General Medicine and Primary Care

General Medicine and Primary Care

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General Medicine and Primary Care episodes

  • Breaking Inter-Generational Cycles of Disease Determinism: The DOHaD Project
    Host: Matt Birnholz, MD

    "We are what our parents and grandparents ate, and how they lived," says Dr. Mark Hanson, Director of the Academic Unit of Human Development and Health at the University of Southhampton in the United Kingdom. This chilling but increasingly recognized prospect concerning intergenerational passsages of disease risk helped found the Developmental Origins of Health and Disease (DOHaD) study, a worldwide collaboration aimed at better understanding environmental to genetic determinants of health across multiple generations. In this discussion with host Dr. Matt Birnholz, Dr. Hanson highlights the science behind broadening our scope of individualized care to include both past and future generations of each patient.

    0 min
  • What is the Safety of Statins in Patients with Diabetes?
    Host: Alan S. Brown, MD, FACC, FAHA, FNLA
    Guest: Kevin C. Maki, PhD, FNLA, CLS

    At the most recent National Lipid Association (NLA) meeting, host Dr. Alan Brown welcomes Kevin Maki, PhD, FNLA, CLS, Chief Science Officer for Midwest Center for Metabolic and Cardiovascular Research and Adjunct Faculty position in Biostatistics and Applied Epidemiology at DePaul University, Chicago, IL. Drs. Brown and Maki discuss the evidence of the relationship of statin use and risk of new onset of diabetes; as well as, the relationship of statin use and the possiblity of worsening glycemia in those patients who have diabetes. What are the conclusions? What should clinicians be screening for?

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    13 min
  • A Synopsis of the ACC/AHA Risk Assessment and Cholesterol Guidelines
    Host: Alan S. Brown, MD, FACC, FAHA, FNLA
    Guest: Anne Goldberg, MD

    Host Dr. Alan Brown is joined by Anne Goldberg, MD, Associate Professor of Medicine at Washington University School of Medicine and a member of the ACC/AHA Blood Cholesterol Guidelines Panel. Dr. Goldberg will provide a review of the panel assembled by National Heart, Lung, and Blood Institute to construct integrated guidelines for cardiovascular risk reduction. She will also address the controversy regarding the ACC/AHA recently published risk assessment and cholesterol guidelines.

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    18 min
  • The Utility of Medical History in Clinical Training
    Host: Matt Birnholz, MD

    What can in-depth exploration of medical history topics teach and inform us about current trends in clinical practice? Dr. Peter Marcus, Associate Clinical Professor of OB/GYN at Yale University School of Medicine, joins Dr. Matt Birnholz to discuss various ways in which scholarship in medical history fosters greater aptitude for patient care.

    14 min
  • The Menace of Multitasking in Clinical Practice
    Host: Mimi Secor, DNP, FNP-BC, FAANP

    Modern clinical practice places high value on the skill of multitasking. Yet recent date indicate that multitasking leads to increased errors and decreased productivity. To better understand how multitasking impacts patient safety and personal wellbeing, host Mimi Secor welcomes Dr. Joanne Perron, Co-Chair of ACOG's District IX Committee on Physician Work-Life Balance. Dr. Perron lectures extensively on traditional and novel mindfulness practices to mitigate burnout among the medical community.

    14 min
  • National Lipid Association Recommendations for Patient-Centered Management of Dyslipidemia
    Guest: Carl Orringer, MD, FACC, FNLA
    Guest: Kevin C. Maki, PhD, FNLA, CLS
    Host: Alan S. Brown, MD, FACC, FAHA, FNLA
    Guest: Harold Bays, MD, FNLA
    Guest: Matthew Ito, PharmD, FNLA

    Host Dr. Alan Brown is joined by an expert panel to discuss the NLA's latest draft document that will serve as recommendations to clinicians for the management of patients with dyslipidemia. The National Lipid Association's goal was to harmonize guidelines among what has been presented in the past by the ATP panel, the American College of Cardiology/American Heart Association Guidelines, and those also released in 2013 by the International Atherosclerosis Society. The NLA reaffirms the importance of understanding targets of treatment and goals for patients.

    Our expert panelists:

    • Harold Bays, MD, FNLA - Medical Director and President of Louisville Metabolic and Atherosclerosis Research Center; co-author of the National Lipid Association Recommendations for Patient-Centered Management of Dyslipidemia and co-author of the American Society of Bariatric Physicians Obesity Algorithm
    • Matthew Ito, PharmD, FNLA - Professor of Pharmacy Practice and Director of the Cardiovascular Pharmacodynamics Laboratory at Oregon State University/Oregon Health & Science University; member of the National Lipid Association Expert Panel on the Diagnosis and Treatment of Familial Hypercholesterolemia and the Recommendations for Patient-Centered Management of Dyslipidemia
    • Carl E. Orringer, MD, FACC, FNLA - Associate Professor of Medicine, Cardiology Division at the University of Miami Medical Center; Editorial reviewer and faculty …
    30 min
  • Controversies in Breast Feeding Education and Advocacy
    Host: Brian P. McDonough, MD, FAAFP

    Dr. Brian McDonough welcomes Dr. Nancy Fan, practicing OB/GYN at Saint Francis Hospital in Wilmington, DE and current Chair of the School Health Committee for the Medical Society of Delaware, to discuss challenges and controversies surrounding breast feeding recommendations in maternity care practice.

    14 min
  • On the Art of Caring
    Host: Maurice Pickard, MD

    Host Dr. Maurice Pickard welcomes author, Richard Colgan, MD, Professor of Family and Community Medicine at the University of Maryland School of Medicine. In this second interview, Dr. Colgan highlights the importance of developing the personal skill sets beyond the technical skills taught in medical school and residency, such as communicating with patients, having empathy, and being respectful.

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    15 min
  • How to Help Family Caregivers
    Host: Maurice Pickard, MD

    Patients who receive care from close family members are on the rise; however, the needs of family caregivers are often neglected. Host Dr. Maurice Pickard welcomes Joanne Lynn, MD, Director of the Center for Elder Care and Advanced Illness at the Altarum Institute to discuss strategies clinicians can use to ease the various physical, emotional, and financial burdens for family members who take on caregiving roles.

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    15 min
  • Advice to the Healer: On the Art of Caring
    Host: Maurice Pickard, MD

    The healing professions have an ancient and venerable tradition of service, honor, and humanism that is often communicated from teacher to student in anecdotes and bits of wisdom told quickly in passing. In his book, Advice to the Healer: On the Art of Caring, Dr. Richard Colgan, Professor of Family and Community Medicine at the University of Maryland School of Medicine, expertly gathers together this type of valuable information in one place. Joining host Dr. Maurice Pickard, this discussion features biographies of historical luminaries in medicine, tales from everyday practice, inspirational quotes, and advice for new and veteran healers alike.

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