Radio Rounds

In this episode of Radio Rounds, host Lakshman Swamy interviews Dr. Hyung (Harry) Cho, the Director of Quality & Patient Safety for the Division of Hospital Medicine at Mount Sinai and Senior Fellow at the Lown Institute. His research focus is on the relationship of overuse to patient harm, and as Chair of the High Value Care Committee he develops innovations to decrease unnecessary medical testing and treatment. Nationally, he leads the RightCare Young Innovator program at the Lown Institute. His efforts in value improvement has received many awards including the Top Hospitalist honor from ACP Hospitalist magazine, awarded to only 10 physicians in 2014. On today's episode, Dr. Cho tells us about the importance of high value care in the future of medicine and medical education.

In this episode of Radio Rounds, host Lakshman Swamy continues his interview with Dr. Hyung (Harry) Cho, the Director of Quality & Patient Safety for the Division of Hospital Medicine at Mount Sinai and Senior Fellow at the Lown Institute. His research focus is on the relationship of overuse to patient harm, and as Chair of the High Value Care Committee he develops innovations to decrease unnecessary medical testing and treatment. Nationally, he leads the RightCare Young Innovator program at the Lown Institute. His efforts in value improvement has received many awards including the Top Hospitalist honor from ACP Hospitalist magazine, awarded to only 10 physicians in 2014. On today's episode, Dr. Cho tells us more about the importance of high value care in the future of medicine and medical education.

Today on Radio Rounds, host Lakshman Swamy will discuss the nature of compassion in health care with Dr. Beth Lown, a practicing internist in Boston, associate professor at Harvard Medical School and medical director for the Schwartz Center for Compassionate Healthcare. The Schwartz Center was established in 1995 at the bequest of healthcare attorney Ken Schwartz after his battle with lung cancer. His experiences led him to appreciate the critical importance of compassion in an increasingly industrialized health care system. Since then, the Schwartz Center has worked to improve caregiver communication, promote empathy and spiritual care, and empower patients and families. One example of the Center’s work is seen at the over 350 healthcare facilities in the US and 60 in the UK that have adopted Schwartz Rounds, an opportunity toopenly and honestly discuss the social and emotional issues we face in caring for patients and families. In contrast to traditional medical rounds, the focus here is on the human dimension of medicine. In this first part of our series with Dr. Beth Lown, we’ll discuss the meaning of compassion and how it may relate to provider burnout.

Host Lakshman Swamy interviews Dr. Jeff Drazen, the Editor in Chief of the New England Journal of Medicine. Dr. Drazen’s distinguished career includes practice as an internist and pulmonary/critical care physician, teaching medicine at Harvard and Boston University, research in lung physiology and asthma, and nearly 15 years at the New England Journal of Medicine. In part 2 of our series with Dr. Drazen, we discuss the role of the Journal in medical education. How can students and trainees make the most of the Journal? How can we stay on top of the literature given the demands of our education? What kind of resources does the Journal offer to help us stay sharp? For more about the New England Journal of Medicine and the products we discuss on this episode, check out www.nejm.org.

Host Lakshman Swamy interviews Dr. Jeff Drazen, the Editor in Chief of the New England Journal of Medicine. Dr. Drazen’s distinguished career includes practice as an internist and pulmonary/critical care physician, teaching medicine at Harvard and Boston University, research in lung physiology and asthma, and nearly 15 years at the New England Journal of Medicine. In part 1 of our series with Dr. Drazen, we discuss the role of the Journal in modern medicine, its adaptation to modern communication, and the benefit it offers to clinicians, researchers, and trainees alike. For more about the New England Journal of Medicine, check out nejm.org.

Over 70% of cancer deaths occur in low resource settings. Historically "global health" has been focused on infectious disease, but disease like cancer are an under recognized and growing problem. Dr. Ami Bhatt assistant professor of medicine and genetics at Stanford University and co-founder of the non-profit Global Oncology shares the challenges of global cancer care and what it will take solve them. Learn more at www.globalonc.org

Finding new solutions to global health challenges requires a multi-disciplinary approach and user centered design. That's the philosophy Camtech at Massachusetts General Hospital. Former venture capitalist and Camtech director Elizabeth Bailey and Camtech's medical director Dr. Kristian Olson explain how Camtech events held across the world are driving innovation. Learn more at http://www.massgeneralcenterforglobalhealth.org/camtech/

In this special SaveGME Week episode of Radio Rounds, Director John Corker sits down with Elizabeth Brown, the top health care adviser for U.S. Representative Kathy Castor (D, FL-14). Ms. Brown discusses the growing physician shortage across America, what the shortage means for patient care, and what she, her boss, and all of us can do to help...starting with the CARE Act.

