Clinical Conversations

By NEJM Group

From NEJM Journal Watch, this podcast features lively interviews, concise summaries, and expert commentary that busy clinicians need to stay current and improve patient care.... more

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FAQs about Clinical Conversations:

How many episodes does Clinical Conversations have?

The podcast currently has 304 episodes available.

Clinical Conversations episodes:

April 23, 2010Podcast 84: One year later, what have we learned from 2009 H1N1? A conversation with Richard Wenzel.
I’d forgotten that it’s only been a year since 2009 H1N1 (remember when we called it “swine flu”?) struck, but then I saw Richard Wenzel’s op-ed essay in the New York Times. Dr. Wenzel kindly agreed to a conversation, and that’s our offering this week.
Interview-related links:
Wenzel’s op-ed piece in the New York Times
CDC’s estimates of flu-attributable illness
News-related links:
PTU gets a boxed warning
False-positives in screening for lung cancer
Hospitalizations for MI have declined
If you’d like to leave a comment, we’d love to have it. Give voice to more expressive messages at 1-617-440-4374.
The post Podcast 84: One year later, what have we learned from 2009 H1N1? A conversation with Richard Wenzel. first appeared on Clinical Conversations.
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13min
April 16, 2010Podcast 83: An interview by CardioExchange’s editors on the COURAGE study
This week’s conversation introduces you to CardioExchange, a joint effort by Journal Watch and the New England Journal of Medicine to create an online community of clinicians interested in cardiovascular diseases.
Two of CardioExchange’s editors, Dr. Richard Lange and Dr. L. David Hillis, interview Dr. William Boden of the COURAGE study, and Dr. Gregg Stone, an interventionalist. The exchange of views is interesting.
Interview-related links:
The COURAGE study as it appeared in NEJM
The COURAGE “Nuclear Substudy” as it appeared in Circulation
Signing up for CardioExchange
News-related links:
White House orders change to hospital visitation policies
AHRQ’s report on the state of U.S. healthcare
Flu vaccines’ non-effect on vitamin-K antagonists
Driving with dementia
The post Podcast 83: An interview by CardioExchange’s editors on the COURAGE study first appeared on Clinical Conversations.
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31min
April 09, 2010Podcast 82: Checklists save lives — lots of lives. Becoming a clinical automaton.
Repetitive tasks, like making sure to wash your hands after seeing each patient, may seem like drudgery, but they save patients’ lives.
This week we talk with Prof. Elizabeth Robb and Sir Brian Jarman about their success at chopping hospital mortality rates with simple checklists. Sir Brian has offered to monitor your hospital’s stats for free. So give a listen.
Comments to 1-617-440-4374 or to [email protected].
Interview-related links:
BMJ article
Links to the checklists used
Physician’s First Watch summary
Prof. Robb’s You-Tube video
Dr Foster Intelligence unit at Imperial College, London
News-related links:
Fruit-and-veggie intake
Chlamydia screening
Generic losartan (Cozaar)
Childhood cancer’s aftereffects
Back-surgery conflicts
The post Podcast 82: Checklists save lives — lots of lives. Becoming a clinical automaton. first appeared on Clinical Conversations.
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25min
April 02, 2010Podcast 81: When should you start screening for type 2 diabetes?
A large-scale computer simulation based on NHANES data plotted the most cost-effective strategy, which turns out to be to start screening before middle age and to repeat every 3 to 5 years. We talk with the first author of a Lancet paper that details the findings.
Interview-related link:
Physician’s First Watch summary of the Lancet paper
News-related links:
2009 H1N1 makes an unwelcome comeback
Health care workers are undervaccinated against 2009 H1N1
Checklists lower hospitals’ mortality rates in U.K.
Dutasteride doesn’t prevent high-grade prostate tumors
Is it reasonable to spend $638,000 to prevent a single MI?
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19min
March 27, 2010Podcast 80: Bisphosphonates and atypical hip fractures — how large is the risk?
We talk with three of the academic authors of a New England Journal of Medicine study that pooled data from a few studies in an attempt to examine the possible link between use of bisphosphonates and femoral-shaft fractures.
Interview-related links:
Physician’s First Watch coverage
NEJM paper
NEJM editorial
FDA statement
News-related links:
Aspirin ineffective in preventing miscarriage
BNP-guided therapy for heart failure
Have kids at risk carry two epi-pens
Rotarix contamination
