Mayo Clinic Talks

By Mayo Clinic

Listen to a podcast, please open Podcast Republic app. Available on Google Play Store.


Category: Medicine

Open in iTunes


Open RSS feed


Open Website


Rate for this podcast

Subscribers: 139
Reviews: 1

Not a healthcare professional
 Apr 1, 2020
Thank you to Mayo Clinic's physicians, researches, experts and staff for these excellent podcasts which present the leading, topical subjects related to health and medicine in such a relatable manner. Please touch more on the pharmaceutical

Description

Stay on top of your primary care practice with podcasts from your colleagues at Mayo Clinic. Curated. Portable. Trusted. Offering continuing medical education - CME - for select episodes. Family medicine, primary care, general internal medicine topics for physicians, nurse practitioners and physician assistants.

Episode Date
COVID-19 Miniseries Episode 10: How to Mitigate Drug-Induced Sudden Cardiac Death From Hydroxychloroquine
51:39

This episode was recorded on April 3, 2020

Claim credit here: https://ce.mayo.edu/covid19podcast

Guest:  Michael J. Ackerman, M.D., Ph.D. (@MJAckermanMDPhD)

Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006)

The administration of hydroxychloroquine and azithromycin, along with other very common medications could result in drug-induced sudden cardiac death caused by drug-induced QT prolongation, in some patients. In order to avoid the wrong medication, for the wrong patient, at the wrong time, Dr. Michael Ackerman shares how to assess your patient’s risk, how to find and measure their QTc value, and neutralize the threat.

Deeper Dive:

Giudicessi JR, Noseworthy PA, Friedman PA, Ackerman MJ. Urgent guidance for navigating and circumventing the QTc prolonging and torsadogenic potential of possible pharmacotherapies for COVID-19 [published online ahead of print March 25, 2020]. Mayo Clin Proc. https://doi.org/10.1016/j.mayocp.2020.03.024.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Apr 03, 2020
Mayo Clinic Q&A: The ‘Unprecedented Challenge’ of Fighting COVID-19
12:59

This episode is shared from Mayo Clinic Q&A.

Guest: Elie Berbari, MD (@DODElie)

Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)

The ongoing fight against the COVID-19 pandemic has heavily burdened front-line health care providers. "Our nation and our medical community is facing an unprecedented challenge," says Dr. Elie Berbari, chair of the Division of Infectious Diseases at Mayo Clinic. 

On the Mayo Clinic Q&A podcast, Dr. Berbari discusses how Mayo Clinic is minimizing exposure to staff, while providing safe and compassionate care to patients. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Apr 02, 2020
Mayo Clinic Q&A: How Does SARS-CoV-2 Make People Sick?
19:24

This episode is shared from Mayo Clinic Q&A and was recorded on March 31, 2020.

Guest:  Gregory Poland, M.D.

Host: Sanjeev (Sanj) Kakar, M.D. (@sanjkakar)

A novel coronavirus is a new strain that has not been seen before in humans. SARS-Co-V2 is a novel virus, causing the disease COVID-19. Because COVID-19 is a new disease, much is still being learned about how it spreads and the severity of illness it causes. 

On the Mayo Clinic Q&A podcast, Dr. Gregory Poland, infectious disease expert and head of Mayo Clinic’s Vaccine Research Group, explains the science behind how the virus makes people sick, and what the virus does to the body. Dr. Poland will also discuss the latest information on clinical trials and vaccine research to fight the disease outbreak.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mar 31, 2020
A Rheumatologist’s Approach to Osteoarthritis
21:07

Guest: Alicia M. Hinze, M.D., M.H.S. (@alicia_hinze)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Alicia M. Hinze, M.D., M.H.S., provides an overview of osteoarthritis and other rheumatologic conditions. Dr. Hinze shares her approach to distinguishing between osteoarthritis and inflammatory arthritis, along with risk factors for developing osteoarthritis over time, including genetics, professions, prior injuries, and age. She shares recommendations for conservative therapies and at what point surgical intervention should be considered.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mar 31, 2020
COVID-19 Miniseries Episode 9: Recommendations on Ibuprofen
33:38

This episode was recorded on Monday, March 30, 2020.

Claim credit here: https://ce.mayo.edu/covid19podcast

Guest:  Matthew P. Van Cuyk, Pharm.D., R.Ph. 

Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006

Should we be using ibuprofen to treat patients with COVID-19? Does this fall into the modifiable risk category? Dr. Matthew Van Cuyk breaks down recent events and literature around ibuprofen use in patients with COVID-19. 

Deeper Dive:

  1. Fang L, Karakiulakis G, Roth M. Are patients with hypertension and diabetes mellitus at increased risk for COVID-19 infection? The Lancet Respiratory Medicine. March 2020. https://doi.org/10.1016/S2213-2600(20)30116-8
  2. HFSA/ACC/AHA Statement Addresses Concerns Re: Using RAAS Antagonists in COVID-19
  3. ASHP Coronavirus Resource Center: https://www.ashp.org/Pharmacy-Practice/Resource-Centers/Coronavirus
  4. Assessment of Evidence for COVID-19-Related Treatments: Updated 3/27/2020

For the most up to date COVID-19 information:

Mar 31, 2020
Mayo Clinic Q&A: Point-of-Care Manufacturing to Help Fight COVID-19
12:01

This episode is shared from Mayo Clinic Q&A and was recorded on March 26, 2020.

Guest:  Jonathan M. Morris, M.D. & Mark Wehde

Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)

When it comes to fighting the COVID-19 pandemic, Mayo Clinic is relying not only on clinicians, but also engineers. Supply chain management and manufacturing capabilities are being readied to help in the fight against COVID-19.

On the Mayo Clinic Q&A podcast, Dr. Jonathan Morris, co-director of Mayo Clinic's 3D Anatomic Modeling Lab, and Mark Wehde, chair of Mayo Clinic's Division of Engineering, discuss personal protective equipment and mobilizing the manufacturing sector to help in the fight. They’ll share how they’re utilizing 3D printing to jump start conventional scalable manufacturing processes to retro-engineer pieces of respiratory equipment and solve today’s problems in the fight against COVID-19.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Mar 30, 2020
COVID-19 Miniseries Episode 8: Azithromycin and Hydroxychloroquine
25:37

This episode was recorded on March 27, 2020.

To claim credit visit: https://ce.mayo.edu/covid19podcast

Guest: Christina G. Rivera, Pharm.D., R.Ph.; Ryan W. Stevens, Pharm.D. (@Stevens_AK)

Host: Raymund R. Razonable, M.D. (@RazonableMD)

Chloroquine emerged as an early COVID-19 treatment option in China and there has been increasing interest in the use of hydroxychloroquine and azithromycin. What data is available for the safety and efficacy of the drugs in the fight against SARS-CoV-2? Dr. Christina Rivera and Dr. Ryan Stevens provide a breakdown of recent research.

