Lab Medicine Rounds

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., and Rondell Graham, M.B.B.S., delve into the critical decisions involved in contemplating a role on the staff at the institution where you receive your training.

Timestamps:
00:00 Introduction
01:25 Why did you decide to take a job at the institution where you finished training?
03:35 Things to think about when accepting a job

07:27 What to focus on during interviews
11:37 Importance of early years
16:58 How do you learn about updates in medicine?
20:35 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., engages in a compelling conversation with Lindsey Randall, a third-year medical student, as they discuss her experiences and insights in the role of a teaching assistant. 

00:00 Introduction
01:05 Why did you decide to get involved in teaching in the first place?
02:07 You’ve been teaching in this course, but how has your learning been from this experience of teaching?
05:45 Do you have any thoughts about what you’ve learned about chunking information and sequencing information?
08:01 Could you elaborate on your approach for writing those questions?
10:25 You don’t shy away from questions where there is clearly a “best answer.” Could you talk on why you’ve included those questions intentionally? 
13:14 How do you handle those moments when you don’t know an answer? 
15:45 What advice do you have for those listening who may be interested in developing their teaching skills?

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., along with the Lab Medicine Rounds podcast team share their experience on starting an educational podcast and reflecting on past episodes.

Timestamps
00:00 Introduction
01:02 Rick: How did the podcast start up? What was the genesis, how did this all start?
03:05 Dr. Kreuter: How does this work around the podcast all come together? And what’s most surprising about it?
07:03 Rick to Dr. Kreuter: From your standpoint, what do you have to do to prepare for a podcast?
08:48 Rick: What was the overall goal or mission statement of the podcast when you started?
11:14 Rick: What are your takeaways, funny things, things that Dr. Kreuter does that annoys you, or what do you look forward to?
14:02 Dr. Kreuter to Rick: Can you share some of the pointers you give to presenters before we begin recording?
18:15 Rick: What do you think is different from when we started, the first one we did here in this studio, to the 99th one we just finished?
21:18 Rick to Dr. Kreuter: What does the future of the Lab Medicine Rounds podcast hold?
23:57 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Alex Klobassa, assistant supervisor for transfusion medicine in the Department of Laboratory Medicine and Pathology at Mayo Clinic, to discuss nurturing our laboratories. 

03:38 Challenges to nurturing laboratory teams.

02:39 Takeaways from nurturing laboratory teams.

07:42 Creating programs to support laboratory staff.

14:21 Ways to improve our laboratories.

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Jansen Seheult, M.B., B.Ch., B.A.O., M.D., assistant professor of laboratory medicine and pathology in the Division of Hematopathology, to discuss heterophile antibodies and HIL, which are considered by some to be analytical errors and by others to reflect patient-related pre-analytical variables.

Timestamps:
00:00 Introduction
00:40 Role of pre-analytical variables for coagulation testing
03:25 Common pre-analytical variables to be aware of
07:49 Medical community collaboration to mitigate patient-related issues
11:51  Share about an intervention that was tried and how that worked out
14:10 Future of coagulation testing
16:34 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Timothy Wiltshire, Ph.D., assistant professor of laboratory medicine and pathology in the Division of Transfusion Medicine, to discuss what’s new with CAR-T cells.
 
Timestamps:
0:00 Introduction
0:49 Why is CAR-T important for healthcare folks to appreciate in 2023?
3:05 What should healthcare professionals understand about CAR-T?
4:55 Is it true to say that we’ve seen success specifically in the hematologic cancers like leukemias, but not necessarily like the solid tumors, like breast cancer or prostate cancer?
7:27 Are there a few things that you look for when you read an article that’s reporting about CAR-T cells?
10:24 Can you explain what off-target effects are? 
11:46 What are some of the new things that have come out recently?
13:24 What’s involved with creating your typical CAR-T?
14:58 What are your thoughts on the future for the field?
16:22 Is this a more equitable product or are there still some struggles with getting equity for different populations with CAR-T?
17:25 Is the promise of an off-the-shelf not just for an emergency, but could that be a cheaper option?
18:00 Outro 

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Robert Fazzio, M.D., Ph.D., assistant professor of radiology and chair of the Division of Breast Imaging at Mayo Clinic in Rochester, Minnesota.

Timestamps:
0:00 Introduction
1:05 The importance for pathologists to understand the fundamentals of breast imaging.
2:40 Reading the comments and the roles they play in the pathology report.
4:30 Aspects of breast imaging that pathologists should appreciate.
6:45 Interpreting the level of suspicion.
8:00 Modalities for imaging used (ex. Mammograms, ultrasound, MRI)
9:20 Interprofessional collaboration
13:00 Preparation for trainees and various workflows
15:20 Future of breast imaging
18:30 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Allan Jaffe, M.D., a consultant in the Department of Laboratory Medicine and Pathology at Mayo Clinic, about cardiac troponins and checkpoint inhibitors. Dr. Jaffe is also the Wayne and Kathryn Preisel Professor of Cardiovascular Disease Research, professor of laboratory medicine and pathology, and professor of medicine in the Mayo Clinic College of Medicine and Science.

 
Discussion includes:

00:47 Introductory background on checkpoint inhibitors and cardiac troponins.

15:12  Challenges with recognizing immune checkpoint inhibitor-associated myocarditis.
19:28  Key takeaways for how laboratory professionals can support these patients.

19:28 Considerations of questions that are top of mind when tackling these issues.

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Jeff Meeusen, Ph.D., assistant professor of laboratory medicine and pathology and clinical chemist in the Division of Clinical Core Laboratory Services for the Department of Laboratory Medicine and Pathology at Mayo Clinic, who discusses a forthcoming guidance document on lipid testing. 

Discussion includes:

00:59 Importance of guidance document for lipid testing.

03:30 Key takeaways for laboratory professionals utilizing the guidance document.

09:20 Challenges with implementing a guidance document.

12:50  Advice for others looking to join guidance committees.

In this episode of “Lab Medicine Rounds,” guest host Ann Moyer, M.D., Ph.D., speaks with Justin Kreuter, M.D., transfusion medicine pathologist and assistant professor of laboratory medicine and pathology at Mayo Clinic, about the importance of creating and practicing professional presentations.

Discussion Topics:

00:00 Introduction
01:03 Importance of practicing your presentation.

03:13 Common missteps in professional presentations.

07:52 Tips for putting together a strong presentation.

13:32 Tips for learners when presenting to experts in the field.

Resources:
https://pubmed.ncbi.nlm.nih.gov/15980086/