Within Normal Limits: Navigating Medical Risks
by COPIC, Eric Zacharias MD
Within Normal Limits provides physicians and medical professionals with unfiltered insights that focus on pitfalls to avoid in medicine and best practices to improve patient care. Hosted by Eric Zacharias, MD, an internal medicine doctor and physician risk manager with COPIC, a leading medical liability insurance company, this podcast centers around open conversations between physicians and medical experts. Each episode dives into topics including practical guidance, detailed analysis, current issues, and case study reviews. Within Normal Limits is an opportunity to learn from others’ experience and gain knowledge that may help you be a better medical provider and deliver the best patient care possible.
Episodes
-
Patient Safety Huddles: A Simple Tool to Reduce Risk and Improve Team Communication
In this episode, we talk with Copic Patient Safety and Risk Manager Kayla Boyd about patient safety huddles and how these brief, structured meetings can help care teams identify risks before they lead to adverse events. The conversation covers what effective huddles look like, including how to…
more -
Exploring the Concept of Medical Gaslighting
Is a patient’s concern being overlooked, or is it simply a case of diagnostic uncertainty? In this episode of Within Normal Limits, Dr. Eric Zacharias is joined by Dr. Susan Sgambati, Senior Risk Manager at Copic, to explore the growing concern of medical gaslighting and its impact on patient...
-
Ophthalmology for the Non-Ophthalmologist with Dr. Jennifer Grin
In this episode, we talk with ophthalmologist Dr. Jennifer Grin about a practical, high-yield approach to evaluating eye complaints, documenting findings, and knowing when to urgently refer. The conversation covers a breakdown of an “easy eye exam” any clinician can do from starting with visual...
-
An Inside Look at Today’s Medical School Environment with Brian Dwinnell
This episode features Brian Dwinnell, Associate Dean of Student Life at the University of Colorado School of Medicine, who shares his insights on medical school admissions, student support, and curriculum changes. The discussion touches on the competitive application process, the school’s…
more -
A Physician’s Journey Through Injury and Return to Practice with Dr. Catrina Bubier
In this episode, we welcome Catrina Bubier, MD, an OB/GYN physician and member of Copic’s Board of Directors. Dr. Bubier details her experience with a serious hand injury that temporarily sidelined her from surgical practice. She shares how the injury and subsequent surgeries impacted her ability...
-
Understanding the Concepts of Psychological Size and Psychological Safety
This episode’s guest is Dr. Mark Earnest, Division Head of Internal Medicine at the University of Colorado Anschutz Medical School. The conversation centers on the concepts of psychological size and psychological safety in medicine. Psychological size is described as a relational dynamic…
more -
Responding to Subpoenas—Best Practices and What to Avoid
We welcome Dean McConnell, deputy general counsel at Copic, as this episode’s guest who shares his thoughts on handling subpoenas, especially those involving medical records. McConnell starts by describing key details about subpoenas, the requirements of serving subpoenas, and how medical…
more -
A Conversation with Heidi Baskfield About Addressing Youth Mental Health
In this episode, we talk with Heidi Baskfield, the founder of Speak Our Minds, an organization dedicated to addressing the youth mental health crisis in the United States. Baskfield talks about her journey from political advocacy to health leadership and the committed effort required to transform...
-
The Risks and Benefits of Remote Patient Monitoring Wearables
This episode features a conversation with Kate Castells, a risk management nurse at Copic, who talks about remote patient monitoring (RPM) wearables. They discuss the evolution and range of RPMs, from FDA-approved medical devices to consumer smart watches, with a focus on the clinical value of…
more -
A Discussion with Dr. Josina Romero O'Connell, Director of the Colorado Area Health Education Center
Colorado AHEC website: https://www.cuanschutz.edu/centers/coahec Feedback or episode ideas email the show at [email protected] Disclaimer: Information provided in this podcast should not be relied upon for personal, medical, legal, or financial decisions and you should consult an appropriate...
-
Copic Medical Foundation Grant Recipient: Healing Hands Community Doula Project
This episode features Darlene Turner from Healing Hands Community Doula Project, which aims to support expectant mothers, particularly in the Black community, through their pregnancy journey. The grant from the Copic Medical Foundation is being used for a program that trains perinatal community...