Deeper Dive:

  1. Gautret P, Lagier JC, Parola P, et al. Hydroxychloroquine and Azithromycin as a treatment of COVID-19: preliminary results of an open-label non-randomized clinical trial. International Journal of Antimicrobial Agents. March 2020. https://doi.org/10.1016/j.ijantimicag.2020.105949
  2. Yao X, Ye F, Zhang M, et al. In Vitro Antiviral Activity and Projection of Optimized Dosing Design of Hydroxychloroquine for the Treatment of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2). Clinical Infectious Diseases. March 2020. https://doi.org/10.1093/cid/ciaa237
  3. Guidance on patients at risk of drug-induced sudden cardiac death from off-label COVID-19 treatments https://mayocl.in/2WQhxzI

For the most up to date COVID-19 information:

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Mar 27, 2020
Mayo Clinic Q&A: Shifting from Me to We
23:30

This episode is shared from Mayo Clinic Q&A and was recorded on March 25, 2020.

Guest: Greg Poland, MD (@drgregpoland)

Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)

Greg Poland, MD, answers trending questions from listeners. Is it safe to order take-out or have groceries delivered? Can pets get coronavirus? What about our summer plans? What’s next for social distancing and is it working?

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Mar 26, 2020
Opioid Edition 10: Side Effects Management
26:14

Guest: Molly A. Feely, M.D. (@mollyfeelymd)

Host: Tracy McCray

Episode 10 of 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 in Rochester, talks about best practices for Management of Opioid Side Effects. 

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

Mar 26, 2020
COVID-19 Miniseries Episode 7: Anosmia - What’s Currently Known
31:44

This episode was recorded on March 25, 2020.

Guest:  Erin K. O'Brien, M.D. (@ErinOBrienMD)

Host: Amit K. Ghosh, M.D., M.B.A. (@AmitGhosh006

Claim credit here: https://ce.mayo.edu/covid19podcast

What’s currently known about anosmia as a symptom of COVID-19 infection? Should we be using it as a screening tool? What causes it to occur when someone is infected with SARS-CoV-2 and what’s the prevalence in symptomatic vs otherwise asymptomatic individuals? Dr. Erin O’Brien gives an up-to-date overview of current reports, treatment options, and what you need to know about anosmia.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Mar 25, 2020
COVID-19 Miniseries Episode 6: Mayo Clinic Q&A - The Latest Updates
21:35

Guest:  Greg Poland, MD (@drgregpoland)

Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)

Claim credit for this episode at https://ce.mayo.edu/covid19podcast

On today's Mayo Clinic Q&A podcast, Dr. Gregory Poland, an infectious disease expert and head of Mayo Clinic's Vaccine Research Group, shares the latest information on the COVID-19 pandemic

Dr. Poland discusses the importance of testing for SARS-CoV-2, work being done on antiviral medications; and how long social distancing might need to last, emerging reports of loss of smell in survivors, and the use of azithromycin and hydroxychloroquine.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Mar 24, 2020
Answering any Question You’ve Ever Had About Liver Function Testing
19:42

Guest: John J. Poterucha, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

You can think of liver functions tests as falling into two buckets – markers of inflammation and perturbation and markers of liver function. Dr. John Poterucha answers any question you’ve ever had about liver function testing, including how to interpret the results plus when and what additional testing may need to be ordered as follow up.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mar 24, 2020
Mayo Clinic Q&A: Coping with Uncertainty
07:45

This episode is shared from Mayo Clinic Q&A.

Guest: Beth Rush, PhD

Host: Tom Shives, MD and Tracy McCray (@TracyMcCray)

We are in the midst of uncertain times. Dr. Beth Rush, a Mayo Clinic neuropsychologist, shares tips for you and your patients about coping with uncertainty by creating a structured schedule. Listen in as she shares more tips for taking care of your mental health and finding comfort amid the uncertainty.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Mar 23, 2020
Mayo Clinic Q&A: Inflection Point
21:52

This episode is shared from Mayo Clinic Q&A and was recorded on March 19, 2020.

Guest: Greg Poland, MD

Host: Tom Shives, MD and Tracy McCray

 

Have we acted sufficiently to flatten the curve? When will we know? What does effective safe isolation look like?

Infectious diseases expert Dr. Gregory Poland, a Mayo Clinic infectious diseases expert and head of Mayo Clinic’s Vaccine Research Group, answers new questions on COVID-19. How are we as a nation faring? What do you do when someone in your house is sick? 

Dr. Poland discusses preventive measures to stop the spread of the virus, what to do if you do get sick, and the potential for effective treatments and a vaccine.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mar 20, 2020
Mayo Clinic Q&A: Isolation and Flattening the Curve
10:56

This episode is shared from Mayo Clinic Q&A and was recorded March 18, 2020.

Guest: Clayton T. Cowl, M.D., M.S. (@ChestPresident

Host: Tom Shives, M.D. and Tracy McCray

In epidemiology, the idea of slowing a virus' spread so that fewer people need to seek treatment at any given time is known as "flattening the curve." It's a phrase you've likely heard in the news, and it is an important goal for governments and health care leaders during the COVID-19 pandemic.

On the Mayo Clinic Q&A podcast Dr. Clayton Cowl, chair of Mayo Clinic's Division of Preventive, Occupational and Aerospace Medicine, explains how isolation can stop a spike in the number of new coronavirus cases. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Mar 19, 2020
Opioid Edition 9: Monitoring and Considerations for Tapering
31:48

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd

Host: Tracy McCray

Episode 1 of 10: 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.

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

Mar 19, 2020
Mayo Clinic Q&A: Taking Precautions in Long Term Care Facilities
10:56

This episode is shared from Mayo Clinic Q&A and was recorded March 17th, 2020. 

Guest: Brandon P. Verdoorn, M.D.

Host: Tom Shives, MD and Tracy McCray

Long-term care facilities are taking steps to prepare and respond to the COVID-19 (coronavirus) outbreak. With guidance from the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services, long-term care facilities are restricting visitors in most cases.

On the Mayo Clinic Q&A podcast, Dr. Brandon Verdoorn, a Mayo Clinic geriatrician and medical director of Charter House, a continuing care retirement community affiliated with Mayo Clinic in Rochester, explains how staff are taking steps to keep residents safe and prevent spread of the coronavirus.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mar 18, 2020
Mayo Clinic Q&A: Current Blood Supply Needs During the COVID-19 Pandemic
07:19

This episode is shared from Mayo Clinic Q&A and was recorded March 16th, 2020.

Guest: Justin Kreuter, MD (@KreuterMD)

Host: Dr. Tom Shives and Tracy McCray

With recommendations to stay home during the COVID-19 pandemic, the U.S. now has a critical blood shortage. Blood donation collections have plummeted due to canceled blood drives and concerns about being out in the community. Almost half of U.S. blood collectors are reporting that they only have a two-day supply or less of blood products.

On today's Mayo Clinic Q&A podcast, Dr. Justin Kreuter, transfusion medicine specialist with the Mayo Clinic Blood Donor Center, explains how new blood donors are needed to step up and fill the void.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mar 17, 2020
Demystifying Polycystic Ovary Syndrome
24:34

Guest: Alice Y. Chang, M.D. (@AliceChangMDMSc)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Polycystic Ovary Syndrome (PCOS) has a prevalence of between 5-10% American women of child-bearing age. With a variety of symptoms, different diagnosis methods, misunderstood criterion, and both genetic and environmental causes, PCOS can be easily missed, especially in patients whose symptoms have developed sporadically. Alice Y. Chang, M.D., breaks down this complicated condition, including treatment strategies based on the patient’s primary concern related to the disease.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

Mar 17, 2020
Opioid Edition 8: Family & Patient Counseling
09:58

Guest: Holly L. Geyer, M.D.

