Clinician's Roundtable

Host: Matt Birnholz, MD It's estimated that 80% of serious medical errors involve miscommunications between caregivers during the transfer of patients. But investigations are ongoing to identify the key issues behind these miscommunications, and how patient centered, value based care can address them. Host Dr. Matt Birnholz speaks with Dr. David Badolato, family physician and founder and CEO of Life Laboratory, a Philadelphia-based nonprofit organization dedicated to research and education in quality models of care. Dr. Badolato authored an article published in Patient Safety and Quality Healthcare titled “The Patient-Family Journey From Outpatient to Inpatient: Improving Quality and Safety With the Outpatient EMR and PCP Collaboration.”

Host: David Weisman, MD Dr. David Weisman explores a study from Wake Forest School of Medicine that examined the effects of concussions for youth football participants.

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG Guest: Carmen Brown, MD What does it take to pick up your practice and move to a foreign country? And what can be gained and lost in translation? Host Dr. Renee Allen chats with Dr. Carmen Brown,a board-certified OB/GYN practicing in New Zealand, about her experiences and perspectives transitioning a clinical practice and family home to another continent.

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG Guest: Xena Whittier, MD Rheumatic diseases don't discriminate across race or gender; however, significant health disparities continue to exist for patients suffering from these diseases. Dr. Renée Simone Yolanda Allen speaks with Dr. Xena Whittier, practicing rheumatologist with WellStar Rheumatology Associates in Marietta, GA, about closing the gap in health disparities for rheumatology patients across genders, ethnicities, and socioeconomic statuses.

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG Guest: Rob Olson, MD The OB/GYN hospitalist model is one potential approach to enhancing the quality and safety of hospital’s obstetric–gynecologic services and reducing the incidence of adverse events Host Dr. Renee Allen sits down with Dr. Rob Olson, an OB/GYN hospitalist program consultant with over 7 years experience practicing in this role. Dr. Olson is founding President of the newly formed Society of OB/GYN Hospitalists, and he speaks nationally on the many benefits of OB/GYN Hospitalist models of care.

Host: Ana Maria Rosario Guest: Martin R. Chavez, MD, FACOG From the Women's Health Annual Visit in Chicago, host Ana Maria Rosario talks with Dr. Martin Chavez, the Director of Maternal Fetal Medicine and Fetal Surgery Program at Winthrop University Hospital, about the maternal-fetal effects of the Zika virus outbreak.

Host: Patrice L Basanta-Henry, MD, MHSc, FACOG Reports indicate that there is a national upsurge in the number of women with opioid addiction. The problem is multigenerational, with consumption habits that begin as early as the mid-teenage years and extend well into the elderly population. Additionally, opioid addiction disproportionately affects women, who are more likely to become dependent and overdose unintentionally on painkillers compared to men. Host Dr. Patrice Basanta-Henry talks with Dr. Regan Theiler, Director of the Division of General OB/GYN at Dartmouth-Hitchcock Medical Center about treatment approaches for opioid-addicted pregnant women and women of childbearing age.

Host: Patrice L Basanta-Henry, MD, MHSc, FACOG Prescription drugs are often essential to the management of both acute and chronic pain. However, misuse, abuse and additions to these products, especially opioids, have become a worldwide epidemic. Since 1999, the number of overdose deaths involving opioids have almost quadrupled in the United States. Host Dr. Patrice Basanta-Henry talks with psychiatrist and addiction medicine specialist Dr. Nzinga Harrison, CMO of Anka Behavioral Health Inc., about the physician's role in the face of this opioid epidemic.

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG Many menopausal and perimenopausal women are faced with the decision of whether synthetic or bioidentical hormone therapy is the best option for them. There are many pros and cons for each, but questions surface from patients and clinicians alike on comparative safety and efficacy profiles. Host Dr. Renee Allen welcomes Dr. Jocelyn Slaughter-Moore, a board-certified practicing OB/GYN at Heras Healthcare for Women. They talk about the differences between bioidentical and synthetic hormones, and whether bioidentical hormone therapy is a safe option for women.

Host: Patrice L Basanta-Henry, MD, MHSc, FACOG Advances in technology have resulted in increased information being available for pregnant woman. With this increased information has come a rise in the number of requests for termination of pregnancy for fetal indications. However, termination of pregnancy remains a controversial issue in the area of women’s health. Women requesting second trimester terminations may face significant legal barriers as well as poor access to providers and/or facilities that are able to provide the procedure. Host Dr. Patrice Basanta-Henry chats with Dr. Reagan Theiler, Division Director for General Obstetrics and Gynecology and Director of Ryan Residency Training Program at the Dartmouth Hitchcock Center and the controversy surrounding second trimester termination.