-
Addressing the Issue of Pediatric Medication Errors
Medication errors are traditionally defined as an avoidable event, but they don’t just happen during the prescribing phase. In fact, it’s important to remember that there are many steps—transcribing, dispensing, and administering—where an error can occur. To learn more about pediatric medication...
-
Copic Medical Foundation Grant Recipient: Kansas Health Care Collaborative
This episode features Liz Warman and Mandy Johnson from the Kansas Health Care Collaborative and focuses on the organization’s transition-in-care program that aims to leverage Health Information Exchange (HIE) to reduce care fragmentation and improve health outcomes by developing processes,...
-
Executive Orders and Federal Legislation: Considerations for Healthcare Providers
In this episode, Matt Groves, Copic’s General Counsel, talks about the impact of recent federal executive orders and legislation on healthcare providers. He provides general information about new federal initiatives and their potential risks, emphasizing the rapid changes and uncertainty in the...
-
Copic Medical Foundation Grant Recipient: AIRnyc
The episode features staff from AIRnyc—Lola Simpson, Chief Executive Officer; Kathleen Agaton, Chief Impact Officer; and Lydia Baez, Senior Outreach Coordinator and Community Health Worker. AIRnyc received a grant from the Copic Medical Foundation to support their efforts to reduce fragmentation…
more -
A Legal Expert’s View on Non-Compete Agreements
For this episode, we sit down with Copic’s General Counsel, Matt Groves, to talk about non-compete agreements in the medical field. The discussion starts with looking at the purpose of non-compete agreements such as protecting patient revenue, preventing competition, and safeguarding the…
more -
Copic Medical Foundation Grant Recipient: Metropolitan State University of Denver
This episode features Mary Tucker and Garrett Chism discussing an interprofessional education pilot program between Metropolitan State University of Denver and Denver Health. The program is supported by a grant from the Copic Medical Foundation and focuses on simulation training for nursing and…
more -
The Value of Early Reporting of Incidents
We welcome Beth Chow, an occurrence nurse with Copic, who provides some great perspective about the benefits and value of early reporting of incidents. Beth explains the interchangeable terms "occurrence" and "incident" and clarifies what constitutes an adverse event and the types of events you...
-
An Expert’s Insight on Risk Management and Colorectal Cancer Screenings
Links/Resources U.S. Preventive Services Task Force- https://www.uspreventiveservicestaskforce.org/uspstf/ American Cancer Society- https://www.cancer.org/ American College of Gastroenterology -https://gi.org/ Feedback or episode ideas email the show at [email protected] Disclaimer…
more -
Understanding How and When EMTALA Applies
Amy Herum, a nurse and patient safety and risk manager with Copic, joins us to talk about the purpose and scope of EMTALA. Amy explains the situations that trigger EMTALA obligations and the definition and assessment of an “emergency medical condition.”The discussion then looks at the…
more -
Key Considerations Before Terminating a Patient
Our guest is Anna Barr, a patient safety and risk manager with Copic, who joins us to talk about terminating the provider-patient relationship. The discussion starts by looking at the main considerations before terminating a patient: trying to mend the relationship by using effective…
more -
Managing Risks in the Perioperative Setting
This episode features Renee Blattman, a nurse and risk manager with Copic, who has 20 years of experience in the perioperative environment. The discussion focuses on the challenges and risks in this environment—a high-paced, high-volume, and fast-turnover setting, where there is a lot of pressure...
-
Documentation—The Little Things That Make a Big Difference
In this episode, our guest is Heather Westermeyer, a Patient Safety and Risk Manager with COPIC, and the topic is documentation. Heather highlights the role documentation plays in continuity of care—from ensuring an accurate medical history to supporting communication among providers. She also...
-
Caring for Geriatric Patients
LaDonna Kelley, a nurse risk manager with COPIC, is the guest for this episode, which looks at patient safety and risk management for geriatric patients. LaDonna tells a personal story about the challenges with caring for this patient population and how certain situational factors impact their…
more -
Just Culture—A Framework that Promotes Patient Safety
In this episode, we talk with Carrie Beth Roddy, a COPIC Patient Safety and Risk Manager, who joins Dr. Zacharias for a conversation on Just Culture. Carrie starts with defining the concept of Just Culture, explaining how it is being integrated into traditional medical culture, and the importance...
