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Primary Care Today

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Primary Care Today features conversations with clinical experts representing a wide range of medical specialties to highlight the latest trends in primary care practice, from clinical pearls to updated guidelines, health informatics, and practice management. This series is hosted by Dr. Brian McDonough, a nationally recognized clinical expert, teacher, and public speaker in primary care.
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Episodes

Everything You Thought You Knew About Physician Shortages: AAMC's Dr. Atul Grover

Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Dr. Atul Grover, MD, PhD, Chief Public Policy Officer for the Association of American Medical Colleges (AAMC) to discuss the looming physician shortage in the US and what needs to be done now to positively impact that shortage ten years down the road.

May 11, 20150

Donovan Green, Author of "No Excuses Fitness"

Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Donovan Green, personal trainer and author of No Excuses Fitness , to Primary Care Today. Mr. Green talks about practical, brass tacks strategies for getting in shape, starting with the basic primer to just get people moving regardless of fitness level.

Apr 27, 20150

Next Generation Simulators: Where Gaming Meets Clinical Decision-Making

Case-based simulator software is fast becoming the hottest and most innovative form of medical education in clinical training programs today. Joining Dr. Brian McDonough to update listeners on the origins, rapid evolution, and future horizons of medical simulation is Douglas Seifert, Founder and CEO of Syandus Inc. Syandus is a leading provider of intelligent simulation learning technologies, and its health education programs offer doctors a "learn by doing" gaming approach to improving clinical...

Apr 20, 20150

Updates From the Pollen Vortex: Strategies to Combat the Worst Allergy Season Ever

Host: Brian P. McDonough, MD, FAAFP As an unforgivingly cold, frigid winter in America has led to the explosive release of tree pollens over a short period this spring, seasonal allergies have returned with a vengeance. Says, Dr Mitchell Gaynor, clinical assistant professor of medicine at Weill Cornell Medical College in New York City, this could make for one of the worst allergy seasons of all time. How can primary care providers ready themselves on the frontlines of this mass allergy assault? ...

Apr 12, 20150

Irritable Bowel Syndrome and Type IV Allergies: Making the Connection in Practice

Host: Brian P. McDonough, MD, FAAFP Irritable Bowel Syndrome affects an estimated one out of ten people in the US, yet the causes for this disease are multivariate and often unknown from case to case, creating a reputation in practice as a "waste basket diagnosis." Dr. Michael Stierstorfer, Clinical Associate Professor of Dermatology at the University of Pennsylvania School of Medicine and founder of East Penn Dermatology, has been a pioneer in helping clinicians better understand one potential ...

Apr 05, 20150

When Google Met Mayo Clinic: Evolving Partnerships in Search Engine-Optimized Health Information

Host: Brian P. McDonough, MD, FAAFP Many of us use online search engines as our primary source for referenced information, but is it a truly reliable source for health information? And which medical organizations are at the forefront for leveraging these information portals to maximum effects for both patients and health professionals? Joining Dr. Brian McDonough to discuss the recent technological advancements, institutional partnerships, and revenue streams underlying search engine-optimized h...

Mar 29, 20150

Boosting Mental Health and Behavioral Therapy Resources in Primary Care

Host: Brian P. McDonough, MD, FAAFP Joining Dr. Brian McDonough to discuss the state of mental health services in the US, as well as current to emerging care resources for children with developmental disabilities such as autism, is Robert Kreider, JD. Mr. Kreider is President and CEO of Devereux, one of the oldest and largest nonprofit providers of behavioral healthcare in the country.

Mar 23, 20150

Vibrating Capsules: A New Way to Treat Chronic Constipation

Host: Brian P. McDonough, MD, FAAFP A new therapy in the form of a vibrating pill-size capsule may help alleviate chronic idiopathic constipation without significant side effects. Joining Dr. Brian McDonough to discuss this innovative treatment method is Dr. Anish Sheth, practicing gastroenterologist at Princeton Medical Group in Princeton, NJ. And, to our listeners, please note that Dr. Sheth was not involved in the clinical trials of the investigational treatment mentioned in this interview....

Mar 16, 20150

Management of Acute Stroke: Perspectives from a Neurointerventional Radiologist

Host: Brian P. McDonough, MD, FAAFP Dr. McDonough welcomes Dr. Donald Frei, neuroradiologist and Director of Neurointerventional Surgery at Radiology Imaging Associates in Denver, CO. Dr. Frei is working towards establishing state-of-the-art diagnosis and management strategies in treating patients with acute stroke. His procedural specialties include acute catheter directed stroke intervention, angioplasty/stent revascularization of cerebrovascular stenosis and minimally invasive treatment of ce...

