#114 High Value Care: Assess Quality, Mitigate Diagnostic Uncertainty, Overcome Barriers
Kick up the quality of your care with tips and tactics from Caitlin Clancy MD, coauthor of ACP’s High Value Care Curriculum. We learn to define quality and value in healthcare; the most common barriers to high value care; use of probability and likelihood ratios to boost clinical reasoning and combat diagnostic uncertainty; some useful tools to estimate cost; sources of healthcare waste; and so...
58m Sep 17, 2018
58m
#113 Gout: Uric acid targets, urate lowering therapy, and random questions from social media
Master the management of gout with tips from expert, Tuhina Neogi MD, PhD, Professor of Medicine at Boston University School of Medicine. Topics include: how to initiate and titrate urate lowering therapy, guidelines controversy over uric acid targets, colchicine & NSAIDS for anti-inflammatory prophylaxis, uricosuric agents, febuxostat, HLA B5801, use of uric acid levels in the acute setting an...
38m Sep 10, 2018
38m
#112 Gout Flares: Bathtubs and Firefighting
Crystalize your knowledge of gout and stop flares in their tracks with tips from expert, Tuhina Neogi MD, PhD, Professor of Medicine at Boston University School of Medicine. On this first of two gout episodes we learn to diagnose gout with or without arthrocentesis, how to treat flares, and how to counsel patients about gout, which apparently involves fire fighting and bathtubs. Don’t miss next...
48m Sep 03, 2018
48m
#111: Hotcakes - Complementary Medicine in Cancer, Dosing Aspirin by Body Weight, Marijuana & Respiratory Symptoms, Penicillin Allergies and More!
Dr. Neda Frayha (@nedafrayha (https://twitter.com/nedafrayha) ) of Primary Care RAP (Hippo Education) joins us this month for our thoughts and analysis of some recent (and not so recent) journal articles that interested us this month. Our articles spanned topics that include at cancer survival among patients pursuing treatment with complementary medicine, the effect of body weight on effectiven...
42m Aug 31, 2018
42m
#110: Driver’s safety for Older Adults: When is it Time to Give Up the Keys?
Get schooled on driver’s safety for older adults by expert, Alice Pomidor MD, Professor of Geriatrics at Florida State University. Whether or not older adults can continue to drive is a huge problem faced by for primary care clinicians, and will remain one until driverless cars become ubiquitous. Topics covered include: how to take a driving history, red flags, physical exam, cognitive exam, an...
1hr 13m Aug 27, 2018
1hr 13m
#109: Things We Do For No Reason: A High Value Episode
Things We Do For No Reason #TWDFNR highlights some widespread practices that are difficult to justify based on lack of proven health benefits, but significant cost (both financial and non-financial harms). Avoid these low value practices and inflated medical bills with tips from expert, Dr Lenny Feldman, MD, FACP, Associate Professor of Medicine Johns Hopkins. Topics include: renal ultrasound a...
1hr 7m Aug 20, 2018
1hr 7m
#108: Point-of-care Ultrasound for the Internist
Point-of-care Ultrasound AKA POCUS ain’t no hocus. Dr. Renee Dversdal (@ReneeDversdal (https://twitter.com/ReneeDversdal) ) Director of the Oregon Health & Science University Point of Care Ultrasound and General Medicine Ultrasound Fellowship Director, joins The Curbsiders to discuss her craft. Topics include: Defining POCUS, the value POCUS adds to the physical exam, training pathways and the ...
1hr Aug 13, 2018
1hr
#107: Women in Medicine, Be Bold
“Women in medicine, be bold.” Medical World, powerful women are here to stay. Dr. Vineet (Vinny) Arora, Professor of Medicine at University of Chicago, an exemplary Woman in Medicine and Leadership, shares snippets of her own story, valuable career advice to folks at all levels of training, and fascinating data about the gender disparities that exist in training, promotion, and pay.  We hope yo...
59m Aug 06, 2018
59m
#106: Hotcakes: Cardiac risk, diabetes, pulmonary embolism, opioid use disorder, neck ties and nose picking?