Join us for this episode of Radio Rounds as Director and Co-founder, Shamie Das, sits down with Dr. Stephen Pitts, an academic and seasoned emergency medicine physician. Dr. Pitts recently co-authored a JAMA Medical Education article describing the resource utilization patterns of resident versus attending physician only patients. He discusses this long held belief and the current data in the context of the ground-breaking IOM report on GME Reform last year. To keep it interesting, he also shares a few stories of his training at one of the nation's oldest county hospitals.

This week on Radio Rounds, Host Dr. Lakshman Swamy sat down with Dr. Louise Aronson, a Geriatrician at the University of California San Fransisco, where she cares for frail older adults in the Care at Home Program and directs the Northern California Geriatrics Education Center and UCSF Medical Humanities. Dr. Aronson is also co-editor for the JAMA series, "Care for the Aging Patient" and discusses her new book, "A History of the Present Illness," a collection of 16 short stories.

This week on Radio Rounds, host Lakshman Swamy had the chance to interview Dr. Harlan Krumholz at the recent Lown Institute conference in San Diego. Harlan is a cardiologist as well as a leader in the field of health services research and health policy, and as such, he directs the Yale Center for Outcomes Research and Evaluation. Today, Harlan talks about the importance of taking action to come up with solutions to the problems of overtreatment and lack of access to care with a clear call to arms for trainees everywhere. You can read more about his views on the role young physicians can play in improving how we care for patients in the inspirational article he wrote, "A Note To My Younger Colleagues... Be Brave."

This week on Radio Rounds, host Lakshman Swamy had the chance to interview Dr. Steve Weinberger at the Lown Institute Conference in San Diego. Dr. Weinberger is Executive Vice President and CEO of American College of Physicians as well as a pulmonary/critical care physician and a medical educator at Harvard and the University of Pennsylvania. Steve and Lakshman discuss where the ACP is moving, how it has evolved to help physicians and their patients, and the ACP's triple aim of reducing costs, improving care, and improving the health of the population. You can learn more about the Lown Institute and their efforts to transform healthcare systems and improve the health of communties by focusing on the concept of "right care" at their website.

Host Lakshman Swamy had the chance to interview Dr. Diane Meier at the recent Lown Institute Conference in San Diego ago. Diane is a practicing palliative care physician and geriatrician at Mt. Sinai in New York as well as Director of the Center to Advance Palliative Care. Today, Diane speaks to Lakshman following a keynote delivered at the Lown conference. She discusses what palliative care really is-- and how it goes far beyond the traditional concepts of hospice care. She illustrates the problems in our health care system that result not only in substantial waste, but also excessive and inappropriate care that results in unnecessary ED visits and hospitalizations for many of our elderly patients. She describes how palliative care can improve patients' lives by delivering more of their medical care at home and around their lives. As we’ve mentioned before, the Lown Institute is dedicated to transforming healthcare systems and improving the health of communities. They focus on the concept of “right care” in an era where both impaired access to care and overtreatment are major issues. Check them out at lowninstitute.org.

In this episode we interview Dr. Lynn White, Director of the Gold Humanism Honor Society (GHHS), a part of the Arnold P. Gold Foundation. Dr. White reiterates the importance of humanism and empathy in medicine, in relation to our patients as well as to other providers. We touch on the topics of burnout, National Solidarity Day, and the great new project to connect with patients by asking them to "Tell Me More." Radio Rounds was started in the same spirit that drives the Gold Foundation's mission, so be sure not to miss this interview which reminds us why we do everything we do in health care!

In this episode of Radio Rounds, host Avash Kalra speaks with Dr. Jason Persoff, an assistant professor of internal medicine at The University of Colorado. Dr. Persoff is also an avid storm chaser and photographer, and his travels across the Great Plains brought him to Joplin, Missouri in May 2011, where the deadliest tornado in the United States since 1947 struck two busy hospitals.

