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:

May 23, 2009Podcast 44: Harlan Krumholz on new door-to-balloon-time findings.
This week we talk with Harlan Krumholz about his paper in BMJ. His team finds that the door-to-balloon-time recommendation of 90 minutes is too long and that many more lives could be saved by shortening that time. Listen to his thoughts on this.
And I’d like to listen to your thoughts, which you may send along to [email protected] or voice at 1-617-440-4374.
This week’s links:
Early and Delayed Interventions Effective in Non-ST-Segment-Elevation ACS
Costs of Reducing Residents’ Workloads Could Exceed $1 Billion Annually
Flomax Associated with Complications After Ophthalmologic Surgery
Hospitals Should Aim for ‘As Soon As Possible’ Standard for Door-to-Balloon Time
The post Podcast 44: Harlan Krumholz on new door-to-balloon-time findings. first appeared on Clinical Conversations.
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17min
May 17, 2009Podcast 43: An interview with Martha Gulati on her research into the cardiovascular risks faced by symptomatic women who have normal angiograms.
Northwestern’s Martha Gulati has just published a paper in Archives of Internal Medicine about the hazards of treating symptomatic women with normal angiograms as if they had a benign prognosis.
We’ll talk with her after a look at the news, and a reminder that you can really help Clinical Conversations with your feedback. The place to call with suggestions is 1-617-440-4374.
This week’s links:
Low-Back-Pain Interventional Guidelines Issued by American Pain Society
Geriatrics Society Changes Its Pain Management Guidelines
Clinical Prediction Tool Identifies Older Adults at Risk for Dementia
H1N1 Notes: Some Cases Without Fever; Postexposure Prophylaxis in Pregnancy
Interview link:
Elevated Risk for Adverse Outcomes in Women with CAD Symptoms and Normal Arteries
The post Podcast 43: An interview with Martha Gulati on her research into the cardiovascular risks faced by symptomatic women who have normal angiograms. first appeared on Clinical Conversations.
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16min
May 08, 2009Podcast 42: An interview with Danielle Ofri — author, editor, clinician.
We talk about writing with Danielle Ofri, editor of the Bellevue Literary Review, author of “Singular Intimacies: Becoming a Doctor at Bellevue” and “Incidental Findings: Lessons from My Patients in the Art of Medicine,” and an attending physician at Bellevue.
I figured you could do with less information about influenza. If you’ve got a reaction, call us at 1-617-440-4374 and share it.
This week’s links:
CDC news briefing
Drug-Eluting Stents Have Similar Safety Profile to Bare-Metal Stents
Singular Intimacies — Amazon link
The post Podcast 42: An interview with Danielle Ofri — author, editor, clinician. first appeared on Clinical Conversations.
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21min
May 04, 2009Podcast 41: A repeat of an interview with Dr. Anne Schuchat of the CDC on childhood immunization levels.
Your host is struggling with an overload of pollen and its attendant insults to his immune system. Or maybe it’s the dreaded swine flu. In any event, Dr. Anne Schuchat gave an interesting interview on childhood immunization levels in those halcyon pre-porcine-obsessed days of September 2008, and I’m repeating it for you this week.
This week’s links:
Institute of Medicine Calls for Steps to Limit Conflicts of Interest Among Physicians
Guidelines Recommend Against Valproate and Other Antiepileptics in Pregnancy
Flu Notes: CDC Offers Info for Patients, NYC Cluster Details – and a Name Change
Resources mentioned in the interview with Dr. Schuchat:
http://www.cdc.gov/vaccines/
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5735a1.htm
The post Podcast 41: A repeat of an interview with Dr. Anne Schuchat of the CDC on childhood immunization levels. first appeared on Clinical Conversations.
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14min
April 25, 2009Podcast 40: Tight control in type 2 diabetes — time to loosen up? A conversation with Mayo’s Victor Montori.
The Annals of Internal Medicine published an intriguing essay online last week about tight glycemic control in type 2 diabetes. Its authors argue that we’ve got it all wrong: imposing tight controls is only subjecting patients to stresses — related to the complexities and costs of treatment — that make control less likely to succeed. In addition, the supposed benefits of that control haven’t been confirmed by the available evidence. They advocate a backing-off of the current stern limits, which might make visits to clinicians feel less like a visit to the principal’s office. Listen in on a conversation with Dr. Victor Montori, one of the essay’s coauthors.
As always, you are invited to weigh in with your own thoughts. Leave us a piece of your mind at 1-617-440-4374.
This week’s links:
A Skeptical Look at Tight Glycemic Control
Resources mentioned by Dr. Montori in the interview
Additional Swine Flu Cases Found, CDC Says
FDA Allows OTC ‘Morning-After Pill’ for 17-Year-Olds
The post Podcast 40: Tight control in type 2 diabetes — time to loosen up? A conversation with Mayo’s Victor Montori. first appeared on Clinical Conversations.
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13min
