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The Clinical Problem Solvers

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The Clinical Problem Solvers is a multi-modal venture that works to disseminate and democratize the stories and science of diagnostic reasoning Twitter: @CPSolvers Website: clinicalproblemsolving.com
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The Clinical Problem Solvers is a multi-modal venture that works to disseminate and democratize the stories and science of diagnostic reasoning Twitter: @CPSolvers Website: clinicalproblemsolving.com
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Episodes

Page 3 · 50 per page
https://clinicalproblemsolving.com/wp-content/uploads/2024/10/NephroticSyndrome-FINAL.mp3

 

MaddyYoussef and Andrew share their approach to nephrotic syndrome as they discuss a case presented by Sharmin.

Nephrotic Syndrome Framework

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https://clinicalproblemsolving.com/wp-content/uploads/2024/10/NephroticSyndrome-FINAL.mp3

 

MaddyYoussef and Andrew share their approach to nephrotic syndrome as they discuss a case presented by Sharmin.

Nephrotic Syndrome Framework

To join us live on Virtual Morning Report (VMR), sign up HERE

Download CPSolvers App here

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https://clinicalproblemsolving.com/wp-content/uploads/2024/10/RTPNeuroepisodeOct2024.mp3

Episode title: Episode 359 Neurology VMR – altered mental status

Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Vale presents a case of altered mental status to Aye.

Neurology DDx Schema

Aye Chan Moe Thant

Aye graduated from University of Medicine, Mandalay, Myanmar, and has been working with her mentor neurologist, one of only three neurologists covering the Upper Myanmar region of 23 million population. Through her experiences witnessing the challenges faced by patients in underserved areas and hearing their stories, Aye is dedicated to advancing health equity, global health initiatives, and various aspects of neurology, both in clinical practice and medical education. She is going to apply for a neurology residency program this year. Outside of work, she spends time playing piano, jogging along trails, and listening to music.

 

Valeria Roldan

@valeroldan23

Valeria Roldan was born and raised in Lima, Peru. She recently graduated medical school at Universidad Peruana Cayetano Heredia and is excited to pursue a career in Neurology. She is passionate about LGBTQ+ health, particularly advocating for trans rights, as well as medical education. She would describe herself as an optimist and outside of medicine you probably will find her running or talking about pop culture over a glass of wine.

 

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More description
https://clinicalproblemsolving.com/wp-content/uploads/2024/10/RTPNeuroepisodeOct2024.mp3

Episode title: Episode 359 Neurology VMR – altered mental status

Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Vale presents a case of altered mental status to Aye.

Neurology DDx Schema

Aye Chan Moe Thant

Aye graduated from University of Medicine, Mandalay, Myanmar, and has been working with her mentor neurologist, one of only three neurologists covering the Upper Myanmar region of 23 million population. Through her experiences witnessing the challenges faced by patients in underserved areas and hearing their stories, Aye is dedicated to advancing health equity, global health initiatives, and various aspects of neurology, both in clinical practice and medical education. She is going to apply for a neurology residency program this year. Outside of work, she spends time playing piano, jogging along trails, and listening to music.

 

Valeria Roldan

@valeroldan23

Valeria Roldan was born and raised in Lima, Peru. She recently graduated medical school at Universidad Peruana Cayetano Heredia and is excited to pursue a career in Neurology. She is passionate about LGBTQ+ health, particularly advocating for trans rights, as well as medical education. She would describe herself as an optimist and outside of medicine you probably will find her running or talking about pop culture over a glass of wine.

 

Download CPSolvers App here
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To join us live on virtual morning report, sign up here.

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https://clinicalproblemsolving.com/wp-content/uploads/2024/10/ID-Love_Final.mp3

 

Frameworks discussed in the episode: 

Shock

Fever in The ICU

Fever in The ICU 2.0

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More description
https://clinicalproblemsolving.com/wp-content/uploads/2024/10/ID-Love_Final.mp3

 

Frameworks discussed in the episode: 

Shock

Fever in The ICU

Fever in The ICU 2.0

To join us live on Virtual Morning Report (VMR) or to present a case to us, sign up here

Download CPSolvers App here

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https://clinicalproblemsolving.com/wp-content/uploads/2024/10/10-2024-SLS-RTP.mp3

 

Episode description: Kirtan presents a fascinating case of altered mental status that ends in an unexpected way!

Featuring: Kirtan PatoliaAnna FretzPriyanka Athavale SchemasAltered Mental StatusHyponatremiaPancytopenia 

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More description
https://clinicalproblemsolving.com/wp-content/uploads/2024/10/10-2024-SLS-RTP.mp3

 

Episode description: Kirtan presents a fascinating case of altered mental status that ends in an unexpected way!

Featuring: Kirtan PatoliaAnna FretzPriyanka Athavale SchemasAltered Mental StatusHyponatremiaPancytopenia 

Download CPSolvers App here

RLRCPSOLVERS

Click here to view the weekly episode recap email!