-
Documentation—Telling the Story of Patient Care
This episode features COPIC Patient Safety and Risk Manager, Amanda Heinrichs, who discusses the importance of documentation—from sharing patient information with other medical team members to supporting care decisions. Amanda covers a wide breadth of documentation issues, such as limiting...
-
Retaining and Maintaining Medical Records
COPIC Patient Safety and Risk Manager Cindy Walsh is our guest to set the record straight on medical records retention—giving us insight into ethical obligations, key considerations when referring patients or closing a practice, and the importance of having a clear records maintenance/retention...
-
Semaglutide Medications: Liability Issues to Consider
Dr. Susan Sgambati, a colorectal surgeon and medical director with COPIC, is our guest on this episode that looks at the increased use of semaglutide medications driven by the popularity of Ozempic being used for weight loss. The discussion focuses on liability and risk issues, including recently...
-
Preventing Falls in the Healthcare Setting
Pamela Johnson—a nurse and Senior Manager of Practice Quality and Facilities Risk Management at COPIC—joins us for a discussion about data around patient falls in health care facilities. Pamela highlights the top three areas where falls occur in these settings and talks about top risk factors…
more -
Ensuring Patients Make Informed Decisions Through Informed Consent
Anna Barr, a nurse risk manager with COPIC, joins us for this episode to talk about the benefits of using informed consent in your medical practice. Anna highlights how informed consent is a process (not just a form), the goals of shared decision making that guide this, and how it can be a tool…
more -
COPIC Medical Foundation Grant Recipient: Children's Hospital Colorado
This episode is part of a special series that focuses on organizations that received grant funding from the COPIC Medical Foundation for initiatives that address the issue of reducing fragmentation across care settings. Dr. Zacharias welcomes back Jennifer Disabato, DNP, and William Anderson, MD,...
-
COPIC Medical Foundation Grant Recipient: West Mountain Regional Health Alliance
This episode is part of a special series that focuses on organizations that received grant funding from the COPIC Medical Foundation for initiatives that address the issue of reducing fragmentation across care settings. Dr. Zacharias welcomes two staff members from West Mountain Regional Health...
-
COPIC Medical Foundation Grant Recipient: Providence Portland Medical Foundation
This episode is part of a special series that focuses on organizations that received grant funding from the COPIC Medical Foundation for initiatives that address the issue of reducing fragmentation across care settings. Dr. Zacharias welcomes Dr. Matthew Gonzales and Dr. Deborah Unger who are...
-
COPIC Medical Foundation Grant Recipient: Minnesota Medical Association Foundation
This episode is part of a special series that focuses on organizations that received grant funding from the COPIC Medical Foundation for initiatives that address the issue of reducing fragmentation across care settings. Dr. Zacharias welcomes Tori Bahr, MD and Katie Stangl who are affiliated with…
more -
Documentation: How Much is Enough?
Documentation in medicine is no one’s favorite topic. In this episode, host Dr. Eric Zacharias aims to simplify guidance surrounding “what” and “how much” is needed for patient safety and risk management purposes. What follows is not “hard” science, but rather a discussion of basic criteria—and...
-
Burnout, Exhaustion, and Leaving the Practice of Medicine
In this episode, we are joined by David Weill, MD, a transplant doctor and author of Exhale: Hope, Healing, and a Life in Transplant. Dr. Weill shares openly about losing and saving patients, dysfunctional teams and systems, and burnout in transplant medicine. Through the lens of his own…
more -
AI’s Impact on Medicine (Part Two)
We continue the conversation about artificial intelligence (AI) in this second episode of a two-part series. Our guest is Dr. Michael Victoroff, a family medicine physician, patient safety and risk management specialist, and clinical informatics expert. Dr. Victoroff uses image interpretation in...
-
AI’s Impact on Medicine
In this two-part series, we look at the rise of artificial intelligence (AI) and examine the potential ways it may impact medicine. Our guest is Dr. Michael Victoroff, a family medicine physician, patient safety and risk management specialist, and clinical informatics expert who has gone down the...