Short on time but hungry for knowledge? Curbsiders’ Journal Club gives you the speedy article analysis you crave. We provide brief summaries of recent research and news items in the field of internal medicine, so you can save time and stay on top of the literature. On this episode, we were joined by Kashlak Memorial’s very own Chair of Medicine, Dr. Robert Centor AKA @medrants (https://twitter....
56m Jul 30, 2018
56m
#105: Lyme Disease and Tick-Borne Illness with ID Expert Paul Sax
Lyme disease and tick-borne illness deconstructed by Infectious Diseases expert, Paul E. Sax MD, of episode 78 fame (http://thecurbsiders.com/internal-medicine-podcast/78-id-pearls-paul-sax-md) . Oh, Summer Nights. The time for romance between Danny Zuko and good girl Sandy, the time to sit in the backyard around the bonfire, the time for sunset hikes in the woods and mountains…..and don’t forg...
59m Jul 23, 2018
59m
#104: Renal tubular acidosis with Kidney Boy, Joel Topf MD
Renal tubular acidosis aka RTA deconstructed by @Kidney_Boy, Joel Topf MD, Chief of Nephrology at Kashlak Memorial Hospital. We review the three buckets of non gap metabolic acidosis, normal renal physiology & acid base handling, points of failure in RTA, complications and treatment of RTA. Check out Dr Topf’s awesome slides on renal tubular acidosis at http://thecurbsiders.com/podcast . Join ...
1hr 16m Jul 16, 2018
1hr 16m
#103: Train Your Brain: Mapping out your road to expertise
Expert diagnostician, Dr. Gurpreet Dhaliwal, again joins The Curbsiders to dive deeper into the topic of clinical expertise.  Topics include, and are mainly focused on, Dr. Dhaliwal’s “training regimen:” feedback, simulation, quizzing, learning from consultants, and how to read the medical literature as a clinician.  While we found this episode to be incredibly useful (and entertaining to recor...
59m Jul 09, 2018
59m
#102: Hotcakes: Asthma, Smoking Cessation, PCP Prophylaxis, Procalcitonin
Curbsiders’ Journal Club features rapid summary and critical appraisal of recent articles and news stories in internal medicine by The Curbsiders. This month’s topics include: asthma, maintenance versus as needed inhaler use, procalcitonin, Pneumocystis pneumonia prophylaxis, colon cancer screening, smoking cessation, cannabis and cognitive impairment, LDL cholesterol and mortality, plus some m...
1hr 15m Jul 02, 2018
1hr 15m
#101: Cirrhosis: Medications, decompensation, complications
Cirrhosis. Take control of cirrhosis and treat your patients like the pros! In this episode of The Curbsiders, Dr. Scott Matherly, assistant professor in the Dept of Medicine at Virginia Commonwealth University and board certified hepatologist, builds upon his introduction to cirrhosis. You already know what to look out for and how to diagnose these patients, now it’s time to build your knowled...
40m Jun 25, 2018
40m
#100: Cirrhosis: Initial Evaluation and Management
Cirrhosis. Finally. Take your liver game to the next level with tips from @liverprof, Scott Matherly MD, Assistant Professor of Medicine at Virginia Commonwealth University. Topics include: exam findings in cirrhosis, interpreting liver function tests, incidental cirrhosis on imaging, fatty liver disease, steatohepatitis, hep c, shear wave elastography, screening for varices and hepatocellular ...
48m Jun 18, 2018
48m
#99 Cancer Survivorship: What to do when the treatment is done
Step up your primary care of cancer survivors with tips from Dr Regina Jacob, Assistant Professor of Medicine at Temple University. Care of the cancer patient does not end when their cancer treatment is over, and there is more to a past diagnosis of cancer than surveillance. We discuss cancer survivorship care with Dr. Regina Jacob, including the changing demographics of survivorship, the impor...
52m Jun 11, 2018
52m
#98 Knee Pain: History, exam, bracing, x-rays, and injectables
Knee pain is easy with practical tips from Orthopedist, medical educator, car-builder, and inventor extraordinaire Dr. Ted Parks. He teaches us the four buckets of knee pain, how to perform a 30-second knee exam, choose a knee brace, order x-rays, and the red flags to look for in a history and physical that should have you shouting for your closest neighborhood orthopedic surgeon. This episode ...
