproportionate burden of asthma and existing guideline recommendations have not been based on clinical trials in these populations. We will discuss a new open-label trial that looks at reliever-triggered inhaled glucocorticoid in Black and Latinx adults and what it means for patient care.
https://www.nejm.org/doi/pdf/10.1056/NEJMoa2118813
- RSVP Summit
- Finally, we're inspired by John Legend's tribute to Ukraine at the Grammys. Catch the performance here: https://twitter.com/i/status/1510834007587504136
CommonSpirit Health physicians discuss updates in the evidence-based approach to renal function estimation: transitioning from race-based calculation.
The panel includes:
Dr. Parthassarathy Raguram, Medical Director, Inpatient Dialysis Services, Franciscan Medical Group
Dr. Khalid Bashir, Chief Renal Division, Creighton University School of Medicine
Dr. Ankita Sagar, System VP, Clinical Standards and Variations, CommonSpirit Health Physician Enterprise
Dr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise
Dr. Thomas McGinn, EVP, CommonSpirit Health Physician Enterprise
CommonSpirit Health Physician Enterprise EVP, Dr. Thomas McGinn shares his 5-Minute Check In about the following topics:
-Omicron Update including the new subvariant, BA.2
-Effectiveness of Pulmonary Rehab for Post-Acute COVID-19
-CTA vs Angiogram for workup of patients with chest pain
-Division Celebrations
Links to articles referenced:
https://www.resmedjournal.com/article/S0954-6111(22)00047-6/fulltext
https://www.frontiersin.org/articles/10.3389/fmed.2022.837420/full
https://www.nejm.org/doi/pdf/10.1056/NEJMoa2200963
CommonSpirit Health Physician Enterprise EVP, Dr. Thomas McGinn shares his 5-Minute Check In remembering Dr. Paul Farmer; Omicron updates; the efficacy of convalescent plasma treatments; a study on the COVD vaccine for expectant mothers; special guest Dr. George Hutton, Professor of Neurology at Baylor College of Medicine discusses a study showing the high prevalence of EBV being associated to MS; celebrations of several medical group accomplishments.
Links to studies and other articles below:
Remembering Dr. Paul Farmer: https://podcasts.apple.com/us/podcast/jesuitical/id1210902931?i=1000552210862
Association of SARS-CoV-2 Infection With Serious Maternal Morbidity and Mortality From Obstetric Complications: https://jamanetwork.com/journals/jama/fullarticle/2788985
Association of BNT162b2 COVID-19 Vaccination During Pregnancy With Neonatal and Early Infant Outcomes https://jamanetwork.com/journals/jamapediatrics/fullarticle/2788938
Convalescent plasma may not be an effective treatment for severe and critically ill covid-19 patients: A Systematic Review & Meta-Analysis of Randomized Controlled Trials: https://www.heartandlung.org/article/S0147-9563(22)00020-6/fulltext
Longitudinal analysis reveals high prevalence of Epstein-Barr virus associated with multiple sclerosis https://www.science.org/doi/10.1126/science.abj8222
CommonSpirit Health physicians discuss updates in heart failure therapies in 2022.
The panel includes:
Dr. Munir Janmohamed, Mercy Medical Group heart failure specialist, and Medical Director at the Mercy General Hospital Heart Failure Program
Dr. Nezar Falluji, CommonSpirit Health System Senior Vice President, Cardiovascular Service Line
Dr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise
CommonSpirit Health Physician Enterprise EVP, Dr. Thomas McGinn shares his 5-Minute Check In discussing Omicron updates including suggestions against anti-coagulation drugs for COVID patients upon hospital discharge; an uptick in the use of melatonin; and a discussion with Interventional Cardiologist, Dr. Nezar Falluji about a recent heart failure trial.
CommonSpirit Health Physician Enterprise EVP, Dr. Thomas McGinn shares his 5-Minute Check In discussing Omicron updates including currently working outpatient therapies; a Scottish study about Omicron and asthma; the relationship between Epstein-Barr and MS; and several congratulations for recent Enterprise achievements.
CommonSpirit Health physicians discuss insights on Cervical Cancer Screenings.
The panel includes:
Dr. John Farley, Gynecological Oncologist, Dignity Health Cancer Institute
Dr. Anne-Marie Jackson, Gynecologic Surgeon and Chief Medical Officer at Dignity Health Medical Group - Santa Cruz
Dr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise
Dr. Tom McGinn, EVP, CommonSpirit Health Physician Enterprise
CommonSpirit Health Physician Enterprise EVP, Dr. Thomas McGinn shares his 5-Minute Check In celebrating the life of Dr. Martin Luther King and our medical groups' work during COVID-19. Also, updates on the Omicron variant, influenza, vaccines, masks, free home tests, and the effects of proning.
Jan 5, 2022 - CommonSpirit Health Physician Enterprise EVP, Dr. Thomas McGinn shares his 5-Minute Check In discussing the Omicron variant, Influenza A, and chatting with special guest Dr. Ankita Sagar, System VP for Clinical Standards and Variation Reduction about diabetes screening.
December 10, 2021
CommonSpirit Health physicians discuss insights on the Omicron variant.
The panel includes:
Dr. Renuga Vivekanandan, Associate Professor Dept. of Medicine, Division Chief of Infectious Diseases
Dr. David Quimby, Asst. Professor, CHI Health NE/IA, Medical Director Infection Prevention
Dr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise
Dr. Tom McGinn, EVP, CommonSpirit Health Physician Enterprise
CommonSpirit Health Physician Enterprise EVP, Dr. Thomas McGinn shares his 5-Minute Check In about COVID Vaccine Updates and Organizational Changes
November 12, 2021
Physician experts from CommonSpirit Health discuss the latest updates on Pediatric COVID-19 Vaccines.
Included on the panel:
Dr. Tom McGinn, EVP, Physician Enterprise
Dr. Gary Greensweig, Chief Physician Executive, Physician Enterprise
Dr. Kathi Rosen, Pediatrician, Virginia Mason Franciscan Health
Dr. Julie A. Boom, Professor of Pediatrics, Baylor College of Medicine
Dr. Jill Walsh, Dept. Chair, Women and Pediatrics Services, Dignity Health Mercy Medical Group
CommonSpirit Health Physician Enterprise EVP, Dr. Thomas McGinn discusses the new Omicron COVID-19 variant, recently published research and recent awards.
CommonSpirit Health Physician Enterprise EVP, Dr. Thomas McGinn shares his 5-Minute Check In discussing the COVID Vaccine for kids 5-11 with Dignity Health Mercy Medical Group Dept. Chair of Pediatrics, Dr. Jill Walsh.
October 1, 2021
Physician experts from CommonSpirit Health discuss the latest insights on Colorectal Cancer Screening Updates
Included on the panel:
Dr. Tom McGinn, EVP, Physician Enterprise
Dr. Gary Greensweig, Chief Physician Executive, Physician Enterprise
Dr. Michael T. Anderson, MHA, CPHQ, Division VP, Quality and Pop Health, Virginia Mason Franciscan Health
Dr. Nick Jansson, Medical Director, Ambulatory Quality and Pop Health, Virginia Mason Franciscan Health
Physician experts from CommonSpirit Health discuss Removing Race from eGFR.
Included on the panel:
Dr. Khalid Bashir, Neprology Div Chief and Associate Director at Creighton University School of Medicine and CHI Health
Dr. Gary Greensweig, System Senior Vice President / Chief Physician Executive, CommonSpirit Health Physician Enterprise
Dr. Tom McGinn, EVP, CommonSpirit Health Physician Enterprise