Host: Tracy McCray

Episode 8 of 10: What legal and ethical obligations do physicians have when prescribing opioids? How can we address systemic issues that need improvement? Dr. Holly Geyer, an internal medicine physician at Mayo Clinic in 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.

Claim CME credit at ce.mayo.edu/opioidpc.

Mar 12, 2020
Hand and Wrist Disorders
23:53

Guest: Peter C. Amadio, M.D. (@AmadioPeter)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Dr. Peter Amadio discusses carpal tunnel, de Quervain's tenosynovitis, and others hand and wrist conditions and gives a few key pearls for helping your patients control symptoms and when to consider surgery.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mar 10, 2020
COVID-19 Miniseries Episode 5: SARS-CoV-2 and The Valley of Death
35:01

Episode Recorded March 5, 2020

To claim credit click here: https://ce.mayo.edu/covid19podcast

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Colin M. Bucks, M.D.

Why are we seeing very different severity and mortality rates as COVID-19 moves from country to country? Where are we at currently in regard to a COVID-19 vaccine? What does the pathway look like moving forward? Dr. Greg Poland lays out what you need to know about immunity and coronaviruses.  

Watch Dr. Poland teach Jimmy Kimmel and Guillermo how to wash their hands:

https://youtu.be/sJfsyhQ0oBs

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

For the most up to date COVID-19 information:

Mar 06, 2020
Opioid Edition 7: Treating Opioid Addiction
15:00

Guest: Holly L. Geyer, M.D.

Host: Tracy McCray

Episode 7 of 10: Dr. Holly Geyer, an internal medicine physician, who serves on the Opioid Stewardship Program at Mayo Clinic in Arizona, discusses issues of dependency and addiction. What’s the difference between dependency and addiction? 

Claim CME credit at ce.mayo.edu/opioidpc.

Mar 05, 2020
The Skinny on Bariatric Surgery
20:59

Guest: James A. Madura, II M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Obesity is prevalent and places our patients at significantly higher risk for a variety of health conditions. Which patients stand to benefit the most from bariatric surgery? What does insurance coverage for these procedures look like? Dr. James Madura discusses bariatric surgery and the safety and efficacy of the procedures.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mar 03, 2020
Opioid Edition 6: Assessing & Treating Opioid Misuse in the ED
17:36

Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)

Host: Tracy McCray

Episode 6 of 10: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clements, an emergency physician and practice leader, who works in the Opioid Stewardship Program at Mayo Clinic in Rochester, shares his insights on treating opioid misuse in the emergency setting.

Claim CME credit at ce.mayo.edu/opioidpc.

Feb 27, 2020
COVID-19 Miniseries Episode 4: Prepare for a Pandemic
19:47

Episode Recorded February 25, 2020

To claim credit, click here: https://ce.mayo.edu/covid19podcast

Guest: Pritish K. Tosh, M.D. (@DrPritishTosh)

Host: John M. Wilkinson, M.D.

“At this point, we need to prepare for a pandemic within the United States and try to shift our mode from thinking about taking care of 1 or 2 of these patients, if it were to come up, to really transforming thinking about, well how we’re going to do this across the country?”

- Pritish K. Tosh, M.D. 

As the spread of COVID-19 expands and index cases become harder to trace the advice is shifting to community preparedness for a pandemic. Family physician, Dr. John Wilkinson, sits down with infectious disease expert Dr. Pritish Tosh to discuss updates for health care providers on the COVID-19 outbreak.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

For the most up to date COVID-19 (Novel 2019 Coronavirus) information:

Feb 26, 2020
Armchair Physician with a Retrospectoscope: Leg Pain Edition
28:31

Guest: Jonathan T. Finnoff, D.O. (@FinnoffJonathan)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Diagnosing leg pain can be very challenging. Dr. Jonathan Finnoff walks through a case study near and dear to Dr. Chutka, offering pearls for your practice along the way.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Feb 25, 2020
Opioid Edition 5: Acute Prescribing: Emergency Room Prescribing
23:13

Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)

Host: Tracy McCray

Episode 5 of 10: 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?

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

Feb 20, 2020
Location! Location! Location! How to Effectively Decipher Hip Pain
21:09

Guest: Aaron J. Krych, M.D. (@DrKrych)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Hip pain is common, but the pain generators don’t always present in a typical fashion. When do you order x-rays or MRI’s? Dr. Aaron Krych, orthopedist, covers beyond the classic symptoms into atypical presentations you won’t want to miss. He’ll also cover how to help your patient decide when it’s time for a hip replacement and how long should you expect a hip arthroplasty to last.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Feb 18, 2020
Opioid Edition 4: Treating Special Populations & Situations
11:49

Guest: David C. Patchett, D.O.

Host: Tracy McCray

Episode 4 of 10: Family practitioner, Dr. David Patchett, from Mayo Clinic in 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? 

Claim CME credit at ce.mayo.edu/opioidpc.

Feb 13, 2020
Harnessing Pharmacogenomics in your Current Practice
21:30

Guest: Eric T. Matey, Pharm.D., R.Ph. (@MateyPh)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Pharmacogenomics can help us predict an effective therapeutic response or avoid an adverse drug reaction before ever starting a medication. Listen in for the scoop on what this is and how it’ll impact your practice from a leading pharmacogenomics pharmacist at Mayo Clinic, Dr. Eric Matey.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

Feb 11, 2020
Opioid Edition 3: Family Practitioners - Assessing the Patient
09:54

Guest: David C. Patchett, D.O.

Host: Tracy McCray

Episode 3 of 10: Dr. David Patchett, family practitioner at Mayo Clinic in 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? 

Claim CME credit at ce.mayo.edu/opioidpcThis episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

Feb 06, 2020
How to Approach the Diagnostic Challenge of Lupus
18:58

Guest: Ronald R. Butendieck, Jr. M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Lupus can be challenging to diagnosis. Dr. Ron Butendieck discusses common presentation and some of the more enigmatic symptoms. What role does genetics play? Geography? Race? Dr. Butendieck details when you should include lupus on your differential and how to approach lab testing and treatment.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

  • 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus 2019 European League Against Rheumatism/American College of Rheumatology Classification Criteria for Systemic Lupus Erythematosus https://doi.org/10.1002/art.40930
Feb 04, 2020
COVID-19 Miniseries Episode 3: Inside an Outbreak – Expert Perspective
39:22

Guest: Colin M. Bucks, M.D.

Host: Amit K. Ghosh, M.D.

“I think that fear can be valuable…we’re at a time when it’s just fine to be fearful if it provokes you to vigilance and discipline…You’re disciplined because you’re afraid, that keeps you sharp, but panic is dangerous. I don’t mind fear, panic is dangerous.” - Colin M. Bucks, M.D.

