Where is the line between what a surgeon needs to know and what technology can look up for them? On this episode of BackTable Industry, host Anish Parikh interviews Dr. Satyan Sreenath, rhinologist and skull base surgeon at Indiana University, about building operative comfort, lifelong learning, and the new role of artificial intelligence in clinical education. They discuss how surgical autonomy develops during residency, the resources that fill the gap after training, and the practical realities of staying current as technology and patient expectations evolve.

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Timestamps

00:00 - Introduction
05:48 - Graduating During the COVID-19 Pandemic
08:18 - Building Operative Comfort in Residency
12:14 - Competency Benchmarks and Board Readiness
15:27 - Educational Resources and Surgical Autonomy
19:21 - Continuing Education Routine
22:41 - Society Curricula and Hands-On Courses
27:52 - Artificial Intelligence in Practice
33:20 - Staying Current with New Technology
36:08 - Balloon Sinuplasty and Patient Expectations
38:22 - Societies, Meetings, and Closing Remarks

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More about this episode

Dr. Sreenath shares how he sets up a routine for continuing education, what he looks for in society curricula, podcasts, and hands-on courses, and why repetition and autonomy matter more than simply gathering information. The conversation covers the rise of AI in the exam room, the credibility gap when patients bring in their own research, and the value of in-person meetings and peer networks. The episode closes with practical advice on navigating new technologies, building confidence, and why surgical comfort is earned, not downloaded.

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Resources

FLEX, the Focused Lifelong Education Xperience, American Academy of Otolaryngology-Head and Neck Surgery
https://www.entnet.org/education/flex/

American Academy of Otolaryngology-Head and Neck Surgery
https://www.entnet.org/

American Rhinologic Society
https://www.american-rhinologic.org/

Rhinology Roundtable, the American Rhinologic Society podcast series
https://www.american-rhinologic.org/rhinology-roundtable-podcast

BackTable Industry Episode 96, Navigating Revenue Cycle Management Challenges in Healthcare, named on air by the guest
https://www.backtable.com/shows/industry/podcasts/96/navigating-revenue-cycle-management-challenges-in-healthcare

Outlive: The Science and Art of Longevity, Peter Attia, referenced on air by title-less mention
https://peterattiamd.com/outlive/

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Backtable Industry is the go-to podcast for healthcare leaders, business-minded providers, and innovators that are shaping the future of healthcare.
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What does a personal learning system look like when you have to build it yourself, in your first year out of training? On this episode of the BackTable Industry Podcast, host Anish Parikh sits down with Dr. Gregg Khodorov, a newly graduated interventional radiologist joining IR Centers in South Jersey after his integrated IR/DR residency at Thomas Jefferson University Hospital, to discuss the realities of keeping up with the field in early practice. They explore the transition from the structure of residency to the challenge of self-directed learning, including board preparation, endovascular simulation, tumor boards, podcasts, and the AI-powered study tools Dr. Khodorov created for himself.

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Timestamps
00:00 - Introduction
04:57 - Learning IR Beyond Textbooks
06:37 - The BackTable App as a Learning Tool
08:48 - Lectures and Tumor Boards
11:45 - AI for Learning and Literature Review
14:45 - Building a AI Question Bank from a Textbook
19:08 - Learning Modes and Resources
24:26 - Transition to Practice and Board Preparation
27:06 - Modernizing Residency Curriculum and BackTable Mondays
33:22 - Closing Remarks

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More about this episode
Dr. Khodorov describes how he organizes his learning into three domains: preparing for exams, real-time recall for clinical practice, and expanding his knowledge beyond personal experience. He shares how he uses an AI agent to summarize the latest IR literature, built a custom question bank from a textbook in under half an hour, and developed a GPT tool restricted to trusted sources. The conversation also highlights the value of group learning, such as BackTable Mondays and live case symposia, and emphasizes the importance of humility, peer networks, and ongoing innovation to stay sharp in a fast-evolving specialty.

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Resources

TREAT Symposium live cases (Mount Sinai)
https://treatsymposium.com/live-cases/

IR oral boards simulator named on air by the guest
https://oralboardssimulator.com

Thomas Jefferson University integrated interventional radiology residency
https://www.jefferson.edu/academics/colleges-schools-institutes/skmc/departments/radiology/educational-programs/residency/interventional-radiology-integrated/current-residents.html

Dr. Gregg Khodorov, guest profile
https://www.doximity.com/pub/gregg-khodorov-md

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Backtable Industry is the go-to podcast for healthcare leaders, business-minded providers, and innovators that are shaping the future of healthcare.

