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July 2, 2019
Microaggressions in Medicine
What are microaggressions? How do you recognize them? How do you address them? Efficient teams and effective health care require diverse and inclusive environments. Drs. Njathi-Ori, O’Brien, and Warner present on microaggressions in medicine, the evidence in gender gap research, and give you tools to address microaggressions when they happen in your environment.
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24 min
June 25, 2019
Recent Updates in the Management of Hyperlipidemia
What are the updated guidelines for managing hyperlipidemia and how do the risk modifiers change how patients should be treated? What do you do when a patient starts a statin and there is no change in cholesterol levels? What do you do when increasing the dose or switching to a stronger drug continues to have little to no impact? Dr. Kopecky discusses the updated guidelines, challenges with statin therapy, and additional tactics to consider in treating hyperlipidemia. For a deeper dive check out these resources: 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines http://www.onlinejacc.org/content/early/2018/11/02/j.jacc.2018.11.003 Cardiovascular Risk Reduction with Icosapent Ethyl for Hypertriglyceridemia https://www.nejm.org/doi/full/10.1056/NEJMoa1812792
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22 min
June 18, 2019
Addressing Misinformation and Vaccine Hesitancy in a Post-Fact Society
The World Health Organization has listed vaccine hesitancy as a Top 10 Global Health Threat. How do you discuss vaccine myths with vaccine hesitant patients? What are the true risks associated with vaccines? How do you navigate conversation with a patient who refuses a flu vaccine because they had one in the past and still got the flu? Dr. Gregory Poland discusses vaccine hesitancy, immunization in pregnancy, late-season flu vaccines, antigenic burden and the evidence behind single session multiple vaccine administration, and the ethics of health care provider immunizations. For a deeper dive check out these articles: 1. Poland GA, Jacobson RM. The age-old struggle against the antivaccinationists. N Engl J Med. 2011 Jan 13;364(2):97-9. doi: 10.1056/NEJMp1010594. https://www.nejm.org/doi/10.1056/NEJMp1010594 2. Poland GA. Influenza vaccine failure: failure to protect or failure to understand? Expert Rev Vaccines. 2018 Jun;17(6):495-502. https://doi.org/10.1080/14760584.2018.1484284 3. Poland CM, Poland GA. Vaccine education spectrum disorder: the importance of incorporating psychological and cognitive models into vaccine education. Vaccine. 2011 Aug 26;29(37):6145-8. https://doi.org/10.1016/j.vaccine.2011.07.131
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26 min
June 11, 2019
Getting the Most Out of Colon Cancer Screening
Who is a good candidate for multitarget stool DNA testing and what do you do when it’s positive but the colonoscopy is discordant? Do you have a surveillance plan for your patients with ulcerative colitis and irritable bowel disease? What are the current screening recommendations for the general public versus patients with a family history? Dr. John Kisiel discusses these recommendations and the evidence behind them. He shares tips on managing patients on anticoagulant therapy going for polypectomy and when to stop screening in the elderly.
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30 min
June 4, 2019
What You Need to Know About E-Cigarettes, Vaping, and IQOS
What’s the difference between e-cigarettes, vaping, and the newly FDA authorized “heat-not-burn” or IQOS devices? Do they really help our patients stop smoking and what data is available on the safety of these products? Listen now to hear Dr. Taylor Hays discuss these points and more. For a deeper dive check out these resources: The FDA Authorization of IQOS: https://bit.ly/2XV2cLw A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy: https://www.nejm.org/doi/full/10.1056/NEJMoa1808779
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23 min
May 28, 2019
Preventive Therapies for Breast Cancer
How can we help women at high risk of breast cancer manage their risk? How do you rank these risks and approach their management? Dr. Pruthi discusses what you can do and tools that you can use to help calculate risk and what to do with the information you have. Breast cancer risk assessment tool: Gail model https://bcrisktool.cancer.gov/ IBIS breast cancer risk evaluation tool http://www.ems-trials.org/riskevaluator/
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18 min
May 27, 2019
Meeting the Needs of Our Female Veterans
Female veterans can face significant barriers to receiving proper care. As the number of female service members increases, what can we do to help address these barriers and facilitate access to the care they need? What resources exist and how do we identify this population if they do not readily self-identify as veterans? Check out these resources for more information: MACVSO.org NACVSO.org VA Women’s Health Research Network: https://www.hsrd.research.va.gov/for_researchers/womens_health/ https://www.rand.org/topics/military-health-and-health-care.html
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18 min
May 21, 2019
Lyme Disease: When to Test, When to Treat
How do you detect Lyme’s disease without the rash? What are the implications for our patients if we miss it? If you practice in an endemic area what are the guidelines for treatment when your patient has been bitten by a tick? Dr. Bobbi Pritt discusses Lyme disease detection, prophylaxis, and some of the long-term consequences of Lyme disease. Listen now to learn the ABCs of tick bite prevention. CDC Guidelines for Tick Bite Prophylaxis: https://www.cdc.gov/ticks/tickbornediseases/tick-bite-prophylaxis.html To see more from Dr. Pritt and dive deeper into the world of “Creepy, Dreadful, Wonderful Parasites,” view her blog at https://parasitewonders.blogspot.com/ You can also follow Dr. Pritt on Twitter at @parasitegal
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19 min
May 14, 2019
Perception of Care and Quality of Care: Finding the Sweet Spot in Patient Experience Data
Does perception of care equal quality of care? Healthcare is increasingly consumer-centric and patient experience data can inform us about how we compare within our own institution and across healthcare. But the data can also be influenced by the nature of your practice and implicit bias present in our patients. What are some of the unintended implications of patient experience data? How can we responsibly interpret and utilize it? What scores should we be striving for? What is the sweet spot? For a deeper dive into Dr. Poole’s research follow the link to his article in the New England Journal of Medicine: https://www.nejm.org/doi/full/10.1056/NEJMp1813418 A brief webcomic by Whit Taylor and Chris Kindred on the Tuskegee Experiment: https://thenib.com/tuskegee-experiment?utm_campaign=web-share-links&utm_medium=social&utm_source=link
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21 min
May 7, 2019
Management of HIV and the Barriers to a Cure
How close are we to having an immunization for HIV? What’s on the horizon? When should your patients be referred to an HIV center or clinic for care? How do you connect a patient that wants local care when a center isn’t close by? Dr. Rizza discusses the management of HIV, pharmacotherapy, and goals of treatment in the second episode of this two-part HIV mini-series.