What is it like in the field during an outbreak? What global response lessons have we learned from SARS and Ebola? Dr. Colin Bucks discusses how access to information accelerates response time in present day outbreaks and the role public education, infrastructure, disparities, and access to supplies, plays in helping to contain one.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

To claim credit click here: https://ce.mayo.edu/covid19podcast

For the most up to date COVID-19 (Novel 2019 Coronavirus) information:

Other Resources mentioned in the episode:

Jan 31, 2020
COVID-19 Miniseries Episode 2: 2019 Novel Coronavirus (2019-nCoV): What You Need to Know
18:27

Guest: Matthew J. Binnicker, Ph.D. (@DrMattBinnicker)

Host: Justin D. Kreuter, M.D. (@KreuterMD)

In a special crossover episode from Mayo Clinic Lab Medicine Rounds, Dr. Justin Kreuter discusses what we know so far, what clinicians should be looking for, and what this means for lab testing with Dr. Matthew Binnicker.

Time Stamps

00:00 Podcast Intro

00:41 What do we know so far about the novel coronavirus?

02:35 How does this novel coronavirus stack up to influenza?

04:35 Is there still value in getting your flu shot now (this year) if you haven’t gotten it yet?

05:08 Where should people go to get the latest and best information related to the novel coronavirus?

06:36 What should the health care provider be looking for related to the novel coronavirus?

08:18 I’m glad you mentioned the incubation period, is that something we know with this novel coronavirus?

09:15 What do the laboratorians need to have in mind and what does this mean for the hospital clinical labs?

10:50 So, people can test positive for the coronavirus without having this specific novel coronavirus strain?

12:02 So if somebody sent a sample down to a clinical lab, and I was truly positive for the novel coronavirus, I could have a negative result?

12:45 Can you elaborate on when a physician should pick up the phone relative to the new novel coronavirus outbreak?

14:43 Is there a risk to laboratory personnel for the infection to spread when they are handling the samples?

15:20 When should we be suspecting this novel coronavirus?

16:03 What should someone do if they suspect their patient has novel coronavirus?

16:33 As this is an evolving outbreak, where should folks go for the latest information?

WHAT IS LAB MEDICINE ROUNDS?

A Mayo Clinic curated podcast for physicians, laboratory professionals, and students; hosted by Dr. Justin Kreuter (the Bow Tie Bandit of Blood) and featuring trending topics from subject-matter experts.

Subscribe to Lab Medicine Rounds at: https://podcasts.apple.com/us/podcast/lab-medicine-rounds/id1478310691

For feedback and suggestions email MCLEducation@mayo.edu

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

To claim credit click here: https://ce.mayo.edu/covid19podcast

Deeper Dive:

For the most Up-To-Date COVID-19 (Novel 2019 Coronavirus) information visit:

Jan 31, 2020
COVID-19 Miniseries Episode 1: How to Respond and What the Numbers Really Mean
10:29

Recorded Monday, January 27, 2020, at the 32nd Annual Selected Topics in Internal Medicine Conference

Speaker: Pritish K. Tosh, M.D. (@DrPritishTosh)

Dr. Pritish Tosh, a Mayo Clinic infectious disease, emergency preparedness, pandemic planning, and biodefense expert; gives a concise overview of the 2019 novel coronavirus (2019-nCoV) and what the numbers really mean.

Want to attend live next year? https://ce.mayo.edu/internal-medicine/content/33rd-annual-selected-topics-internal-medicine-2021

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Click here to claim credit: https://ce.mayo.edu/covid19podcast

Deeper Dive:

For the most Up-To-Date COVID-19 information visit:

Jan 31, 2020
Opioid Edition 2: Managing Acute and Chronic Pain
19:21

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)

Host: Tracy McCray

Episode 2 of 10: 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 in Rochester, talks about the importance of “starting low and going slow.” What are the alternatives for chronic pain management? Dr. Gazelka also covers non-pharmacological and implantable device alternatives for the treatment of pain.

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

Jan 30, 2020
A Deep Dive into Hyperbaric Oxygen Therapy
21:17

Guest: Gary N. Toups, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

What is hyperbaric oxygen therapy? What types of conditions outside of decompression illness can benefit from it? Dr. Gary Toups gives a fascinating look at the history of the practice and current advances in the field. He also discusses what conditions and types of non-healing wounds can benefit from oxygen therapy and which are not good candidates. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive:

Jan 28, 2020
Opioid Edition 1: The Opioid Crisis and Pain Management
10:07

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)

Host: Tracy McCray

Episode 1 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in 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?

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

Jan 23, 2020
A Public Health Emergency – The State of Sleep in Children
24:54

Guest: Robin M. Lloyd, M.D. (@DrRobinLloyd

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Insomnia has a 25 – 50% incidence rate in children. Dr. Robin Lloyd discusses the patterns and differences of disordered sleep in pediatric patients. She covers the impact technology integration has had, sleep apnea, genetic conditions, and obesity. What are red flag snoring symptoms in children? What are the signs of sleep apnea? 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive: 

Jan 21, 2020
Statins vs PCSK9- Inhibitors: The Great Debate
28:50

Guest: Stephen L. Kopecky, M.D. (@DrSteveKopecky) and R. Scott Wright, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Dr. Stephen Kopecky and Dr. Steve Wright throw down in this debate over best practice and appropriate use of cholesterol-lowering medications. Listen in to get the perspective of two leading cardiologists on statins, PCSK9i's, fish oil, side effects, and patient education. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Jan 14, 2020
“Sell the Boat.” An Orthopedist’s Insight on Elbow Pain
23:43

Guest: Jonathan D. Barlow, M.D. (@JonBarlowMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Golfer’s Elbow, Tennis Elbow, Boat-antifouling-pain-elbow…medial and lateral epicondylitis can result from a variety of repetitive activities. Dr. Jon Barlow lays out the differences between some commonly seen elbow pain generators and extends the discussion to radial tunnel syndrome, olecranon bursitis, stress fractures, and more.

Dr. Barlow shares recommendations for treatment, including why you shouldn’t use steroid injections for elbow pain, when bracing may be beneficial, how to determine ulnar nerve involvement in medial epicondylitis, and ruling out referred pain.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Jan 07, 2020
Exercise is Medicine, But Are We Taking It?
27:28

Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

A MUST listen episode: 70% of Americans are overweight or obese and inactive and it’s not getting better. Dr. Ed Laskowski gives an eye-opening overview on our current state of health at a global level and what we can do about it for ourselves and for our patients. As little as 10 minutes of physical activity a week lowers all-cause mortality! To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

Dec 31, 2019
Treating Nicotine Dependence in Challenging Patients
22:22

Guest: J. Taylor Hays, M.D. (@jtaylorhays)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

How do you treat nicotine dependent patients with other substance use disorders, and which do you start with? Does quitting tobacco increase these patients’ risk for relapse of other substances? What should you do with the patient that has “tried everything?” Dr. Taylor Hays sheds light on helping some of your most challenging patients to quit smoking.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Dec 24, 2019
Creating Efficient Organizational Systems to Build Safe, Equitable, and Dignified Workplaces
39:46

Guest: Esther Choo, M.D. (@choo_ek)

Hosts: Anjali Bhagra, M.D. (@anjalibhagramd) and Joshua B. Murphy, J.D.

As a health policy researcher, Dr. Esther Choo approaches problems analytically; critically examining the data and sharing the insights. She’s applied this to her work with TIME’S UP Healthcare to address gender equity and sexual harassment in medicine. Some of the same barriers that create health disparities impact the healthcare workforce. Addressing these issues will require changing organizational culture, how do we move to a more horizontal power structure without sacrificing all of the efficiencies of a vertical structure? 