Host: Patrice L Basanta-Henry, MD, MHSc, FACOG According to the American Congress of Obstetricians and Gynecologists, between 14% and 23% of women will struggle with some symptoms of depression during their pregnancy. This condition often goes unrecognized and untreated in part because of safety concerns in using medications or other therapeutic methods during pregnancy. Host Dr. Patrice Basanta-Henry talks with Dr. Nzinga Harrison, a board-certified physician in addiction medicine and psychiatry and Chief Medical Officer for Anka Behavioral Health, Inc about the current recommendations for depression screenings in the pregnant patient.

Host: Ana Maria Rosario Guest: David Gandell, MD Genital Herpes Simplex Virus (HSV) infection is a major public health problem. A dramatic upsurge in genital HSV infections have been documented from several prominent studies, making recognition, treatment, and patient counseling strategies more important than ever. Joining host, Ana Rosario at the Women's Health Annual Visit in Deerborn, MI, is Dr. David Gandell, Clinical Professor of Obstetrics and Gynecology at the University of Rochester and attending phsyician at Strong Memorial Hospital.

Host: Ana Maria Rosario Guest: Anita L. Nelson, MD Joining host Ana Maria Rosario at the Women's Health Annual Visit in Deerborn, MI, is Dr. Anita Nelson, professor emeritus at UCLA and professor and chair of OB/GYN at Western University in California. The two discuss patient barriers to accessing IUDs and implants in a rapidly growing contraceptive market.

Host: Patrice L Basanta-Henry, MD, MHSc, FACOG Approximately just 0.5% of all births occur before the third trimester of pregnancy, yet these very early deliveries result in the majority of neonatal deaths and more than 40% of infant deaths. Care for infants born at the threshold of viability, less than 24 weeks of gestation and with body weights less than 1000 grams, poses many difficult clinical, social, and ethical questions among clinicians and families. Host Dr. Patrice Basanta-Henry speaks with guest Dr. Fyama Wenner, a maternal-fetal medicine specialist at Atlanta Maternal Fetal Medicine, about special care considerations for extremely preterm infants, as well as effective counseling strategies for families.

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG Mid-level providers such as nurse practitioners help fill gaps in health care coverage across the country. Yet while NPs have the ability to work independently in a variety of ways including administering treatments, providing consultations, and authorizing use of medical equipment, several practice barriers impede their efforts to provide highest quality care. Host Dr. Renee Allen chats with Patrick Washington, a board-certified nurse practitioner in Family Medicine, about the roles NPs play in the healthcare industry and ways to overcome practice obstacles in the era of health care reform.

Host: Shira Johnson, MD Opiate addiction is rapidly becoming one of the biggest health crises in the United States today. Opiates have killed more than 28,000 people in 2014 and opioid deaths outnumber motor vehicle accidents and gunshot fatalities. Dr. Shira Johnson talks with Dr. Kenji Oyasu, the Executive Medical Director for Brightside Clinic in Northbrook, Illinois. They discuss common misconceptions about medically-assisted treatments for opiate addiction.

Host: Matt Birnholz, MD Today’s culture of stress is driving people to pharmaceuticals and other dangerous outlets as coping mechanisms. What strategies should people employ to mitigate stress and manage their time better? Host Dr. Matt Birnholz sits down with Dr. Patricia Sulak, Endowed Professor at Texas A&M University to talk about the dangers of stress.

Host: Matt Birnholz, MD The American Congress of Obstetricians and Gynecologists have made several recommendations regarding the practice of umbilical cord blood banking. Host Dr. Matt Birnholz speaks with Dr. Jordan Perlow, Associate Director of Maternal-Fetal Medicine at Banner Good Samaritan Medical Center in Phoenix, AZ, about the newest guidelines set forth from ACOG.

Host: Matt Birnholz, MD The simple act of going out to eat can be a tricky proposition for people dealing with gluten intolerance or sensitivity issues. A new portable device is aiming to help people with this problem by allowing them to test food’s gluten content and help find foods that they are able to eat. Host Dr. Matt Birnholz talks with guest Carla Borsoi, Vice President of Marketing at 6Sensor Labs, about how this device will assist people living with gluten intolerance or sensitivity issues.

Host: Renée Simone Yolanda Allen, MD, MHSc., FACOG Midlevel providers help fill the gap in health care coverage across the country. Nurse practitioners, in particular, have the distinct capabilities to work independently in a variety of areas including consultations, treatments, and authorization of durable medical equipment. Host Dr. Renee Allen chats with Patrick Washington, a board-certified nurse practitioner in family medicine, about the role NPs play in the healthcare system, how education requirements are evolving, and where NP duties differ from those of physician assistants (PAs).