Postcall Podcast: Recent Episodes
MDedge
We know clinicians are tired. They spend hours and hours each week entering data into EHRs, checking protocol, and hopefully, treating patients. This is about an hour every week where they can come to talk about the things they love, the things that burn them out, and the reason they got into this in the first place. The next time you're post-call, or even if you just feel like it, spend it with us. The information in this podcast is provided for informational and educational purposes only.
Nick Andrews and Emi Okamoto, MD, talk about spending the holidays in the hospital, take a holiday quiz, and Nick reads the winning essay from the American College of Surgeons' RAS essay contest.
Host Nick Andrews and Emi Okamoto, M.D., discuss how patients choose their doctors. Plus, Kristen Aliano Messina, a plastic surgeon in Plano, Tx., talks with Nick about resiliency among surgical residents.
Nick Andrews and Emi Okamoto, MD, discuss the new Nike shoe for "Everyday Heroes," Google enters the EHR space (sort-of) and the American Medical Association gives 570 Hahnemann residents $125,000 for relocation and other fees such as immigration proceedings.
The guest this week is David Fajgenbaum, MD, whose book, Chasing My Cure documents his struggle with Castleman Disease as well as his fortitude to use his medical training to find a cure and unite the cause.
Links:
- Nike Shoe
- Reddit reaction
- Google EHR Video
- Reddit reaction
- AMA grant for Hahnemann residents
- Dr. Fajgenbaum information:
- Academic profile
- New York Times profile
Medical Muggle Nick Andrews and Emi Okamoto, MD, talk about all things Thanksgiving in this special edition of the Postcall Podcast.
We recommend saving this episode for Thanksgiving or Black Friday if you can't be with your friends/family for this holiday season.
In the episode, we talk about how sharing with patients increases trust, the best gifts for doctors, what we're thankful for, a good in-hospital, on-call workout, and codes that you may need for your Thanksgiving shift.
Help us make this podcast better! Please take our short, anonymous listener survey by clicking here.
Links:
- Sharing stories with patients
- Weighing yourself every day helps with holiday poundage
- On-Call workout
- 20 Thanksgiving Codes
- The best gifts for doctors this season
For more MDedge Podcasts, go tomdedge.com/podcasts
Email the show: podcasts@mdedge.com
Interact with MDedge on Twitter: @MDedgeTweets
Medical Muggle Nick Andrews and Emi Okamoto, MD, discuss how docs feel about Elizabeth Warren's plan for Medicare-for-all. They also discuss how bingeing on your favorite show affects sleep and how TV and films get medical care so wrong.
The guest this week is Ashley Alker, MD, who is a medical consultant for various TV programs and films -- she helps them get it right. The interview starts at 20:20.
Help make this podcast better! Please take our short listener survey here.
Links:
- Warren's health care plan
- What it means for doctor pay
- How docs feel about it
- Netflix is taking your sleep away
- The times TV messed up:
- The Blacklist
- The Good Doctor
- The Sentinel Awards
- Ashley Alker, MD
- Website
For more MDedge Podcasts, go to mdedge.com/podcasts
Email the show: podcasts@mdedge.com
Interact with Nick on Twitter: @Nick_Andrews__
Medical Muggle Nick Andrews and Emi Okamoto, MD, discuss a new survey about using the appropriate language when referring to patients. They also get into how banning sugary drinks went over at one California institution and talk about what physicians need to know about CBD.
Help us improve this podcast!
Please click here to take this short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019
The interview this week is with Elisabeth Poorman, MD, MPH. Dr. Poorman is a clinical instructor of medicine at the University of Washington, Seattle.
Timestamps:
- Sugary drink ban (01:22)
- Cardiologists and diabetes (03:51)
- Calling patients by their disease (06:41)
- What you need to know about CBD (11:21)
- Interview with Dr. Poorman (18:27)
Links:
- UCSF Bans Sugary Drinks (Medscape)
- Cardiologists and treating diabetes (Medscape)
- Referring to patients by their disease (Medscape)
- What you need to know about CBD (MDedge)
-
Elisabeth Poorman, MD, MPH:
- Website
- Academic Bio
- MDedge Writings
You can contact Nick and Emi by emailing podcasts@mdedge.com and you can follow on Twitter at @Nick_Andrews__ or on Instagram @medicalmuggle.
For more MDedge Podcasts, go to mdedge.com/podcasts.
Medical Muggle Nick Andrews and Emi Okamoto, MD, talk about the recent research in the New England Journal of Medicine about burnout and harassment in surgical residency.
They also discuss the research in JAMA Internal Medicine about how patient behavior positively and negatively affects physicians, trainees, and medical students.
Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019
The interview this week is with MDedge reporter Kari Oakes on her article about addressing female physicians by their appropriate title: Doctor.
You can follow Nick on Twitter at @Nick_Andrews__ and on Instagram @medicalmuggle.
Timestamps:
- Jack Strong, MD, dies (01:08)
- Surgical residency discrimination, abuse (01:45)
- Impact of patient behavior on docs (08:15)
-
MyFirstNameIsDoctor/Addressing female physicians appropriately (12:35)
- Interview with Kari Okas (12:40)
Links:
- Jack Strong, MD, Obit/Memoriam (Nola.com)
- Discrimination, abuse, harassment, and burnout in surgical residency training (N Engl J Med.)
- Demeaning patient behavior takes a toll (MDedge)
-
MyFirstNameIsDoctor (MDedge)
- The scene from A Few Good Men (YouTube)
For more MDedge Podcasts, go to mdedge.com/podcasts
Email the show: podcasts@mdedge.com
Interact with us on Twitter: @MDedgeTweets
Medical Muggle Nick Andrews and Emi Okamoto, MD, talk about football: the injuries, the NFL's Crucial Catch campaign, and what to tell patients and parents about football injuries and injuries from all sports.
Help us make this podcast better! Please take our short listener survey: https://www.surveymonkey.com/r/podcastsurveyOct2019
The interview this week is with Jeff Pearson, DO, a family practice clinician practicing in Carlsbad, Calif. Dr. Pearson uses humor, magic, and general tomfoolery to forge a connection with his patients.