Find more GRIT in Medicine episodes here

Deeper Dive: 

  • The National Academies of Sciences, Engineering, and Medicine Report on Sexual Harassment of Women- Climate, Culture, and Consequences in Academic Sciences, Engineering, and Medicine https://www.nap.edu/read/24994/chapter/1
Dec 17, 2019
Effectively Addressing Nicotine Dependence for Patients with Mental Health Disorders
18:33

Guest: J. Taylor Hays, M.D. (@jtaylorhays)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Through a combination of health policy, smoke-free environmental changes, education, and treatment availability, smoking prevalence among adults has dropped significantly. But that’s not the case for our patients with mental health disorders. Dr. Taylor Hays dispels the myths around nicotine dependence and mental health disorders like depression, anxiety, bipolar disorder, and schizophrenia. He’ll fill you in on how to help these patients quit and what quitting looks like for this patient population.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Dec 10, 2019
Effective Communication Skills for a Time-Strapped Practice
21:14

Guest: Daniel L. Hurley, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Communication helps to establish a relationship between practitioner and patient but how do you build the necessary trust within the short time frame of an appointment slot? Dr. Daniel Hurley covers some of the most common communication mistakes even the experts make and offers some tips you can use to communicate more effectively.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Dec 03, 2019
Getting Comfortable With Nicotine Replacement
23:01

Guest: J. Taylor Hays, M.D. (@jtaylorhays)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Quitting smoking is one of the hardest things for our patients to do. The clinical target of nicotine replacement and other quit therapies is not to smoke. Clinical outcomes vary among the pharmacologic treatments, relapses are common, and some patients become addicted to those treatments. Dr. J. Taylor Hays unravels some of the do’s and don’ts when it comes to counseling and treating these patients.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Nov 26, 2019
When the Physician Becomes the Patient
28:09

Guests: Philip T. Hagen, M.D. and Melanie D. Swift, M.D. (@swifzdh

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Do you self-manage your health? Do you avoid regular routine screenings? Drs. Hagen and Swift from the Mayo Clinic Physician Health Center layout the evidence supporting the need for organizational support that directly addresses the barriers of time, safe space, and confidentiality. If you have a practitioner as a patient, how can you partner with colleagues in Occupational Medicine to confidentially, accurately, and efficiently evaluate what impact the conditions or medications may have on your patient’s ability to practice?

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

Nov 19, 2019
Air Travel Safety: When to Advise Your Patient Not to Fly
22:19

Guest: Clayton T. Cowl, M.D., M.S. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

What conditions should trigger you to do a preflight assessment for your patients? What special precautions should be taken for patients with heart failure, who’ve recently had surgery, or are pregnant? Dr. Cowl dives into the physiological challenges a mildly hypoxic and high-altitude environment can have on your patients as they age and manage chronic illnesses. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

Nov 12, 2019
Perception of Risk in Adolescent Substance Use Disorder
20:22

Guest: Tyler S. Oesterle, M.D., M.P.H. (@OesterleMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

What are the current trends in substance abuse in the adolescent population? Is nicotine still the primary gateway? What questions should you be asking patients and their families? Dr. Tyler Oesterle covers what leads to experimentation, how it is changing in today’s landscape, and how adolescent addiction and treatment differs from adults, and some medications that can be helpful.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Nov 05, 2019
New Drug Development and Approval
23:46

Guest: Denise M. Dupras, M.D., Ph.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

How do new drugs make it to market? How do generics come to market and what are the differences in the approval process? Dr. Denise Dupras details the process from discovery to mass market release, safety, the electronic health record, rising costs, and a few affordability tips for your patients.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Oct 29, 2019
Hernias: When to Watch; When to Refer
21:10

Guest: David R. Farley, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

What should you be looking for in your physical exam? How do you differentiate a femoral hernia from a swollen lymph node? Dr. David Farley breaks down common hernias, the importance of the history and the exam, when imaging studies like a CT scan may be needed, the impact of smoking, weight gain, and life style on incision healing, and when someone should be referred for surgery. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Oct 22, 2019
Everything You Need to Know About Cervical Cancer Screening in 20 Minutes
21:03

Guest: Lois J. Mc Guire, APRN, C.N.P., M.S. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

When do you begin cervical cancer screening in your patients? Is it really ok to go 5 years in between pap smears? Which algorithm should you use to determine next steps? Lois Mc Guire details the ins and outs of cervical cancer screening including pathology reports, follow up testing recommendations, intervals for routine screening, and some expert tips for performing pap smears. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive: 

Oct 15, 2019
Medication Use and Deprescribing for the Elderly
23:27

Guests: Emily J. Holm, Pharm.D., BCACP, R.Ph. and Audrey J. Umbreit, Pharm.D., R.Ph. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

With over half of adults potentially taking an inappropriate medication some of the side effects can be very insidious. What can you do to mitigate these effects for your patients and how can you safely reduce the chance of a prescription cascade? Drs. Holm and Umbreit share tips on how you can help your patients take their medications correctly. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive: 

Oct 08, 2019
Increasing Immunization Rates – Would You Like Fries with That?
24:02

Guest: Robert M. Jacobson, M.D. (@RobertJMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

What are the true contraindications for the flu vaccine? How early is too early for your patients to get vaccinated? Dr. Robert Jacobson discusses the ins and outs of vaccines, how to respond to common reasons patients don’t want to get vaccinated, and how to increase your practice’s vaccination rates.

Tips @14:54: It’s more of a stop sign than “do you want fries with that?”

TLDR: Listen at 19:21 for Dr. Jacobson’s must-know tips!

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Oct 01, 2019
What I Wish I Knew When I Started in Medicine
24:33

Guest: John M. Wilkinson, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Dr. John Wilkinson and Dr. Darryl Chutka share the key takeaways from their decades of practice. Listen in to their pearls and share yours with us on Twitter with hashtag #MayoClinicTalks

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Sep 24, 2019
Prosthetic Joint Infections: Risks, Retention, and Removal
19:37

Guest: Elie F. Berbari, M.D. (@DOCElie)

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Infection remains an uncommon but major complication of prosthetic joint replacement procedures. What increases your patient’s chance of getting an infected joint? What can you do to decrease the chance of infection? Do patients need antibiotics when having dental work? Dr. Elie Berbari discusses these questions and more in what Dr. Darryl Chutka calls “one of the best Grand Rounds” he’s heard. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive: 

Sep 17, 2019
Thyroid Extracts, Subclinical Hypothyroidism, and Thyroid Function Testing
22:33

Guest: M. Regina Castro, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

What do you do when a patient presents with subclinical hypothyroidism? When do you treat and how do you treat? Dr. Regina Castro presents the discussion around treating subclinical hypothyroidism, thyroid extract, and how to differentiate common symptoms from non-thyroid causes. Dr. Castro covers nodules, fine needle aspirates, the Sensitive TSH test, Total T4, Free T4, and TPO antibodies, and the role of lab testing in diagnosis. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Sep 10, 2019
Sexuality in the Elderly Female
20:25

