The Podcast by KevinMD

Latest Episodes:

Teen dies when blood culture protocol botched Aug 07, 2022

Show notes

"Address the patient's chief complaint first. In this case, the other symptoms were only side effects of the main problem.

Pay attention to lab work. In this case, the elevated white blood count and the related blood culture results.

Keep an open mind, broaden your differential and document your medical decision-making (MDM), especially when sending a patient home with pending blood cultures.

Avoid anchoring bias and premature closure based on a patient's self-diagnosis. This teen's report of a lifting injury does not comport with his signs and symptoms.

Follow your hospital's procedures on abnormal lab results.

Don't automatically write off 'preliminary' culture results."

Charles A. Pilcher is an emergency physician and editor, Medical Malpractice Insights - Learning from Lawsuits.

He shares his story and discusses his KevinMD article, "Teen dies when blood culture protocol botched: What can we learn from this tragedy?"

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.

Powered by CMEfy - a seamless way for busy clinician learners to discover Internet Point-of-Care Learning opportunities that reward AMA PRA Category 1 Credit(s)™. Learn more at about.cmefy.com/cme-info

Less resiliency may heal burnout Aug 06, 2022

Show notes

The word "resiliency" has been lauded, applauded, and buzzed about in talks about physician burnout. When I hear it, I tune out. My stomach churns. I feel sick. Why?

Because physicians are resilient. We are, in fact, the walking, talking, breathing personification of the word. We cannot manage to get through medical school, residency, and boards, without being resilient."

Dympna Weil is an obstetrician-gynecologist.

She shares her story and discusses her KevinMD article, "Less resiliency may heal burnout."

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.

What it takes to build a pediatric weight management program Aug 05, 2022

Show notes

"Amazing pediatricians are back where I was years ago, with their C-suite asking for business plans for the medical side of their adolescent bariatric surgery programs. The reality is corporate health care has infiltrated pediatric health systems, and the C-suite looks at the medical component as a necessary evil to drive adolescent bariatric surgeries. In fact, they are OK with medical treatment failing because it means more adolescent bariatric surgeries. The medical arm is what helps document six months of failed treatment which is a requirement for consideration for bariatric surgery."

Karla Lester is a pediatrician.

She shares her story and discusses her KevinMD article, "What it takes to build a pediatric weight management program."

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.

Patient-initiated collaborative texting Aug 04, 2022

Show notes

"Nearly three-quarters of consumers say they prefer texting with a business if an actual human is the returning texts — no bots need reply.

But the rise of artificial intelligence has led to further advances in smart texting, including the ability to answer simple questions — such as "when is my next appointment?" — without human intervention. Texts regarding certain actions like prescription refills or payment questions can be automatically routed to the correct department for follow-up.

Because of privacy concerns, texting in a medical setting must occur on a HIPAA-compliant platform, but solutions exist today where secure text communications flow to the patient record and enable video calls and the ability for patients to pay their bills by text."

Keith Dressler is a health care executive.

He shares his story and discusses his KevinMD article, "3 reasons practices should implement patient-initiated collaborative texting."

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.

A breast cancer story from an Asian perspective Aug 03, 2022

Show notes

"I was first diagnosed with stage 1 breast cancer, DCIS (ductal carcinoma in situ), on May 15, 2015, at 41 years old. I had my annual exam with my gynecologist and told him I felt a small, pea-sized lump under my right armpit close to my breast. He confirmed what I felt and said it was probably nothing but still wanted me to get a mammogram. I got an appointment the next day, and with much squeezing, because my itty-bitties measured as A minuses (in size), the technician couldn't find or see anything during the mammogram. But I told her where I felt the lump, and she also felt it, so she brought out the ultrasound machine."

Bianca Haines is a patient advocate.

She shares her story and discusses her KevinMD article, "Candid about my breast cancer."

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.

How to improve medication adherence Aug 02, 2022

Show notes

"Automation and technologies can enable adherence, but true change happens when physicians and pharmacists work together in collaborative teams to achieve common goals: Better managed chronic conditions, fewer complications, and improved experience for patients and physicians."

Tony Willoughby is a health care executive.

He shares his story and discusses his KevinMD article, "Automatic refill and 90-day fill programs don't improve medication adherence."

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.

What this physician mom learned about shame Aug 01, 2022

Show notes

"I cry often enough that my kids almost gleefully expect it, checking me for tears during movies or shows, shaking their heads in mock dismay when they see that their prediction is correct. I've cried many times at home, watching screens, reading books, talking on the phone, and at work, where I am a doctor who cannot always suppress my emotions. And I've cried in front of health care providers as a patient or family member, something that I have the most trouble admitting because the tears were virtually involuntary and unwelcome in a health care space that did not feel safe to me. In that setting, there is shame."

Christine J. Ko is a dermatopathologist.

She shares her story and discusses her KevinMD article, "Is there more to patient safety than preventing medical error?"

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.

A physician mom's take on telemedicine Jul 31, 2022

Show notes

"In early 2018 when I started full-time telemedicine, I was quite reluctant about losing the physical hands-on evaluation, especially the palpation, percussion, and auscultation components in the physical exam, and the holding hands, hugs, and handshakes of in-person visits.

But thankfully, I remembered one of my favorite medical school professors who said how important history is in a diagnosis. He said nothing else matters as much as a good history from the patient.

I shed my trepidation and gave it a brave shot, and I've never looked back. I absolutely enjoy it. I enjoy not only the urgent care but also the primary care side of it. I also enjoy that I am showing up at patients' homes nationwide rather than having them coming to my office at a Houston clinic. I love that so many patients know me by my name and choose an appointment with me, whether it's an urgent care or a primary care issue. It is a truly fulfilling moment for a physician."

Sabari L. Sundarraj is a family medicine physician.

She shares her story and discusses her KevinMD article, "A physician mom's take on telemedicine."

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.

Transition planning: financial moves for medical residents and fellows Jul 30, 2022

Show notes

"While you may not know exactly what your transition period will look like ahead of time, you can do your best to prepare for this change. By having a plan in place, you can make sure you are ready for the time between training and your new career so that you have financial stability in this uncertain transitional period."

Shane Tenny is managing partner, Spaugh Dameron Tenny, LLC, and host of The Prosperous Doc podcast.

He shares his story and discusses his KevinMD article, "Transition planning: financial moves for medical residents and fellows."

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.

Robotic interventional cardiology Jul 29, 2022

Show notes

"In the majority of robotic-assisted cases I perform, automated movements are particularly helpful in delivering gear – I can easily get balloons and stents around the C-shaped curve in the right coronary artery from the cockpit just like I would be able to if I were at the table. In addition to ensuring precision, this means that I'm offered a level of protection from the radiation exposure that interventional cardiologists typically experience. Robotics is one of the many components that can contribute to a radiation safety-based culture, which is a key area of focus for many teams in the interventional space to create safe working conditions and encourage strong teamwork and longevity."

Rhian E. Davies is an interventional cardiologist.

She shares her story and discusses her KevinMD article, "Robotics, automation, and the future of remote health care."

Did you enjoy today's episode?

Rate and review the show so more audiences can find The Podcast by KevinMD.

Subscribe on your favorite podcast app to get notified when a new episode comes out.

Click here to earn 1.0 AMA PRA Category 1 CME for this episode.

Also available in Category 1 CME bundles.