Making their return to the show are Drs. Jack West and Nathan Pennell, of City of Hope Comprehensive Cancer Center and Cleveland Clinic, respectively, this time to use the ADAURA trial as a springboard to discussing pitfalls and shortcomings of modern clinical trial designs. The trio go back and forth on control arms keeping pace with standards of care, studies mandating the ability for crossovers, and appropriate endpoints for adjuvant studies. Then, they highlight underwhelming clinical trial data that have led to FDA approvals, whether ADAURA featured a “known inferior agent” and an “inferior crossover design,” and whether ADAURA proved to be an “unethical” trial, among many other points of contention.Listen to Drs. West and Pennell’s previous episode on the ADAURA trial from 20121.https://on.soundcloud.com/VQ4vbCheck out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Join Chadi as he engages in a dynamic and informative conversation with two distinguished guests, Drs. Neeraj Agarwal and Rana McKay. In this illuminating episode, they delve into the groundbreaking research and pivotal developments in genitourinary oncology unveiled at the 2023 ASCO Annual Meeting.Dr. Neeraj Agarwal, renowned for his extensive contributions to urologic oncology, and Dr. Rana McKay, a trailblazer in advanced kidney cancer treatments, bring their wealth of knowledge and expertise to the forefront. Together, the trio meticulously dissect the most impactful findings that emerged from the conference, providing listeners with a comprehensive understanding of the latest advancements in genitourinary cancer research.Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

So much has happened since the petition against the ABIM MOC started on 7/21/2023, which is nearing 20,000 signatures. Physicians have called upon their societies and organizations to offer statements on their behalf, but only The Society for Cardiovascular Angiography & Interventions (SCAI) so far has done so. Drs. Srihari Naidu and Allison Dupont, both members and leaders of SCAI, come on the show to explain why they came up with the statement and what it means to the membership. Is there a path forward and why have other societies stayed silent thus far? Drs. Naidu and Allison Dupont offer refreshing opinions as to what might get done and what is to come after the praise that SCAI received.Learn more about the SCAI.https://scai.org/Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Making her triumphant return to the show is Urvi Shah, MD, hem/onc and multiple myeloma expert at Memorial Sloan Kettering Cancer Center, this time to shed light on how dietary considerations present a low-risk way to modify the microbiome and help prevent cancer. She opines on whether her findings on the association between diet and cancer in myeloma will be scalable in other malignancies, offers a few of her findings related to dietary habits and cancer diagnoses, describes the double standard in the ways drug vs dietary clinical trials are considered, and shares a recent publication she published on the planetary impact of dietary choices, among other discussion points.Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Dr. Wes Fisher joins the show to continue highlighting ABIM recertification and the MOC program following a petition that has gathered over 12,000 signatures to end this program. Dr. Fisher is a clinical cardiac electrophysiologist at NorthShore University HealthSystem in Evanston, IL; he is also a clinical Associate Professor at the University of Chicago Pritzker School of Medicine. Dr. Fisher is triple board-certified in Internal Medicine (Grandfathered per the ABIM), cardiology, and cardiac electrophysiology. He is due for his FOURTH re-certification in cardiology after 12/31/2023 and FOURTH re-certification in EP after 12/31/2023.The process of re-certification and MOC became a core center in Dr. Fisher’s advocacy on behalf of the physicians. He co-founded Practicing Physicians of America to advocate and educate and has done significant investigative work on the ABIM; you can see much of his writing on his blog as well as many other outlets.Why does a respected EP physician, with over 3 decades of experience and thousands of patients seen, need to do this re-certification again and pay yearly dues? Please listen to this exclusive revealing podcast and share with your colleagues.This is another ABIM-related MUST LISTEN podcast.Read more about Practicing Physicians of America.https://practicingphysician.org/join/View Dr. Fisher’s blog.https://drwes.blogspot.com/Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