Timestamps:
- Learn about the survey (01:00)
- Dogs extend life (01:30)
- Dogs combat burnout (03:03)
- NFL Crucial Catch campaign (05:15)
- Crucial Catch criticism (06:31)
- Sports injuries (09:50)
- Would you let your kid play football? (14:44)
Relevant links:
- Dogs extend life (WebMD)
- Dogs combat burnout (MDedge)
- NFL Crucial Catch campaign
- Crucial Catch criticism (KevinMD)
- NFL player Kelechi Osemele fined for getting surgery (ProFootballTalk)
- Football (European Soccer) Neuromuscular disorders (MDedge)
- Brain Injuries from sports linger for one year (MDedge)
- Dr. Jeff Pearson
- Medicine-in-Motion
You can contact Nick and Emi by emailing podcasts@mdedge.com and you can follow Nick on Twitter at @Nick_Andrews__ or on Instagram @medicalmuggle.
For more MDedge Podcasts, go to mdedge.com/podcasts.
Email the show: podcasts@mdedge.com
Nick Andrews and Emi Okamoto, MD, talk about how to decrease the number of phone calls to your office, how more and more people view mental illness as a threat, and how to handle it when your family and friends ask for medical advice.
The interview this week is Taylor Brana, DO, the founder, producer, and host of the Happy Doc Podcast.
Timestamps:
- Is mental illness threatening? (01:58)
- Preview gender empowerment conversation (06:08)
- How to decrease your office phone calls (06:58)
- Should you charge your friends for medical advice? (09:25)
- Meet the guest (14:15)
- Interview (18:50)
Links:
- People view mental illness as a threat (Medscape)
-
MyFirstNameIsDoctor (MDedge)
- Decreasing office phone calls (reddit)
- Charging your family and friends for medical advice? (reddit)
- The Happy Doc Podcast
For more MDedge Podcasts, go to mdedge.com/podcasts
Email the show: podcasts@mdedge.com
In episode 51, Nick and Emi Okamoto, MD, discuss what makes a good doctor-patient relationship, how EMRs affect burnout, and when, if ever, it's okay to have had a drink before a clinical shift.
The interview portion of this episode comes from Ilana Yurkiewicz, MD, who hosts a discussion about difficult conversations that residents and fellows need to have with their patients. Dr. Yurkiewicz, along with Emily Bryer, DO, and Ronak Mistry, DO, address those times when a patient asks what you would do if the patient were your family member, and how much patients really want to know about their situation.
Dr. Yurkiewicz is a hematology/oncology fellow at Stanford (Calif.) University and the host and producer of the Clinical Correlation segment of Blood & Cancer, the official podcast of MDedge Hematology/Oncology. Dr. Bryer and Dr. Mistry are both at the University of Pennsylvania, Philadelphia.
You can contact Nick and Emi by emailing podcasts@mdedge.com, and you can follow Nick on Twitter at @nick_andrews__ or Instagram at @medicalmuggle.
Time stamps:
- Good doctor-patient relationships (01:40)
- Drinking before the clinic? (03:20)
- How EMRs affect ob.gyn. care (07:27)
- Hard conversations with Dr. Ilana Yurkiewicz (15:20)
Links:
- What Makes a Good Doctor-Patient Relationship? (Medscape)
- The electronic medical record's role in ObGyn burnout and patient care (MDedge/ObGyn)
- Downloadable PDF
- Having a beer before a shift (Reddit: r/medicine)
- Ilana Yurkiewicz, MD
- Academic Profile
- Blood & Cancer
- Hard Questions Column
- Emily Bryer, DO
- Ronak Mistry, DO
For more MDedge Podcasts, go to mdedge.com/podcasts
Email the show: podcasts@mdedge.com
Nick and Emi Okamoto, MD, talk about the changes you'd like to see to electronic medical records systems as well as some issues with data and reporting in recent dietary studies.
The interview this week is Luke S. Johnson, MD, a dermatologist with a focus on pediatric dermatology at the University of Utah. Dr. Johnson is the founder and co-host of the brand new Dermasphere podcast.
You can contact Postcall at podcasts@mdedge.com and you can follow Nick Andrews on Twitter at @nick_andrews__.
Timestamps:
- Transplant surgeon gets Hep C-positive heart: 01:51
- Pediatric milk recommendations: 04:33
- Red meat data: 07:42
- What changes would you make to your EMR/EHR?: 11:50
- Interview with Luke Johnson, MD: 19:00
Links:
- Transplant surgeon gets Hep C-positive heart
- Milk recommendations
- New Kids' Guidelines: Drink Milk, Water, Avoid Plant-Based 'Milk'
- New recommendations on what young children should drink
- Red Meat Recommendations
- Red Meat OK'd in New Guideline But Critics Call Foul
- Panel releases guidelines for red meat, processed meat consumption
- EMR/EHR changes Reddit thread
- Luke Johnson, MD
- Dermasphere Podcast Home
- MDedge IQ Dermatology Quizzes
The creator of The Nocturnists podcast, Emily Silverman, MD, talks inspiration, storytelling, time management, and being a doctor. Nick and Emi Okamoto, MD, discuss the latest medical school to make their tuition free, which internal medicine subspecialties women are and aren't choosing, and more.
Links:
- Weill Cornell free tuition
- Women residency/subspecialty choices
- Video games and your heart
- Emily Silverman, MD:
- Twitter (@ESilvermanMD)
- Website
- Professional Bio
- The Nocturnists:
- Website
- Upcoming events
- Episodes
Contact the show at podcasts@mdedge.com or follow host Nick Andrews on Twitter: @Nick_Andrews__
Nick Andrews and Emi Okamoto, MD, break down the screens and devices doctors interact with in and out of the clinic. The interview guest this week is Sarah Mojarad (@Sarah_Mojarad), who is a medical and science educator and lecturer. Ms. Mojarad gives Tweetorials about social media and medicine.