Mar 09, 20150

Healthy Eating Guidance for Weight (and Age?) Loss: Marla Heller, Author of The DASH Diet

Host: Brian P. McDonough, MD, FAAFP Marla Heller, MS, RD is the author of the best-selling books, The DASH Diet Action Plan , The DASH Diet Weight Loss Solution , The Everyday DASH Diet Cookbook , and more recently The DASH Diet: Younger You . In her discussion with host Dr. Brian McDonough, she proposes a nutritional guidance plan intended to halt and even reverse many of the effects of aging by improving blood pressure, cholesterol, blood sugar, and helping readers reach a healthy weight....

Mar 02, 20150

Promoting Safe Sleeping Environments for Infants: Why Appearances are Deceiving

Host: Brian P. McDonough, MD, FAAFP Nearly 55% of infants in the United States sleep on unsafe bedding, despite warnings from the Centers for Disease Control and the American Academy of Sleep Medicine to use firm flat surfaces covered with fitted sheets. Parents are being presented with several more comfortable, "baby friendly" appearing alternatives, as well as having their infants children sleep with them in their own beds, both of which create risks of SIDS and roll-over suffocations, respect...

Feb 23, 20150

The Impact of Stress on Heart Attack Risk and Recovery in Women

Host: Brian P. McDonough, MD, FAAFP Stress has long been associated with cardiovascular risk, but few studies have connected stress with worsened recovery rates after heart attacks. Moreover, the recently published discovery that women with mental stress may suffer worse outcomes recovering from heart attacks than men under similar conditions raises more questions than answers. What are the possible mechanisms by which this gender disparity in outcomes may occur, and how can clinicians help miti...

Feb 16, 20150

The Politics of Measles: Ethical Considerations in the National Vaccination Debate

Host: Brian P. McDonough, MD, FAAFP The controversy over vaccinations and whether or not to regulate their administration has reached a boiling point in the United States with the recent measles outbreak originating in Disneyland, and prominent politicians like Senator Rand Paul and Governor Chris Christie have weighed in to support the anti-vaccine community's appeal for individual choice. What are the ethical, sociological, and political ramifications of these developments in the national vacc...

Feb 09, 20150

Digital Eye Strain: What Are the Long Term Health Implications?

Host: Brian P. McDonough, MD, FAAFP On average, more than 90% of adults spend more than two hours each day using a digital device, and for 60% of the population, that daily use pattern extends beyond five hours. Regardless of the reasons why, all that time can take a toll on the eyes and lead to digital eye strain. Speaking on the health implications of digital eye strain is Dr. Dora Adamopolous, optometrist in practice in Alexandia, VA.

Jan 26, 20150

Televised Medical Talk Shows: Health Claims, Evidence, and Accountability

Host: Brian P. McDonough, MD, FAAFP A recent study in the British Medical Journal examined health recommendations from popular TV medical talk show hosts, discovering that approximately half of those recommendation have either no evidence or are contradicted by the best available evidence. Furthermore, potential conflicts of interest are rarely addressed. What ethical, legal, and clinical impacts do such health claims and recommendations have on patients and the medical community at large? Joini...

Jan 26, 20150

Overcoming Ignorance and Stigmatization of Mental Illness in Primary Care

Host: Brian P. McDonough, MD, FAAFP Mental illnesses are commonly encountered in primary care practice. Yet their sufferers are often relegated to mischaracterized roles of "problem patients" due to the impacts of their diseases on thoughts and behaviors. How can clinicians improve their approach to patients will mental health issues, and can this approach be duplicated at community-wide levels? Speaking on this important initiative is Dr. Marilyn B. Benoit, Chief Clinical Officer and Senior Vic...

Dec 29, 20140

Brains and Biotech: Cognition and Memory Research from the Life Science Industry

Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough is joined by Mark Underwood, President of Quincy Bioscience, a biotechnology company focused on the discovery, development and commercialization of novel technologies to support cognitive function and other age-related health challenges such as memory.

Dec 15, 20140

Economics, Education, and Enterovirus: Three E-Barriers to Asthma/Allergy Care

Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Tanya Winders, President and Chief Executive Officer for the Allergy and Asthma Network, the leading patient advocacy organization dedicated to ending needless suffering and death due to asthma, allergies, and related conditions. They discuss ways of addressing healthcare access challenges for asthma and allergy patients, from socioeconomic support structures to education models to special risk situations like enterovirus outbreaks...

Dec 08, 20140

Knee Replacement Procedures: When to Hold vs Refer Your Patients

Host: Brian P. McDonough, MD, FAAFP Dr. David Fisher, orthopedic surgeon and Director of the Total Joint Center at Indiana Orthopedic Hospital, joins Dr. Brian McDonough to discuss historical to current methods and technologies in knee replacement procedures, and how primary care clinicians can assess patients for surgical vs non-surgical interventions in patients with chronic knee pain.

Dec 01, 20140

Discovering the Unseen Risks of DNA Testing

Host: Brian P. McDonough, MD, FAAFP DNA testing can bring with it a level of risk that may be surprising to some; testing can bring about unexpected findings - either ucovering latent medical diseases and disorders or uncovering surprising family findings. Guest Dr. Doug Moeller speaks with Dr. Brian McDonough to discuss how the medical community can help prepare individuals for some of these findings. Dr. Moeller is the Medical Director at McKesson Health Solutions and is an expert on clinical ...

