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    Episodes (204)

    Applying Constructivism Theory to Medical Education

    Applying Constructivism Theory to Medical Education
    Guest: Annette Mallory Donawa, PhD

    Constructivism is the theory that people in a learning environment will merge their prior foundational knowledge and experience with new details they are learning, helping them construct new understandings for themselves.

    Joining host Alicia Sutton is Dr. Annette Mallory Donawa, Assistant Dean and Director of Continuing Medical Education at the Johns Hopkins University School of Medicine. Dr. Donawa will discuss the learning theory of constructivism and its current to future impacts on continuing medical education.

    Recognizing the Spectrum of Signs and Symptoms for Alzheimer's Disease

    Recognizing the Spectrum of Signs and Symptoms for Alzheimer's Disease
    Host: Matt Birnholz, MD
    Guest: David Weisman, MD

    Dr. David Weisman, neurologist with Abington Neurological Associates and Director of Abington Neurologic Association's Trial Center, talks about expert approaches to recognizing the signs and symptoms for Alzheimer's disease.

    Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection

    The Astute Primary Care Clinician's 3 Keys to Improving Alzheimer's Care

    The Astute Primary Care Clinician's 3 Keys to Improving Alzheimer's Care
    Host: Matt Birnholz, MD
    Guest: Marwan Noel Sabbagh, MD, FAAN, CCRI

    Dr. Marwan Sabbagh, Professor of Neurology and Chief of the Memory Disorders Division at Barrow Neurological Institute, describes some of his key priorities for the current and future state of Alzheimer’s care.

    Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection

    Understanding the Pathophysiology of Alzheimer's Disease

    Understanding the Pathophysiology of Alzheimer's Disease
    Host: Matt Birnholz, MD
    Guest: Douglas Scharre, MD, CMD

    Dr. Douglas Scharre, Professor of Clinical Neurology and Psychiatry and Director of the Center for Cognitive and Memory Disorders at The Ohio State University Wexner Medical Center, describes updated perspectives and understandings on the pathophysiology for Alzheimer's disease.

    Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection

    Why Early Detection for Alzheimer's Disease Is So Critically Important

    Why Early Detection for Alzheimer's Disease Is So Critically Important
    Host: Matt Birnholz, MD
    Guest: Douglas Scharre, MD, CMD

    Dr. Douglas Scharre, Professor of Clinical Neurology and Psychiatry and Director of the Center for Cognitive and Memory Disorders at The Ohio State University Wexner Medical Center, explains the importance of early detection for Alzheimer's disease on patient quality of life, as well as broader impacts on American healthcare systems.

    Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection

    Screening & Detection Tests for Alzheimer's Disease: The Benefits & Costs

    Screening & Detection Tests for Alzheimer's Disease: The Benefits & Costs
    Host: Matt Birnholz, MD
    Guest: Douglas Scharre, MD, CMD

    Dr. Douglas Scharre, Professor of Clinical Neurology and Psychiatry with the Center for Cognitive and Memory Disorder at The Ohio State University Wexner Medical Center, speaks to the methods used for early detection of Alzheimer’s Disease, and their respective advantages vs costs in clinical practice.

    Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection

    Why Patients Delay Seeking an Early Diagnosis for Alzheimer’s Disease

    Why Patients Delay Seeking an Early Diagnosis for Alzheimer’s Disease
    Host: Matt Birnholz, MD

    More than half of those seeking a diagnosis for dementia have delayed going to their doctor by at least a year, according to a survey carried out by the Alzheimer’s Society of Great Britain. Dr. Matt Birnholz reports.

    Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection

    Alzheimer's: A Hidden Disease in More Ways Than One

    Alzheimer's: A Hidden Disease in More Ways Than One
    Host: Matt Birnholz, MD
    Guest: Carol Lippa, MD

    Dr. Carol Lippa, Professor of Neurology & Director of the Memory Disorders Program at Drexel University College of Medicine, member of the Board of Directors for the Alzheimer's Association, and Chair of the Delaware Valley Chapter’s Medical & Scientific Committee, reveals the biological, social, and stigma-based ways in which Alzheimer's remains the most prominently "hidden" disease in America.

    Uncover the truth about Alzheimer's in the non-certified educational series, Alzheimer's Disease: Towards Earlier Detection

    Hospital Records Predict Risk of Suicide

    Hospital Records Predict Risk of Suicide

    [Read the Article]

    Suicide is the 10th leading cause of death in the United States and identifying those at risk can be challenging. According to a new study, certain words in hospital discharge notes may be one way to identify patients who are at an increased risk of suicide.