Guest: Carol L. Kuhle, D.O., M.P.H. (@clkejd

Host: Darryl S. Chutka, M.D. (@ChutkaMD

A decline in sexual activity and an increase in sexual dysfunction commonly occurs in the elderly, but do you ask you patients about it? What questions should you be asking them? What are the reasons a decrease in function or desire occur? Dr. Carol Kuhle steps through the common causes, questions, and treatments encountered through her work and research at the Mayo Clinic Center for Women's Health (https://www.mayoclinic.org/departments-centers/womens-health/center-for-womens-health/overview or on Twitter @WHMayoClinic). 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

  • A Study of Sexuality and Health Among Older Adults in the United States August 23, 2007 N Engl J Med 2007; 357:762-774 DOI: 10.1056/NEJMoa067423
Sep 03, 2019
At the Cutting Edge of Medicine: Ultrasound-Guided Minimally-Invasive Outpatient Surgery
21:15

Guest: Jonathan T. Finnoff, D.O. (@FinnoffJonathan

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 5: Greater efficacy, lower cost, and quicker recovery, ultrasound-guided procedures are sure to change the landscape of medicine. What can be treated with these procedures? What’s the evidence behind them? Are they really safe? Dr. Jonathan Finnoff discusses ultrasound-guided procedures in application to carpal tunnel syndrome, trigger finger, de Quervain's tenosynovitis, adductor tendinopathy, and chronic exertional compartment syndrome. Listen now to hear more about this cutting-edge game changer and what it means for your patients. Hear more from Mayo Clinic Sport Medicine on Twitter @MayoClinicSport

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Aug 29, 2019
Dermatologic Conditions for the Primary Care Provider
25:09

Guest: Mark Denis P. Davis, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Does skin not exposed to the sun have an increased chance of skin cancer when patients have had multiple sunburns? Are existing moles or new moles more likely to become a melanoma? Dr. Mark Denis Davis discusses skin cancer, sun exposure, and sunscreen. Dr. Davis also dives into rosacea, eczema, psoriasis, urticaria, onychomycosis, and warts. Who is at risk? What increases the risk? How do you treat it? 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Aug 27, 2019
Sports-Related Foot and Ankle Injuries
22:28

Guest: Edward R. Laskowski, M.D. (@DrEdSportsMed

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 4: What are some of the common foot and ankle injuries seen in athletes? When is the wait and see approach not advised? When should patients be referred for surgery? Dr. Laskowski dives into detail on presentation and mechanism of injury, risk of recurrence, the role of bracing and proper balance and proprioceptive exercises. To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Aug 22, 2019
How to Effectively Manage Obesity
23:06

Guest: Maria L. Collazo-Clavell, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

What is the true key to weight loss? What about maintaining that loss? How do you manage these conversations with your patients? What framing of those conversations leads to more effective outcomes? Dr. Maria Collazo-Clavell discusses approaches for effectively discussing health concerns and obesity with our patients. How to identify their goals and build upon them utilizing motivational interviewing and partnering effectively with other health care providers. Dr. Collazo-Clavell also covers medications and referral for bariatric procedures.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

  • Maintenance of Lost Weight and Long-Term Management of Obesity Kevin D. Hall Ph.D. and Scott Kahan M.D., M.P.H. Medical Clinics of North America, 2018-01-01, Volume 102, Issue 1, Pages 183-197 DOI: 10.1016/j.mcna.2017.08.012
Aug 20, 2019
Recognition of Overuse Injuries and Prevention of Long-Term Consequences in Young Athletes
19:21

Guest: David B. Soma, M.D. (@DrDaveSoma)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 3: How are overuse injuries different in youth and what trends are occurring in these patients? What conversations should you have with parents of child athletes? What sports put our patients at highest risk? Dr. David Soma discusses the what role should imaging play in this population, the significance of the history and physical, the age-related prevalence of certain conditions and their underlying etiology, and the long-term complications our patients may face if these are not recognized and addressed. To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Aug 15, 2019
A Nephrologist’s Take on Renal Function Testing
16:58

Guest: Suzanne M. Norby, M.D. (@SuzanneNorby

Host: Darryl S. Chutka, M.D. (@ChutkaMD

When should we be concerned about an elevated creatinine level? What role should the creatinine level, GFR, BUN, and cystatin C play in determining renal function? Dr. Suzanne Norby discusses the common findings in renal function testing, the various factors that can influence the test results, and when to consider imaging. 

Deeper Dive:

Aug 13, 2019
Things to Look For in a Sports Physical
23:27

Guest: Daniel P. Montero, M.D. (@DanMonteroMD

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 2: Who can do these types of exams? What questions are important to cover in the history? What’s the ideal lead time prior to participation that patients should be screened? Dr. Montero discusses the ins and outs of pre-participation sports physicals and the common findings from his practice.

To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport

Deeper Dive: 

Aug 08, 2019
Preventative Screening for Elderly Patients: When to Stop and What to Stop
24:08

Guest: Ying Ying (Christina) Chen, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Preventative health care becomes more complicated as patients age. Do screening tests continue to improve the quality and duration of our elderly patient’s lives? Dr. Christina Chen discusses her process for determining the appropriateness of preventative health screening for patients over 65 and steps through what a generalist should know about the comprehensive geriatric assessment to help maximize independence for our patients. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive:

Aug 06, 2019
Sports-Related Concussions: When in Doubt, Sit Them Out
20:43

Guest: Cara C. Prideaux, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Special Back to School Sports Medicine for the Primary Care Provider Series – Episode 1: According to the CDC, sports concussions have reach epidemic levels. Dr. Cara Prideaux discusses risks for concussions, evaluation signs and symptoms, and when referral and imaging is recommended. What should be happening on the sidelines when one of your patients has an event? What are the recommendations for recovery and returning your patients to school and sports? Dr. Prideaux details the dangers of returning too early and what to do when patients are making a delayed transition back to normality. To hear more from Mayo Clinic Sports Medicine, follow them on Twitter @MayoClinicSport

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

  • American Medical Society for Sports Medicine Position Statement on Concussion in Sport Harmon KG, Clugston JR, Dec K, et al American Medical Society for Sports Medicine position statement on concussion in sport British Journal of Sports Medicine 2019;53:213-225. http://dx.doi.org/10.1136/bjsports-2018-100338 
Aug 01, 2019
Airline Emergencies: A Pilot-Physician’s Perspective Part 2
21:38

Guest: Robert Haddon, M.D., M.S. & Maryjane (MJ) F. Harris, D.O. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Who decides when the plane needs to land due to a medical emergency and what’s involved in those decisions? What’s the protocol for CPR on board and what tools are available to help with resuscitation? What happens when a passenger dies on a flight? Drs. Haddon and Harris step through the intricacies of responding to in-flight emergencies and the ethics involved. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Jul 30, 2019
Airline Emergencies: A Pilot-Physician’s Perspective Part 1
22:33

Guests: Robert Haddon, M.D., M.S. & Maryjane (MJ) F. Harris, D.O. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Are you required to respond? If you do, what are your responsibilities? What are your liability risks and protections? Dr. Harris steps through some recommendations for responding to in-flight emergencies. Dr. Haddon runs through what you should ask as part of the physical exam while in-flight and why these questions are important. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Jul 23, 2019
Predominant Management Strategies for Irritable Bowel Syndrome
19:57

Guest: Stephanie L. Hansel, M.D., M.S. (@SLHanselMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