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22 min
April 30, 2019
Screening for HIV: Who Are You Missing?
Can you predict who has HIV and who doesn’t? Do you order universal HIV screening? What screening tests should be ordered and what happens when the results are positive or equivocal? When is a false negative possible? What is the effective window for post-exposure prophylaxis? Dr. Stacey Rizza discusses HIV and progression to AIDS, medical exposures, and screening in the first episode of this two-part HIV mini-series. Dive deeper into universal screening: https://doi.org/10.1016/j.mayocp.2012.06.021
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22 min
April 23, 2019
The Rising Cost of Prescription Drugs
Why are prescription drug costs so high in the United States? What role does the rebate system potentially play in drug availability? What is value-based pricing? Vincent Rajkumar, M.D. discuss research in this area and provides resources for health care providers to have discussions with patients about drug affordability. Check out his articles here: https://doi.org/10.1016/j.mayocp.2012.07.007 and https://doi.org/10.1016/j.mayocp.2015.01.014
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27 min
April 16, 2019
The Five-Finger Approach to Restoring Patient Function
When should patients be referred to a physiatrist versus a physical therapist? What services can you expect when referring your patient to physical medicine and rehabilitation? Can they help your patients avoid surgery? What resources do they utilize to decrease pain and increase function? Listen as Dr. Jeff Brault discusses his five-finger approach to treatment of chronic and degenerative disease.
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20 min
April 9, 2019
Time’s Up Healthcare: Accelerating a Safe, Equitable, Dignified Workplace
The healthcare system is not immune to bias, harassment, and discrimination. How do we create a climate of mutual respect? How do we empower bystanders to step up? How do we create systems and procedures to ensure consistent messaging and action when these things occur? Listen in as Dr. Sharonne Hayes discusses the Time’s Up Healthcare movement and what you can do to get involved. https://www.timesuphealthcare.org
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27 min
April 2, 2019
Dementia: Things You Shouldn’t Forget
When does forgetfulness become a red flag for dementia? What’s normal aging and what’s underlying disease process? When is a mental status exam not enough and what should you do next? Dr. Richard Caselli discusses dementia diagnosis, risk factors, treatment, and research.
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26 min
March 26, 2019
Finding Balance and Harmony in the Face of Illness: Integrative Medicine
How does integrative medicine differ from alternative and complementary medicine? Are the practices evidence-based? How and when can these techniques be applied in your current practice? Listen as Dr. Christina Chen discusses the practice of integrative medicine and its impact on her patients.
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18 min
March 19, 2019
Be Sure to Pack Humility, Teachability, and Adaptability: Making a Difference in Global Health Disparities
Primary care providers can make a difference in the health disparities experienced internationally. Impact can range from directly providing care to educating staff and building enduring local capacity. Listen for some points to consider when planning a global health trip or medical mission. How do you get started? What skills do you need as a health care provider? How do you pick a location? Where can you find more reliable in-depth information on global health?
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24 min
March 12, 2019
Understanding Stress Traps in the Human Brain
How does our brain react to stress and setback? How can we harness what neuroscience tells us about these responses to combat the stresses in our lives we cannot currently change? Dr. Anjali Bhagra steps through the three F’s- focus, fatigue, and fear, to dig a little deeper into how we’re geared to respond and what we can do to intentionally navigate our responses.
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19 min
March 5, 2019
Turning the Tables: Getting to Know the Host
A Mayo Clinic Talks Podcast Episode in which the tables turn as Thomas Shives, M.D., interviews Darryl Chutka, M.D., about his career highlights and how he became involved in the Mayo Clinic Talks Podcast.
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17 min
February 26, 2019
What you Need to Know About Medical Cannabis
Summary: Does medical marijuana have proven benefits? Who can prescribe it? What are the potential harms in using it? Dr. Thomas Pittelkow, a Mayo Clinic anesthesiologist specializing in pain management for cancer patients and advanced interventions in end of life care, discusses the differences between recreational and medical marijuana. Listen in for more on hopes and limitations in cannabis research, best practices for patient conversations, state vs. federal regulations, and the importance of communication with dispensaries. For more detailed information about Medical Cannabis, visit https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/medical-marijuana/art-20137855. For more information about state-to-state regulations, visit http://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx.
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22 min
February 19, 2019
Communicating with Humility: Lessons Learned
We practice effective communication with our patients but how effectively do we communicate with our co-workers? At home after a long day? Dr. Katie Arendt discusses how to utilize humility and emotional intelligence to communicate effectively and build awareness of confirmation bias and ladders of inference.
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21 min
February 12, 2019
Breast Cancer: Screening versus Diagnostic Imaging and the Appropriate Utilization of Genetic Testing
Dr. Sandhya Pruthi, a breast disease specialist in Mayo Clinic’s Breast Diagnostic Clinic, discusses why we don’t use ultrasound as a primary screening test for breast cancer. Listen in for the pros and cons of different types of imaging studies and which are used for screening versus diagnostic testing. Also discussed is the role genetic testing should play in breast cancer screening, who should have testing done, and what tests are available, including when a care plan should include a genetic counselor.
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25 min
February 5, 2019
Prostate-Specific Antigen (PSA) Testing: A Urologist's Perspective
Prostate cancer is a very common malignancy in men, second only to skin cancer. Despite the fact that it’s one of the more treatable malignancies, it remains the 2nd leading cause of cancer death in men. When diagnosed early, it has an excellent prognosis. The 5-year survival rate approaches 100% in those with local or regional disease. Although screening for prostate cancer is available, the use of screening tests has been controversial and recommendations regarding its use, confusing. Listen in to get a urologist’s perspective.
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21 min
January 29, 2019
Treating Musculoskeletal Pain: The Role of Platelet-Rich Plasma Injections and Stem Cell Therapy
Dr. Jacob Sellon discusses advances in treatment of musculoskeletal pain and osteoarthritis, covering common questions about platelet-rich plasma and stem cell injections. Do they work? What’s the efficacy demonstrated in literature so far? What are the benefits and risks we need to discuss with our patients? What is FDA compliant versus FDA approved treatment and how does this influence insurance coverage and care management? Where does regenerative medicine research need to go?
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21 min
January 22, 2019
Provider and Patient Bias: What Do We Do About Culture's Thumbprint in Medicine?
Dr. Sharonne Hayes discusses the impact of unconscious bias in medicine and how providers can take steps to acknowledge, address, and mitigate these cultural imprints on our automatic thought processes. She then turns the tables discussing patient bias and how health systems and providers can protect and support staff who have been harassed, along with processes that can be put in place to systematically address existing practices that fosters bias. Project implicit can be found here: https://implicit.harvard.edu/implicit/takeatest.html.
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26 min
January 15, 2019
Pediatric Traumatic Brain Injury and Concussion
Traumatic brain injury in children represents a significant public health problem and they account for over one-half million emergency department visits per year. It’s estimated that traumatic brain injuries affect as many as one in five children by the age of 15. These brain injuries can have lifelong effects on a child’s development, including their ability to learn and participate effectively in social activities. Today we’re joined by Dr. Sherilyn Driscoll, a consultant in Pediatric Physical Medicine and Rehabilitation at the Mayo Clinic Children’s Center in Rochester. Her areas of interest include brain and spinal cord injury, cerebral palsy, and spina bifida. For more information about the CDC’s Heads Up program, visit https://www.cdc.gov/headsup/.
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22 min
January 8, 2019
Does Size Really Matter? Benign Prostatic Hyperplasia (BPH): Evaluation, Management, and Treatment
Our topic for discussion today is benign prostatic hyperplasia, or BPH. By age 60, it’s estimated that 50% of men will have some symptoms of BPH. While BPH is not a life-threatening condition, and only rarely does it result in serious health consequences, it commonly causes symptoms affecting men’s lifestyle. Our guest today is Dr. Mitchell Humphreys, chair of the Department of Urology at Mayo Clinic Arizona and Dean of the Mayo Clinic School of Continuous Professional Development.
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25 min
January 1, 2019
Exercise is Medicine: Adding Years to Life and Life to Years
We’ve all heard this many times “Exercise is good for you.” We know we should all participate in some form of exercise and we commonly recommend exercise to our patients. We’re very busy, our patients are very busy. So how do we develop a regular exercise program that we can adhere to and how do we get our patients to realize the benefits they can achieve with exercise? To help answer these questions, we have with us today Dr. Robert Scales, an exercise physiologist and director of Cardiac Rehabilitation & Wellness at Mayo Clinic, Arizona.
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24 min
December 25, 2018
You Did What? Uncovering What Kids Are Ingesting
Today’s special episode is an excerpt from the Mayo Clinic Pediatric Days Conference. This annual conference provides an interdisciplinary update in the latest strategies for providing timely and effective evidence-based diagnosis and management plans for multiple aspects of pediatric and young adult health. Today’s selected presentation, “You Did What? Uncovering What Kids are Ingesting” is presented by Dr. Charlotte S. Van Dorn, a Mayo Clinic Pediatric and Intensive Care Specialist.
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31 min
December 18, 2018
Insomnia and Best Practices for Management: A Sleep Specialist's Approach
We spend about one third of our life asleep, yet not all of us wake up refreshed and recharged the next morning. Insomnia is common and medications to help us sleep are extremely popular, but are they effective and are they safe? To discuss these issues regarding sleep, we are pleased to have as our guest today, Dr. Michael Silber, a neurologist and sleep expert. Dr. Silber works in the Center for Sleep Medicine at Mayo Clinic, Rochester.
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16 min
December 13, 2018
Opioid Edition EP. 10: Management of Opioid Side Effects
Episode 10: Dr. Molly Feely, who is board certified in palliative care, internal medicine, and family medicine now practicing full time palliative care at Mayo Clinic Rochester, talks about best practices for management of opioid side effects. Today’s episode is part of a series on opioids, that was developed to meet state CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc
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26 min
December 11, 2018
Pediatric Abuse: Recognition, Assessment, and Downstream Impact
Child abuse is a serious problem, both within the U.S. and around the world. In 2012, Child Protective Services agencies estimated that approximately 9 out of 1000 children in the U.S. were victims of child maltreatment and this was felt to underestimate the true scope of the problem. A recent study by the CDC estimated that one in four children experience some form of maltreatment in their lifetimes. Today we’re joined by Dr. Arne Graff, a family physician and Division Chair of Child Abuse and Pediatrics, practicing at Mayo Clinic, Rochester, MN.
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22 min
December 6, 2018
Opioid Edition EP. 09: Monitoring and Considerations for Tapering
Episode 9: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about best practices for opioid monitoring and considerations for tapering. Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc
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31 min
December 4, 2018
Handling Difficult Conversations: Pearls from Palliative Medicine
Today’s special episode is an excerpt from the Mayo Clinic 2018 Principles of Pain Management & Palliative Care. Today’s selected presentation, “Help! My Patient is Crying! Addressing Emotion in Patient Interactions,” is presented by Dr. Elise C. Carey, Mayo Clinic general internist and palliative care physician.
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35 min
November 29, 2018
Opioid Edition EP. 08: Family & Patient Counseling
Episode 8: What legal/ethical obligations do physicians have when prescribing opioids? How can we address systemic issues that need improvement? Dr. Holly Geyer, internal medicine physician at Mayo Clinic-Arizona, shares her thoughts on what is currently being done to combat the opioid crisis and what additional steps can be taken to make a difference. Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc
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10 min
November 27, 2018
Benefits and Risks of Hormone Therapy in Women
For years, healthcare providers routinely prescribed hormone therapy for the management of women with postmenopausal symptoms as well as to reduce the risk of cardiovascular disease and the treat osteoporosis. Then, in 2002, the Women’s Health Initiative was published and our views of hormone therapy changed. Parts of the study’s findings were criticized leading to confusion as to whether hormone therapy was as effective as we assumed as well as whether hormone therapy was exposing women to excessive health risks. To help us sort out the benefits and risks of hormone therapy in women, we’re joined by Dr. Ekta Kapoor, a Mayo Clinic internist and specialist in the Menopause and Women’s Sexual Health Clinic.