    Researchers from Massachusetts General Hospital examined more than 450,000 patients’ discharge notes from 2005 to 2013. They analyzed these notes by using a sentiment analysis computer program which searches for positive or negative words. The researchers found that certain words like gloomy, unfortunate, and sad can predict a higher risk for suicide, as opposed to words like lovely, delightful or pleasant.

    In general, there is an elevated risk for suicide after hospital discharge so this is a moment for increased intervention.

    [Watch more videos of The JAMA Report]

    Reducing the High Cost of Prescription Drugs in the U.S.

    Reducing the High Cost of Prescription Drugs in the U.S.

    [Read the Article]

    The increasing cost of prescription drugs in the United States has become a source of growing concern for patients, prescribers, payers, and policy makers. A new study examined the reasons for these high prices and also suggests policy changes that could help contain costs.

    Researchers from Brigham and Women’s Hospital reviewed the medical and health policy literature on prescription drug prices in the U.S. and found high drug costs stem from various factors such as market exclusivity, limitations on payers and their ability to negotiate prices, and limitations on competition.

    The researchers state that the most realistic short-term strategies include enforcing stricter requirements for exclusivity rights, ensuring timely generic drug availability, providing greater opportunities for price negotiation by patients, and effectively educating patients, prescribers, payers, and policy makers about these choices.

    [Watch more videos of The JAMA Report]

    Device Reduces Risk of Brain Injury After Heart Valve Replacement

    Device Reduces Risk of Brain Injury After Heart Valve Replacement

    [Read the Article]

    Patients who might benefit from a heart valve replacement but are too ill for open heart surgery can sometimes undergo a less invasive procedure known as transcatheter aortic valve implantation or "TAVI". About 10% of patients undergoing TAVI can experience small strokes and related brain injury as a complication. A new study found that the use of a cerebral protection device, which captures debris dislodged from blood vessels during the TAVI procedure, reduced the number and volume of brain lesions seen on MRI.

    Researchers from the University of Leipzig Heart Center, Germany studied 100 patients with an average age of 80 who underwent TAVI. Half of the patients received the cerebral protection device and the other half did not. Patients underwent brain MRIs before the implantation and again at 2 and at 7 days after the procedure. The results found that using the filter device helped to decrease the number of brain lesions seen in the brain by about half.

    [Watch more videos of The JAMA Report]

    Diets with More Plant Protein Linked to Lower Risk of Death

    Diets with More Plant Protein Linked to Lower Risk of Death

    [Read the Article]

    According to a new study, eating a diet that includes more plant-based protein is associated with a lower risk of death, while eating more animal protein is associated with a higher risk of death, especially among adults with at least one unhealthy behavior such as smoking, drinking alcohol, being overweight or living a sedentary lifestyle.

    Researchers from Massachusetts General Hospital examined how each protein source influenced long-term health. They looked at more than 131,000 adults participating in two long-running national health studies. Participants provided 25 to 30 years of detailed data on diet, lifestyle, and medical conditions. Researchers reviewed detailed food questionnaires that were sent to the participants every four years.

    They found that higher intake of animal protein was positively associated with mortality and that the association was higher among adults who lived an unhealthy lifestyle. Substituting plant protein for animal protein, especially processed red meat, was associated with lower mortality, suggesting the importance of protein source.

    [Watch more videos of The JAMA Report]

    Reducing the Culture of Stress, In and Out of Clinical Practice

    Reducing the Culture of Stress, In and Out of Clinical Practice
    Host: Matt Birnholz, MD

    Today’s culture of stress is driving people to pharmaceuticals and other dangerous outlets as coping mechanisms. What strategies should people employ to mitigate stress and manage their time better?

    Host Dr. Matt Birnholz sits down with Dr. Patricia Sulak, Endowed Professor at Texas A&M University to talk about the dangers of stress.

    New Guidelines for Umbilical Cord Blood Banking

    New Guidelines for Umbilical Cord Blood Banking
    Host: Matt Birnholz, MD

    The American Congress of Obstetricians and Gynecologists have made several recommendations regarding the practice of umbilical cord blood banking.

    Host Dr. Matt Birnholz speaks with Dr. Jordan Perlow, Associate Director of Maternal-Fetal Medicine at Banner Good Samaritan Medical Center in Phoenix, AZ, about the newest guidelines set forth from ACOG.