A lot has been stated about the Maintenance of Certification (MOC) implemented by the American Board of Internal Medicine (ABIM,) and many physicians, regardless of specialty, have been opposed to the MOC as it adds cost, burden, and takes away from patient care. This led Dr. Aaron Goodman from UCSD to start a petition to end the MOC, which gathered unwavering support with over 10,000 signatures in 2 weeks. In response, Dr. Richard Baron, the president and CEO of ABIM, has agreed to come on the show to address the concerns raised by physicians and to answer questions that have flooded all social media channels since the petition started.What is the history of certification, recertification, and MOC? What is the “Grandfather” rule? What about data? COI? Cost? Burnout? Does the MOC really lead to better patient care? Why not stick to state-regulated CME courses? These issues are top-of-mind for a large number of physicians who are certified by the ABIM. You will not want to miss this heated, yet respectful and civil, discussion.In the podcast, there is a mention of COIs. The ABIM has provided links to their COI. https://www.abim.org/about/boards-and-committees/board-policies/financial-conflict-of-interest/and https://www.abim.org/about/boards-and-committees/board-policies/academic-conflict-of-interest/ Dr. Baron's specific COI are also listed.https://www.abim.org/about/leadership/#baronThe ABIM Board of Directors page lists all of their COIs as well. https://www.abim.org/about/boards-and-committees/governance/board-of-directors/Here is the page for all the Specialty Boards. https://www.abim.org/about/boards-and-committees/View the petition.https://www.change.org/p/eliminate-abims-moc-requirementCheck out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Kuljit Kapur, DO, MBA, hospice and palliative medicine specialist, is today’s guest of honor to bring about new perspectives and clarify some misconceptions regarding palliative and hospice care. Dr. Kapur shares her inspiration to go into palliative care and to pursue her MBA, reflects on her regular routine of home visits and how it affected her personal life, offers a way in which we can change the negative stigma around palliative care, opines on an appropriate timeline to begin palliative care in patients, explains how to manage family expectations against what is needed for patients, describes how palliative care and hospice care teams as well as reimbursements differ, and a whole lot more.Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Ilana Yurkiewicz, MD, medical oncologist and primary care physician with a focus on cancer patients, and esteemed author of the book “Fragmented: A Doctor's Quest to Piece Together American Health Care,” joins the show as today’s guest of honor. Chadi and Dr. Yurkiewicz discuss her unorthodox career path and inspiration to write the book, where the fragmentation within the healthcare system can be pinpointed (layers upon layers), the many narratives and original research she adds to the book to make the story relatable and compelling, and the low-hanging fruit that can change the system for the better, among many other things.Read more about “Fragmented: A Doctor's Quest to Piece Together American Health Care.”https://www.amazon.com/Fragmented-Doctors-Together-American-Health/dp/0393881199Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Dr. Jay Joshi, a physician, entrepreneur, and author of the book “Burden of Pain: A Physician's Journey through the Opioid Epidemic,” joins the show to share his story of how he was indicted for what was perceived as over-prescribing opioids and narcotics. He explains his unique model of primary care delivery he established, the experience of being arrested by the DEA for his practices, and the chain of events leading to indictment, plea bargaining, and a prison sentence. Dr. Joshi’s story is a snapshot of the intense twists and turns of the opioid epidemic and legal system that followed.

Read more and order “Burden of Pain: A Physician's Journey through the Opioid Epidemic.”

https://www.amazon.com/Burden-Pain-Physicians-Journey-Epidemic/dp/154453731X

Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/

Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Dr. Julie Gralow, Executive Vice President and Chief Medical Officer of ASCO (American Society of Medical Oncology,) the largest society for oncologists around the world, shares her career journey until she assumed the post of ASCO-CMO during the COVID-19 pandemic.Julie is a pioneer in global oncology and a world-renowned leader in breast cancer, being an innovator and a researcher at the Fred Hutchinson Cancer Center in Seattle for over 20 years. Her impact on the field is second to none.Dr. Gralow discusses how ASCO attempts to address hot and controversial issues in oncology in a timely and effective manner. We go over the current chemotherapy shortage and abortion rights for patients with cancer, among other topics.This episode is a must-listen for everyone in oncology; hear the most influential medical voice in oncology on behalf of our society and be inspired.View “A Day in the Life” of Dr. Gralow at the ASCO Annual Meeting.https://twitter.com/asco/status/1671578875145461774Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA