Gastro Broadcast

Dr. Fred Rosenberg interviews Harold Miller, president and CEO of the Center for Healthcare Quality and Payment Reform, national policy center that works to improve healthcare payment and delivery systems.

Mr. Miller discusses how our current health care model encourages consolidation and the challenges this creates for private practice physicians.

Join Dr. Rosenberg and Mr. Miller as they explore different types of healthcare payment models, including a Patient-Centered Payment System, which would allow for patients to receive the services that will best address their specific health problems, and for physicians to receive adequate resources to support the cost of delivering services in a high-quality, efficient manner.

Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC

Original score by Hayden Margolis

Gastro Broadcast, Episode 46

Dr. Lisa Mathew interviews Giselle Carlotta-McDonald, who is the executive director of Project Access-New Haven, which employs community health workers to address colorectal cancer (CRC) screening disparities among Connecticut residents, particularly in African American and Latino communities.

Project Access has been successful at reducing the CRC screening no-show rate through community health workers, who have trusted relationships and connections, understand the barriers and know how to navigate the various health care and insurance systems in the area.

Join Dr. Mathew and Ms Carlotta-McDonald to hear how Project Access is addressing barriers to screening, such as lack of access to a computer or the internet, transportation hardships, language barriers, and other social determinants that can have an impact on colorectal cancer screening.

Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC

Original score by Hayden Margolis

Gastro Broadcast, Episode 45

For Colorectal Cancer Awareness Month, Dr. Fred Rosenberg interviews Dr. Abdul Saied Calvino, a surgical oncologist at Roger Williams Medical Center in Providence, Rhode Island and assistant professor of surgical oncology at the Boston University Chobanian and Avedisian School of Medicine.

Dr. Calvino helped develop a program to increase colorectal cancer (CRC) screening and care tailored specifically to the Latino community in an effort to increase education and access to CRC screening. Spanish-speaking patient navigators were hired to help educate people about insurance concerns, guide them through the health care system and the process of getting a screening colonoscopy.

The national colonoscopy completion rate for Hispanic adults is between 40 and 50 percent, yet Dr. Calvino's program saw a colonoscopy completion rate of 85 percent among both men and women.

Join Dr. Rosenberg and Dr. Calvino as they explore how independent GI practices can implement similar programs to improve education and outreach in their own communities and increase CRC screening rates among Latino men and women.

Many independent GI practices are familiar with the effects of physician burnout, which has become an epidemic in the U.S. health care system. Almost two-thirds of physicians have reported signs of burnout such as emotional exhaustion and a decrease in satisfaction with work-life integration at least once per week.

Dr. Fred Rosenberg interviews Rachel Kanarowski, founder of Year of Living Better, an organization that uses evidence-based well-being solutions to transform workplaces from systems that increase stress to systems that enhance well-being

While many factors contribute to burnout, it is often associated with system inefficiencies, administrative burdens and increased regulation and technology requirements.

Join Dr. Rosenberg and Ms. Kanarowski as they explore ways that physicians can recognize signals from their parasympathetic nervous system and develop self care tools to address stress and burnout in their daily work lives.

Dr. Lisa Mathew interviews Dr. Vasu Appaleneni, who is a practicing gastroenterologist at Dayton Gastroenterology, and executive vice president of clinical innovation at One GI, a physician-led managed services organization.

Dr. Appaleneni knew she would become a physician from an early age, and her entrenpreneurial led her to private practice gastroenterology, where she is able to care for patients, be a business owner, and provide employment opportunities in her community. Her interest in the business of healthcare led to her being involved in Dayton Gastroenterology merging with other local groups, and eventually in the partnership with One GI.

Join Dr. Mathew and Dr. Appaleneni to hear how these experiences influenced her decision to pursue an executive MBA and why she thinks a business degree is something independent GI physicians should consider.

Dr. Rosenberg interviews Jenny Harrison, who is the director of communications of Girls with Guts, a non-profit organization that supports and empowers women with inflammatory bowel disease and/or ostomies.

Ms. Harrison provides her inspiring story of living with IBD as a teenager, and why she joined Girls with Guts on its mission to give all women with IBD the strength to find their confidence, and keep it, despite having IBD or an ostomy.

Join Dr. Rosenberg and Ms. Harrison as they talk about her work to establish a national support network that assists women in their search for community, acceptance, and empowerment. Learn how independent GI practices can connect their patients with the resources provided by Girls With Guts.

Dr. Michael Weinstein interviews Dr. Prasad Iyer about new approaches to screening patients and detecting earlier stages of Barrett’s esophagus and associated dysplasia that can prevent esophageal cancer.

Dr. Iyer is director of the esophageal interest group in the division of gastroenterology and hepatology at the Mayo Clinic in Rochester, where he is active in research and education and providing mentorship to residents and subspecialty fellows.

Join Dr. Weinstein and Dr. Iyer as they explore how screening for Barrett’s esophagus can be made more accessible, less expensive and what role providers can play in helping patients get screened.

Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC

Original score by Hayden Margolis

Gastro Broadcast, Episode 40

Dr. Naresh Gunaratnam interviews Dr. Justin Forde about what GI fellows are focused on and thinking about as they begin their careers and what innovations they may bring into the organizations they join.

Dr. Forde is Chief Gastroenterology Fellow at the University of Miami/Jackson Health System and an advanced endoscopy fellow at the University of Florida.

Join Dr. Gunaratnam and Dr. Forde for an informative look into how the GI leaders of tomorrow are navigating their career choices and their might shape the future of gastroenterology

Dr. Michael Weinstein interviews Dr. Lindee Goh, who leads the healthcare practice with Tapestry Networks, an organization that brings together health care industry leaders to learn from one another, explore new ideas, and collaborate to solve problems working across the public and private sectors.

Dr. Goh co-directs the Inflammatory Bowel Disease Shared Value Initiative, a collaboration with providers, payers, industry leaders, patient advocacy organizations, and others to explore how consensus-based value frameworks and enhanced learning platforms can accelerate value-based care and new alternative payment models.

Join Dr. Weinstein and Dr. Goh as they explore how different industry sectors are coming together to find innovative ways to solve challenges within the U.S. health care system.

Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC

Mixed and mastered by Hayden Margolis

Gastro Broadcast, Episode 38

Two out of five GI fellows are women but account for less 18 percent of practicing gastroenterologists and the number of women in leadership positions is even lower. Dr. Anita Afzali and Dr. Aline Charabaty share their experience in gastroenterology with host Lisa Mathew and discuss their plans to address some of the challenges women face in medicine .

Dr. Charabaty is the assistant clinical director of the GI Division at Johns Hopkins School of Medicine and clinical director of the Inflammatory Bowel Diseases (IBD) Center at Johns Hopkins-Sibley Memorial Hospital.

Dr. Afzali is a professor of clinical medicine and a gastroenterologist at the University of Cincinnati College of Medicine where she also serves as the executive vice chair of medicine. She is also associate chief medical officer at UC Health System and Cincinnati Children’s Hospital.

In their free time, Dr. Afzali and Dr. Charabaty founded Scrubs & Heels, to create opportunities for women in GI at different stages of their GI career – from fellows to early career to seasoned gastroenterologists – to help them succeed and achieve their professional goals, whether being leaders in their institutions or group practice or GI societies, heading editorial boards or building their own enterprise.

Join Dr. Mathew, Dr. Afzali and Dr. Charabaty to hear about the first Scrubs & Heels Summit that was held earlier this year, and what they have planned for the future.