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How do private practice ENTs keep up with a rapidly evolving field and decide when a new technique or device is worth the investment? On this episode of BackTable Industry, host Anish Parikh interviews Dr. Christopher Gentile, a general ENT in private practice outside Atlanta, about the realities of continuing education, device adoption, and the economics of running a community practice. They talk through Dr. Gentile's broad case mix in general ENT, his approach to allergy and sleep, and how he stays current through conferences, proctored labs, podcasts, and peer-to-peer learning.

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Timestamps

00:00 - Introduction
00:46 - From Neuroscience to ENT
02:22 - The Scope of a General ENT Practice
04:50 - Running Allergy In-House
06:03 - Keeping Technique Current After Training
08:40 - Podcasts, Conferences, and State Society Meetings
10:43 - Inspire and Sleep Apnea Referral Pipeline
13:45 - Biologics and the Polyp Patient
15:14 - Realities of Device Adoption and Reimbursement
16:34 - Posterior Nasal Nerve Ablation and Payer Coverage
17:33 - Where ENT Is Headed: Sleep, GLP-1s, and Neurostimulators
19:15 - Underserved Sleep Apnea and Geographic Access
20:46 - Education Sources and Learning Intracapsular Tonsillectomy
22:22 - Adopting a New Technique
23:36 - Closing Remarks

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More about this episode

The conversation explores the friction of learning new techniques after residency, the risks of device adoption in a small practice, and what ENT really needs from industry partners. Dr. Gentile discusses how payer approval can make or break the use of new technology, why GLP-1s are changing the sleep apnea landscape, and the slow but steady process of adopting procedures like intracapsular tonsillectomy. The episode also highlights the importance of surgical training, mentorship, and building a network to support lifelong learning and better patient care.

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Resources

Dr. Christopher Gentile on LinkedIn
https://www.linkedin.com/in/christopher-gentile-bb73a951/

Otolaryngology–Head and Neck Surgery ("the White Journal")
https://aao-hnsfjournals.onlinelibrary.wiley.com/journal/10976817

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Backtable Industry is the go-to podcast for healthcare leaders, business-minded providers, and innovators that are shaping the future of healthcare.

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How is AI reshaping the way radiology residents study, dictate reports, and summarize clinical courses? BackTable co-founder Anish Parikh catches up with Dr. Sunny Murthy, a PGY-2/R1 integrated interventional radiology (IR) resident at the University of Virginia (UVA).

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More about this episode

Dr. Murthy outlines the lecture structure (morning didactics, noon case-based sessions) and a curriculum shift toward on-demand video learning via Modality, alongside books, Radiopaedia, and targeted journal use. They discuss conference learning at SIR, the role of podcasts like BackTable, and balancing information overload.

AI comes up in both clinical workflows (Epic-generated hospital-course summaries that can be wrong) and education (Claude/Notion for organizing study), with debate about limiting AI for trainees versus preparing for future practice. The resident explains learning procedures across multiple devices, relying on techs, industry training and exhibit halls, and notes receiving a resident teaching award while emphasizing the need for better IR exposure and simulation-based training content.

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Resources

Fundamentals of Body CT
https://www.us.elsevierhealth.com/fundamentals-of-body-ct-9780323608329.html

Journal of Vascular and Interventional Radiology
https://www.jvir.org/

CardioVascular and Interventional Radiology
https://www.cvironline.org/

---

Backtable Industry is the go-to podcast for healthcare leaders, business-minded providers, and innovators that are shaping the future of healthcare.

Download the free BackTable app to get early access to new episodes.
► https://www.backtable.com/app

Is print medical literature officially dead, or are we just drowning in a digital sea of unread journal articles? On this episode of the BackTable Industry Podcast, host Anish Parikh sits down with Dr. George Koch, an attending reconstructive urologist at The Ohio State University and early career editor for the Journal of Urology, to discuss the realities of staying clinically current in a rapidly evolving field. They explore how digital platforms, subspecialty meetings, and peer mentorship are shaping the future of education, collaboration, and device adoption in reconstructive urology.

