The Last of Less is More
From December 2021, So Long, 2021In the last introduction segment of 2021, Paul and Neda cover the last of the “Less is More” recommendations from JAMA.
18min 1Neda Frayha, MD and Paul Simmons, MD
Violence in the Healthcare Workplace
From November 2021, Staying SafeWhen Jay was threatened by a patient the day after healthcare workers in a neighboring town were killed in a clinic knifing and bombing incident, it spurred her to action. Listen in as she and Neda talk about her experiences, about violence in the healthcare workplace in general, and how all of us …
22min 3Jay-Sheree Allen, MD and Neda Frayha, MD
Paper Chase #5: Probiotics to Prevent Antibiotic Associated Diarrhea or C Diff
From October 2021, Reducing HarmProbiotics did not show a statistical difference in the incidence of AAD or CDAD
7min 35Steve Biederman, MD and Tom Robertson, MD
Paper Chase #4: Azithro vs Doxy in Rectal Chlamydia
From October 2021, Reducing HarmA 7-day course of doxycycline was superior to single-dose azithromycin in treatment of rectal chlamydia
5min 6Steve Biederman, MD and Tom Robertson, MD
Paper Chase #3: High-Sensitivity Troponin in Kidney Disease
From October 2021, Reducing HarmHs-trop was more commonly elevated in patients with renal impairment, and these elevations were less frequently attributed to MI.
6min 19Steve Biederman, MD and Tom Robertson, MD
Paper Chase #2: Aspirin Dosing in CV Disease
From October 2021, Reducing HarmThere were no significant differences in cardiovascular events or major bleeding between patients assigned to 81 mg and those assigned to 325 mg
7min 30Steve Biederman, MD and Tom Robertson, MD
Paper Chase #1: The BEYOND Trial for Diabetes
From October 2021, Reducing HarmGlycemic control was similar between all groups, with increased patient satisfaction and less hypoglycemia in the basal-GLP1/SGLT groups
7min 52Steve Biederman, MD and Tom Robertson, MD
Paper Chase #5: USPSTF on Low Dose CT for Lung Cancer Screening
From June 2021, Going HomeUSPSTF recommends annual lung cancer screening with low-dose CT in adults aged 50-80 who have 20 pack-year smoking history and currently smoke or quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years.
6min 13Tom Robertson, MD and Steve Biederman, MD
Paper Chase #4: Albumin Infusions in Cirrhosis
From June 2021, Going HomeTreating to an albumin >3.5 did not improve renal dysfunction, infection or mortality.
6min 57Steve Biederman, MD and Tom Robertson, MD
Paper Chase #3: Ablation vs Antiarrhythmics for Initial Treatment of A-Fib
From June 2021, Going HomeAmong patients receiving initial treatment for symptomatic paroxysmal afib, there were lower rates of recurrence of afib with ablation compared to antiarrhythmic drug therapy. The rate of recurrence was very low in both groups.
6min 51Steve Biederman, MD and Tom Robertson, MD
Paper Chase #2: Empagliflozin in Heart Failure with Reduced EF
From June 2021, Going HomeEmpagliflozin improved LVEF and led to significantly greater functional capacity and quality of life scores over placebo
5min 4Steve Biederman, MD and Tom Robertson, MD
Paper Chase #1: CNS-Active Polypharmacy in Adults with Dementia
From June 2021, Going Home14% of older adults with dementia filled prescriptions consistent with CNS-active polypharmacy
7min 5Steve Biederman, MD and Tom Robertson, MD
Medical Home: How PCPs Can Rock Our Quality Metrics, Part 2
From June 2021, Going HomeWhat is a medical home and how can it help us succeed in keeping patients current on their screenings and chronic disease management? Dr. Holly Tse gives Neda super practical tips on how we can rock our health maintenance core measures in this two-part series.
15min 52Holly Tse, MD and Neda Frayha, MD
New Drugs of Abuse
From May 2021, PECARN Pie for PCPsHuffing, dripping, dabbing, vaping. Do you know what these terms mean? If not (or even if you do), tune in as Paul Simmons discusses new (and old) drugs of abuse with Dr. Kelly Sinclair.
28min 26Kelly Sinclair, MD and Paul Simmons, MD
Proceed with Confidence: Local Anesthesia
From April 2021, Becoming Trauma InformedInjecting local anesthetic burns, right? What if there was a way to minimize the pain associated with injection of local anesthetic? Drs. Brian Rayala and Matthew Zeitler at UNC Chapel Hill look at the evidence regarding this, and provide some insight into reduction of pain with this common …
22min 9Brian Rayala, MD and Matthew Zeitler, MD
Trauma Informed Care: Part 2
From April 2021, Becoming Trauma InformedMany of our patients have lived through trauma, and the Covid-19 pandemic is a form of collective trauma in itself. How can we, as primary care clinicians, provide sensitive, trauma-informed care to our patients? Neda sits down with national experts Drs. Sadie Ellisseou and Megan Gerber to discuss …
19min 41Neda Frayha, MD, Megan Gerber MD, MPH, and Sadie Elisseou, MD
Trauma Informed Care: Part 1
From April 2021, Becoming Trauma InformedMany of our patients have lived through trauma, and the Covid-19 pandemic is a form of collective trauma in itself. How can we, as primary care clinicians, provide sensitive, trauma-informed care to our patients? Neda sits down with national experts Drs. Sadie Ellisseou and Megan Gerber to discuss …
25min 39Megan Gerber MD, MPH, Neda Frayha, MD, and Sadie Elisseou, MD
Less is More, Some More
From April 2021, Becoming Trauma InformedLess is more! We were thrilled to learn about the JAMA Internal Medicine series highlighting which primary care services we can scale back on or do away with completely. In this month’s Primary Care RAP introduction, Neda and Paul continue breaking down some of these recommendations and how they’ll …
15min 18Paul Simmons, MD and Neda Frayha, MD
Hemoptysis
From July 2018, All Risk, No RewardPatients with significant or massive hemoptysis should be sent to the ED for further evaluation.Patients with non-massive hemoptysis should be evaluated with initially with a chest x-ray.
22min 28Scott Irvine, MD and Matthew DeLaney, MD, FACEP, FAAEM
Annual Physical: Friend or Foe
From July 2018, All Risk, No RewardAre you a fan of your annual physicals, or are you moving away from them in your practice? In this segment, Neda and our new PC RAP contributor Aisha Lofters debate the merits and drawbacks of the annual physical. Spoiler alert: Aisha wins!
23min 16Aisha Lofters, MD and Neda Frayha, MD
‹ PreviousNext ›