The post Podcast 80: Bisphosphonates and atypical hip fractures — how large is the risk? first appeared on Clinical Conversations.
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14min
March 19, 2010Podcast 79: Prostate cancer, patients’ consultations, and the treatments they receive
Patients who consult urologists only are more likely to get radical prostatectomy, and those who consult both urologists and radiation oncologists are more likely to get radiation. Those who see internists are more likely to receive watchful waiting. What are all these facts trying to tell us?
Our conversation is with the principal authors of a study of Medicare data that examines this issue.
This weeks interview-related link:
First Watch coverage of the prostate cancer study
This week’s news-related links:
What’s in that health-reform bill?
High-chair hazard prompts recall
ACCORD study summary
NAVIGATOR study summary
Rabies shots lowered to a total of five
American Academy of Neurology recommendations on Parkinson’s
The Journal Watch website
The post Podcast 79: Prostate cancer, patients’ consultations, and the treatments they receive first appeared on Clinical Conversations.
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16min
March 12, 2010Podcast 78: Just what are “comparative effectiveness” studies anyway?
This week, a conversation with Michael Hochman on his examination of what the major general journals publish in the way of comparative effectiveness studies. He talks about what they are and how to think about that reprint that the drug rep has just dropped off for you.
Reach us at 617-440-4374, or write to [email protected].
This week’s interview links:
Michael Hochman’s JAMA study
The accompanying editorial
This week’s news links:
Blood pressure variability and CVD risk
Elective coronary angiography’s low yield
Prostate cancer treatments after consultations
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20min
March 05, 2010Podcast 77: We revisit a conversation on treating community-acquired pneumonia according to the guidelines (and we’ve got current news).
Our attempts to get an interview with a researcher were unavailing, so we’ve gone to plan B and repeat a useful look at treating community-acquired pneumonia according to guideline recommendations.
Please leave comments and complaints at [email protected]. You can call and voice these at 1-617-440-4374.
Interview-related links:
Community-Acquired Pneumonia: Guideline-Compliant Treatment Is Better
IDSA/ATS guidelines
News-related links:
Evaluating long-term risk via glycated hemoglobin
Usefulness of aspirin in lowering risk in patients with abnormal ankle-brachial ratios
Carotid endarterectomy versus stenting in patients at high risk
Kapidex changes its name to Dexilant
The post Podcast 77: We revisit a conversation on treating community-acquired pneumonia according to the guidelines (and we’ve got current news). first appeared on Clinical Conversations.
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0min
February 27, 2010Podcast 76: On saying “No” to patients’ requests.
A conversation with the authors of an Archives of Internal Medicine study that examines the best tactics for saying “No” to inappropriate requests.
Contact me at 1-617-440-4374 or at [email protected].
Interview-related links:
Archives of Internal Medicine abstract
Atul Gawande’s New Yorker article
News-related links:
The rosiglitazone (Avandia) controversy
Advisory on thiazolidinediones
Physicians’ work hours
13-valent pneumococcal vaccine
Influenza-vaccination expansion
Group CBT for low-back pain
The post Podcast 76: On saying “No” to patients’ requests. first appeared on Clinical Conversations.
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17min
February 19, 2010Podcast 75: Which regimen for hypertension?
Patients with hypertension at risk for cardiovascular events have done better with an ACE inhibitor-calcium channel blocker combination than with the ACE inhibitor plus hydrochlorothiazide. The ACCOMPLISH investigators have now reported on their analysis of progression-of-nephropathy outcomes in their trial. We interview the first author of the analysis, Dr. George Bakris of the University of Chicago’s Pritzker School of Medicine.
Interview-related links:
NHLBI guidelines on managing hypertension
Physician’s First Watch coverage of ACCOMPLISH analysis
News-related links:
FDA warning on long-acting beta agonists
Pipe- and cigar-smoking and COPD risk
Metformin’s sometimes-offputting aroma
Health statistics on the U.S.
The post Podcast 75: Which regimen for hypertension? first appeared on Clinical Conversations.
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24min

FAQs about Clinical Conversations:

How many episodes does Clinical Conversations have?

The podcast currently has 304 episodes available.