Lab Medicine Rounds

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 pathology and laboratory medicine at Mayo Clinic, about common misunderstandings and practical ways to teach the basics of coagulation.
 

Timestamps:
0:00 Intro
00:48 Why is it important for physicians to understand the fundamentals of coagulation?
02:27 In your experience, what are a few of the common misunderstandings that people might have?
08:15 Do you have any thoughts on what we can do better to teach a complicated topic like coagulation?
13:57 Are there any sessions at the upcoming Bleeding and Thrombosing Diseases conference that you are looking forward to in particular?
15:31 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., speaks with Laura Tafe, M.D., associate professor of pathology and laboratory medicine at Dartmouth-Hitchcock Medical Center and president of the Association of Molecular Pathology, to discuss practicing art and medicine.

Timestamps:
0:00 Intro
01:30 What is your artist origin story?
03:40 What does that relationship of your art practice and medical practice look like?
07:18 How do you navigate the challenge of not having enough time?
08:52 What advice do you have for healthcare professionals, new residents, who have interests in addition to medicine?
12:37 What are your thoughts? Where does your art practice go in the coming months and years? 
15:40 What is your interest in Graphic Medicine? (question from Dr. Tafe to Dr. Kreuter)
20:04 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Bradley Erickson, M.D., Ph.D., Director of the Mayo Clinic Artificial Intelligence Lab and professor of radiology at Mayo Clinic, to talk about working with artificial intelligence and how to train on it.

0:00 Intro
00:45 Why are computer-aided diagnoses, artificial intelligence, important for our healthcare?
02:45 Is there one way or maybe one facet of AI that’s the next generation of a checklist?
03:46 What’s important for physicians to understand about working with artificial intelligence?
06:01 As they are getting developed, is there a standard way the community is talking about this confidence in probability? Is that going to be universal for the different tools that are being developed? Or is it each to their own the way they try to convey that?
08:10 Is the thought then that will help us get away from some of the biases in our clinical practices?
09:25 How are you thinking about how we train our trainees, our residents and fellows, how to use artificial intelligence well? What can you share with our audience?
11:20 If I wanted to get my residents and fellows exposed to AI now, is there a recommended textbook on it, or any online tools to get exposure to and appreciate these points you are highlighting for us?
14:09 Have you started to have program directors approach you and your laboratory to facilitate education around AI in their department/division?
15:48 What do you think the future of AI in medical practice looks like?
20:38 Outro

Resources:
Medical Image Deep Learning (MIDeL)

National Imaging Informatics Course - Radiology (NIIC-RAD)

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Clarissa Jordan, M.D., chief resident in anatomic and clinical pathology for the Department of Laboratory Medicine and Pathology at Mayo Clinic, to discuss online pathology resources. 

Resources:

1. AACC  Learning Lab: https://www.aacc.org/education/learning-lab 
2. Kurt’s Notes: https://schaberg.faculty.ucdavis.edu/
3. Surgical Pathology Reimagined (textbooks): https://www.acemypath.com/books
4. https://www.pathcejmd.com

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Isabella Holmes, D.O., a first-year pathology resident at the University of Michigan, to discuss her residency training experience. 

0:00 Intro

01:01 Let’s start by telling our audience your story – why did you decide to become a pathologist?

03:03 What has this first year been for you, what’s that rotation look like? How has your experience been?

04:49 Do you have any advice for listeners who might be going into pathology residency, as far as how they can set themselves up for success during that, and try to take ownership for things?

07:37 What does your process look like for capturing the learning?

08:53 I want to applaud and highlight this skill you just articulated. You started one thing, writing things down you need to look up. But then you discovered for yourself that you’re writing this stuff down but not capitalizing on it the way you intended? How did you catch yourself?

11:00 How has navigating residency been going? What has the community been like? 

14:55 Do you have any advice for people for speaking up or those who are nervous about making mistakes while training?

17:35 What for you has been the biggest surprise of residency training? 

19:40 What do you think is going to be your biggest challenge for the year ahead, how are you thinking about being successful? What kind of tactic/approach are you thinking about for that challenge?

21:30 If you find that you struggle with something, speaking up and talking to colleagues, having a support network in your residency I would say is a great piece of advice, does that seem to resonate with you?