In the first of our series from The Telluride Experience for Emerging Patient Safety Leaders, we speak with Sarah, a resident who faced safety and quality issues head on when her newborn child became ill in the hospital. We'll also hear more about why Sarah is interested in safety as a focus of her career as a surgeon.

Today's interview is the second in our series from Telluride, Colorado where host Lakshman Swamy attended the inspiring Telluride Patient Safety Roundtable. The TPSR brings health professionals in training together to learn how to become champions for patient safety. This interview features Chris Boudakian, an osteopathic physician training in Physical Medicine and Rehabilitation (PM&R) at New York University. He is training to be a "physiatrist," a physician focused on the long-term restoration of function and treatment of pain in patients debilitated by illness such as stroke and trauma. In this interview, Boudakian explains why he became interested in this field and why patient safety will be an important part of his career.

This week on Radio Rounds, host Imran Ali brings us an interview with Dr. Anthony S. Fauci, the director of the National Institute of Allergy and Infectious Diseases (NIAID) at the National Institutes of Health. Dr. Fauci is one of the world's leading experts on HIV/AIDS and has been tapped by President Obama to help coordinate the United States' response to the Ebola outbreak. He took time from his busy schedule to discuss his work on global AIDS issues and on initiatives to bolster medical and public health preparedness against emerging infectious diseases such as pandemic influenza.

In today’s episode, Radio Rounds' Executive Director John Corker sits down with Dr. Amitabh Chandra, of the Institute of Medicine’s Committee on the Governance and Financing of Graduate Medical Education, to discuss his insider’s perspective on the method behind the perceived madness of his committee’s recent recommendations for improving medical residency training in America. Dr. Chandra is an architect of one of the IOM's most controversial and potentially impactful reports in recent memory, and he doesn't hold anything back in explaining his candid and pragmatic approach to answering the foundational question posed to his committee: "What are medical residents - and by extension, their patients - really getting in return for the enormous investment into their training made by American taxpayers?" For more information on the IOM's recent report check out the brief or this webinar hosted by the Committee Chairwomen.

In Part 2 of our ongoing series analyzing the Institute of Medicine's recent report on the Governance and Financing of Graduate Medical Education, Radio Rounds Director John Corker sits down with Dr. Atul Grover, Chief Public Policy Officer at the American Association of Medical Colleges (AAMC). The AAMC is a not-for-profit Washington DC based association representing all 141 accredited U.S. Medical schools and nearly 400 major teaching hospitals and health systems - including 51 VA Medical Centers - as well as 90 academic and scientific societies nationwide. Dr. Grover shares his big-picture thoughts on the importance and potential future impact of the IOM's recommendations. For more information on the IOM's recent report check out the brief or this webinar hosted by the Committee Chairwomen.

This week, we sit down with 4th year medical student and American Medical Association Trustee, Dr. Sam Mackenzie, as he shares his thoughts on a recent, highly anticipated report submitted by the Institute of Medicine on their vision for the future of residency training in America. With predictions of a worsening physician shortage echoing across the country, millions using more health care services because of Obamacare implementation and an aging population, and a tightening bottleneck at the residency level of physician training, this report's recommendations have been as controversial as they were highly anticipated. Tune in for part 1 of our 3 part series exploring the meaning and impact of this report. In the coming weeks, we will also speak with Dr. Atul Grover, Chief Public Policy Officer at the American Association of Medical Colleges, as well as Dr. Amitabh Chandra, an economist and Director of Health Policy Research at the Harvard Kennedy School of Government. Dr. Chandra served as a member of the IOM’s Committee on the Governance and Financing of GME as well as a primary author of their report. For more information on the IOM and a complete run-down of their report on the Governance and Financing of Graduate Medical Education (GME), please visit iom.edu.

In this episode, Radio Rounds' Host and Executive Director John Corker sits down Stan Tran, a 26 year old 4th year medical student at the Warren Alpert Medical School of Brown University. But Tran is no ordinary medical student. He is taking a leave of absence from school in order to run for Congress in his current state of Rhode Island. In so doing, Tran hopes to impact the lives of his patients in ways both systemic and meaningful…and in the process, begin to shift our American political paradigm from historic gridlock toward collaboration and progress. Join us for this story of Tran's journey down the path less traveled, armed with both his candid views on hot-button issues and with a unique appreciation for the impact that great listening skills can have for both successful doctors and politicians.

This week, Radio Rounds host Imran Ali speaks with Dr. Auguste Fortin, Director of Psychosocial Curriculum for the Yale Primary Care Internal Medicine Residency Program. The topic being about patient centered care, what is it and why do we need it. Also Dr . Fortin discusses how the human side of medicine can get lost in the flurry of rushed office visits and how the the advent of direct to consume advertising affects the doctor patient relationship.

This week we join Host and Director Shamie Das in his interview with Dr. L. Toni Lewis at the Committee of Interns and Residents National Meeting in Baltimore earlier this week. Dr. Lewis is a family physician who serves as the Chair for the healthcare division of one of the nation's largest labor unions. In this episode we learn how Dr. Lewis became involved in advocacy and community service. You can learn more about the CIR at: cirseiu.org.

Today on Radio Rounds, Host Lakshman Swamy interviews Dr. Frank Schembri, a pulmonary critical care physician at Boston Medical Center about his interests in ultrasound and medical education.

Radio Rounds host Imran Ali speaks with Dr. Auguste Fortin, Director of Psychosocial Curriculum for the Yale Primary Care Internal Medicine Residency Program. The topic being about patient centered care, what is it and why do we need it. Also Dr . Fortin discusses how the human side of medicine can get lost in the flurry of rushed office visits and how the the advent of direct to consume advertising affects the doctor patient relationship.

This week, Radio Rounds host and director Lakshman Swamy sits down with Dr. Tony Breu, an internal medicine hospitalist and director of residency education at the Boston VA health care system. In part 2 of our series, the pair explores the many unique benefits of providing health care to our nation's hero's at the VA. For medical students, residents, physicians and the community, this conversation provides a fascinating window into one of the most important - and least understood - corners of American health care.

This week, Radio Rounds host and director Lakshman Swamy sits down with Dr. Tony Breu, teaching faculty at the West Roxbury VA Medical Center in Boston Massachusetts. The pair digs deep to explore how we can get creative in moving medical education forward by redefining the time, place and format of how we learn. The first step? Breaking down age-old fears of being "uninteresting" or, even worse, just plain wrong. Join us as we discuss the next stage in the evolution of physician training.

This week, on the five-year anniversary episode of Radio Rounds, hosts Avash Kalra and Shamie Das sit down with Dr. Therese Zink, Chair of the Department of Family Medicine at Wright State University Boonshoft School of Medicine and author of The Country Doctor Revisited, a collection of essays and short stories that explore the practice of health care in rural settings. Join us for a conversation about the evolution of rural medicine and the unique bond between physicians and patients in that setting. Learn more about Dr. Zink at www.theresezink.com.

Charity Sunshine Tillemann Dick, an American-born soprano, has performed in opera houses and concert halls across the United States, Europe, and Asia. She is also a survivor of a double lung transplant, which she received at the Cleveland Clinic in September 2009. Radio Rounds’s Imran Ali spoke by phone with her to find out more about her remarkable story of triumph, determination, and love for music.

Host John Corker sits down with Bill Elder, a medical student at Wright State University who serves as the literal face (both in the New York Times and in Congress) for 30,000 Cystic Fibrosis patients nationwide - and who is able to pursue his dream of becoming a doctor in large part due to a miracle drug that no one thought possible less than a decade ago. Join us for his story of devastating disease, a miraculous turnaround and his day in front of Congress representing sick and suffering patients all over the country. Hear more of Bill's story at The New York Times' "Faces of Cystic Fibrosis" page: http://www.nytimes.com/interactive/2009/06/10/health/healthguide/TE_CYSTIC_FIBROSIS.html?ref=health

Radio Rounds kicks off its 10th Season as host John Corker welcomes Timmy Global Health Executive Director, Matt MacGregor, back to the show. This time, MacGregor discusses TGH's partnership with AMA Insurance's MedPlus Advantage to bring a transformational Global Health Challenge to students across the country. This year, The Challenge will entrust its winning students with responsibility of a scope and magnitude never before seen in redefining the cutting edge of Global Health. Take 20 minutes to listen in, then take The Challenge...and encourage others to do the same.

Join us for this episode of Radio Rounds as we continue our discussion on strategies to mitigating the stress and burnout that occur throughout a physician's career, from training to practice. Dr. Sheryl Heron, an Emergency Physician and the Vice Chair of administrative affairs in the Department of Emergency Medicine at Emory University, will be sharing her insights in to how physicians can prepare themselves for a long, fulfilling career in medicine in an era of change. She share's how she recognized the signs in herself and took steps to take control and revive her passion for practicing medicine.

This episode of Radio Rounds features another piece from Pulse: Voices from the Heart of Medicine. Radio Rounds Host Imran Ali will be reading Dr. Edward Thompson's "Supersize Me", a narrative about his experience with an obese patient in denial that ultimately sounds a wake up call to all of us in the fight against obesity. While this fight may be a talking point for every physician and public health official, once obesity has a face, reality truly hits home.

This week, host Lakshman Swamy sits down with Steven Spear, Senior Lecturer at the MIT Sloan School of Management and is a Senior Fellow at the Institute for Healthcare Improvement as well as author of the The High Velocity Edge. We've been airing a four part series of our interviews with Steve Spear about his thoughts on medicine, modern healthcare, and the importance of improving what we do. Today, in part 4, we'll spend time exploring what it truly means to be a “learning organization”

This week, host Lakshman Swamy sits down with Steven Spear, Senior Lecturer at the MIT Sloan School of Management and is a Senior Fellow at the Institute for Healthcare Improvement as well as author of the The High Velocity Edge. This is episode three in a four part series of our interviews with Steve Spear about his thoughts on medicine, modern healthcare, and the importance of improving what we do. Today, in part 3, we'll talk about what happens when emergency medical centers improve patient wait times and how it is being accomplished.

This week, host Lakshman Swamy sits down with Steven Spear, Senior Lecturer at the MIT Sloan School of Management and is a Senior Fellow at the Institute for Healthcare Improvement as well as author of the The High Velocity Edge. We'll be airing a four part series of our interviews with Steve Spear about his thoughts on medicine, modern healthcare, and the importance of improving what we do. Today, in part 2, we'll talk about important lessons that medicine can learn from other areas of the private sector.

This week, host Lakshman Swamy sits down with Steven Spear, Senior Lecturer at the MIT Sloan School of Management and is a Senior Fellow at the Institute for Healthcare Improvement as well as author of the The High Velocity Edge. We'll be airing a four part series of our interviews with Steve Spear about his thoughts on medicine, modern healthcare, and the importance of improving what we do. Today, in part 1, we'll talk about perfecting the all-important patient "hand-off."

In this episode, Radio Rounds host and director John Corker sits down with Steve Nuanes - a fourth year Osteopathic medical student at NOVA Southeastern University in Florida - as he uses examples from his own training to illustrate the unique advantages and challenges associated with Osteopathic medical training, and to explain how DO physicians go back to the basics in order to provide the best possible care for their patients.

Today we'll hear from Dr. David Roberts, a pulmonary physician at the Beth Israel Deaconess Medical Center (BIDMC). Among his many titles, Dr. Roberts is an Associate Professor of Medicine at Harvard Medical School and he directs the longitudinal 3rd year clerkship, The Principal Clinical Experience (PCE) at BIDMC. This program puts Dr. Roberts on the front lines of medical education. We met at the national convention for the Association of American Medical Colleges in San Francisco, California, to discuss the shifting medical education paradigm and unique aspects of his PCE curriculum.

This episode features Dr. Martin Samuels, chairman of the department of Neurology at Brigham and Women's Hospital in Boston, MA, and Professor of Neurology at Harvard Medical School. A leading authority on the relationships between neurology and general medicine and one of the foremost medical educators in the country, Dr. Samuels has also hosted a number of programs on Reach MD. This week we discuss what we can do as physicians to avoid making the cognitive mistakes that lead to diagnostic errors and we close our series with thoughts on medicine as a profession.