What causes Irritable Bowel Syndrome (IBS)? What diets are recommended? What is gut-brain access and what does it have to do with IBS? Dr. Hansel covers treatment recommendations for IBS-diarrhea predominant, IBS-constipation predominant, and IBS-mixed type, including the role of bile acid malabsorption.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

Jul 16, 2019
Thrombotic Disease and Its Treatment
21:51

Guest: Matthew A. Bartlett, M.B., B.Ch., B.A.O. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

Who can be treated outpatient and who really needs to be evaluated in the ED? When does the risk of treatment outweigh the benefits? What tools can you use to help make these decisions? Dr. Matthew Bartlett discusses when to treat, options for treatment – including direct oral anticoagulants, follow up care, and preventative measures for patients with thrombotic disease. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Jul 09, 2019
Microaggressions in Medicine
24:15

Guests: Catherine W. Njathi-Ori, M.D., Erin K. O'Brien, M.D. (@ErinOBrienMD), Nafisseh S. Warner, M.D. (@nafisseh_warner

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Jul 02, 2019
Recent Updates in the Management of Hyperlipidemia
22:11

Guest: Stephen L. Kopecky, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive:

Jun 25, 2019
Addressing Misinformation and Vaccine Hesitancy in a Post-Fact Society
26:58

Guest: Gregory A. Poland, M.D. (@drgregpoland)

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive:

Jun 18, 2019
Getting the Most Out of Colon Cancer Screening
30:05

Guest: John B. Kisiel, M.D. (@DrJohnKisiel

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Jun 11, 2019
What You Need to Know About E-Cigarettes, Vaping, and IQOS
23:38

Guest: J. Taylor Hays, M.D. (@jtaylorhays)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

Jun 04, 2019
Preventive Therapies for Breast Cancer
18:09

Guest: Sandhya Pruthi, M.D. (@DrSandhyaPruthi)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

May 28, 2019
Meeting the Needs of Our Female Veterans
18:30

Guest: Ashley Laganiere, CVSO 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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? 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive: 

May 27, 2019
Lyme Disease: When to Test, When to Treat
19:42

Guest: Bobbi S. Pritt, M.D. (@ParasiteGal

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

May 21, 2019
Perception of Care and Quality of Care: Finding the Sweet Spot in Patient Experience Data
21:37

Guest: Kenneth G. Poole, Jr., M.D., M.B.A. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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?

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

May 14, 2019
Management of HIV and the Barriers to a Cure
22:44

Guest: Stacey A. Rizza, M.D. (@DrStaceyRizza

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

May 07, 2019
Screening for HIV: Who Are You Missing?
22:07

Guest: Stacey A. Rizza, M.D. (@DrStaceyRizza

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive:

Apr 30, 2019
The Rising Cost of Prescription Drugs
27:09

Guest: S. Vincent Rajkumar, M.D. (@VincentRK

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive:

Apr 23, 2019
The Five-Finger Approach to Restoring Patient Function
20:40

Guest: Jeffrey S. Brault, D.O. (@JeffBrault

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Apr 16, 2019
Time’s Up Healthcare: Accelerating a Safe, Equitable, Dignified Workplace
27:50

Guest: Sharonne N. Hayes, M.D. (@SharonneHayes

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive:

Apr 09, 2019
Dementia: Things You Shouldn’t Forget
26:16

Guest: Richard J. Caselli, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Apr 02, 2019
Finding Balance and Harmony in the Face of Illness: Integrative Medicine
18:26

Guest: Ying Ying (Christina) Chen, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Mar 26, 2019
Be Sure to Pack Humility, Teachability, and Adaptability: Making a Difference in Global Health Disparities
24:35

Guest: Stephen P. Merry, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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? 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Mar 19, 2019
Understanding Stress Traps in the Human Brain
19:17

Guest: Anjali Bhagra, M.D. (@anjalibhagramd

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Mar 12, 2019
Turning the Tables: Getting to Know the Host
17:49

Guest: Darryl S. Chutka, M.D. (@ChutkaMD

Host:  Thomas C. Shives, M.D. (@DrTomShives

The tables turn as Thomas Shives, M.D., long-time host of Mayo Clinic Radio, interviews Darryl Chutka, M.D., about his career highlights and how he became involved in the Mayo Clinic Talks Podcast.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Mar 05, 2019
What you Need to Know About Medical Cannabis
22:39

Guest: Thomas P. Pittelkow, D.O., M.P.H. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive: 

Feb 26, 2019
Communicating with Humility: Lessons Learned
21:42

Guest: Katherine W. Arendt, M.D. (@arendt_katie)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Feb 19, 2019
Breast Cancer: Screening versus Diagnostic Imaging and the Appropriate Utilization of Genetic Testing
25:17

Guest: Sandhya Pruthi, M.D. (@DrSandhyaPruthi)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Feb 12, 2019
Prostate-Specific Antigen (PSA) Testing: A Urologist's Perspective
21:26

Guest: Mitchell R. Humphreys, M.D. (@MayoMitch)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Feb 05, 2019
Treating Musculoskeletal Pain: The Role of Platelet-Rich Plasma Injections and Stem Cell Therapy
21:46

Guest: Jacob L. Sellon, M.D. (@jlsellon)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

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?

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Jan 29, 2019
Provider and Patient Bias: What Do We Do About Culture's Thumbprint in Medicine?
26:56

Guest: Sharonne N. Hayes, M.D. (@SharonneHayes

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Deeper Dive: 

Jan 22, 2019
Pediatric Traumatic Brain Injury and Concussion
22:33

Guest: Sherilyn W. Driscoll, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Deeper Dive: 

Jan 15, 2019
Does Size Really Matter? Benign Prostatic Hyperplasia (BPH): Evaluation, Management, and Treatment
26:17

Guest: Mitchell R. Humphreys, M.D. (@MayoMitch)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Jan 08, 2019
Exercise is Medicine: Adding Years to Life and Life to Years
24:18

Guest: Robert Scales, Ph.D., M.S. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

 

Jan 01, 2019
You Did What? Uncovering What Kids Are Ingesting
29:00

Speaker: Charlotte S. Van Dorn, M.D. 

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.

Dec 25, 2018
Insomnia and Best Practices for Management: A Sleep Specialist's Approach
16:11

Guest: Michael H. Silber, M.B., Ch.B. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Dec 18, 2018
Pediatric Abuse: Recognition, Assessment, and Downstream Impact
21:44

Guest: Arne H. Graff, M.D. (@arne_graff)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

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, Minnesota.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Dec 11, 2018
Benefits and Risks of Hormone Therapy in Women
24:34

Guest: Ekta Kapoor, M.B.B.S. (@Ektasinghkapoor)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Nov 27, 2018
The Dangers of Distraction and Balancing Connectivity
20:55

Guest: Robin G. Molella, M.D., M.P.H. (@rmolella

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Nov 20, 2018
Osteoporosis, Vitamin D, and Calcium: Myths and Management Part 2
22:07

Guest: Kurt A. Kennel, M.D. (@KurtKennel

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Nov 13, 2018
Osteoporosis, Vitamin D, and Calcium: Myths and Management Part 1
14:10

Guest: Kurt A. Kennel, M.D. (@KurtKennel

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Nov 06, 2018
Hypoactive Sexual Desire Disorder: Approaches from the Menopause & Women’s Sexual Health Clinic
26:32

Guest: Jacqueline M. Thielen, M.D. (@JacquelineThie5)

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Oct 30, 2018
Erectile Dysfunction and Cardiovascular Disease
12:59

Guest: Stephen L. Kopecky, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

About 35% 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. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Oct 16, 2018
Varicose Veins and Venous Insufficiency
22:08

Guest: Thom W. Rooke, M.D. 