Time Stamps:
- Are you still a doc with all this screen time? (01:54)
- How doctors get their media (06:16)
- Medical devices getting hacked (12:27)
- Interview with Sarah Mojarad (19:41)
Relevant Links:
- Are patients the next cyberattack targets?
- If you spend more than 80% of your day staring at a screen, you are no longer a doctor
- Time-squeezed physicians: Here's how your colleagues obtain key information
- Sarah Mojarad:
- Academic biography
- Personal website
You can contact Postcall by emailing us at podcasts@mdedge.com.
National Suicide Prevention Week interview with Janae Sharp of the Sharp Index, which is a resource for physician suicide awareness, prevention, and research.
Emi Okamoto, MD, and Nick have a mini journal club about the med student perspective on suicide and burnout and how Groupon can save you and/or your patients money on some medical procedures.
Time stamps:
- Journal Club (01:51)
- Groupon saves money (02:22)
- Trump administration moves to ban non-tobacco flavored e-cigarettes (08:00)
- Med student perspective on suicide (09:47)
- Interview introduction (14:02)
- Interview with Janae Sharp (17:51)
Relevant links:
-
Journal club articles
- Groupon (Medscape)
- Med student perspective (Medscape)
- Flavored vape ban
- Interview:
- Janae Sharp LinkedIn
- Janae Sharp Twitter
- Sharp Index
- Questionnaire
- Donate
- Scholarships
You can contact Postcall by emailing Nick and/or Emi at podcasts@mdedge.com or finding Nick on Twitter @Nick_Andrews__
A special lecture for suicide prevention day, week, and month from our sister podcast, the Psychcast.
Click here for more episodes of the Psychcast.
Show Notes
By Jacqueline Posada, MD
Introduction
- Suicide in general population increased by 30% since 1999. The suicide rate was 14 people in every 100,000 up from 10.5 people per 100,000 in 1999.
- 400 physicians die per year. However, there is not great data collection about profession-specific suicide
- Suicide is the leading cause of death in male residents and the 2nd leading cause of death in female residents
- This represents a serious loss of the medical profession as well as the thousands of patients who lose their physician as well
Risks factors for physician suicide
Psychological:
- Physicians tend be contentious, perfectionistic, and compulsive. They are able to cope with delayed gratification, and this may lead to a false sense of ability to cope with all obstacles, without failures.
- Medicine presents physicians with many obstacles such as the deaths of our patients and human frailty. Human imperfection and physician failures are juxtaposed against these traits listed above
Historical and genetic risk factors:
- Past suicide attempt and presence of mood disorder
- Untreated depression is an especially high risk for physicians as they may leave their mental illness untreated due to stigma
- As of 2017, 32 of 48 state licensing boards continue to question doctors about their mental health history.
- There is increased risk of suicide with the presence of the long arm version of the serotonin transporter gene and history of childhood trauma
Workplace risk factors:
- Physicians identify electronic medical records (EMR) and increased documentation demands as contributing to burnout and less job satisfaction
- EMR means that doctors feel like they spend more time with records than face to face with patients. With EMR there is less eye contact and direct connection with patients so it’s hard to foster relationships
- Physicians feel the stress of increased use of technology and connectivity via cell phones and the need to “keep up”
Change in culture
- As a profession we are starting to talk about physician suicide; acknowledgment of the issue can lead to change.
- ACGME and other workplaces are starting to integrate physician wellness into curriculums and culture.
References:
- NCHS Data Brief No. 330. 2018 Nov.“Suicide mortality in the United States, 1999-2017”
- Yaghmour, NA et al. Acad Med. 2017 Jul. 92(7):976-83.“Causes of death of residents in ACGME-accredited programs 2000 through 2014” Implications for the learning environment”
- Babbott S et al. J Am Med Inform Assoc. 2014 Feb;21(e1):e100-61. Electronic medical records and physician stress in primary care: Results from the MEMO Study”
- Gold KJ et al.Gen Hosp Psychiatry. 2013 Jan-Feb;35(1):45-9. “Details on suicide among U.S. physicians: Data from the National Violent Death Reporting System”
- ACGME Symposium on Physician Well-Being
Physician mental health policy grades for every state, microplastics in stools all around the globe, and a moving eulogy for a hospital?
After penning a eulogy for the hospital that agreed to train her as a surgical resident, Lynsey Daniels, MD, (@DanielsLynsey) joins Nick to talk about the closure, the hospital's finals days, and moving forward.
Nick and Emi Okamoto, MD, talk about microplastics in people's stools all over the world and break down how states measure up with regard to mental health policy for physicians.
Time Stamps:
- Quiz (01:30)
- Microplastics in stools (05:55)
- States' grades for physician mental health (08:57)
- Interview with Lynsey Daniels, MD (17:15)
Relevant Links:
- Quiz References:
- Question 1
- Question 2
- Question 3
- Question 4
- Question 5
- Microplastics turning up in human stool
- Physician-friendly states for mental health: A review of medical boards
- A medical resident's eulogy for Hahnemann Hospital
New York Times contributor Danielle Ofri, MD, PhD, joins the show to talk about writing, the clinic, the system, and the Bellevue Literary Review. Emi Okamoto, MD, is back on the program.
Time Stamps:
- MDedge Quiz (01:18)
- Checking in with Emi (08:19)
- The WHO and Malaria (13:19)
- Interview with Dr. Ofri (19:00)
Relevant links:
-
Weekly Quiz
The following links lead to the articles that are referenced in the answers to the MDedge MD-IQ weekly quiz.- Question 1
- Question 2
- Question 3
- Question 4
- Question 5
- The WHO and malaria
- Danielle Ofri, MD, PhD
- Website
- Biography (Wikipedia)
- TEDMED
- Buy her books
- New York Times op-ed
MedTwitter stars and clinicians give their best advice for medical students as medical school resumes and @dr.skinandsmiles (Julie Amthor Croley, MD) joins Nick Andrews to talk about doctors on social media, podcasting, long-distance doctor marriages, and more.
