General Medicine and Primary Care

Host: Brian P. McDonough, MD, FAAFP

Host Dr. Brian McDonough is joined by Dr. Arthur Caplan, the Drs. William F. and Virginia Connolly Mitty Professor of Bioethics and Director of the Division of Medical Ethics at New York University's Langone Medical Center. Their topics of discussion include technological advancements, changes in care across the age spectrum, and medicolegal issues in modern practice management.

Host: Brian P. McDonough, MD, FAAFP

Host Dr. Brian McDonough welcomes Dr. Brian McGowan, Chief Learning Officer of ArcheMedX, Inc, to discuss the educational, logistic, and communicative opportunities for clinicians who utilize both traditional and novel social media networks.

Host: Brian P. McDonough, MD, FAAFP

Depression is one of the most frequently encountered problems in primary care, accounting for approximately 10% of all patient visits. How should generalists approach diagnosis and treatment options for patients with depression? Joining host Dr. Brian McDonough to speak on this important topic is Dr. Paul Doghramji, Attending Physician in Family Practice and Physician Advisor at Pottstown Memorial Medical Center, as well as Medical Director for health services at Ursinus College in Collegeville, PA.

Host: John Russell, MD

San Francisco's Laguna Honda Hospital is the last almshouse in the country, a descendant of the Hôtel-Dieu (God's Hotel) that cared for the sick in the Middle Ages. Ballet dancers and rock musicians, professors and thieves - "anyone who had fallen, or, often, leapt, onto hard times" and needed extended medical care - ended up there. Dr. Victoria Sweet ended up there herself, as a physician. And though she came for only a two-month stay, she remained for twenty years.

God's Hotel tells the story of a hospital, which - as efficiency experts, politicians, and architects descended, determined to turn it into a modern "health care facility" - revealed its truths about the cost and value of caring for body and soul.

Host: Brian P. McDonough, MD, FAAFP

As more hospitals and primary care settings move toward standardizing electronic medical records and automated physician order entry systems, the roles of the pharmacist in direct patient care are starting to become more visible. Dr. Joeseph Garbarino, Pharm.D, Clinical Pharmacy Manager at Mercy Philadelphia Hospital in Philadelphia, PA, talks about novel opportunities for heightened collaborations between physicians and pharmacists in today's clinical practice.

Host: Brian P. McDonough, MD, FAAFP

Allergic complaints in primary care settings are sometimes more than they appear, raising the importance of good diagnostic criteria for other underlying problems. Joining Dr. Brian McDonough for an in-depth discussion of allergy in the general and specialized practice levels is Dr. Will Sheppard, a board certified Otolaryngologist/ Head and Neck Surgeon and a Fellow of the American Academy of Otolaryngic Allergy. His practice includes medical and surgical management of ear, nose, and throat disorders of pediatric and adult patients.

Host: Brian P. McDonough, MD, FAAFP

The Patient-Centered Medical Home: it may be a novel concept in practice, but it draws from ideals that are well known to all practitioners. In this discussion with host Dr. McDonough, Dr. Richard Snyder, a family physician and senior vice president and chief medical officer for Independence Blue Cross (IBC) in Philadelphia, provides his dual perspective on Patient-Centered Medical Homes from both clinical and insurance company settings.

Host: Brian P. McDonough, MD, FAAFP

Over the course of his storied career in emergency medicine at the University of Alberta, Dr. Louis Hugo Francescutti has made it his mission to raise awareness of public safety and to promote injury prevention. Moreover, he has also become an internationally recognized figure in preventive care, lecturing frequently on the social determinants of health. In this discussion with host Dr. Brian McDonough, Dr. Francescutti focuses on ways in which medical professionals can begin to shift treatment paradigms from "disease care" to "health care," and the enormous cost benefit this will bring to modern healthcare systems.

Host: Peter S. Jensen, MD

What are the guidelines from the American Academy of Pediatrics? And, how do we implement these guidelines in our clinical settings? Laurel Leslie, MD joins host, Peter Jensen, MD. Dr. Leslie specializes in the identification and treatment of children with ADHD in primary care settings, and the use of psychotropic medication on children. Dr. Leslie is a Development-Behavioral Pediatrician at Floating Hospital for Children at Tufts Medical Center, and serves as an assistant professor at Tufts University School of Medicine. She is board certified in Pediatrics and Developmental-Behavioral Pediatrics.

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Host: Peter S. Jensen, MD

Depression in children and teenagers is a common problem and the statistics of depression in this group is very high approximately 15%. Host Dr. Peter Jensen welcomes Dr. John Huxsahl to discuss the EMERALD project, which is innovative care team model at Mayo Clinic that includes a psychiatrist, registered nurse, behavioral health manager, and social worker. The EMERALD projects is designed to help primary care physicians become more comfortable in identifying and diagnosing depression in adolescent patients and in managing their care. Dr. Huxsahl explains the importance of monitoring symptoms of depression in the primary care offices, reviewing medications and adverse effects and setting behavioral activation goals. Dr. Huxsahl is an Assistant Professor of Psychiatry, Head of Child and Adolescent Psychiatric Services and the Director of Child Mood Disorders Clinic at Mayo Clinic.