Healthy Dialogue

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Using Medicare Star Ratings to Select Hospitals Nov 01, 2016

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Medicare recently developed a star rating system to help consumers determine the quality of care delivered at various hospitals. This rating system was considered controversial by many. In this podcast we discuss the rating system with one of its critics, Karl Y. Bilimoria, MD, MS, and with Kate Goodrich, MD, the Director of the Center for Clinical Standards and Quality at Medicare.

Article discussed in this episode:

The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned

Pioneering Geneticist Explains Ambitious Plan to "Write" the Human Genome Oct 26, 2016

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This Medical News podcast discusses the Human Genome Project-write with Harvard geneticist, George Church, PhD.

USPSTF Recommendation: Interventions to Support Breastfeeding Oct 25, 2016

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Interview with Ann E. Kurth, PhD, RN, MSN, MPH, Task Force member and co-author of Primary Care Interventions to Support Breastfeeding: US Preventive Services Task Force Recommendation Statement

Professional Boundaries: What to Do When Clinicians Ask Other Clinicians to Prescribe Medications for Them Oct 25, 2016

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In this episode of JAMA Professionalism: Best Practice, Edward H. Livingston, MD looks at the case of a physician requesting prescription medication from a colleague to examine professional boundaries between physicians and options for managing those boundaries. Shiphra Ginsburg, MD and Wendy Levinson, MD, authors of the related article, join Dr Livingston to discuss the best options for handling this challenging situation. Arthur S. Hengerer, MD, chair of the Federation of State Medical Boards discusses the legal and licensure ramifications of physicians prescribing for other clinicians and Kate E. Engelhardt, MD, and D. Brock Hewitt, MD, MPH, practicing physicians, relate their experience with other clinicians asking them to prescribe medications.

On CDC's 70th Anniversary, Director Tom Frieden, MD, Looks Ahead Oct 13, 2016

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This Medical News podcast features a Q&A with CDC Director Tom Frieden, MD, commemorating the agency's historic 70th anniversary. The interview was recorded on August 8th, 2016.

The Supplement Paradox Oct 11, 2016

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Interview with Pieter A. Cohen, MD, author of The Supplement Paradox: Negligible Benefits, Robust Consumption

Treatments for Hyperemesis and Nausea and Vomiting in Pregnancy Oct 04, 2016

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Nearly all women experience some element of nausea and vomiting during their pregnancies. In this podcast we review the entire spectrum of disease all the way up to hyperemesis gravidarum and how to provide care for women experiencing these problems.

Article discussed in this episode:

Treatments for Hyperemesis Gravidarum and Nausea and Vomiting in Pregnancy

Fluid Resuscitation for Patients in Septic Shock Sep 27, 2016

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When managing septic shock, passive leg raising is the best test to determine if a patient is likely to respond to a fluid bolus, better than CVP lines or even bedside ultrasound. Dr Najib Ayas, Associate professor of Critical Care Medicine at the University of British Columbia, discusses shock management from the context of his Rational Clinical examination article in the September 27, 2016 issue of JAMA, entitled "Will This Hemodynamically Unstable Patient Respond to a Bolus of Intravenous Fluids?"

Endovascular Thrombectomy and Outcomes in Ischemic Stroke Sep 27, 2016

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Interview with Jeffrey L Saver, M.D., author of Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis

JAMA Performance Improvement: Do No Harm — Performing the Wrong Procedure Sep 20, 2016

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What to do when the wrong procedure is performed? In this first installment of JAMA Performance Improvement: Do No Harm we explore the options for dealing with this very difficult problem with Tami Minnier, RN, MSN, Paul Phrampus, MD, Linda Waddell, RN, MSN, and David Baker, MD, MPH, FACP. Air traffic audio courtesy of LiveATC.net, used with permission.

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