Links:
- Twitter advice for medical students thread
-
Dr. Julie Amthor Croley
- Profile
- Resident Take Overs
- On social media in dermatology
- Being on-call as a derm resident
- Tips on patient communication
- Prescribing combined OCs
- Dr. Croley on MDedge
-
MDedge Podcasts
- Blood & Cancer
- Cardiocast
- Daily Medical News
- Derm Weekly
- Psychcast
You can email the show at podcasts@mdedge.com you can email Nick at nandrews@mdedge.com, and you can follow Nick on Twitter @tribnic
For more MDedge Podcasts, go to mdedge.com/podcasts
Dr. Richard Balon gives a lecture on physician burnout and mandated wellness and Nick Andrews talks to Damian McNamara about the final days of Hahnemann University Hospital in Philadelphia.
Masterclass guest
Richard Balon, MD: professor of psychiatry and training director at Wayne State University, Detroit.
In March, Dr. Balon spoke at the American Academy of Clinical Psychiatrists 2019 annual meeting in Chicago, sponsored by Global Academy for Medical Education. Global Academy and this news organization are owned by the same company.
Lecture Notes
By Jacqueline Posada, MD, who is a consultation-liaison psychiatry fellow with the Inova Fairfax Hospital/George Washington University program in Falls Church, Va.
Physician burnout and effective interventions
- The scales (for example, the Maslach Burnout Inventory) do not necessarily represent the full extent of burnout:
- If physicians work 12 hours but find fulfillment in work, they will be tired but not necessarily burned out. However, if physicians work 12 hours a day feeling frustrated by the systemic problems, then burnout can ensue.
- Common contributors to provider burnout:
- Excessive workload: Pressures of working with an electronic medical record, extensive time spent on documentation; lack of work satisfaction and job control; lack of respect for the work; and student loan burden.
- “Moral injury”: The emotional burden that occurs when physicians cannot deliver ideal care/treatment to patients, especially when limited by resources (such as insurance or poverty), or other systemic health care issues.
- Work environment and organizational culture: These factors also contribute to physician burnout.
Burnout is a problem for health care organizations as a whole
- Two main ways to address burnout: physician-directed interventions (focused on individuals) and organization-directed interventions.
- Organization-directed burnout prevention strategies include:
- Reducing workload; reducing time spent on documentation, such as decreasing time spent in front of EMRs; cultivating effective teamwork; fostering a sense of job control.
- Organizations prefer individual-focused interventions over systemic changes:
- Examples include mindfulness teaching, yoga, cognitive-behavioral therapy techniques, education about burnout, and education.
- Individual-focused interventions are great, but they are not realistic for changing the culture that contributes to burnout.
Interventions for burnout
In a systematic review and meta-analysis in JAMA Internal Medicine, Maria Panagioti, PhD, and colleagues found that:
- Burnout interventions focused on individual physicians have small, significant effect on physician burnout.
- Organizational-directed approaches result in greater treatment effects, especially when interventions focus on promoting healthy individual/organization relationships.
- The impact of individual interventions can be improved when supported by organizational interventions.
- Interventions targeted at more experienced physicians within primary care settings show greater treatment effect than interventions targeted at less experienced physicians within secondary treatment settings.
Approaches identified by staff can lead to meaningful change, as outlined by in a New England Journal of Medicine article by Melinda Ashton, MD.
- A Hawaiian health care system queried individuals (physicians and mid-level and nursing staff) to identify which parts of EMR documentation were poorly designed, unnecessary, and could lead to unintended burdens contributing to burnout.
- This type of survey improves the efficiency of a system and illustrates that the health care organization cares about preventing clinician burnout.
References
Panagioti M et al. Controlled interventions to reduce burnout in physicians: A systematic review and meta-analysis. JAMA Intern Med. 2017 Feb 1;777(2):195-205.
Ashton M. Getting rid of stupid stuff. N Engl J Med. 2018 Nov. 8;379(10):1789-91.
Red Hoffman, MD, ND, talks palliative care, her touching essay in JAMA, and how she climbed the hill to med school.
Dr. Hoffman is an acute care surgeon and co-director of surgical clerkship at the University of North Carolina at Asheville.
Time Stamps:
- Quiz (2:10)
- Neil deGrasse Tyson tweet (6:35)
- Dr. Hoffman intro (11:45)
- Postcall recap and pillars (13:00)
- Interview with Red Hoffman, MD, ND (21:15)
Relevant links:
- Quiz sources
- Q1
- Q2
- Q3
- Q4
- Q5
- Carl C. Bell obituary
- Neil deGrasse Tyson tweet
- Gun Violence Psychcast
- Dr. Hoffman:
- Doximity
- JAMA Essay
- Dr. Hoffman resources:
- Surgical Palliative Care: A Resident's Guide
- Surgical Palliative Care textbook
- Palliative Care Immersion Course
- Primary of Palliative Care
Mara Antonoff, MD, of the MD Anderson Cancer Center, joins Nick to talk about female physicians being referred to by their first names. Nick and Emi Okamoto, MD, discuss a study that shows 40% of PCPs do not accept into their practice new patients who are using opioids.
Time Stamps:
- Quiz (01:09)
- Acupuncture for chronic stable angina? (06:26)
- 40% of PCPs would not accept patients prescribed opioids (10:01)
- Introducing Mara Antonoff, MD (13:18)
- Interview with Dr. Antonoff (18:00)
Relevant links:
- Quiz:
- Q1: Textured implant recall
- Q2: Advanced brain MRO in Havana
- Q3: Adults using aspirin for CVD
- Q4: Pregnancy/Birth stats
- Q5: UAB neurologic disease funding
- Acupuncture for chronic stable angina
- 40% of PCPs not willing to accept patients on opioids for pain
- JAMA research
- Twitter thread
- Mara Antonoff, MD:
- Official Bio
- Dr. Antonoff on Twitter
You can contact the show at podcasts@mdedge.com. You can find Nick Andrews on Twitter @tribnic and you can find MDedge on Twitter @MDedgeTweets.