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25 min
November 21, 2018
Opioid Edition EP. 07: Treating Opioid Addiction
Episode 7: Dr. Holly Geyer, an internal medicine physician, who serves on the opioid stewardship program at Mayo Clinic-Arizona, discusses issues of dependency and addiction. What’s the difference between dependency and addiction? Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc.
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15 min
November 20, 2018
The Dangers of Distraction and Balancing Connectivity
The percentage of the US population that uses a cell phone is increasing every year. Currently, it is estimated that over 95% of the population own a cell phone and over 75% own some type of smartphone. This is up from 35% compared to statistics from 2011. While these devices certainly make our life more interesting, they can also serve as a major distraction. Studies suggest that drivers using a mobile phone are four times more likely to be involved in a motor vehicle accident. Nearly half of all adults who text say they have either sent or read a text message while driving. Today we are joined by Dr. Robin Molella, a Mayo Clinic physician in the Division of Preventative, Occupational and Aerospace Medicine, and an expert in public health issues. Today’s episode was sponsored by Mayo Clinic Online CME. Register for on demand medical education in a wide variety of specialties at ce.mayo.edu
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21 min
November 15, 2018
Opioid Edition EP. 06: Assessing & Treating Opioid Misuse in the ED
Episode 6: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clement, an emergency physician and practice leader, who works in the opioid stewardship program at Mayo Clinic-Rochester, shares his insights on treating opioid misuse in the emergency setting. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc
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17 min
November 13, 2018
Osteoporosis, Vitamin D, and Calcium: Myths and Management Part 2
Hip fractures have a major impact on our healthcare system with an economic burden estimated to be over $20 billion per year. Due to the increasing age of our population, hip fractures will have an even greater impact. In addition to the economic burden, hip fractures are associated with an increase in mortality and often result in major changes in one’s lifestyle. As a result, the detection, prevention and treatment of osteoporosis becomes an important health strategy. Today’s topic is osteoporosis, calcium and vitamin D and to discuss this topic, we’re joined by Dr. Kurt Kennel, a Mayo Clinic Endocrinologist and specialist in bone metabolism.
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23 min
November 8, 2018
Opioid Edition EP. 05: Acute Prescribing-Emergency Room Prescribing
Episode 5: Dr. Casey Clements, an emergency physician and practice leader, who works in the opioid stewardship program at Mayo Clinic-Rochester, shares his insights on opioid therapy from the Emergency Department perspective. What is drug diversion? How do you know a patient isn’t receiving prescriptions from multiple physicians? Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc
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23 min
November 6, 2018
Osteoporosis, Vitamin D, and Calcium: Myths and Management Part 1
Hip fractures have a major impact on our healthcare system with an economic burden estimated to be over $20 billion per year. Due to the increasing age of our population, hip fractures will have an even greater impact. In addition to the economic burden, hip fractures are associated with an increase in mortality and often result in major changes in one’s lifestyle. As a result, the detection, prevention and treatment of osteoporosis becomes an important health strategy. Today’s topic is osteoporosis, calcium and vitamin D and to discuss this topic, we’re joined by Dr. Kurt Kennel, a Mayo Clinic Endocrinologist and specialist in bone metabolism.
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15 min
November 1, 2018
Opioid Edition EP. 04: Treating Special Populations & Situations
Family practitioner, Dr. David Patchett, from Mayo Clinic-Arizona shares the additional challenges associated with prescribing opioids to special populations, and discusses how and when to reassess a patient’s therapy. How do you know when to taper a patient? What are the symptoms of opioid withdrawal and how can you mitigate them? Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc
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11 min
October 30, 2018
Hypoactive Sexual Desire Disorder: Approaches from the Menopause & Women’s Sexual Health Clinic
Hypoactive sexual desire in females is one component of sexual dysfunction in women. It’s a sensitive topic and one that doesn’t often get discussed in the clinician’s office. What’s the best way to ask about this problem and how do we manage it once we know it exists in our patients? We’ll discuss these issues with a women’s health specialist Dr. Jacqueline Thielen, a Mayo Clinic general internist in the Menopause & Women’s Sexual Health Clinic at Mayo Clinic in Rochester. Join Dr. Thielen at the 15th Annual Women’s Health Update in Scottsdale, AZ February 28, to March 2, 2019 where she’ll discuss the Management of Hypoactive Sexual Desire Disorder. Use coupon code womenshealth (one word, no apostrophe) during check out at ce.mayo.edu
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27 min
October 25, 2018
Opioid Edition EP. 03: Family Practitioners - Assessing the Patient
Episode 3: Dr. David Patchett, family practitioner at Mayo Clinic-Arizona, answers common questions family practitioners often face when treating patients with pain management issues. What are best practices when prescribing opioid therapy? How do you weigh the potential benefits of opioid therapy with the identified risks? Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/opioidpc
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10 min
October 23, 2018
Now I Lay Me Down to Sleep, Approaches for Sleep Apnea and Restless Leg Syndrome
This is Mayo Clinic Talks, a curated weekly podcast for physicians and health care providers. I’m your host, Darryl Chutka, a general internist at Mayo Clinic in Rochester, Minnesota. We spend about one third of our life asleep, yet not all of us wake up refreshed and recharged the next morning. As a result, many individuals suffer from daytime sleepiness. For some, such as truck or bus drivers this can place many at risk for serious injury or death due to accident. To discuss these issues regarding sleep, we are pleased to have as our guest today, Dr. Michael Silber, a neurologist and sleep expert. Dr. Silber works in the Center for Sleep Medicine at Mayo Clinic, Rochester. Thanks for joining us, Michael. Join Dr. Silber February 24 to March 2, 2019 in Amelia Island, FL for the Mayo Clinic Electromyography (EMG), Electroencephalography (EEG), and Neurophysiology in Clinical Practice Conference. For $100 off registration, use the coupon code sleep at check out on ce.mayo.edu. Join us weekly here at Mayo Clinic Talks as we discuss best practices and burning questions. Subscribe today using iTunes or your favorite podcasting app.
