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