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https://www.backtable.com/app

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Timestamps

00:00 - Introduction
02:55 - Embracing Multiple Learning Platforms
04:13 - Staying on Top of New Literature
08:26 - Behind the Scenes: Editorial Insights
11:44 - Rise and Fall of “UroTwitter”
15:50 - GURS Meeting Value
21:49 - Pathways to Device Adoption
25:53 - Decoding Industry Signal and Noise
29:16 - Closing Remarks

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More about this episode

Dr. Koch emphasizes that while podcasts serve as an excellent supplement, staying clinically current requires a multi-medium approach. He highlights the immense clinical value of Genitourinary Reconstructive Surgeons (GURS) meetings for practical surgical techniques and video reviews, contrasting them with the broader American Urological Association (AUA) sessions that tend to spark academic research questions. He reflects on the shift from print to digital journal alerts, the decline of the once-vibrant "UroTwitter" community, and how peer trust, rather than marketing noise, dictates the clinical adoption of new medical devices and biologics.

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Resources

Kerecis Fish Skin Graft Study
https://pmc.ncbi.nlm.nih.gov/articles/PMC11015860/

Optilume Clinical Trials
https://www.laborie.com/news/laborie-announces-first-procedures-in-endure-1-study-with-the-optilume-ureteric-drug-coated-balloon/

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Backtable Industry is the go-to podcast for healthcare leaders, business-minded providers, and innovators that are shaping the future of healthcare.

Download the free BackTable app to get early access to new episodes.

► https://www.backtable.com/app

How do you protect your time, stay current, and thrive after leaving academic medicine for private practice in a fast-evolving allergy and immunology specialty? In this episode of BackTable Industry, host Anish Parikh talks with Dr. Basil Kahwash, an allergist-immunologist, about his journey from internal medicine training through academic medicine at Vanderbilt and back to community practice in Columbus. They discuss the challenges of protecting time, adapting to higher patient volumes, and staying up to date as allergy and immunology rapidly evolve.

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https://www.backtable.com/app

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Timestamps

00:00 - Introduction
02:57 - Academics vs. Private Practice
08:30 - From Evidence to Practice
10:53 - Staying Current Online
13:23 - Group Chats and Timing
16:40 - Posting and Info Quality
25:05 - AI Decision Support
27:00 - Patients Using ChatGPT and Closing Remarks

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More about this episode

Dr. Kahwash contrasts academia’s structured time for teaching and research with the demands of private practice, where non-clinical work requires deliberate effort. He highlights the field’s recent shifts, including the rise of oral immunotherapy and biologics, and explains how he keeps pace with new developments through CME, journals, online platforms, and group chats. The conversation explores the pros and cons of information democratization, the impact of AI decision support, and the growing trend of patients arriving with ChatGPT-informed questions. Dr. Kahwash also discusses the integration of allergy and ENT practices and shares practical advice for clinicians navigating a fast-changing specialty.

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Backtable Industry is the go-to podcast for healthcare leaders, business-minded providers, and innovators that are shaping the future of healthcare.

Download the free BackTable app to get early access to new episodes.

► https://www.backtable.com/app

The transition between residency or fellowship to clinical practice can be a big jump, especially when it comes to keeping up with new data and independently making decisions with patients. In this episode of BackTable Industry, Anish Parikh hosts medical oncologist Dr. Kate Baker shares her experience managing a broad range of patients, from solid tumors to benign and malignant hematology.

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Timestamps
00:00 - Introduction
01:29 - From Fellowship To Practice
05:01 - Nuances of Oncology Practice & Keeping Up-To-Date with New Data
07:47 - What Counts As Practice Changing
13:51 - Information Flow Between Pharmaceuticals & Physicians
17:10 - Early Career Admin Advice

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More about this episode
Dr. Baker describes oncology’s clinical nuances, the need to tailor discussions with patients on survival data during decision-making, and the challenge of staying current with real-time information. To maintain agility in the field, she attends disease-state specialist meetings, focusing on practice-changing evidence before considering adopting new treatments. She also emphasizes consulting colleagues via tumor boards and reaching out to experts for complicated cases when patients don’t fully fit the guidelines.

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Resources
DESTINY-Breast05
https://www.nejm.org/doi/full/10.1056/NEJMoa2514661

---

Backtable Industry is the go-to podcast for healthcare leaders, business-minded providers, and innovators that are shaping the future of healthcare.

Download the free BackTable app to get early access to new episodes.
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Are academic medical conferences falling short when it comes to preparing clinicians for the unpredictable realities of modern surgery and patient care? In this episode of BackTable Industry, co-founder Anish Parikh interviews Dr. Ruchika Talwar about the real-world challenges traditional conferences often overlook and how informal, peer-to-peer exchanges like those at Creator Weekend™ in Nashville bridge the gap.

