Clinician's Roundtable

Host: Lee Freedman, MD Guest: Daniel Munoz, MD, MPA Guest: Kenneth Ludmerer, MD The Institute of Medicine recently revised its work schedule recommendations for medical residents, in the wake of increasing concern about errors made related to medical resident fatigue. What are the new recommendations, and will these help enhance the learning environment for residents? Two of the Institute of Medicine's panel members who studied the residency process, Dr. Kenneth Ludmerer, professor of medicine and history at Washington University in St. Louis, and Dr. Daniel Munoz, fellow at Johns Hopkins University, discuss the goals of the new recommendations. Dr. Lee Freedman hosts.

Host: Shira Johnson, MD Guest: Peter DeBlieux, MD Who will benefit most from early intervention and treatment from the 750,000 patients hospitalized with sepsis each year? Dr Peter De Blieux, Pulmonary and Critical Care specialist from the Louisiana State University Health and Science Center, discusses early management and diagnosis including the importance of goal directed therapy. Dr Shira Johnson is the host as Dr De Blieux reviews common mistakes in sepsis management and provides case studies for learning.

Host: Shira Johnson, MD Guest: Peter DeBlieux, MD Sepsis kills 210,000 patients each year. Dr. Peter DeBlieux, professor of medicine at Louisiana State University Health Science Center and director of emergency medicine services at the Medical Center of Louisiana, discusses the latest clinical practice guidelines. He is interviewed by Dr. Shira Johnson about how to improve sepsis mortality with new therapies. Learn why early and agressive management is the key .

Host: Michael Greenberg, MD Guest: Jim Withers, MD 'Street medicine' involves delivering medical care to the unsheltered homeless where they live. How effective is this model? What are its challenges and rewards? Host Dr. Michael Greenberg explores the evolving field of street medicine with Dr. Jim Withers, founder of the non-profit street medicine organization Operation Safety Net in Pittsburgh, Pennsylvania. How can addressing the homeless population's medical needs on the streets help lower medical institution costs? What can interested physicians do to get involved with street medicine?

Guest: Craig T. Standen, MBA Craig Standen, senior vice president of Ziegler Healthcare's finance team, reports to host Dr. Larry Kaskel the effects of the capital crunch and sub-prime debacle on hospitals and healthcare systems, and ultimately physicians. Mr. Standen explains how many hospitals and private practices began to depend on cheap credit that is no longer available, and have halted capital expenditures and reduced expenses accordingly in order to deal with the limited access to cash. Tune in to hear Mr. Standen's comments on the effects of the crisis on hospitals, smaller practice groups, and patients, as well as strategies for managing internal cash flow, and how this may impact access to care.

Host: Maurice Pickard, MD Guest: Donald J. Palmisano, MD JD Dr. Donald Palmisano, past-president of the American Medical Association and professor of surgery and medical jurisprudence at Tulane University School of Medicine, talks about his new book, On Leadership: Essential Principles for Success, and the idea that leadership qualities can be taught. He discusses how and why physicians should make their voices heard and take on roles of leadership in the greater world beyond the hospital walls. Dr. Maurice Pickard hosts.

Host: Maurice Pickard, MD Guest: Donald J. Palmisano, MD JD Dr. Donald Palmisano, past-president of the American Medical Association and clinical professor of surgery and medical jurisprudence at Tulane University School of Medicine, discusses his book, On Leadership, Essential Principles for Success which includes lessons about leadership, resiliency and preparedness that come from experiences in the ranks of healthcare workers.

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: William S. Weintraub, MD, MACC, FAHA, FESC The COURAGE trial showed no substantial difference in cardiovascular outcomes among patients who received either optimal medical therapy or optimal therapy plus a percutaneous intervention. Dr. William Weintraub, professor of medicine at Chrisitana Care Health System in Newark, Delaware, describes his cost-benefit analysis of this trial and how cost effectiveness should be measured and evaluated in this patient population. Hosted by Dr. Matthew Sorrentino.

Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: William S. Weintraub, MD, MACC, FAHA, FESC The COURAGE trial suggested that optimal medical therapy and angioplasty are equivalent in reducing major cardiovascular events for patients with coronary artery disease. Dr. William Weintraub, the John H. Ammon Chair of Cardiology and director of the Center for Outcomes Research at the Christiana Care Health System in Newark, Delaware, will describe his research on the impact of angioplasty on the quality of life for participants in the COURAGE trial and show that the patients with severe angina received the greatest benefit from angioplasty. Hosted by Dr. Matthew Sorrentino

Host: Bruce Japsen Guest: Maureen Corry, Ms. There is a national consensus on standards for perinatal care, but what does that mean and how did these come about? Maureen Corry, executive director of the ChildBirth Connection tells host Bruce Japsen of the Chicago Tribune about coming changes in perinatal standards at hospitals and how these measures should lead to improvements and provide consumers more information. Physicians, too, will be able to get an insight on how to prepare for this future movement.