1hr 5m Jun 04, 2018
1hr 5m
#97 Hotcakes: Hypertension, Prostate Cancer Screening, Lifestyle & Mortality
Keep current with this monthly journal club covering landmark articles through May 2018, plus rapid fire hot takes from the medical literature and health news. We rate each article according to a highly scientific ‘Hotcakes’ scale to highlight what practice-changing knowledge we’ll take to work this month. Topics: Hypertension, blood pressure monitoring, prostate cancer screening, Intimate Part...
39m May 28, 2018
39m
#96 Diabetes: A1C targets & ACP guidelines controversy
Get schooled on hemoglobin a1c targets in type 2 diabetes mellitus by American College of Physicians guidelines coauthor, Devan Kansagara MD MCR, Associate Professor of Medicine, Oregon Health Sciences University. We summarize outcomes from the landmark diabetes trials (ACCORD, ADVANCE, VADT, UKPDS 33 & 34), how a1c targets effect microvascular and macrovascular events, estimating life expectan...
50m May 21, 2018
50m
#95 Food allergy, food intolerance and celiac disease
Separate the wheat from the chaff when it comes to food allergy, food intolerance, and celiac disease. Featuring renowned gastroenterologist and current president of the American Gastroenterological Association, Dr. Sheila Crowe (http://www.gastro.org/about/people/president-elect) MD FRCPC FACP FACG AGAF, we discuss how to differentiate a food allergy from an intolerance, what diagnostic testin...
58m May 14, 2018
58m
#94: Random Pearls: Microbiome, POTS, Gabapentin, and Leonardo Da Vinci
A random serving of knowledge food for your brain hole with returning guest, Dr. Alan Dow, Professor of Internal Medicine at Virginia Commonwealth University School of Medicine. Our final live recap show from ACP 2018 covering: human microbiome, copper deficiency, POTS syndrome, substances of abuse, drugs for delirium and how to be more like Leonardo Da Vinci. Please let us know what you liked,...
29m May 07, 2018
29m
#93 Clinical Pearls ACP 2018 with Nina Mingioni MD
A fast moving recap of hot topics and clinical pearls live from Internal Medicine’s largest national conference, ACP 2018 in New Orleans! Dr. Nina Mingioni, Clinical Associate Professor and director of Undergraduate Medical Education in Internal Medicine at Thomas Jefferson University Hospital serves up some knowledge food for our brain holes. Topics: the athlete as a patient, sports physicals,...
32m Apr 30, 2018
32m
#92: Pulmonary Embolism for the Internist
Wow the crowd with your knowledge of pulmonary embolism! What are the red flags? What tools are available to guide you? How on Earth do you triage a patient with pulmonary embolism (PE)? What exactly is the RV spiral & how do PEs really cause morbidity and mortality?! Get schooled by pulmonary embolism expert, Dr. Oren Friedman (https://twitter.com/OrenFriedman) , associate director of the Card...
57m Apr 23, 2018
57m
Random Clinical Pearls ACP 2018 Day 2
Random clinical pearls from day 2 of ACP 2018 live in New Orleans. Topics include: Perioperative medicine, DOACs, anticoagulation, reversal agents, ACP statements on hidden curriculum, physician well being and burnout, modeling behavior, dermatology pearls, rashes, venous stasis ulcers, pentoxifylline, biotin and Grave's disease, dermatology pearls, Stuart's tips on sports doping, and how choco...
23m Apr 21, 2018
23m
Random Clinical Pearls ACP 2018 Day 1
The Curbsiders share random clinical pearls from day 1 of ACP 2018 live in New Orleans. Topics covered include: breast density and cancer risk, patients before paperwork, diverticulitis, social determinants of health, migraine prevention, PrEP and thunderclap headaches. Doctors Chris Chiu and Chris Thrash join us on air to discuss their favorite teaching points from today's sessions. Join (htt...
18m Apr 20, 2018
18m
#91 Hotcakes: Fluid Wars, Barbershops, HTN, Aromatherapy, Coffee
Keep up-to-date with this fast moving discussion of recent journal articles and thought-provoking headlines in medicine. Welcome to the first-ever Curbsiders journal club covering landmark articles from March to April 2018, plus rapid fire hot takes and the unveiling of our new hotcake based rating system. Please let us know what you liked, didn’t like and how we can make this better next month...
