Ep. 114 Men's Health and Testosterone Replacement Therapy with Dr. Bud Burnett

In this episode of BackTable Urology, Dr. Jill Buckley, professor of urology at UC San Diego, interviews Dr. Jack McAninch, professor emeritus of urology at San Francisco General Hospital and an international leader in the field of genitourinary trauma and reconstructive surgery. The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/N3Mbe5 --- CHECK OUT OUR SPONSOR Laurel Road for Doctors https://www.laurelroad.com/healthcare-banking/ --- SHOW NOTES First, Dr. McAninch delineates his path to becoming a doctor. He grew up in Merkel, a small Texan town, and worked on an oil rig after high school to save money for college tuition. He attended Texas Tech University and majored in animal husbandry. After college, he received a master’s degree in animal science from the University of Idaho. However, during his time in graduate school, he was required to take various pre-medical classes and discovered a passion for medicine. He applied to and received an acceptance to the University of Texas Medical Branch in Galveston. During his time in medical school, he worked as a research assistant in the plastic surgery department and discovered his interest in surgery and reconstruction. However, he chose urology as his specialty as the hours and training were less demanding than plastic surgery. He decided to enlist in the army and was sent to Letterman Army Hospital in San Francisco to complete his urology residency. During his time there, he operated on many Vietnam war soldiers and gained valuable insight in acute care and reconstructive surgery. After being stationed in Germany for 3 years, he returned to San Francisco and was recruited to San Francisco General Hospital to start a reconstructive urology program. As the only reconstructive urologist, he worked closely with the general and trauma surgeons to manage a high-volume caseload. He then went on to start the first fellowship in reconstructive urology at UCSF. Next, Dr. McAninch explains his different leadership roles throughout his career, including being an original board member of the Society of Genitourinary Reconstructive Surgeons (GURS), the president of the American Board of Urology, the president of the American Urological Association, and an important leader representing the urologic field in the American College of Surgeons. Finally, Dr. Buckley and Dr. McAninch end the discussion by reflecting on the phenomenally rapid technological advancements that have been made in the field of urology. --- RESOURCES Society of Genitourinary Reconstructive Surgeons https://societygurs.org/

In this episode of BackTable Urology, Dr. Aditya Begrodia interviews Dr. Mara Holton, a urologist and healthcare policy expert, on the recent healthcare policy changes that have affected the field of urology. First, Dr. Holton shares her educational journey, which included healthcare policy lobbying even before she started medical school. She eventually became involved in leadership positions within the Maryland Patient Care and Access Coalition and the Large Urology Group Practice Association (LUGPA). The discussion then turns to challenges surrounding health policies, such as the persistent use of fee-for-service reimbursement guidelines despite the benefits of value-based care. Dr. Holton also highlights the critical issue of workforce shortages, particularly the need for urologists within rural areas and the impact of healthcare policy on patient access. She ends the episode by emphasizing the necessity for urologists to participate in policy advocacy efforts. --- SHOW NOTES 00:00 - Introduction 04:58 - The Impact and Complexities of Healthcare Policies 07:27 - Success Stories in Healthcare Policy Advocacy 12:37 - The Impact of Prior Authorization Rules 14:27 - The Role of Pharmacy Benefit Managers in Healthcare 21:18 - The Challenges of Value-Based Care 32:48 - The Importance of Patient Access in Healthcare 41:24 - The Importance of Advocacy in Health Policy --- RESOURCES LUGPA website https://www.lugpa.org/ Episode 82: Advocacy Basics for the Urologist: From Your Clinic to Capitol Hill with Dr. Ruchika Talwar https://open.spotify.com/episode/0hcLrKuf5QU7TZCHSErs4Z?si=f4d06ffe6cff4cc4

This week on BackTable Urology, Dr. Jill Buckley speaks with internationally-renowned urologic reconstructive surgeon, Dr. Sanjay Kulkarni, about his upbringing, training, and insights on urethroplasty. --- SHOW NOTES First, Dr. Kulkarni discusses his upbringing and the importance of education in his family. Then he outlines the challenges he faced in the 1980s when he began to introduce urethroplasty in his hometown in India. He established a small hospital with two operating theaters and 20 beds in 1995 that transformed into a 100-bed urology center in 2021. Additionally, he started the Kulkarni School of Urethral Surgery, which has since been an international training site for surgeons from around the world. Next, Dr. Kulkarni elaborates about the mentors and experiences that have shaped his career. He introduced the buccal mucosa technique in 1997, applied it to penile urethra in 2000, and innovated the one-side dissection technique in 2009. The doctors then discuss the potential advances in urethral surgery, including stem cells and tissue engineering, and Dr. Kulkarni’s interest in robotics and reconstructive urology. Finally, Dr. Kulkarni shared his admiration for his various peers and mentors in the field. Finally, he shares his last surgical pearls and emphasizes the importance of attending workshops and observing in the theater to develop one's technique and passion for surgery. He ends the episode by highlighting the importance of out-of-the-box thinking and how it can lead to innovation.

This week on BackTable Urology, Dr. Ramon Virasoro, a reconstructive urologist in Eastern Colorado, interviews his mentor, Dr. Gerald Jordan, Professor Emeritus of Urology at Eastern Virginia Medical School. First, they explore Dr. Jordan’s multifaceted career, starting from his upbringing in El Paso and his military career, which eventually led him to medicine and urology. Dr. Jordan shares anecdotes from his time as a Navy fighter pilot and how his service influenced his medical path. He eventually chose to focus on reconstructive urology and played a pivotal role in the formation of the Society of Genitourinary Reconstructive Surgeons (GURS). Significant emphasis is placed on global surgical education and Dr. Jordan’s involvement in establishing and contributing to key nonprofits aimed at improving urological care worldwide. The podcast also delves into Dr. Jordan’s tenure at the American Board of Urology, and the urologists also discuss the evolving landscape of urology education and certification. Finally, Dr. Jordan reflects on the importance of mentorship, the joy of lifelong learning, and the future of urology as a fulfilling specialty. --- SHOW NOTES 00:00 - From Fighter Pilot to Urologist 07:32 - Transitioning from the Military to a Medical Career 14:21 - The Evolution of Reconstructive Urology and Global Surgical Education 22:01 - Dr. Jordan’s Role in the American Board of Urology 26:31 - Reflecting on a Distinguished Career and Looking Ahead --- RESOURCES Society of Genitourinary Reconstructive Surgeons https://societygurs.org/ BackTable Urology Episode 52- Legends in Urology: Dr. Jack McAninch https://open.spotify.com/episode/46wrxyhB2XCwERp4Z2ySc0?si=fe62e35cff934e74