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

 
Oct 09, 2018
Fad Diets
24:08

Guest: Donald D. Hensrud, M.D., M.S., M.P.H. (@DonaldHensrudMD)

Host: Darryl S. Chutka, M.D. (@ChutkaMD

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.

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd

Oct 02, 2018
Transgender Patient Care
20:00
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.
Sep 25, 2018
Approaches for Diagnosis and Treatment of Depression
23:22

Guest: Bruce Sutor, M.D.

Host: Darryl S. Chutka, M.D. (@ChutkaMD)

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. Dr. Sutor is a Mayo Clinic Psychiatrist and Practice Chair of Psychiatry and Psychology in Rochester, Minnesota. 

Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.

Sep 18, 2018
Ooh! My Aching Back!
23:06
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.
Sep 11, 2018
Constipation, This Too Shall Pass
25:07
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 Dr. Amy Foxx-Orenstein, a Mayo Clinic Physician in the Division of Gastroenterology and Hepatology.
Sep 04, 2018
How to Keep a Baby Boomer Buff
21:25
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.
Aug 28, 2018
Recent Trends in Sexually Transmitted Infections
31:55
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.
Aug 21, 2018
Sexual History Taking--Why Sexual Health Matters
35:53

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.

Aug 14, 2018
How to Recognize Abuse in the Elderly
20:51
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 Dr. Paul Takahashi, a Mayo Clinic geriatrician and physician in Community Internal Medicine, about recognizing abuse in the elderly.
Aug 07, 2018
How to Lower Lipids Without a Prescription Pad
18:32
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.
Jul 31, 2018
Doctor, I Have a Splitting Headache
31:31
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.
Jul 24, 2018
Fibromyalgia in a 20 Minute Office Visit
29:13
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.
Jul 17, 2018
Patients with Medically Unexplained Symptoms
22:54
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.
Jul 10, 2018
Sneezers and Wheezers
17:16
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.
Jul 03, 2018
Food Allergies: This May be Hard to Swallow
14:43
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.
Jun 26, 2018
Lipids - What Goes Up Must Come Down
21:35
Hyperlipidemia is one of the most common healthcare problems seen by primary care providers. Dr. Stephen Kopecky, a 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.
Jun 19, 2018
What I Won’t Let My Kids Do
25:18
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.
Jun 12, 2018
The Case for Ethics
14:58
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.
Jun 05, 2018
Hypertension and the New Hypertension Guidelines Part 2
22:44
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.
May 29, 2018
Burned by Stress
15:20
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.
May 23, 2018
Hypertension and New Hypertension Guidelines Part 1
24:35
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 welcomes Dr. Gary L. Schwartz to discuss hypertension and the new hypertension guidelines.
May 15, 2018
Risks and Benefits of Coffee
11:27
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.
Apr 17, 2018
Opioid Edition 10: Side Effects Management
26:14

Guest: Molly A. Feely, M.D. (@mollyfeelymd)

Host: Tracy McCray

Episode 10 of 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 in Rochester, talks about best practices for Management of Opioid Side Effects. 

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

Apr 10, 2018
Opioid Edition 9: Monitoring and Considerations for Tapering
31:48

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd

Host: Tracy McCray

Episode 9 of 10: 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.

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

Apr 03, 2018
Troponin Edition: Inpatient Care
33:00
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.
Mar 13, 2018
Troponin Edition: Emergency Medicine
16:05
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.
Mar 07, 2018
Troponin Edition: The 5th Generation Assay
18:51
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.
Feb 28, 2018
Opioid Edition 1: The Opioid Crisis and Pain Management
10:07

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)

Host: Tracy McCray

Episode 1 of 10: Dr. Halena Gazelka, an anesthesiologist boarded in pain and palliative medicine at Mayo Clinic in 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?

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

Jan 04, 2018
Opioid Edition 2: Managing Acute and Chronic Pain
19:21

Guest: Halena M. Gazelka, M.D. (@hmgazelkamd)

Host: Tracy McCray

Episode 2 of 10: 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 in Rochester, talks about the importance of “starting low and going slow.” What are the alternatives for chronic pain management? Dr. Gazelka also covers non-pharmacological and implantable device alternatives for the treatment of pain.

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

Jan 04, 2018
Opioid Edition 3: Family Practitioners - Assessing the Patient
09:54

Guest: David C. Patchett, D.O.

Host: Tracy McCray

Episode 3 of 10: Dr. David Patchett, family practitioner at Mayo Clinic in 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? 

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

Jan 04, 2018
Opioid Edition 4: Treating Special Populations & Situations
11:49

Guest: David C. Patchett, D.O.

Host: Tracy McCray

Episode 4 of 10: Family practitioner, Dr. David Patchett, from Mayo Clinic in 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? 

Claim CME credit at ce.mayo.edu/opioidpc.

Jan 04, 2018
Opioid Edition 5: Acute Prescribing: Emergency Room Prescribing
23:13

Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)

Host: Tracy McCray

Episode 5 of 10: 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?

Claim CME credit at ce.mayo.edu/opioidpc. This episode is required to be compliant with controlled substance prescribing guidelines in the state of Minnesota.

Jan 04, 2018
Opioid Edition 6: Assessing & Treating Opioid Misuse in the ED
17:36

Guest: Casey M. Clements, M.D., Ph.D. (@CaseyClmnts)

Host: Tracy McCray

Episode 6 of 10: How do you assess whether a patient has become addicted? What do you do if you suspect opioid use disorder or addiction? Dr. Casey Clements, an emergency physician and practice leader, who works in the Opioid Stewardship Program at Mayo Clinic in Rochester, shares his insights on treating opioid misuse in the emergency setting.

Claim CME credit at ce.mayo.edu/opioidpc.

Jan 04, 2018
Opioid Edition 7: Treating Opioid Addiction
15:00

Guest: Holly L. Geyer, M.D.

Host: Tracy McCray

Episode 7 of 10: Dr. Holly Geyer, an internal medicine physician, who serves on the Opioid Stewardship Program at Mayo Clinic in Arizona, discusses issues of dependency and addiction. What’s the difference between dependency and addiction? 

Claim CME credit at ce.mayo.edu/opioidpc.

Jan 04, 2018
Opioid Edition 8: Family & Patient Counseling
09:58

Guest: Holly L. Geyer, M.D.

Host: Tracy McCray

Episode 8 of 10: What legal and 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 in 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.

Claim CME credit at ce.mayo.edu/opioidpc.

Jan 04, 2018
Common Curbsides from the Infectious Disease Clinic
31:10
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?
Nov 01, 2017
Trouble Sleeping? Tips on Managing Insomnia
29:28
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?
Oct 18, 2017
Updates in Atrial Fibrillation
40:46
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?
Oct 12, 2017
Topical Steroids: How to Choose
33:19
How do I decide which topical steroid potency to use? What vehicles are suitable for different clinical situations? What quantity should be prescribed?
Sep 29, 2017