Host: Bruce Japsen Guest: Maureen Corry, Ms. The National Quality Forum has endorsed 17 perinatal standards to measure and improve quality of care. Maureen Corry, executive director of the Childbirth Connection, talks with host Bruce Japsen of the Chicago Tribune about these coming measures and what they will mean to child-birthing families and their physicians.

Host: Michael Kotzen, DPM Guest: Jack Morgan, DPM What are the latest trends in surgical treatment options available for patients suffering from recurrent heel pain, and how have podiatrists evolved in practice to manage the myriad of heel problems? Dr. Jack Morgan, attending staff member at the Los Angeles USC Medical Center and fellow of the American College of Foot and Ankle Surgeons, outlines the most common causes of heel pain, their respective modern treatment strategies, and upcoming advances in joint biomechanics. Dr. Michael Kotzen hosts.

Host: Michael Kotzen, DPM Guest: Ronald Lepow, DPM Most of us will have walked the equivilent of three times around the world in our lifetimes. Taking into account that 75% of the population suffers foot problems at least once, the importance of taking care of our feet and ankles cannot be overstated. Dr. Ronald Lepow, past president of the American Podiatric Medical Association and the only American to ever serve as the President of the Federation Internationale des Podologues (FIP), joins host Dr. Michael Kotzen to discuss the evolution of podiatric medicine and surgery.

Host: Jim Keany, MD Guest: Retha Newbold, PhD Found in everything from baby bottles to contact lenses, to tooth sealants and soda can linings, bisphenol A (BPA) is a chemical used to make plastics more resilient. It is also a recognized hormone disrupter, with recent studies raising concerns about a potential link to cancers, diabetes and obesity. What is our current understanding of the true risks to humans? Should we be advising patients to avoid exposures to BPA? Dr. Retha Newbold, developmental reproductive biologist for the National Institute for Environmental Health Sciences, breaks down the issues related to this pervasive and potentially harmful product, which some states have even moved to ban in children’s products. Dr. Jim Keany hosts.

Host: Bruce Japsen Guest: Gary Conkright Trying to reduce medication errors? Gary Conkright, chief executive officer of InformMed, a medication safety company, talks with host Bruce Japsen about how the healthcare industry is borrowing a risk assessment technique from the aviation industry as a way to improve patient safety.

Host: Bruce Japsen Guest: Gary Conkright Reducing medication errors is a global challenge but the good news is that there are increasingly new and innovative ways companies are looking to find solutions to error reduction. Gary Conkright, chief executive officer of medication safety company InformMed tells host Bruce Japsen about a tool designed by nurses as the latest in the coming wave of potential products in the medication error solution space.

Host: Bruce Japsen Guest: Wesley Michael, MBA Physicians are inundated with market research, but how does this benefit patients and what does it seek to accomplish? Wesley Michael, executive vice president of research-excellence at market research firm TNS Healthcare, tells host Bruce Japsen how physician participation in market research can benefit their practice, patient care and the larger healthcare system.

Host: Bruce Japsen Guest: David Kweskin When direct-to-consumer advertising of prescription drugs came on the scene a decade ago, such ads quickly proliferated the airwaves. But times have changed. David Kweskin, senior vice president and practice area leader of brand and communications at the market research firm TNS Healthcare, tells host Bruce Japsen of the Chicago Tribune how drug and medical product makers are changing the way they advertise their products directly to consumers. What does this mean for physicians?

Host: Shira Johnson, MD Guest: Benjamin Abella, MD There are over 400,000 cardiac arrests per year. Dr Benjamin Abella assistant professor in both the department of emergency medicine and the department of medicine from the University of Pennsylvania School of Medicine discusses why 10-20% are surviving till discharge and beyond. A leading researcher in the area of resuscitation science, Dr. Abella discusses the changing epidemiology of cardiac arrest, and the science behind the improved survival. Host is Dr. Shira Johnson.

Host: Shira Johnson, MD Guest: Benjamin Abella, MD Cardiac arrest management used to mean CPR and efforts that were often futile. Now more patients are surviving until discharge because of new techniques maximizing compressions and administering hypothermia. Join host Dr. Shira Johnson with Dr. Benjamin Abella, assistant professor in the department of emergency medicine at the University of Pennsylvania, to discuss the techniques on the forefront of resuscitation medicine that are having a positive effect on patient outcomes.