This episode features Dr. Martin Samuels, chairman of the department of Neurology at Brigham and Women's Hospital in Boston, MA, and Professor of Neurology at Harvard Medical School. A leading authority on the relationships between neurology and general medicine and one of the foremost medical educators in the country, Dr. Samuels has also hosted a number of programs on Reach MD. This week we discuss the cognitive mechanisms that lead to errors in diagnosis. Our guest Dr. Samuels will use examples from his own career!

This episode features Dr. Martin Samuels, chairman of the department of Neurology at Brigham and Women's Hospital in Boston, MA, and Professor of Neurology at Harvard Medical School. A leading authority on the relationships between neurology and general medicine and one of the foremost medical educators in the country, Dr. Samuels has also hosted a number of programs on Reach MD. This week, Dr. Samuels discusses the importance of errors in medicine.

Dr. Stuart Mushlin is a practicing internist and primary care physician at Brigham and Women's Hospital in Boston, MA, where he serves as an assistant professor at Harvard Medical School. He is also the author of the book Decision Making in Medicine: An Algorithmic Approach. Today, Radio Rounds host and Boston Medical Center internal medicine resident Lakshman Swamy asks Dr. Mushlin about the Patient Centered Medical Home and the future of American primary care.

This episode of Radio Rounds features another piece from Pulse: Voices from the Heart of Medicine. Radio Rounds Executive Producer, Yojan Patel, will be reading Dr. Jordan Grumet's "Broken," a first person narrative describing Dr. Grumet's experience as a medical student during his OB/Gyn rotation.

The results of a recent nationwide survey conducted by the AMA Insurance Agency indicate that nearly half of American physicians under 50 feel underprepared for their financial future, and nearly three quarters of all American physicians do not have enough money saved to ensure a healthy retirement. In this episode of Radio Rounds, host John Corker sits down with Dr. Shamie Das, co-founder of Radio Rounds and a current Emergency Medicine resident at Emory University Hospital, to discuss young physicians' most pressing concerns about their financial futures. John also speaks with AMA Insurance President Chris Burke about the context and implications of his survey's concerning results, as well as his advice on how to get started early on the road to a better financial future. Finally, John catches up with Dr. Ann Wojtalik, a Pediatrician from Indianapolis IN, who offers her insight into one of the AMA Insurance survey's most interesting findings: that female physicians across the country feel well behind their male counterparts in planning their financial futures.

In this episode, Radio Rounds director John Corker sits down with Dr. Jeremy Lazarus. Dr. Lazarus is a private-practice psychiatrist from Denver who has spent the past year serving as President of the American Medical Association (AMA). Dr. Lazarus shares his unique insight into the critical role that physicians must play in national health policy discussions, as well as the AMA's new strategic plan to improve health outcomes in Diabetes and Cardiovascular Disease, to accelerate change in medical education, and to improve physicians' satisfaction with their profession.

Dr. Jerry Avorn is a Professor of Medicine at Harvard Medical School and Chief of the Division of Pharmacoepidemiology and Pharmacoeconomics, which uses an interdisciplinary approach to evaluate the effectiveness of existing and new prescription drugs in relation to their risks and costs and to study how medications are used by physicians and patients. He also authored the book Powerful Medicines, describing the The Benefits, Risks, and Costs of Prescription Drugs, and he'll be discussing his views on the subject of pharmaceuticals in health care on Radio Rounds.

In this episode, Radio Rounds host Lakshman Swamy talks to Mitesh Patel, the co-founder of Docphin, a web-based service that helps physicians and students stay connected to medical literature. He talks about the importance of staying up to date in medicine, and how Docphin makes it easier. Dr. Patel has been a TEDMED expert panelist and a Robert Wood Johnson Clinical Scholar.

This week's episode of Radio Rounds celebrates Mothers' Day by speaking with Dr. Katherine Chretien, an Associate Professor of Internal Medicine at the George Washington University Medical School, a mother of three children, and the founder of the group blog Mothers in Medicine. Dr. Chretien also serves as Internal Medicine Clerkship Director at George Washington and as Chief of the Hospitalist Section at the DC Veterans Affairs Hospital. In this interview, Dr. Chretien discusses the challenges and joys of being a Mother in Medicine -- emphasizing that you can, in fact, have it all...