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28 min
October 18, 2018
Opioid Edition EP. 02: Managing Acute and Chronic Pain
Episode 2: What are the different guidelines when treating chronic versus acute pain with opioid therapy? Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic-Rochester, talks about the importance of “starting low and going slow.” What are the alternatives for chronic pain management? Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/podcast
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17 min
October 16, 2018
Erectile Dysfunction and Cardiovascular Disease
34.8% of men ages 40 to 70 years have moderate-to-complete erectile dysfunction (ED), and 15% of men aged 70 have complete ED. Of those with ED, it’s estimated that 50-70% are due to cardiovascular disease. Until recently, only urologists were interested in patients with erectile dysfunction. Now with the knowledge of the relationship between ED and cardiovascular disease, cardiologists are taking an interest in these patients as well. Today we’re joined by Dr. Stephen Kopecky, a Mayo Clinic Preventative Cardiologist. Keeping up to date in our field is easier when you can network with colleagues from all specialties. Join Dr. Kopecky February 25 – March 1 2019 at the Mayo Clinic Cardiology at Cancun: Topics in Clinical Cardiology held at the Marriott Resort in Cancun, Mexico.
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14 min
October 11, 2018
Opioid Edition EP. 01: The Opioid Crisis and Pain Management
Episode 1: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic-Rochester walks us through the basics of opioids and the current state of this national crisis. What is an opioid? How bad is the opioid epidemic and how did we get here? Today’s episode is part of a series on Opioids, that was developed to meet State CME requirements. To claim credit or find out more go to ce.mayo.edu/podcast
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10 min
October 9, 2018
Varicose Veins and Venous Insufficiency
Varicose veins are common, and become more common with advance in age. Fortunately, in most cases they’re asymptomatic, but in some cases can cause symptoms and occasionally serious health problems. Today we’re joined by Dr. Thom Rooke, a vascular specialist at Mayo Clinic’s Vascular Center and specialist in peripheral artery disease, varicose veins, and sclerotherapy. For up to date information join your colleagues at the Heart Failure Management for Nurse Practitioners, Physician Assistants, and Primary Care Providers course at Disney’s Boardwalk Inn in Lake Buena Vista, Florida, March 21-23, 2019
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23 min
October 2, 2018
Fad Diets
It’s estimated that approximately 70% of Americans are either overweight or obese. Obesity in the United States is a major health issue, resulting in an increased risk of coronary artery disease, type 2 diabetes, and stroke. It also carries significant economic costs. As a result, the diet industry is booming. It’s thought that the weight loss industry has over $20 billion in annual revenue. Some diets are legitimate, while others are not only ineffective but may be dangerous to one’s health. To help us sort out diets and weight loss, we’re joined by nutrition expert Dr. Donald Hensrud, a Mayo Clinic physician in Preventative Medicine. He is also the medical director for the Mayo Clinic Healthy Living Program here in Rochester and editor in chief of two books on dieting, the Mayo Clinic Diet and the Mayo Clinic Diabetes Diet. Keeping up to date in our field is easier when you can network with colleagues from all specialties. Join us for the 19th Annual Nutrition and Wellness in Health and Disease conference held at the Swissotel Chicago, Illinois, September 23 and 24, 2019. This and all Mayo Clinic CME are found at ce.mayo.edu
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24 min
September 25, 2018
Transgender Patient Care
Transgender is a term for individuals whose gender identity or behavior does not conform to that associated with the sex to which they were assigned at birth. It’s difficult to estimate the number of transgender individuals, primarily because there are no population studies that accurately account for the range of gender identity and gender expression. What common health risks do transgender patients face? How does healthcare screening and preventive strategies differ in transgender patients who have been on hormonal therapy? Today we’re joined by Dr. Caroline Davidge-Pitts, an Endocrinologist and a core member of the Transgender and Intersex Specialty Care group at Mayo Clinic. For more information, join us in Washington D.C., Oct 4 – 6 at the Principles in the Care of Transgender and Intersex Patients 2018 Conference.
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20 min
September 18, 2018
Approaches for Diagnosis and Treatment of Depression with Dr. Bruce Sutor
Depression is a common disorder seen in primary care practice. The majority of patients with depression are evaluated and treated not by psychiatrists, but by primary care providers, and it’s been shown that we correctly diagnose depression only about half of the time. Despite the fact that we have some very good treatment options for depression, those on treatment often have continued symptoms. To help us understand more about depression, we’re honored to have Dr. Bruce Sutor with us today. Dr. Sutor is a Mayo Clinic Psychiatrist and Practice Chair of Psychiatry and Psychology in Rochester, Minnesota. If you are interested in learning more about this topic, register today for the Psychiatry Clinical Updates 2019 course held February 26 through March 1, 2019, located at the Fairmont Orchid on The Big Island, Hawaii. Today’s episode was sponsored by Mayo Clinic Online CME. Learn on your own time and register for the Psychiatry Clinic Reviews Online course offering 6.5 credits that focus on Pharmaceutical Management, Depression, Addiction, PTSD, Bipolar Disorder and Suicide.
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23 min
September 11, 2018
Ooh! My Aching Back!
It is estimated that more than 80% of Americans will experience an episode of low back pain at some time in their lives, with total annual costs estimated at $100 billion. What are some important questions to ask patients regarding their low back pain? Are there any red flag symptoms that patients may have which would alert us to a potentially serious cause for their back pain? Today we are joined by Dr. Edward Laskowski, a Mayo Clinic Physician and Professor in Physical Medicine and Rehabilitation. Dr. Laskowski is also a co-course director for the 28th Annual Mayo Clinic Symposium on Sports Medicine in Rochester, Minnesota, November 9th and 10th, 2018. For more information, visit ce.mayo.edu.
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23 min
September 4, 2018
Constipation, This Too Shall Pass
This week we’re talking about constipation. What are some of the causes of chronic idiopathic constipation? Are there any medications which can cause constipation or make constipation worse? When would a patient’s complaint of constipation raise your suspicion of something ominous causing the symptoms? Do prunes actually help? Today we’re joined by Amy Foxx-Orenstein, a Mayo Clinic Physician in the Division of Gastroenterology and Hepatology.
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25 min
August 28, 2018
How to Keep a Baby Boomer Buff
Is weight gain an unavoidable result of aging? Do we need to just plan that our bodies will be aching and sore all the time? How can the physiologic changes of aging translate into physical problems for our elderly patients? Can anything be done to maintain our flexibility as we age? Today we are joined by Dr. Edward Laskowski, a Mayo Clinic Physician and Professor in Physical Medicine and Rehabilitation. Dr. Laskowski is also a co-course director for the 28th Annual Mayo Clinic Symposium on Sports Medicine in Rochester, Minnesota, November 9th and 10th, 2018. For more information, visit ce.mayo.edu.