April 20, 2009Podcast 39: A conversation with Kimford Meador about a new paper assessing the later cognitive effects of fetal exposure to antiepileptic drugs.
Neurologists have talked about these effects for a while, but now they’ve got evidence showing that valproate lowers IQ at age 3 by almost 10 points. Since only half the antiepileptics are used in epilepsy, the results will affect everyone caring for women of reproductive age. Kimford Meador of Emory University is here to talk with us about it.
Let me have your reactions at 1-617-440-4370. I do like hearing from listeners, if only to guide me to better content.
This week’s news and interview links:
Valproate Use During Pregnancy Associated with Impaired Cognitive Function in Offspring
Dementia Risk Increased with Earlier Episodes of Hypoglycemia
Fewer Than Half of Young, Sexually Active Women Screened for Chlamydia
Post-CAD Depression Linked to Higher Heart Failure Risk
The post Podcast 39: A conversation with Kimford Meador about a new paper assessing the later cognitive effects of fetal exposure to antiepileptic drugs. first appeared on Clinical Conversations.
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17min
April 11, 2009Podcast 38: A conversation about using PPIs in poorly controlled asthma — rather, not using them — with Robert A. Wise of Johns Hopkins.
There are lots of people with poorly controlled asthma who are on PPIs, but don’t need to be. That’s the clear implication of research just published in the New England Journal of Medicine. We’ll talk with a member of the writing committee, Dr. Robert A. Wise.
If you like what you hear, call 1-617-440-4374, and if you don’t, the number’s the same — call anyway.
Here are the principal links for this week’s podcast:
PPIs Don’t Improve Asthma Control
Exercise Training Brings ‘Modest Results’ in Heart Failure
Many Healthy Older Adults Not Being Screened for Colorectal Cancer
ACC/AHA Release Consensus Document on Pulmonary Hypertension
The post Podcast 38: A conversation about using PPIs in poorly controlled asthma — rather, not using them — with Robert A. Wise of Johns Hopkins. first appeared on Clinical Conversations.
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11min
April 04, 2009Podcast 37: A conversation with Vancouver General Hospital and the University of British Columbia’s Donald Griesdale about a meta-analysis on tight gl...
This week we talk with Don Griesdale about his meta-analysis on glucose control during intensive care. The evidence is complex, but we hope the presentation is straightforward and useful.
You’ll let us know if it isn’t, right? Just call us at 1-617-440-4374 and leave a message.
This week’s links:
Medicare Rehospitalization Data Highlight Importance of Postdischarge Care
Poor Communication in Hospital Readmissions
News from the American College of Cardiology meeting
Meta-Analysis of Tight Glucose Control in the ICU Calls Guidelines into Question
Intensive Glucose Control May Raise ICU Mortality
The post Podcast 37: A conversation with Vancouver General Hospital and the University of British Columbia’s Donald Griesdale about a meta-analysis on tight glucose control in the ICU. first appeared on Clinical Conversations.
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14min
March 30, 2009Podcast 36: Michael K. Kearney is our guest. He talks about the self-care of clinicians engaged in end-of-life care.
We’ve got an interview with the first author of JAMA‘s final installment in its series on end-of-life care. The last paper focuses on the (necessary) self-care of clinicians who care for the dying. It’s an interesting discussion.
Please call 1-617-440-4374 if you have any comments. I’ll toss them into the mix.
This week’s links:
Intensive Glucose Control May Raise ICU Mortality
Meta-Analysis of Tight Glucose Control in the ICU Calls Guidelines into Question
Joint statement from ADA and AACE
ACCF/AHA Guidelines on Diagnosing and Treating Heart Failure
Stopping Smoking in Early Pregnancy Can Reverse Its Adverse Effects
Center for Practitioner Renewal
Self-test for measuring burnout and compassion fatigue
Center for Mindfulness in Medicine
The post Podcast 36: Michael K. Kearney is our guest. He talks about the self-care of clinicians engaged in end-of-life care. first appeared on Clinical Conversations.
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23min
March 20, 2009Podcast 35: Clinical Conversations reprises an interview with Mary Tinetti about falls in the elderly.
Clinical Conversations, the podcast formerly known as Admitting Diagnosis, offers this week a reprise interview from last summer: Mary Tinetti talks about preventing falls in the elderly. Call 1-617-440-4374 to leave a suggestion. Let’s hear from you.
Links:
Prostate Cancer Screening Controversy Not Dead Yet
Diabetics and Patients over 65 Show Bigger Survival Benefit from CABG than PCI
USPSTF Updates Recommendations on Aspirin for CVD Prophylaxis
Dr. Tinetti interview
http://content.nejm.org/cgi/content/short/359/3/252
http://www.fallprevention.org/
http://nihseniorhealth.gov/
The post Podcast 35: Clinical Conversations reprises an interview with Mary Tinetti about falls in the elderly. first appeared on Clinical Conversations.
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17min

FAQs about Clinical Conversations:

How many episodes does Clinical Conversations have?

The podcast currently has 304 episodes available.