Spine & Nerve

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In this episode of the Spine & Nerve podcast, Dr. Brian Joves sits down with Dr. Richard Winters, an emergency physician, leadership coach, and author, to discuss leadership, coaching, and the unique challenges physicians face as they transition into leadership roles. Whether you're early in your career or a seasoned physician looking to expand your leadership skills, this episode offers practical advice on how to build a successful career in medicine while growing as a leader.

Key Takeaways:

🩺 Leadership at All Levels: Dr. Winters explains that leadership doesn't just come from holding formal titles—it's about how we lead in our everyday roles as physicians, working with our teams, and even interacting with patients and their families.

🔍 Understanding the Difference Between Mentorship and Coaching: Dr. Winters breaks down the critical distinction between mentorship and coaching, emphasizing how mentors provide guidance based on their experiences, while coaches help you unlock your potential by asking the right questions and facilitating growth.

💡 Overplaying Expertise: One common pitfall physicians face, especially early in their careers, is overplaying their expertise. Dr. Winters highlights the importance of knowing when to lead as an expert and when to step back and facilitate collaboration, especially in complex, uncertain environments.

🤝 Leading Teams & Self: As a physician leader, it’s essential to learn how to lead small teams, larger organizations, and, most importantly, yourself. Dr. Winters discusses the value of self-awareness and continuous personal development.

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🎧 Don’t forget to subscribe to the Spine & Nerve Podcast for more conversations with leading experts on pain management, leadership, and healthcare!

#LeadershipInMedicine #PhysicianCoach #BrianJovesMD #RichardWinters #HealthcareLeadership #CoachingInMedicine #SpineAndNerve #Podcast

The Pros and Cons of Ambulatory Surgery Centers (ASCs) vs. Office-Based Procedure SuitesWelcome back to another insightful episode! Today, we’re diving deep into a topic that’s been on the minds of many healthcare providers: the differences between Ambulatory Surgery Centers (ASCs) and office-based procedure suites. Joining us is Teri Yates, an expert in helping physicians navigate the complexities of practice management and facility development. Whether you're a solo practitioner or part of a growing group, understanding the pros and cons of these options is crucial for optimizing your practice.

In This Episode, We Cover:

- The Key Differences Between ASCs and Office-Based Procedure Suites:Learn what sets these two options apart, from regulatory requirements to billing practices, and why the choice matters for your practice.

- The Benefits and Challenges of Setting Up an ASC: Discover why ASCs require a significant investment but can offer unparalleled control over your operations, leading to increased efficiency and patient satisfaction.

- The Hybrid Model Explained:Some physicians are choosing to combine both ASCs and office-based suites in one facility. Find out how this approach can provide flexibility and maximize reimbursement.

- Why a Feasibility Study is Essential:Before jumping into ASC development, a feasibility study is crucial. We discuss the key factors that should influence your decision, including case volume and state regulations.

- Long-term Strategic Considerations:Thinking about the future? We explore how owning an ASC can be a valuable asset, offering opportunities for future sale, real estate investment, and even a retirement plan.

Why You Should Listen:

If you’re considering expanding your practice or simply want to understand the best operational setup for your needs, this episode is packed with actionable insights. Teri Yates shares expert advice that could help you make informed decisions about the future of your practice.

Connect with Terri Yates:

- Website: Doc Centric Surgery Centers www.doccentricasc.com-

Contact: Teri Yates - Accountable Physician Advisors [email protected]

Don’t miss this episode if you’re looking to enhance your practice’s efficiency, revenue, and future potential!

In this episode of The Spine & Nerve Podcast, Dr. Jason Kung and Dr. Brian Joves break down the new California opioid guidelines with insights that every healthcare provider and pain management specialist should know.