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---

Timestamps

00:00 - Introduction
02:37 - Why Conferences Miss It
06:35 - From Training to Practice
08:10 - On Call Reality Check
10:39 - Learning With Videos
14:44 - Keeping Up With New Info
16:37 - Rise and Fall of Urology Twitter
19:27 - Lifelong Learning and Patients
25:44 - CME and Med Ed Revolution
28:30 - Closing Thoughts

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More about this episode

Together, they unpack what it really takes to bring new NMIBC therapies into clinical practice, from navigating approval barriers and staffing challenges to managing workflow and operational details. Dr. Talwar shares insights on moving from training to independent practice, navigating on-call emergencies with quick learning tools like surgical videos and residency notes, and building patient-centered approaches beyond rigid guidelines. The conversation also explores how surgeons use their own "game tape" to improve, the rise and fall of online medical communities like MedTwitter, and the evolving landscape of CME and lifelong learning for today’s physicians.

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Resources

Hinman’s Atlas of Urologic Surgery
https://www.clinicalkey.com/#!/browse/book/3-s2.0-C20210026651

American Urologic Association Guidelines & Video Bank
https://www.auanet.org/guidelines-and-quality/guidelines

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Backtable Industry is the go-to podcast for healthcare leaders, business-minded providers, and innovators that are shaping the future of healthcare.

Download the free BackTable app to get early access to new episodes.

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Discover how modern physicians are secretly swapping out old medical textbooks for Google and AI tools like Gemini to prep for your next surgery. On this episode of BackTable Industry, Anish Parikh talks with Dr. Chris Beck about being eleven years out of training, and how his learning focus has shifted from seeking the single “right” cutting-edge answer to optimizing patient care with available tools and resources.

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Timestamps

00:00 Introduction
03:54 Finding Your Way as an Attending
06:26 Internet Prep Habits
12:28 Keeping Up in the Field
21:13 IR Culture MacGyver
26:44 Wrap Up Thanks

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More about this episode

He describes realizing he had become a mid-career physician when younger partners began calling him for advice, despite his own imposter syndrome. They discuss how he prepares for infrequently performed or new procedures—using “phone a friend,” targeted Google searches, specific journals like Techniques in Vascular and Interventional Radiology, SIR’s Digital Video Library, and AI tools such as Open Evidence —while being discerning about sources. Baxter explains overlap between specialties (e.g., double-J ureteral stents), variability between devices and when reps or formal training like cadaver labs are needed, and how IR’s broad, evolving scope fosters a MacGyver-like, information-sharing culture.

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Resources

Open Evidence
https://www.openevidence.com/

Techniques in Vascular nad Interventional Radiology
https://www.sciencedirect.com/journal/techniques-in-vascular-and-interventional-radiology

Digital Video Library of the Society of Interventional Radiology (SIR)
https://www.youtube.com/c/SocietyofInterventionalRadiology

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Backtable Industry is the go-to podcast for healthcare leaders, business-minded providers, and innovators that are shaping the future of healthcare.

Download the free BackTable app to get early access to new episodes.
► https://www.backtable.com/app

Are your patients looking for a nonhormonal option? Digital contraception could be the answer. In this episode of the BackTable Podcast, urologist Dr. Ruchika Talwar sits down with Dr. Kerry Krauss, an OBGYN and Senior Medical Advisor at Natural Cycles, to discuss the evolving landscape of digital health tools in women's reproductive care.

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https://www.backtable.com/app

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This podcast is supported by

Natural Cycles
https://www.naturalcycles.com/

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Timestamps

01:29 - Introduction
03:02 - Contraception Pain Points
06:16 - Natural Cycles Origin
09:46 - How The App Works
12:44 - Effectiveness And Variability
15:18 - Ideal Users And Red Days
17:34 - Modes Beyond Birth Control
19:19 - Clinical Insights From Data
22:04 - Future And Privacy
24:31 - Counseling And Adoption Tips
27:19 - Conclusion

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More about this episode

Dr. Krauss shares her journey into tech and wearables and provides insights into the functionality, effectiveness, and future prospects of Natural Cycles, a digital contraceptive app. The discussion covers the utility of basal body temperature tracking, the unique features of the Natural Cycles algorithm, and real-world applications and user experiences. They also explore the broader implications and potential surrounding the integration of digital health tools into patient care, emphasizing the importance of meeting patients where they are.