34m Apr 16, 2018
34m
#90 Clinical Reasoning: Become an expert diagnostician
Become an expert diagnostician like Dr Gurpreet Dhaliwal, Professor of Medicine at UCSF. Join us for this deep dive into clinical reasoning and how doctors think! Topics include: how to improve your own clinical reasoning and diagnostic skills, how to teach these skills, and the initial steps to building your own expertise/mastery in clinical medicine! Dr. Osler once admonished his students to ...
1hr 4m Apr 09, 2018
1hr 4m
#89 Conjunctivitis: Red Eye in Pr-eye-mary Care with Dr Glaucomflecken
Revolutionize your approach to the red eye in pr-eye-mary care! Dr. Glaucomflecken (https://twitter.com/DGlaucomflecken) (of GomerBlog (https://t.co/Enk2wCfMNX) /Twitter--fame) teaches us to recognize and manage common eye complaints. You’ll develop an approach to diagnosing and treating your patient with the dreaded red eye. We answer: What presentations should have us running down the hallway...
58m Apr 02, 2018
58m
#88 Acid base, boy bands, and grandfather clocks with Joel Topf MD
Dominate acid-base disturbances with the wisdom of @kidney_boy (https://twitter.com/kidney_boy) aka Joel Topf, MD, Chief of Nephrology at Kashlak Memorial Hospital.  Master his 5 key steps for interpreting acid-base disorders and decode any ABG, VBG, and BMP to find the primary disorder, and any other disorders tucked away in the ABG! Plus: Henderson-Hasselbach and pH simplified; the anion gap,...
1hr 33m Mar 26, 2018
1hr 33m
#87 Toxicology 101: Talking Tox with The Dantastic Mr. Tox & Howard
Want to look cool like a toxicology consultant, sipping coffee on rounds? Ever check a patient for armpit sweat? Learn the secrets of tox from the titans of toxicology podcasting, The Dantastic Mr. Tox & Howard (AKA Dr. Dan Rusyniak and Dr. Howard Greller), as they loquaciously dish on all things tox. Topics include: how to approach the patient with an unknown overdose, are toxidromes clinicall...
1hr 20m Mar 19, 2018
1hr 20m
#86 COPD: Diagnosis, treatment, PFTs, and nihilism
Take a deep breath and tune in to this week’s episode full of COPD diagnosis and management pearls, with expert Dr. Denitza Blagev, a pulmonologist, intensivist, and Medical Director for Quality, Speciality Care at Intermountain Healthcare in Utah with a particular interest in physician wellness and issues related to women in medicine. We cover: history taking, interpreting PFTs, patient counse...
1hr 21m Mar 12, 2018
1hr 21m
#85: Contraceptives: Pills, mini pills, and tiny pills
Contraception simplified with clinical pearls from reproductive health and family planning experts, Dr Angeline Ti, and Dr Moira Rashid. We cover it all including: the menstrual cycle, mechanism of action for various methods of birth control, hormonal versus nonhormonal contraceptives (e.g. intrauterine devices, patches, pills, rings, implants), patient counseling, and lots of resources to make...
1hr 6m Mar 05, 2018
1hr 6m
#84: Anemia, Iron Deficiency, IV iron, and Tony Stark
Abolish anemia, and iron deficiency w/tips on IV iron therapy from real life iron man, Michael Auerbach, MD, FACP, Clinical Professor of Medicine Georgetown University School of Medicine. Topics include oral versus IV iron therapy, safety of IV iron, ferritin cutoffs, and how to diagnosis/ treat iron deficiency in patients with chronic inflammation, chronic kidney disease, pregnancy, heart fail...
1hr 2m Feb 26, 2018
1hr 2m
#83 Valvular heart disease, anticoagulation, TAVR, and primary care
Get the latest on valvular heart disease: TAVR vs SAVR, choice of valve type, rheumatic heart disease, antibiotic prophylaxis for endocarditis, who needs an echocardiogram, and anticoagulation goals with tips from cardiologist, Dr Eli Gelfand, Section Chief of General Cardiology at Beth Israel Deaconess Medical Center in Boston and an Assistant Professor of Medicine at Harvard Medical School. C...