Our doctors explore the latest guidelines from the California Medical Board, published in July 2023 and designed to navigate the complexities of prescribing opioids in chronic pain management. Whether you're in California or beyond, this episode is a must-listen to understand the evolving landscape of pain treatment.

thorough documentation in pain management is critical. Proper documentation not only supports clinical decisions but also safeguards both the provider and the patient throughout the treatment process.

"Pain relief is important, but it is difficult to measure objectively. Our goal is to maintain or improve function while managing pain effectively." - Dr. Brian Joves

Dive into this episode and equip yourself with the knowledge and tools to navigate the complex world of pain management with confidence and compassion.

Keep striving to provide the best care for your patients and stay informed on the evolving practices in pain management!

This podcast is for information and educational purposes only, it is not meant to be medical or career advice. If anything discussed may pertain to you, please seek council with your healthcare provider. The views expressed are those of the individuals expressing them, they may not represent the views of Spine & Nerve.

In this episode of the Spine & Nerve podcast, Dr. Jason Kung and Dr. Brian Joves delve into a comprehensive discussion surrounding anticoagulation guidelines and their implications in interventional pain procedures.

With over a hundred thousand downloads and over 1,000 YouTube subscribers, we would like to express our sincere gratitude to all the listeners for your engagement and support. Please continue to share and subscribe to help more people discover the podcast.

Today's episode focuses on the safety of epidural steroid injections and the critical role of anticoagulation management.Understanding the rationale behind a patient's anticoagulation therapy is vital for interventional pain physicians. This approach empowers clinicians to make informed decisions about whether to continue or withhold anticoagulation medications prior to procedures. There is a delicate balance between patient-specific risks and the benefits of these interventions.

One of the things that must be known and emphasized is the remarkable safety profile of epidural steroid injections. Approximately nine million epidural steroid injections are administered annually, resulting in an adverse event rate of about one in 780,000. This reassuring statistic is attributed to the collaborative efforts of medical societies and the implementation of strict anticoagulation guidelines. The hosts emphasize the role of fluoroscopic guidance, non-particulate steroids, and avoidance of deep sedation in enhancing the safety of these procedures.

The episode further delves into the nuances of assessing bleeding risks in patients undergoing interventional pain procedures. As always, we must underscore the importance of a comprehensive physical examination, with a specific focus on identifying signs of easy bruising and mucosal bleeding. The hosts discuss the relevance of specific medications, including aspirin and NSAIDs, and their implications for procedural safety.

The hosts engage in an insightful exploration of the guidelines for managing anticoagulation medications pre- and post-procedure. They stress the need for pain physicians to consider the anatomical location of the intervention and evaluate the potential risks versus benefits.

The doctors conclude the episode by highlighting the crucial role of shared decision-making and patient education. By fostering collaboration between patients and physicians, the hosts emphasize the creation of a safe and informed healthcare environment.In this thought-provoking episode, the doctors try to help you navigate the complexities of anticoagulation management in interventional pain procedures, and offer some insights for practitioners seeking to provide the highest level of care to their patients.

References:

Anesthesia Quality Institute Closed Claims Database Review 2011 through 2021 for Epidural Steroid Complications. Naeem Haider. Pain Physician 26 (3), E251, 2023

Stephen Endres, MD and others, The Risks of Continuing or Discontinuing Anticoagulants for Patients Undergoing Common Interventional Pain Procedures, Pain Medicine, Volume 18, Issue 3, March 2017, Pages 403–409, https://doi.org/10.1093/pm/pnw108

Narouze S, Benzon HT, Provenzano D, et alInterventional Spine and Pain Procedures in Patients on Antiplatelet and Anticoagulant Medications (Second Edition): Guidelines From the American Society of Regional Anesthesia and Pain Medicine, the European Society of Regional Anaesthesia and Pain Therapy, the American Academy of Pain Medicine, the International Neuromodulation Society, the North American Neuromodulation Society, and the World Institute of PainRegional Anesthesia & Pain Medicine 2018; 43:225-262.

The ASRA App: https://www.asra.com/the-asra-family/asra-app