The interview is with the host of the podcast Explore the Space, we find out where in the world Emi Okamoto, MD, is off to, and how purpose in life appears to be impacting mortality.
Time Stamps:
- Congrats on getting married (00:22)
- Quiz (02:01)
- Emi's announcement (05:30)
- Association Between Life Purpose and Mortality Among US Adults Older than 50 Years (11:24)
- Introducing Mark Shapiro, MD (12:52)
- Interview: (16:37)
Links and References:
- Quiz Articles
- Question 1
- Question 2
- Question 3
- Question 4
- Question 5
- Weekly Reading:
- Nick: Comic Relief
- Emi: Life Purpose and Mortality
- Explore the Space
- EPIC EHR Episode
- Dr. Shapiro on Twitter
You can contact the show by emailing podcasts@mdedge.com or you can follow us on Twitter @MDedgeTweets.
Shannon Tosounian, DO, aka @Shanny_DO is an internal med and GI fellow. She also blogs and coordinates an Instagram account with more than 50,000 followers.
Postcall hosts Nick and Emi Okamoto, MD, pick Dr. Tosounian's brain about being an "influencer," blogging, and how to manage time.
Links:
- Shanny_DO on Instagram @shanny_do
- Dr. Tousonian's blog
- CBD blog
- Childbearing years blog
For more MDedge Podcasts, go to mdedge.com/podcasts
You can contact the show by emailing us at podcasts@mdedge.com or by interacting with us on Twitter @mdedgetweets.
Ep 37:
Time Stamps:
- Quiz (00:59)
- Tech tool for drug prices (04:35)
- Dating Advice for Doctors (08:05)
- Meet Pooja Lakshmin, MD (10:04)
- Dr. Shadowgazer medical puns (10:55)
- Interview with Dr. Lakshmin (12:11)
Links:
- Quiz articles
- Fireworks injuries
- Dairy products and metabolic syndrome
- Cryptosporidiosis
- Transgender guidelines
- Vaccine legislation and vaccine rates
- Doctors slow to adopt tech tools that may save patients money on drugs
- Dr. Shadowgazer medical puns
- Pooja Lakshmin, MD, bio
- Dr. Lakshmin's website
- "We don't need self-care; we need boundaries"
For more MDedge podcasts, go to mdedge.com/podcasts
Email the show: podcasts@mdedge.com
Episode 36: Independence Day Special
Nick Andrews and Emi Okamoto, MD, continue Pride Month into the first week of July, discussing the NYPD's "long overdue" apology to the LGBT community and to those involved in the infamous Stonewall riots in New York City.
Jack Drescher, MD, authored an article on the 50th anniversary of the riots and the overdue apology for Psychology Today. This week's Postcall Podcast is a reprise of Dr. Drescher's appearance in episode 35 of the Psychcast discussing conversion therapy. Dr. Drescher is the author of "Psychoanalytic Therapy & The Gay Man".
Postcall Podcast will return with a new episode and new interview on 07/12/19.
This week’s interview is with Kaz Nelson, MD, a psychiatrist and podcast host. Also, Nick and Emi Okamoto, MD, chat about a recent, controversial study in the American Journal of Emergency Medicine, the looming closure of a major hospital, and credit card hacks.
Dr. Okamoto is an internal medicine clinician in Philadelphia and a guest writer on The Curbsiders podcast.
Feedback:
Nick Andrews on Twitter at @Tribnic
Time Stamps:
- Weekly quiz (1:20)
- Advice for your first/new job (06:18)
- Credit card hacks (08:41)
- AJEM controversial study (12:41)
- Hahnemann Hospital to close (17:38)
- Interview with Kaz Nelson, MD (22:00)
Relevant links:
Quiz articles:
- World Trade Center responders' cancer
- Cannabis use among pregnant women 2002-2017
- Surprise out-of-network medical bills
- Teen/YA suicide rate
- Aplisol shortage
Other links:
- Hahnemann Hospital to close
- Credit card tweet and tread
- Nerdwallet
- AJEM article "Does physician gender have a significant impact on first-pass success rate of emergency endotracheal intubation?"
- Kaz (Katherine) Nelson, MD, bio
- The Mind Deconstructed podcast
Interview:
Kaz Nelson, MD, associate professor and vice chair of education in the department of psychiatry at the University of Minnesota, Minneapolis.
Dr. Nelson hosts The Mind Deconstructed, a podcast that aims to "dispel myths, address listener questions, talk directly about serious topics (such as suicide), and inform the public about what they need to know to maintain mental health and a life worth living."
You can find the official website by clicking here.
You can find Dr. Nelson on Twitter @KazJNelson
For more MDedge Podcasts, go to mdedge.com/podcasts
Email the show: podcasts@mdedge.com
This week:
- Emi Okamoto, MD, takes the quiz
- Nick opens up about being overprescribed opioids back in high school
- Interview with Amy Fiedler, MD, about back-and-forth editorials in academia and what the point of "Beyond #ILookLikeASurgeon" looks like.
Time Stamps:
- Weekly Quiz: 01:44
- Nick Opens up about Opioids: 07:38
- Interview Intro: 15:49
- Interview: 19:10
Relevant references:
- Quiz Articles:
- Question 1 article (Rabes)
- Question 2 article (Facebook)
- Question 3 article (Herpes Zoster)
- Question 4 article (HIV USPSTF)
- Question 5 article (Reproductive Law)
- WSJ opioid essay
- Amy Fiedler, MD
- "Beyond #ILookLikeASurgeon"
- Battle of the Sexes
- We have met the enemy; the enemy is us
Show Notes:
The first ever Postcall Lounge with Emi Okamoto, MD, and Ed DelSole, MD.
You can contact the show at podcasts@mdedge.com and you can find Nick on Twitter at @tribnic.
Dr. DelSole is an orthopedic spine surgeon with the Rothman Institute in Philadelphia, PA soon to be in practice in Scranton, PA. He and Dr. Okamota know one another from their med school days.
