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เนื้อหาจัดทำโดย CommonSpirit Health Physician Enterprise เนื้อหาพอดแคสต์ทั้งหมด รวมถึงตอน กราฟิก และคำอธิบายพอดแคสต์ได้รับการอัปโหลดและจัดหาให้โดยตรงจาก CommonSpirit Health Physician Enterprise หรือพันธมิตรแพลตฟอร์มพอดแคสต์ของพวกเขา หากคุณเชื่อว่ามีบุคคลอื่นใช้งานที่มีลิขสิทธิ์ของคุณโดยไม่ได้รับอนุญาต คุณสามารถปฏิบัติตามขั้นตอนที่แสดงไว้ที่นี่ https://th.player.fm/legal
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CommonSpirit Grand Rounds/Clinical Update: Breast Cancer Screening Based on Risk Stratification
Manage episode 382927185 series 3291352
เนื้อหาจัดทำโดย CommonSpirit Health Physician Enterprise เนื้อหาพอดแคสต์ทั้งหมด รวมถึงตอน กราฟิก และคำอธิบายพอดแคสต์ได้รับการอัปโหลดและจัดหาให้โดยตรงจาก CommonSpirit Health Physician Enterprise หรือพันธมิตรแพลตฟอร์มพอดแคสต์ของพวกเขา หากคุณเชื่อว่ามีบุคคลอื่นใช้งานที่มีลิขสิทธิ์ของคุณโดยไม่ได้รับอนุญาต คุณสามารถปฏิบัติตามขั้นตอนที่แสดงไว้ที่นี่ https://th.player.fm/legal
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
110 ตอน
CommonSpirit Grand Rounds/Clinical Update: Breast Cancer Screening Based on Risk Stratification
5-Minute Clinical Update and Grand Rounds with Dr. Thomas McGinn
Manage episode 382927185 series 3291352
เนื้อหาจัดทำโดย CommonSpirit Health Physician Enterprise เนื้อหาพอดแคสต์ทั้งหมด รวมถึงตอน กราฟิก และคำอธิบายพอดแคสต์ได้รับการอัปโหลดและจัดหาให้โดยตรงจาก CommonSpirit Health Physician Enterprise หรือพันธมิตรแพลตฟอร์มพอดแคสต์ของพวกเขา หากคุณเชื่อว่ามีบุคคลอื่นใช้งานที่มีลิขสิทธิ์ของคุณโดยไม่ได้รับอนุญาต คุณสามารถปฏิบัติตามขั้นตอนที่แสดงไว้ที่นี่ https://th.player.fm/legal
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
110 ตอน
ทุกตอน
×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.…
1 Myth Busting: Is exercise = to other treatments to help depression? Do tattoos cause lymphoma? 5:55
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 Episodes Are 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…
1 Virtual Grand Rounds/Clinical Update: Fast Track Insights: Rapid Review of Impactful Articles 53:00
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…
1 Virtual Grand Rounds: Implementation of Race-Neutral GLI Equation for Pulmonary Function Tests 50:08
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…
1 Virtual Grand Rounds/Clinical Update: Game-Changing Updates in Management of Sickle Cell Disease 1:03:04
1:03:04
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1:03:04This 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...…
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