    Marijuana Exposure Increases Among Colorado Kids Since Legalization

    Marijuana Exposure Increases Among Colorado Kids Since Legalization

    [Read the Article]

    Since the legalization of marijuana in Colorado, there has been an increase in hospital visits and calls to regional poison centers due to unintentional marijuana exposure among young children. Researchers from the University of Colorado evaluated the number of children with exposures before and after recreational marijuana was legalized.

    Between 2009 and 2015 they found a rise in the annual number of unintentional pediatric exposures. On average, these children were about two years old. Most children ingested the drug in edible forms such as candies and baked goods. Almost half of the patients seen in the children's hospital in the 2 years after legalization had exposures from recreational marijuana, suggesting that legalization did affect the incidence of exposures.

    [Watch more videos of The JAMA Report]

    Benefits of Bariatric Surgery for Obese Teens

    Benefits of Bariatric Surgery for Obese Teens

    [Read the Article]

    A new study suggests that teens undergoing bariatric surgery can experience benefits in terms of walking speed and joint pain. Researchers from the University of Minnesota School of Medicine are tracking long-term outcomes for 242 teens that underwent bariatric surgery at five centers around the United States.

    For the current study, researchers specifically focused on improvements in mobility and pain related to muscles and joints is a subset of 206 patients. All patients participated in a quarter mile walk test before and after surgery at six months, twelve months and twenty-four months. Improvements in time to complete the walk, resting heart rate and heart rate differences continued at one and two years after surgery.

    [Watch more videos of The JAMA Report]

    Defining Health Care's Change Agents: Reactions to the Villanova Health Summit Panel Discussion

    Defining Health Care's Change Agents: Reactions to the Villanova Health Summit Panel Discussion
    Host: Matt Birnholz, MD

    Dr. Matt Birnholz sits down with Michael Freytag, an attendee at the Villanova Health Summit, to talk about his reactions and thoughts on the keynote presentations and panel discussion. The two discuss outlooks on the future of multidisciplinary teams in health care, and how standard views on "change agents" within this field may evolve over time.

    Increased Risk for Chronic Opioid Use After Surgery

    Increased Risk for Chronic Opioid Use After Surgery

    [Read the Article]

    Chronic use of prescription pain medications known as opioids is increasing in the United States. New research shows that a portion of patients undergoing several common surgical procedures may be at increased risk for chronic opioid use several months after surgery.


    Researchers from Stanford University School of Medicine reviewed the records of more than 641,000 patients who underwent one of 11 common operations and were not taking opioid pain medication during the year prior to surgery.

    They found that some patients were at an increased risk for chronic opioid use following surgery, with the risks ranging from about one and a half times more likely, to as high as five times more likely, depending on the procedure. Males and the elderly had a higher risk, as well as patients with a history of drug or alcohol abuse. The overall risk of chronic opioid use remained low at about 1 percent depending on the type of surgery.

    [Watch more videos of The JAMA Report]

    Euthanasia and Physician-Assisted Suicide Increasingly Being Legalized

    Euthanasia and Physician-Assisted Suicide Increasingly Being Legalized

    [Read the Article]

    According to a new study, euthanasia and physician-assisted suicide (PAS) in the United States, Canada, and Europe are increasingly being legalized, but remain relatively uncommon. Researchers from the University of Pennsylvania examined the legal status of both procedures and available data on attitudes and practices from the late 1940s to present day.

    They found that public support for euthanasia and PAS in the United States had increased through the 1990s, but has since plateaued. More than 70 percent of cases of euthanasia and PAS worldwide involved patients with cancer. Typical patients are older, white, and well-educated. Motivations for requesting PAS include loss of autonomy and dignity, inability to enjoy life and regular activities, and other forms of mental distress. Pain is mostly not reported as the primary motivation.

    Although the ethics and legality continue to be controversial, cases of these procedures remain relatively rare. Researchers did not find evidence that vulnerable patients have been receiving euthanasia or PAS at higher rates.

    [Watch more videos of The JAMA Report]

    Inter-Professional Education: Working Together as a Team

    Inter-Professional Education: Working Together as a Team
    Host: Brian P. McDonough, MD, FAAFP

    Physicians used to receive very little guidance on how to work in teams during training, but were nonetheless expected to demonstrate these skills day to day on the job. In recent years there has been a shift towards multidisciplinary training in medicine to help clinicians work together early on. How has this change in attitude and focus toward teamwork affected patient care?

    From the Villanova Healthcare Speaker Event, Host Dr. Brian McDonough sits down with Lawrence Sherman, Senior Vice President of TOPEC Global, to discuss the importance of inter-professional education.

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