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21 min
August 21, 2018
Recent Trends in Sexually Transmitted Infections
Sexually transmitted infections are at an unprecedented high with 50-60% affecting young people. Today we’re talking about recent trends in sexually transmitted infections and the best way to screen for STI’s. Presented by Dr. Janice Blair, a physician in the Mayo Clinic Division of Infectious Diseases, today’s special episode is an excerpt from the Mayo Clinic Women’s Health Update held in Scottsdale, Arizona. This annual conference addresses a variety of health issues that are unique to women while highlighting medical conditions that may cause different symptoms in women. The Mayo Clinic 15th Annual Women’s Health Update will be held at The Scott Resort and Spa in Scottsdale, Arizona, February 28 - March 2, 2019. We invite you to network with your colleagues and Mayo Clinic faculty by registering at ce.mayo.edu.
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31 min
August 14, 2018
Sexual History Taking--Why Sexual Health Matters
Why is it important to talk about sexual history? What questions should we ask to get a detailed sexual history? Today we’re talking about sexual history taking and why sexual health matters. Presented by Dr. Suneela Vegunta, a physician in the Mayo Clinic Women’s Health Center, today’s special episode is an excerpt from the Mayo Clinic Women’s Health Update held in Scottsdale, Arizona. This annual conference addresses a variety of health issues that are unique to women while highlighting medical conditions that may cause different symptoms in women. The Mayo Clinic 15th Annual Women’s Health Update will be held at The Scott Resort and Spa in Scottsdale, Arizona, February 28 - March 2, 2019. We invite you to network with your colleagues and Mayo Clinic faculty by registering at ce.mayo.edu.
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35 min
August 7, 2018
How to Recognize Abuse in the Elderly
It’s estimated that up to 10% of cognitively intact elderly and up to 47% of adults with dementia have experienced some form of abuse. What are some warning signs we should look for? Are there recommended questions we should be asking our elderly patients? This week we’re talking with Paul Takahashi, M.D., a Mayo Clinic geriatrician and physician in Community Internal Medicine, about recognizing abuse in the elderly.
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20 min
July 31, 2018
How to Lower Lipids Without a Prescription Pad
Hyperlipidemia is one of the most common healthcare problems seen by primary care providers. Stephen Kopecky, a Mayo Clinic physician in the Division of Cardiovascular Medicine, discusses non-pharmacological treatment of hyperlipidemia, and which diets can improve the lipid profile. Dr. Kopecky also explains how nutritional supplements, exercise, and weight loss can help lower LDL cholesterol levels.
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18 min
July 24, 2018
Doctor, I Have a Splitting Headache
Headache is one of the most common medical complaints seen by medical providers, and although the vast majority don’t represent any serious underlying conditions, they can cause patients a great deal of anxiety and daily disruption. In today’s talk “Doctor I Have a Splitting Headache,” Dr. Jerry Swanson, a Mayo Clinic neurologist and headache specialist, helps shed light on this common complaint. Visit with Dr. Swanson and other experts at the March 2019 Headache Symposium in Phoenix, Arizona. Sign up for the mailing list at ce.mayo.edu.
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31 min
July 17, 2018
Fibromyalgia in a 20 Minute Office Visit
Widespread pain. Fatigue. Depression. Why does the diagnosis of Fibromyalgia engender so much fear and trembling? How do we as physicians determine Fibromyalgia from the many other widespread muscle pain syndromes? Today’s selected presentation, “Fibromyalgia in a 20 Minute Office Visit” is presented by Dr. Jeffrey Thompson of the Mayo Clinic. Dr. Thompson, an award-winning educator, is board certified in physical medicine and rehabilitation as well as sports medicine. The March 2019 Mayo Clinic Principles of Pain and Palliative Care: Essential Tools for the Clinician conference will be held at the JW Marriott Desert Springs in Palm Desert, California. This annual conference targets the integration of pain and palliative services across disciplines. We invite you to network with your colleagues and Mayo Clinic faculty by registering at ce.mayo.edu. Links to the course can be found in this podcast’s description.
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29 min
July 10, 2018
Patients with Medically Unexplained Symptoms
There are few patients that are more challenging to care for than those who have medically unexplained symptoms. They require a great deal of our time and huge medical costs can result. When should we suspect symptoms represent a functional disorder? How do we help patients when we have determined that their symptoms don’t represent a serious disorder? Do patients have a common fear regarding what their symptoms represent? Dr. Kevin Fleming, a Mayo Clinic physician in General Internal Medicine joins us to delve into medically unexplained symptoms.
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22 min
July 3, 2018
Sneezers and Wheezers
Up to 30% of adults and children suffer from seasonal allergies. Allergic Rhinitis accounts for nearly 2 million lost school days and 6 million lost work days per year. Are there any non-pharmacologic ways to treat or manage seasonal allergies? Today Dr. Gerald Volcheck is joining us to talk about allergic Rhinitis. Dr. Volcheck is a Mayo Clinic physician and chair of the Division of Allergic Diseases. He is also course director for the Mayo Clinic Clinical Updates in Allergy and Immunology conference held July 2018 in Coronado, California. Visit ce.mayo.edu/allergy2018 and register today. Use coupon code ALLERGY to receive $100 off the registration fee. Offer is limited.
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17 min
June 26, 2018
Food Allergies: This May be Hard to Swallow
How can we diagnose a food allergy from an often vast array of symptoms? Is it possible to desensitize to the food we are allergic to? What are the best methods we have to test for food allergies? Today Dr. Gerald Volcheck is joining us to talk about food allergies. Dr. Volcheck is a Mayo Clinic physician and chair of the Division of Allergic Diseases. He is course director for the Mayo Clinic Clinical Updates in Allergy and Immunology conference held July 2018 in Coronado, California. Visit ce.mayo.edu/allergy2018 and register today. Use coupon code ALLERGY to receive $100 off the registration fee. Offer is limited.