Topics this week include an op-ed by Danielle Ofri, MD, published in the New York Times in early June 2019 which addressed how business exploits healthcare workers, especially doctors and nurses. Emi also opens up about how she and her colleagues address burnout in her workplace, Dr. DelSole gives five tips that have helped him stay optimistic throughout med school, training and into his career.
Time Stamps:
- Dr. Ofri op-ed - 05:05
- Dr. DelSole's op-ed on the biggest problem in medicine - 09:01
- Burnout in Emi's clinic - 12:55
- How internal medicine residents spend their days - 13:58
- "You have more power than you think" - 16:53
- 5 things that keep Dr. DelSole optimistic - 20:49
- Book recommendations about the life of doctors and surgeons - 25:40
Outline and Links:
- Danielle Ofri, MD, NYT op-ed from June 2019.
- Ed DelSole, MD, op-ed.
- Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations JAMA Internal Medicine(Krisda H. Chaiyachati, MD, MPH, MSHP; Judy A. Shae, PhD; David A. Asch, MD, MBA)
- Dr. DelSole's 5 things:
- Don't do it for the money.
- The core of the profession is the relationships that you have with patients.
- The profession is grounded in service; there's going to be sacrifice: be cautious of your online voice
- Don't be afraid to get paid. You Deserve it.
- Book recommendations about being a doctor:
- On Doctoring
- Letters to a Young Doctor
- When Breath Becomes Air
This week in Postcall, does Emi Okamoto, MD, finally get a 100% on the weekly quiz? Plus, advice for attending your first medical meeting, or improving your experience at meetings, and Dana Corriel, MD, talks about SoMeDocs and the good and bad of Twitter.
Time Stamps:
- Weekly Quiz (1:27)
- Missions good/bad (08:57)
- Medical meetings: advice and ideas (15:30)
- Interview Intro: (22:50)
- Interview with Dr. Corriel (25:50)
MDedge Fast Facts Friday story links:
- Violent storms impact on mental health
- Tick-borne disease has become a national issue
- Gender equality, sexual harassment in healthcare
- Statement on warning for women of childbearing age about possible safety risks of dietary supplements containing vinpocetine
- House Committee Votes To Continue Ban On Genetically Modified Babies
Advice for attending and presenting at medical meetings:
- http://bit.ly/2EXn2Tk
- http://bit.ly/2WQ2Kp1
- http://bit.ly/2EXmXiu
Interview with Dana Corriel, MD.
Dr. Corriel is the founder of SoMeDocs and a part-time internist in the NYC area. She is also a blogger, mother, wife, and iPhone Photography specialist.
You can check out her blog here.
You can learn more about SoMeDocs here
SoMeDocs on Twitter: @SoMeDocs
Dr. Corriel on Twitter: @DrCorriel
Nick and Emi Okamoto, MD, take the weekly quiz, Dr. Emi gives advice for talking to your friends and family about your crazy schedule, and can you tell if it's advice for residents or advice for newlyweds?
Time stamps:
- MDedge Quiz (02:09)
- Advice Game: Newlyweds or Residents? (06:45)
- This week in MedTwitter (09:46)
-
- How to participate in holidays when you're working/can't make it (10:58)
- "I feel, I think, I want," educating your family (11:55)
- Health equity (13:33)
- Interview Intro (15:27)
- Interview with Ilana Yurkiewicz, MD. 18:15)
-
- Meet Dr. Yurkiewicz: family, hobbies, etc. (31:06)
- What Dr. Yurkiewicz reads, Ted Cheng - Story of Your Life, Arrival (33:35)
- Best advice for residency/internship: (36:53)
- Worst advice for residency/internship (39:28)
- Dr. Yurkiewicz on the future of Hem/Onc.
- Credits (46:16)
- Blood & Cancer Clinical Correlation (47:07)
Show Notes:
MDedge Weekly quiz source articles:
- The Effects persist for children who witnessed 9/11
- Study Finds CBD effective in treating heroin addiction
- Thousands of cancer diagnoses tied to a poor diet, study finds
- A cadet died in a tragedy. Now is parents can use his sperm to create his child, a judge rules
- FDA clears first diagnostic tests for extragenital testing for chlamydia and gonorrhea
You can take this or more MDedge Quizzes by clicking this link.
Tweet of the week: "The most frustrating thing about being a nurse (or in the medical field period) is the complete lack of understanding or empathy for our schedules by some." -- Ari BSN, RN @ArianaMasGrande
Dr. Okamoto's strategy is "I think, I feel, I want"
More on this strategy here.
Health Equity
Emi's passion for healthcare for all humans. Read more about health equity here.
Interview Intro:
This week's guest is Ilana Yurkiewicz, MD, a hem/onc fellow at Stanford. She writes the Hard Qeustions Columng for MDedge Hematology/Oncology and writes/records/produces the Clinical Correlation segment of Blood & Cancer, the official podcast of MDedge Hematology/Oncology.
Dr. Yurkiewicz's 's articles:
Doctor will you please lie to me?
Should doctors disclose primary results?
A complete list of Dr. Yurkiewicz's column, Hard Questions is available here, and you can check out Blood & Cancer here.
Links from the interview:
- Ted Chiang
- Story of Your Life
- Exhalation
- Arrival
Emi takes the MDedge weekly quiz, she gives some advice for all the new interns out there, Nick suggests movies that could help interns and residents identify with the struggle, and Nick and Emi discuss the commentary "Better Words for Better Deaths" by this week's guest, Anna DeForest, MD.
Show Outline:
- MDedge Quiz
- Emi answers questions from the #SoMeDocs Twitter chat.
-
Nick's intern survival movie list:
- Miracle
- Whiplash
- Somm
- Nick and Emi discuss "Better Words for Better Deaths".
Interview:
Interview with Anna DeForest, MD about her work in the New England Journal of Medicine.
- Reasons to Live (Short stories by Amy Hempel).
- Terror Management Theory
You can contact the show by emailing us at podcasts@mdedge.com and you can interact with Nick on Twitter @tribnic.