23:43 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with John Mills, Ph.D., associate professor and vice chair of test implementation for the Department of Laboratory Medicine and Pathology at Mayo Clinic in Rochester, Minnesota, to discuss navigating implementation challenges in the laboratory. 

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Matthew Binnicker, Ph.D., Director of Clinical Virology and Vice Chair of Practice in the Department of Laboratory Medicine and Pathology a Mayo Clinic, to talk about working and leading through uncertainty.

Timestamps:
0:00 Intro
01:22 Why is working with uncertainty an important skill for us to cultivate?
03:13 What are ways to keep grounded when navigating uncertainty?
06:17 When you are not in a crisis moment, when it’s not an ambiguous time, how do you behave in a way that further cultivates this idea that you are a leader?
08:22 How could we help our colleagues who are struggling with uncertainty?
10:12 How can we help people with a fixed mindset as opposed to a growth mindset move from seeing negative feedback as uncomfortable, how can we help them see the growth and opportunity in front of them?
12:09 I’m curious if you could share with our listeners a story of how uncertainty has surprised you most?
15:35 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Bobbi Pritt, M.D., professor and interim chair for the Department of Laboratory Medicine and Pathology at Mayo Clinic in Rochester, Minnesota, to discuss the modern parasitology laboratory. 

Parasitology
0:00 Intro
01:03 Why did you decide to pursue parasitology?
02:19 What does the modern-day parasitology lab look like?
03:02 How are conventional and molecular techniques integrated to support the clinical practice?
05:04 Is this something that is easy to train up into using and integrating, or has this been an easy lift to get people used to working in this way?
06:45 Can you elaborate a little bit about the molecular aspects of how that might be integrated? Is this also a newer aspect for parasitology? 
08:57 How has this impacted your training for clinical fellows if maybe some things might be controversial right now? How do you prepare them to navigate the future ahead?
10:23 Have you heard feedback from ordering providers about the ability to have the syndromic panel and then the laboratory can chase it, has that been positively received? Are there challenges that come up with that style of ordering?
12:04 I’m curious if you can elaborate and share, what are a couple of the hot topics in the field for parasitology in 2023?
14:10 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Emily Shaffer, D.O., a resident physician in pathology and laboratory medicine for Northwell Health in Roslyn, New York, to talk about her experience participating on a laboratory inspection team.

Timestamps:

0:00 Intro

00:53 What is your origin story for becoming a pathologist?

02:06 What was your experience like participating in a laboratory inspection?

03:18 Was there any kind of prep beforehand that you did, or what was the actual inspection day(s) like? How did that unfold?

05:34 Were there people at your home laboratory that were taking you through what that might look like, or questions you might ask?

07:03 Was the lab you inspected a bit similar to your home laboratory? What was that like?

08:20 Was this a one-day inspection, or did it lead into two days?

09:12 I’m kind of curious about that mentorship that happened; was that something the site leader discussed with you ahead of time?

10:56 What is your reflection on what you took away from this experience? 

12:54 Do you have any reflections on having gone through this experience now, is there one or two ways you think the listeners who are educators might think about improving the way we teach quality and regulatory in our programs?

14:17 Can you mention the steps on approaching the College of American Pathologists (CAP) to do an inspection for those who are interested?

15:24 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Shane Ferraro, M.H.S., PA(ASCP), an assistant supervisor of pathologists’ assistants in the Division of Anatomic Pathology at Mayo Clinic in Rochester, Minnesota, to talk about the important innovation of 3D scanning in pathology.

Timestamps:
0:00 Intro

00:54 Why is 3D scanning an important innovation in pathology?

02:51 Are there certain activities you can do with the audience that you weren’t able to do before? Are there certain insights you are hearing from the learners when you are doing that kind of approach?

03:40 What do you think is important for our audience to understand about 3D scanning?

06:12 What are some of the practicalities for implementing 3D scanning in a pathology practice?

08:23 Are there different teams that you are interacting with outside of pathology that is helping to make some bridges between pathology and other clinical departments?

09:22 In pathology, it sounds like it got started with forensic pathologists, and now it’s being brought out to the surgical practice?

10:12 How long does it take to scan some tissue? Is it relatively quick or like a day-long process?

11:40 Is this thought to replace surgical pathology photography in the next 5-10 years?

12:29 Where do you see this innovation going over these next 5-10 years?

14:46 Outro