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14 min
June 19, 2018
Lipids - What Goes Up Must Come Down
Hyperlipidemia is one of the most common healthcare problems seen by primary care providers. Stephen Kopecky, Mayo Clinic physician in the Division of Cardiovascular Medicine, discusses pharmacological treatment of hyperlipidemia and the potential long-term risks of using statins. Dr. Kopecky also talks about how to treat the patient who develops myalgias from several different statins and discusses the gender differences in the benefits seen from statins.
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21 min
June 12, 2018
What I Won’t Let My Kids Do
For physicians like Mark Mannenbach, trampoline injuries are “what they do in the summertime.” Today’s selected presentation, “What I Won’t Let my Kids Do” is presented by Mayo Clinic pediatrician and pediatric emergency medicine physician, Mark Mannenbach, MD. Dr. Mannenbach discusses the top three sport activities he sees the most injuries from and goes on to offer some potential strategies to mitigate these “far too common” injuries. Topics like these are discussed at the Mayo Clinic Pediatric Days conference. This annual conference provides an interdisciplinary update on the latest strategies for providing timely and effective evidence based diagnosis and management plans for multiple aspects of pediatric and young adult health. This year’s conference will be held in October at Chicago’s Westin Hotel on Michigan Avenue. We invite you to network with your colleagues and Mayo Clinic faculty by registering at http://ce.mayo.edu/pediatricdays2018.
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25 min
June 5, 2018
The Case for Ethics
Medical ethics is not new, it actually dates back many centuries. In fact, there’s evidence that this topic dates back to medieval times. Dr. Darryl Chutka welcomes Dr. Jon Tilburt, to review cases where an ethical decision has to be made.
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14 min
May 29, 2018
Hypertension and the New Hypertension Guidelines Part 2
Hypertension is extremely common in our society, affecting nearly 1 in every 3 individuals in the United States. The treatment of hypertension is the most common reason for office visits in non-pregnant adults to healthcare providers and the most common reason for use of prescription medications. Dr. Darryl Chutka, a general internist at Mayo Clinic in Rochester, along with Dr. Gary Schwartz, a consultant in the Division of Nephrology and Hypertension at Mayo Clinic in Rochester, discuss the evaluation and management of hypertension and the new hypertension treatment guidelines.
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22 min
May 23, 2018
Burned by Stress
Healthcare professionals are more prone to stress and professional burnout compared to many other occupations. Chronic exposure to stress can decrease a provider’s efficiency and could result in negative consequences on our health and family life. It can lead to mental health issues, alcoholism, and other substance abuse. Debbie Fuehrer is a Licensed Professional Clinical Counselor in the Mayo Clinic Mind Body Medicine program and is the coordinator of the Mayo Clinic Complementary and Integrative Mind Body Medicine program. Debbie discusses how stress affects us as well as techniques health care professionals can use to manage stress.
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15 min
May 15, 2018
Hypertension and New Hypertension Guidelines
Despite the fact that we have a wide variety of antihypertensive medications available, it’s estimated that up to half of the patients with hypertension are not adequately controlled. Dr. Darryl Chutka, MD, welcomes Dr. Gary L. Schwartz to discuss hypertension and the new hypertension guidelines.
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24 min
April 17, 2018
Risks and Benefits of Coffee
Dr. Darryl Chutka, a general internist at Mayo Clinic in Rochester and Dr. Donald Hensrud, a physician in Preventative Medicine and the medical director for the Mayo Clinic Healthy Living Program in Rochester, Minnesota discuss the risks and benefits of drinking coffee.
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11 min
April 10, 2018
Opioid Edition Bonus 2: Side Effects Management
Bonus Ep2 of 2: Dr. Molly Feely, who is board certified in palliative care, internal medicine, and family medicine now practicing full time palliative care at Mayo Clinic Rochester, talks about best practices for Management of Opioid Side Effects. This podcast is brought to you by the Opioid conference held each year as a part of Mayo Clinic’s Continuing Medical Education. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
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26 min
April 3, 2018
Opioid Edition Bonus 1: Monitoring and Considerations for Tapering
Bonus Ep1 of 2: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in Rochester, talks about best practices for Opioid Monitoring and Considerations for Tapering. This podcast is brought to you by the Opioid conference held each year as a part of Mayo Clinic’s Continuing Medical Education. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
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31 min
March 13, 2018
Troponin Edition: Inpatient Care
Ep3 of 3: Which patients should be placed in monitored beds? Are there other factors to consider besides the troponin values when treating patients with ACS? Dr. Jamie Newman, a hospitalist at Mayo Clinic-Rochester and Dr. Allan Jaffe, a cardiologist and consultant at Mayo Clinic-Rochester share their insights on inpatient care, including pre- and post-surgery patients. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/troponinpc and register.
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33 min
March 7, 2018
Troponin Edition: Emergency Medicine
Ep2 of 3: Dr. Jamie Newman, a hospitalist at Mayo Clinic-Rochester and Dr. Casey Clements, an emergency physician from Mayo Clinic-Rochester discuss how the new 5th generation assay for troponin will affect emergency medicine. What are the benefits and potential difficulties associated with the new test? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/troponinpc and register.
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16 min
February 28, 2018
Troponin Edition: The 5th Generation Assay
Ep1 of 3: How does the 5th generation assay differ from the 4th generation assay? Will a more sensitive assay improve clinical practice? Dr. Jamie Newman, a hospitalist at Mayo Clinic-Rochester and Dr. Allan Jaffe, a cardiologist and consultant at Mayo Clinic-Rochester walk us through the new 5th generation assay for troponin. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/troponinpc and register.