1hr 8m Feb 19, 2018
1hr 8m
#82 Dementia Dos and Don’ts: The GeriSiders
Challenge your beliefs on the efficacy of pervasive treatments used in dementia with expert Eric Widera, MD, Professor and clinician-educator in the Division of Geriatrics at the University of California-San Francisco. We explore the use of cholinesterase inhibitors, antipsychotics for behavior disturbances, feeding tubes, medications and supplements used for weight gain (inspired by Choosing W...
1hr 21m Feb 12, 2018
1hr 21m
#81: Placebos, nocebos, and the doctor as a placebo
Boost treatment efficacy and amplify the “doctor as a placebo” phenomenon with tips from placebo expert (and ex-cartoonist), Mark W. Green, MD, Director of Headache/Pain Medicine and Professor of Neurology, Anesthesiology, and Rehabilitation Medicine at the Icahn School of Medicine at Mount Sinai. Topics include: What’s that pesky sugar pill actually doing to us? Why do we get a boost from taki...
53m Feb 05, 2018
53m
#80 Pulmonary hypertension, freeways, and cows in heart failure
Pulmonary hypertension deconstructed with clinical pearls from cardiologist, John J. Ryan MD, FACC, FAHA, director of University of Utah Pulmonary Hypertension Center. We discuss classification, diagnosis/differentiation, initial workup, additional testing, echo findings, how to counsel patients with pulmonary hypertension, and why cows never get ankle edema! Written and produced by: Jordana K...
1hr 3m Jan 29, 2018
1hr 3m
#79 Dermatitis: Atopic to Remember w/The DermSiders
Differentiate, diagnose, and treat the various forms of dermatitis and stop the ‘itch that rashes’ with this in-depth, myth-busting episode of “The Dermsiders” with Dr. Kalman Watsky Clinical Professor of Dermatology at Yale Medical School. Topics include: how to differentiate between and diagnosis various forms of dermatitis, topical therapies, common pitfalls, patch testing, and more! Special...
1hr 13m Jan 22, 2018
1hr 13m
#78 ID Pearls with Paul Sax MD
It's a potpourri of Infectious Diseases with tips from expert, Dr Paul Sax, MD, Clinical Director of the Division of Infectious Diseases at Brigham and Women's Hospital, and Professor of Medicine at Harvard Medical School. We discuss the man flu, the flu vaccine, travel medicine, malaria, lyme disease, post lyme syndrome, chronic lyme, shingles, cellulitis, abscesses, antibiotics, c diff, antib...
1hr 6m Jan 15, 2018
1hr 6m
#77 Hypertension Guidelines Showdown
Ease the tension around blood pressure goals in older adults and get inside the hypertension guidelines released by the ACP and ACC/AHA in 2017 with the sagacity of Dr. Mary Ann Forciea, MD, MACP, Professor of Medicine at University of Pennsylvania. We cover: how to properly measure blood pressure, how to diagnose hypertension, blood pressure targets, why BP goals differ by society, how to guid...
1hr 15m Jan 08, 2018
1hr 15m
#76 Pneumonia Pearls with Dr Robert Centor
Conquer community acquired pneumonia and avoid misdiagnosis with tips from Dr. Robert Centor, Professor Emeritus University of Alabama and newly appointed Chair of Medicine at Kashlak Memorial Hospital. We discuss diagnosis, misdiagnosis, procalcitonin, steroids for severe pneumonia, pneumonia severity index versus CURB-65, and how to determine antibiotic choice and duration. Special thanks to ...
1hr 7m Jan 01, 2018
1hr 7m
#75 Recap, highlights, and clinical pearls extravaganza for The Curbsiders 2017
Join us for this recap of the key clinical pearls and favorite fan voted episodes from 2017 including: lipids, asthma, diuretics, hyponatremia, CKD, vertigo, and dizziness. Plus, Picks of the Year, exciting announcements for 2018, and Paul reveals that he has a wife! Matt, and Paul are joined by Curbsiders Correspondent, Dr. Chris Chiu, who wrote and produced this episode. Stuart was out with t...