Welcome the new cohost of the MDedge Postcall Podcast, Emi Okamoto, MD.
In this episode, Dr. Okamoto and Nick take the MDedge Weekly Quiz, dive into the 2019 annual meeting of the American Academy of Neurology, and get to know Dr. Okamoto, or Emi, as she prefers.
Emi talks about what she does to unwind after a long day, what advice she'd give trainees as a new attending, and more.
You can email Emi and Nick at podcasts@mdedge.com, and you can follow Nick on Twitter at @Tribnic
Time Stamps:
- MDedge Weekly Quiz (02:00)
- Cool Stuff: American Academy of Neurology (5:50)
- Interview with Emi Okamoto, MD (12:50)
Links from the show:
- Weekly Quiz
- American Academy of Neurology coverage by MDedge
- Employed physicians now outnumber independent doctors
- Green light as therapy for chronic pain?
- Walk in nature as good as a cup of coffee via the Telegraph U.K.
- Dystextia is a real thing and it can help with stroke diagnoses
Doron Schneider, MD, joins Nick from the 2019 annual internal medicine meeting of the American College of Physicians to talk about a precourse he led on improving practice efficiency.
Dr. Schneider is with Abbington Hospital which is now a part of the Jefferson Health Family of Thomas Jefferson University and the Sidney Kimmel Medical College.
He told Nick about what bringing in a coach can do for your practice, and who it's important to collaborate.
Remember, you can contact the show with feedback, questions, ideas, and shoutouts for your friends, family or colleagues by emailing us at podcasts@mddge.com.
You can follow Nick on Twitter @tribnic, if you tweet at him with #PostcallPodcast, you may have your thoughts read on a future episode.
Eileen Barrett, MD, wants to help doctors beat burnout.
After her pre-course at Internal Medicine 2019, the annual meeting of the American College of Physicians, in Philadelphia, Dr. Barrett spoke with Postcall host Nick Andrews about the real problem of physician burnout and how it exacerbates other underlying issues. She uses a famous quote from Anna Karenina to illustrate the issue as she sees it (07:02).
She also tells an anecdote about how a passing comment in her hospital turned into a new protocol for administering vaccines. She discusses how this simple interaction increased her gratitude for her non-physician colleagues and exemplifies how clinicians, administrators, and non-clinical professionals can come together to improve outcomes, "help the bottom line," and solve a logistical issue (11:45).
Contact us:
podcasts@mdedge.com
@MDedgeTweets
This week in MDedge:
Psychcast Ep 57: Physician Burnout
Blood & Cancer Ep 14: CAR T-Cell Therapy
Dermatology Weekly Ep 08: Are parabens safe?
Nick talks to Fariah Shafi, MD about women in medical leadership now and moving forward.
In episode 25, Richard Wenzel, MD, joins nick to talk about his article in the New England Journal of Medicine on RVU medicine and physician loneliness
Nick would love to hear from you with your suggestions, ideas, feedback, or questions. You can email the show at podcasts@mdedge.com and you can follow him on Twitter at @Tribnic.
You can read Dr. Wenzel's article here.
Doctor Stephen Bergman now goes by Samuel Shem and lives outside Boston, but in the 1970s, he published arguably one of the most impactful books on medicine in recent memory -- the cult classic, the House of God Newsweek named the House of God the second best satirical piece of fiction of all time behind Don Quixote. In this conversation, Shem tells me about his motivation for the House of God and reveals that there will be a sequel in 2019 on the current state of medicine.
Colleen Farrell, MD, is back for part II of her conversation with Nick on her Medical Humanities Twitter chat group.
You can contact the show by emailing podcasts@mdedge.com or on Twitter @MDedgeTweets. You can follow Nick on Twitter @tribnic, and Dr. Farrell @colleenmfarrell.
Colleen Farrell is a medical resident who started a twitter chat aimed at marrying humanities and medicine.
Contact us: podcasts@mdedge.com
Nick Andrews Twitter: @Tribnic
Contact us: podcasts@mdedge.com
Nick on Twitter: @tribnic
Alex Leow, MD, PhD, is both a psychiatrist and a classical pianist. She joins host Nick Andrews to discuss her work as a clinician, medical educator, and researcher, as well as how music is a refuge from the daily grind.
Kirti Magudia, MD, and Thomas Ng, MD, continue their conversation with host Nick Andrews, sharing their experiences as parents of young children as well as early career physicians.
Dr. Magudia and Dr. Ng, both diagnostic radiology fellows at Brigham and Women’s Hospital, Boston, discuss traditional ways of mitigating against burnout – practices such as exercise, meditation, and carving out self-care time – as well as finding meaning in researching and advocating for work-life integration for residents.
Contact us: podcasts@mdedge.com
Nick Andrews Twitter: @Tribnic
Kirti Magudia, MD, and Thomas Ng, MD, join Nick to talk about their research regarding family leave in the nation's top medical schools. The research was published in JAMA. Dr. Magudia talks about their experience doing this research, what they learned, and what the next steps are.
Contact us: podcasts@mdedge.com
Nick Andrews Twitter: @Tribnic
Contact us: podcasts@mdedge.com
Contact 500 WIM: Medicine@500WomenScientists.org
500 WIM online: http://bit.ly/2DYqMEe
500 WIM Twitter: @500wim
Kate Gerrul Twitter: @KateGerull
Maren Loe Twitter: @maren_loe
Nick Andrews Twitter: @tribnic
Kate Gerrul and Maren Loe founded the non-profit 500 Women in Medicine. Ms. Gerull and Ms. Loe are third-year medical students at Washington University School of Medicine in St. Louis.
According to Gerull and Loe, the aim is to create a network of support and advancement for women in medicine. 500 Women in Medicine is a pod of the organization 500 Women Scientists.
In this episode, Nick Andrews speaks with the two innovators about their motivation to found this organization.