-
Addressing the Issue of Maternity Care Deserts
In this episode, we look at a major challenge in obstetrics (OB) care with our guest, Lori Adams, who is a nurse, COPIC risk manager, and OB expert. Lori talks about her experience in a rural hospital and educating providers. The discussion focuses on “maternity care deserts” where access to OB...
-
Increasing Racial and Ethnic Diversity in Medical Education
In this episode, we are joined by Dr. Shanta Zimmer, associate dean for diversity and inclusion at the University of Colorado School of Medicine. Dr. Zimmer talks about how the COVID-19 pandemic highlighted racial disparities and health care inequities in severity of illness and the role the…
more -
How You Drive May Affect Patient Care
In this episode, we’re joined by surgeon and COPIC risk manager, Dr. Jeff Varnell. Starting with the premise that, like driving, the practice of medicine is governed by systemic rules and dependent on individual responsibility, Dr. Varnell uses metaphors and general understandings we hold about...
-
Hope, Help, and Possibilities for People at Risk for Limb Loss.
With 28 million Americans at risk for limb loss due to trauma, tumors, or infections, the nonprofit Limb Preservation Foundation is enhancing the quality of life of people in the Rocky Mountain region. Executive Director Marcy Rubik joins us to talk about how health care professionals from all...
-
The Nuanced Role Physicians Play with Advanced Practice Providers
Understanding the regulatory environment is key to managing risks associated with working with advanced practice providers (APPs), Dr. Alan Lembitz, COPIC's Chief Medical Officer says. But he cautions providers to understand this isn’t always simple. He reminds providers that it’s on them to…
more -
A Conversation on Risk in Urology, Including the Pandemic’s Impact on Patient Care
The guest for this episode is Stephen Siegel, MD, a urologist in a multi-specialty group and a medical school classmate of our host. The former classmates discuss the impact of COVID-19 on surgical intervention, delay of diagnosis, and routine screening. They also discuss general risk areas in...
-
Fulfilling Opioid Education Training Requirements
This episode features Dr. Alan Lembitz, Chief Medical Officer for COPIC, and focuses on uncertainty around federal and state opioid education requirements for medical providers. The conversation examines common questions from “what do I need to do to fulfill my licensure requirements?” to “how do…
more -
Physician Health Programs—Caring for Caregivers
This episode’s guest is Scott Humphreys, MD, forensic psychologist and medical director of the Colorado Physician Health Program (CPHP). This nonprofit independent peer assistance program provides licensed professionals with confidential, individualized evaluation and treatment referrals for…
more -
Dealing with Potentially Violent Patients
Dr. Michael Victoroff, a family medicine physician and COPIC consultant with expertise in clinical informatics, is our guest for this episode that focuses on situations where patients may become violent. The discussion examines emotional states in patients, such as frustration or unhappiness…
more -
What I Wished I Knew When I Started Out in Medicine
In this episode, Dr. Jeffrey Varnell, a former surgeon and risk management consultant, reflects back on things physicians wished they would have learned during their medical residencies and when they first started their practice. In particular, he talks about effectively utilizing professional...
-
Educating Providers About Health Care Disparities and Patients with Disabilities
The episode’s guest is Chanda Hinton, the founder and executive director of the Chanda Plan Foundation, who also helps run the Chanda Center for Health, an organization that helps people living with long-term disabilities through integrative health care. The discussion focuses on looking at…
more -
COPIC Medical Foundation Grant Recipient: Children’s Health Fund
This episode is part of a special series that focuses on organizations that received grant funding from the COPIC Medical Foundation for initiatives that address the issue of reducing fragmentation across care settings. Dr. Zacharias welcomes Arturo Brito, MD, MPH, the President and CEO of...
About this show
Within Normal Limits provides physicians and medical professionals with unfiltered insights that focus on pitfalls to avoid in medicine and best practices to improve patient care. Hosted by Eric Zacharias, MD, an internal medicine doctor and physician risk manager with COPIC, a leading medical liability insurance company, this podcast centers around open conversations between physicians and medical experts. Each episode dives into topics including practical guidance, detailed analysis, current issues, and case study reviews. Within Normal Limits is an opportunity to learn from others’ experience and gain knowledge that may help you be a better medical provider and deliver the best patient care possible.
Hosted by
COPIC, Eric Zacharias MD