Oct 06, 20140

Herbal Supplements for Women: What's Safe? What's Effective?

Host: Brian P. McDonough, MD, FAAFP Herbal supplements have become increasingly popular in women's health circles, but there is a lot of misinformation about the relative benefits versus risks. How do clinicians wein their patients off harmful medications they are taking, and what health issues do women taking these medications encounter? Join Dr. McDonough and Pharmacist David Foreman to discuss the state of supplementation in and outside of health practices today.

Oct 03, 20140

Can Alternative Hospital Gowns Impact the Inpatient Experience?

Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough talks with Dusty Eber, creator and president of PatientSyle, an alternative hospital gown provider attempting to change the way patients see their medical experience. PatientStyle promotes its patient gown apparel as being high quality without compromising of medical service functions.

Oct 03, 20140

Addressing the "Freshman 15" in Young Adult Weight Management

Host: Brian P. McDonough, MD, FAAFP The notorious "Freshman 15" equates to weight gain commonly experienced by college-age students living away from home for the first time. How does this problem in weight management and healthy nutrition surface in primary care practice, and how can college students be counseled to avoid gaining extra weight during their first year? Joining Dr. Brian McDonough to speak on this subject is Alice Holland, RNP, Director of Student Health Services at Quinnipiac Univ...

Oct 03, 20140

Medical Practice Dissected: Are the Days of Marcus Welby Long Gone?

Host: Brian P. McDonough, MD, FAAFP Join Dr. Brian McDonough as he discusses the past versus present environments of medical practice with award winning journalist Steven Jacob. The two discuss a myriad of important topics encircling primary care, from the rise of concierge physicians and micropractices to accountable care organizations and healthcare costs.

Oct 03, 20140

Supporting Veganism and Dietary Change in Primary Care Practice

Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Attila Hildmann, author of the international bestsellers Vegan for Fun and Vegan for Fit . Mr. Hildmann's work to promote veganism from a practical, cost-conscious perspective has revolutionized the German-language cooking and diet book market, which is the second largest in the world after the U.S. He discusses the health benefits versus day-to-day challenges of incorporating veganism into one's life, and how primary care clinicia...

Sep 16, 20140

Ebola Virus: Controlling the Spread in Africa and the U.S.

Host: Brian P. McDonough, MD, FAAFP What are the differences in managing the Ebola virius in Africa versus the United States? It has been relatively controlled to date, but what are the major concerns in spreading? Host Dr. Brian McDonough welcomes special guest Dr. Kamar Adeleke, cardiologist in New Castle, Delaware, whose practice includes frequent travels to Nigeria where he teaches at affiliated medical schools.

Aug 07, 20140

American College of Physicians' Guidelines on Pelvic Exam Screening

Host: Brian P. McDonough, MD, FAAFP The American College of Physicians (ACP) has issued new clinical guidelines recommending against screening pelvic examination in asymptomatic, nonpregnant adult women. The college describes the recommendation as strong, with moderate-quality evidence. What are the new guidelines? What does this mean for the general practitioner? Joining host Dr. Brian McDonough is Molly Cooke, MD. FACP, Professor of Medicine and inaugural Director of Education for Global Healt...

Aug 07, 20140

Why are We Still Spending So Much Money on Healthcare?

Host: Brian P. McDonough, MD, FAAFP Dr. Brian McDonough welcomes Charles Cleary, President and CEO of Leadership Outcomes, Inc, a healthcare management consulting firm. Mr. Cleary's specialty is in helping healthcare organizations define outcomes to sustain the highest levels of medical & surgical quality care, patient engagement, satisfaction and retention. Their discussion centers on the ever-present mandate for higher quality care at greater efficiency and lower cost, and how individual p...

Jul 25, 20140

The Use and Misuse of Narcotic Pain Medication in Primary Care

Host: Brian P. McDonough, MD, FAAFP The most common reason for patients to visit healthcare providers at all levels is to treat pain. Yet in spite of this known trend, medical education woefully underemphasizes methods to approach the myriad of communicative, ethical, and procedural issues deeply entrenched in modern pain management. Here to shed more light on this complex subject with host Dr. Brian McDonough are Drs. Sean Yanchunas and Jeffrey Fudin. Dr. Yanchunas, Pharm.D, MBA, is Clinical Co...

Jul 18, 20140

Cancer Screening and Prevention: Bringing Primary Care Up to Speed

Host: Brian P. McDonough, MD, FAAFP Dr. Randa Sifri is an Associate Professor of the Department of Family and Community Medicine in the Sydney Kimmel Medical College at Thomas Jefferson University, Director of Reasearch in the Department, and Research Fellowship Director. Listen as Dr. Brian McDonough interviews Dr. Sifri on early diagnosis, prevention, and recommended screenings for cancer in primary care patients.

Jul 11, 20140
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