Contact us: podcasts@mdege.com
Contact 500 WIM: Medicine@500WomenScientists.org
500 WIM online: http://bit.ly/2DYqMEe
500 WIM Twitter: @500wim
Kate Gerrul Twitter: @KateGerull
Maren Loe Twitter: @maren_loe
Nick Andrews Twitter: @tribnic
Kate Gerulland Maren Loe founded the non-profit 500 Women in Medicine. Ms. Gerull and Ms. Loe are third-year medical students at Washington University School of Medicine in St. Louis.
According to Gerull and Loe, the aim is to create a network of support and advancement for women in medicine. 500 Women in Medicine is a pod of the organization 500 Women Scientists.
In this episode, Nick Andrews speaks with the two innovators about their motivation to found this organization.
Contact us: podcasts@mdedge.com
Nick on Twitter: @tribnic
David Henry, MD, is the host of Blood & Cancer, the official podcast of MDedge Hematology/Oncology. In this episode, Nick and Dr. Henry discuss advances and excitement in the oncology as well as the opportunities that podcast provides and tips for dealing with burnout.
Contact us: podcasts@mdedge.com
Twitter: @mdedgetweets
Monique Tello, MD, is back this week for part II of her conversation with Nick Andrews. Last week, Dr. Tello spoke about her experience being cyberbullied by anti-vaccination protesters. This week, Dr. Tello talks about how she got her new book published and how you can, too.
Dontact the show: podcasts@mdedge.com
MDedge on Twitter: @MDedgeTweets
Dr. Tello on Twitter: @drmoniquetello
Anti-vaccination protesters targeted Monique A. Tello, MD, MPH (http://bit.ly/2QSYMoB), in late summer 2018 by leaving bad online ratings and writing false and defamatory comments in her online profiles. Dr. Tell wrote about her experience in a blog post (http://bit.ly/2FyR1Dd) where she opened up about how difficult the process has been, and how she has found support in a community of her colleagues.
Contact us: podcasts@mdedge.com
Ray Barfied, MD, is professor of pediatrics and of Christian philosophy at Duke University. In part I of the conversation, Dr. Barfield and MDedge host Nick Andrews discussed physician burnout and Dr. Barfield’s journey back to medicine. In this episode, Dr. Barfield and Nick discuss philosophy and science.
You can listen to part I of this conversation here: http://bit.ly/2QxXAHh
Raymond Barfield, MD (http://bit.ly/2TplWVi), nearly left medicine altogether after experiencing burnout. Now, he joins the Postcall Podcast to discuss why he's back, what he's working on to prevent burnout, and how he wants to remake pre-med education.
You can read more from Dr. Barfield's story here: http://bit.ly/2R78zwn
Introducing the Postcall Podcast from MDedge. In the first edition, MDedge producer and host, Nick Andrews sits down with Lorenzo Norris, MD. Dr. Norris is the host of the MDedge Psychcast (http://bit.ly/2uWxaG6) as well as the editor-in-chief of MDedge Psychiatry and Dean at the George Washington University School of Medicine and Health Sciences.
Carol Bernstein, MD (http://bit.ly/2G1PQNJ), joins Nick Andrews once again this week to talk about physician burnout and physician suicide.
Carol Bernstein on the differences between burnout and depression and why they're important.
Nick Cuneo, MD (http://bit.ly/2PaCYnM), has found his voice in writing narrative voice in medicine. Some of his pieces explore how his ‘97 Toyota Camry taught him about empathy in practice (http://bit.ly/2SiG9vt), why doctors can’t afford to stay out of politics anymore (https://wbur.fm/2SjgeE8), and a narrative perspective on the crushing weight of collateral damage (http://bit.ly/2RpRKJ1). You can find him on Twitter, @nickcuneo
This is part II of the conversation between Nick Andrews (@tribnic) and Craig and Luis (Episode 6).
In this Episode, Nick Andrews (@tribnic) welcomes the first med student and the first muggle to join the program. Thomas Jefferson University in Philadelphia partnered with the Lantern Theater Company to offer a class that teachers staging, acting, and playwriting. The class is designed specifically for med students, current residents, attending physicians and any other medical professionals. The class eliminates hierarchy, encourages artistic exploration, and can lead to increased empathy when dealing with patients and their families. Nick, Luis, and Craig also recognize the similarities between medicine and art but also highlight what we can learn from different passions.
In this edition of the MDedge Postcall Podcast, Heather Yeo, MD, MHS (http://bit.ly/2qbGW5B), discusses how and why surgical residents are leaving their residency in favor of other specialties.
When Dr. Yeo was a resident, one of her co-residents left surgery. Dr. Yeo says that this resident was highly talented technically and on-point clinically. After this resident left, Dr. Yeo began investigating this and looking into what can be done to keep surgical trainees in surgery.
More on Dr. Yeo:
Twitter:
http://bit.ly/2SjGpLx or @heatheryoemd
Research:
(http://bit.ly/2yHqj6v)
(http://bit.ly/2AsqcNi)
(http://bit.ly/2PVWBRI)
Jaya Aysola, MD, MPH (http://bit.ly/2J65PYJ), joins Nick to talk about workplace inclusivity among genders. Dr. Aysola is an assistant professor of medicine and pediatrics at the Perlman School of Medicine. Her primary appointment in the Divisions of General Internal Medicine.
In early August 2018, Dr. Aysola and her colleagues published a qualitative narrative analysis (http://bit.ly/2R1KmDo) regarding the perceptions of the factors associated with inclusive workplaces in healthcare.
Introducing the Postcall Podcast from MDedge. In the first edition, MDedge producer and host, Nick Andrews sits down with Lorenzo Norris, MD. Dr. Norris is the host of the MDedge Psychcast (http://bit.ly/2uWxaG6) as well as the editor-in-chief of MDedge Psychiatry and Dean at the George Washington University School of Medicine and Health Sciences.
Lorenzo Norris, MD, is a dean at the George Washington University School of Medicine & Health Sciences. Dr. Norris is also the Editor-in-Cheif of MDedge Psychiatry (http://bit.ly/2zmIA9A) and the host of the MDedge Psychcast (http://bit.ly/2uWxaG6).
The Postcall Podcast comes out every Friday.