1hr 9m Dec 25, 2017
1hr 9m
#74 Opioid use disorder, pain, detox, tapers, health policy, and more!
Combat opioid use disorder and the opioid epidemic as we review common clinical scenarios with addiction medicine specialists,  Dr. Stefan Kertesz (https://www.uab.edu/medicine/dopm/primary-faculty-menu/kertesz) , University of Alabama at Birmingham School of Medicine and Dr. Ajay Manhapra from the VA Hampton Medical Center in Hampton,Virginia. We need all hands on deck, and that means you! Lea...
1hr 16m Dec 22, 2017
1hr 16m
#73: Opioid Addiction, Chronic Pain, and Abstinence
Take the pain out of pain management with clinical pearls from addiction medicine specialists Dr. Stefan Kertesz (https://www.uab.edu/medicine/dopm/primary-faculty-menu/kertesz) at the University of Alabama at Birmingham School of Medicine and Dr. Ajay Manhapra from the VA Hampton Medical Center in Hampton, Virginia. They walk us through an approach to pain management in persons with a history ...
55m Dec 18, 2017
55m
#72 Transgender Care in Primary Care
Trans patients need excellent primary care and you can provide it with expert tips from endocrinologists, Dr Vin Tangpricha, Professor of Medicine at Emory University School of Medicine, and Dr Jeffrey Colburn, Assistant Professor of Medicine at Uniformed Services University. Learn practical tips in caring for transgender patients including: defining terms like gender dysphoria, gender nonconfo...
1hr 2m Dec 11, 2017
1hr 2m
#71 Asthma Made Simple
Knock the wind out of asthma with tips from Dr Denitza Blagev, a pulmonologist and intensivist who currently serves as Director for the Schmidt Chest Clinic at Intermountain Medical Center in Murray, Utah. We simplify the approach to diagnosis, spirometry, patient counseling, choice of agent, stepwise therapy, and de-escalation...plus, a little myth busting. Special thanks to Dr Cyrus Askin for...
1hr 2m Dec 04, 2017
1hr 2m
#70 KevinMD: Kevin Explains Everything
Dr Kevin Pho, founder KevinMD.com “Social Media’s Leading Physician Voice" (https://www.kevinmd.com/blog/) schools Matt, Paul and Stuart on a potpourri of topics including physician advocacy, the dangers and benefits of social media, the pros and cons of electronic health records, health policy, health advocacy and lastly primary care and the integration of advanced practice providers/clinician...
58m Dec 01, 2017
58m
#69 CKD: Prescribing Do’s and Dont’s with @kidney_boy, Joel Topf
Making all your nephrology dreams come true with part 2 of our interview with  @kidney_boy (https://twitter.com/kidney_boy) , Joel Topf, MD Salt Whisperer (http://www.pbfluids.com) and Chief of Nephrology at Kashlak Memorial Hospital. Flush away your bad prescribing habits when it comes to nephrotoxic drugs in this fast paced run down of the medications which must stay on or off Santa’s naughty...
41m Nov 27, 2017
41m
#68 Tremors: One degree of Kevin Bacon?
Steady your hand and annihilate tremor with tips from Neurologist, and Movement Disorder specialist, Andres Deik, MD, Assistant Professor of Clinical Neurology at Kashlak Memorial Hospital (we can’t tell you where he really works: ) We teach you to differentiate benign causes of tremor from Parkinson’s disease with simple history and physical exam skills, plus nonpharmacologic and pharmacologic...
1hr 4m Nov 20, 2017
1hr 4m
#67 Chronic Kidney Disease Pearls with @kidney_boy, Joel Topf
Take control of chronic kidney disease with tools, and tips from @kidney_boy (https://twitter.com/kidney_boy) , Joel Topf, MD Salt Whisperer (http://www.pbfluids.com) and Chief of Nephrology at Kashlak Memorial Hospital. Learn which equation is best for eGFR, how to counsel patients about progression/prognosis, how to monitor patients in CKD, and who needs a referral to Nephrology. Special than...
44m Nov 13, 2017
44m