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18 min
January 4, 2018
Opioid Edition 1: The Opioid Crisis and Pain Management
Ep1 of 8: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic-Rochester walks us through the basics of opioids and the current state of this national crisis. What is an opioid? How bad is the opioid epidemic and how did we get here? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
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10 min
January 4, 2018
Opioid Edition 2: Managing Acute and Chronic Pain
Ep2 of 8: What are the different guidelines when treating chronic versus acute pain with opioid therapy? Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic-Rochester, talks about the importance of “starting low and going slow.” What are the alternatives for chronic pain management? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
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17 min
January 4, 2018
Opioid Edition 3: Family Practitioners - Assessing the Patient
Ep3 of 8: Dr. David Patchett, family practitioner at Mayo Clinic-Arizona, answers common questions family practitioners often face when treating patients with pain management issues. What are best practices when prescribing opioid therapy? How do you weigh the potential benefits of opioid therapy with the identified risks? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
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9 min
January 4, 2018
Opioid Edition 4: Treating Special Populations & Situations
Ep4 of 8: Family practitioner, Dr. David Patchett, from Mayo Clinic-Arizona shares the additional challenges associated with prescribing opioids to special populations, and discusses how and when to reassess a patient’s therapy. How do you know when to taper a patient? What are the symptoms of opioid withdrawal and how can you mitigate them? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
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11 min
January 4, 2018
Opioid Edition 5: Acute Prescribing: Emergency Room Prescribing
Ep5 of 8: Dr. Casey Clements, an emergency physician and practice leader, who works in the opioid stewardship program at Mayo Clinic-Rochester, shares his insights on opioid therapy from the Emergency Department perspective. What is drug diversion? How do you know a patient isn’t receiving prescriptions from multiple physicians? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
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23 min
January 4, 2018
Opioid Edition 6: Assessing & Treating Opioid Misuse in the ED
Ep6 of 8: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clement, an emergency physician and practice leader, who works in the opioid stewardship program at Mayo Clinic-Rochester, shares his insights on treating opioid misuse in the emergency setting. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
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17 min
January 4, 2018
Opioid Edition 7: Treating Opioid Addiction
Ep7 of 8: Dr. Holly Geyer, an internal medicine physician, who serves on the opioid stewardship program at Mayo Clinic-Arizona, discusses issues of dependency and addiction. What’s the difference between dependency and addiction? Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
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15 min
January 4, 2018
Opioid Edition 8: Family & Patient Counseling
Ep8 of 8: What legal/ethical obligations do physicians have when prescribing opioids? How can we address systemic issues that need improvement? Dr. Holly Geyer, internal medicine physician at Mayo Clinic-Arizona, shares her thoughts on what is currently being done to combat the opioid crisis and what additional steps can be taken to make a difference. Healthcare providers looking to claim CME credit for this podcast series should go to ce.mayo.edu/opioidpc.
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9 min
November 1, 2017
Common Curbsides from the Infectious Disease Clinic
What are some tips for interpreting common infectious diseases tests (Syphilis, Hepatitis B, Lyme, Quantiferon, etc.)? How do I treat common infections in patients with antimicrobial allergies? What are the major emerging infectious disease concerns that I need to be aware of?
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31 min
October 18, 2017
Trouble Sleeping? Tips on Managing Insomnia
What are the key elements of effective sleep hygiene? How effective are over the counter agents in treating insomnia? How do I choose which pharmacologic therapy to recommend? For patients who require long-term pharmacologic therapy, what are the most appropriate options?
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29 min
October 12, 2017
Updates in Atrial Fibrillation
Which patients should receive anticoagulation for atrial fibrillation? How do I choose which anticoagulant to use? What should be done when atrial fibrillation is detected incidentally? Do patients with transient atrial fibrillation after non-cardiac surgery need long term anticoagulation? Do patients need chronic anticoagulation after ablation?
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40 min
September 29, 2017
Topical Steroids: How to Choose
How do I decide which topical steroid potency to use? What vehicles are suitable for different clinical situations? What quantity should be prescribed?
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33 min
August 30, 2017
Frequently Asked Questions in Diabetes
When should I consider metformin in patients with impaired fasting glucose? What are the different types of insulin available and how do I choose the best agent for my patient with DM2? Which commonly used performance measures are least supported by evidence? What are some key take home points from the new guidelines?
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31 min
August 18, 2017
Acne and Rosacea Management in Primary Care
How do I individualize the approach to acne treatment? What are the different subtypes of rosacea and how are they treated? What new agents are available for treating acne and rosacea?
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34 min
January 26, 2017
Asthma Update
Dr. Volcheck will cover the following questions in this podcast: What is the best diagnostic strategy for asthma? What new treatment options are available and how do they compare with currently available agents? What are some key take home points from the new guidelines?
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33 min
January 25, 2017
How to Assess Memory Complaints in the Office
What is the most efficient strategy for determining who needs further evaluation? What are the most common medical conditions that present with memory loss? For those patients who need further evaluation, what is the most cost-effective strategy?
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33 min
January 23, 2017
Updates in Hypertension: What the Generalist Needs to Know
During this talk, Dr. Stephen C. Textor will answer the following questions: - How do I apply the SPRINT trial findings to my patients? - What is the role of ambulatory blood pressure for diagnosis and monitoring hypertension? - Is there a role for aldosterone antagonists in primary hypertension?
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27 min
January 20, 2017
Sexuality in the Aging Female
A review of sexuality changes in woman related to aging and chronic disease. Discussion includes assessment of sexual functioning along with sexual wellness in aging women and what practitioners can do to help patients enhance their sexual wellness.
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34 min
January 9, 2017
Working Effectively with Patients with Borderline Personality Disorder
This week’s talk, Working Effectively with Patients with Borderline Personality Disorder, was presented by Dr. Brian Palmer at the Clinical Reviews conference held on November 14, 2016 in Rochester, MN. ©2016 Mayo Foundation of Medical Education and Research
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25 min
December 21, 2016
Celiac Disease: 10 Things Every Primary Care Provider Should Know
This week’s talk, Celiac Disease: 10 things every primary care provider should know, was presented by Dr. Margaret Gill at the Clinical Reviews conference held on November 14, 2016 in Rochester, MN. ©2016 Mayo Foundation of Medical Education and Research
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25 min
December 21, 2016
Menopause Management in 2016
This week’s talk, Menopause Management in 2016, was presented by Dr. Stephanie Faubion at the Clinical Reviews conference held on November 14, 2016 in Rochester, MN. ©2016 Mayo Foundation of Medical Education and Research
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26 min
December 5, 2016
Truthful and Fearless
Today’s talk, Truthful and Fearless - Talking Through Vaccine Hesitancy, was presented by Nicole K. Callahan, Certified Nurse Practitioner and Dr. Derek L. Weyhrauch. It was given at the Internal Medicine Review Conference in September, 2015 in Rochester, Minnesota. ©2016 Mayo Foundation of Medical Education and Research
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22 min
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