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Published 2024-10-01

Episode 356 – RLR – All About the Exam

41 min
View
https://clinicalproblemsolving.com/wp-content/uploads/2024/10/RLR-111-1-1.mp3

Title  All about the exam

 

Episode description

Reza and Rabih discuss a fascinating case of a swollen foot

 

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More description
https://clinicalproblemsolving.com/wp-content/uploads/2024/10/RLR-111-1-1.mp3

Title  All about the exam

 

Episode description

Reza and Rabih discuss a fascinating case of a swollen foot

 

Student discount

https://www.rlrcpsolvers.com/student-discounts/

 

IMG discount

Use coupon code RLRIMG at check out  https://rlrcpsolvers.com/annual-plan

 

 

 

 

 

 

 

 

 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/09/CUS-5-Final-final.mp3

Alex and Andrew discuss a fascinating case of Hypoglycemia presented by Aimme.

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More description
https://clinicalproblemsolving.com/wp-content/uploads/2024/09/CUS-5-Final-final.mp3

Alex and Andrew discuss a fascinating case of Hypoglycemia presented by Aimme.

Embark on this diagnostic journey with us!!

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https://clinicalproblemsolving.com/wp-content/uploads/2024/09/CPSolvers-SGIM-2024-Episode-FINAL-91924-12.19PM.mp3

CPSolvers: Anti-Racism in Medicine Series

Episode 25 – Live from SGIM 2024: Best of Antiracism Research at the Society of General Internal Medicine’s 2024 Annual Meeting

Show Notes by Ashley M. Cooper

September 19, 2024

Summary: This episode highlights a selection of antiracism research presentations at a live recording of the podcast at the 2024 SGIM Annual Meeting. This year’s episode, our fourth conducted at SGIM, is focused on the importance of qualitative research and the role it plays in antiracism research, community-based work, and scholarship. During this episode, we hear from Dr. S. Michelle Ogunwole, MD, PhD, an internist and social epidemiologist who specializes in the care of women with chronic medical conditions and racial disparities in maternal health outcomes, and Dr. Caroline Sloan, MD, a general internist whose research focuses on how financial considerations are imbued into medical decision-making. This episode is hosted by Ashley Cooper and Sudarshan (Sud) Krishnamurthy. The show notes for this episode were written by Ashley M. Cooper.

Episode Learning Objectives

After listening to this episode, learners will be able to…

  1. Understand how they can better center patient experiences by engaging with, and conducting their own, qualitative research.
  2. Describe the positive impacts of qualitative methods on healthcare provision and/or policies in clinical settings. 
  3. Identify the critical role that qualitative research plays in antiracism and health equity work.

Credits

  • Written and produced by: Ashley Cooper, Sudarshan Krishnamurthy, Team
  • Hosts: Ashley M. Cooper, Sudarshan Krishnamurthy
  • Infographic: Canva
  • Audio Edits: Ashley M. Cooper
  • Show Notes: Ashley M. Cooper
  • Guests: Dr. Michelle Ogunwole and Dr. Caroline Sloan

Time Stamps

00:00: Opening

00:10: Introductions

01:03: Guest Introduction 1 – Dr. S. Michelle Ogunwole

01:54: Guest Introduction 2 – Dr. Caroline Sloan

02:48: Background and Inspiration for Guests

7:21: Barriers to Pursuing Qualitative Research in Medicine

12:31: The Role of Qualitative Research in Cultivating Health Equity

19:37: Qualitative Research as a vehicle towards centering patient experiences in research

28:14: Audience Questions

28:16: Meta-Cognition: Evaluating Biases in Interpreting Qualitative Data

34:05: Trajectory of Qualitative Research’s Incorporation into Medical Curricula

39:33: Qualitative Research at the Nexus of Storytelling and Narrative Medicine

45:42: Honoring Community Stakeholders in Qualitative Research

49:00: Fostering Communal Trust: Advocacy and Patient-Centered Care

52:33: Humility and Community Involvement 

56:55: Closing Remarks

Speaker biographies (Abbreviated)

  • Dr. S. Michelle Ogunwole, MD, PhD is a health disparities researcher, social epidemiologist and General Internal Medicine physician specializing in the care of women with chronic medical conditions. She has advanced training in Quality Improvement and Patient Safety Science. She currently practices at Johns Hopkins Hospital in Baltimore, MD. Her research is focused on racial disparities in maternal health outcomes among African American women.
  • Dr. S. Michelle Ogunwole, MD, PhD is a health disparities researcher, social epidemiologist and General Internal Medicine physician specializing in the care of women with chronic medical conditions. She has advanced training in Quality Improvement and Patient Safety Science. She currently practices at Johns Hopkins Hospital in Baltimore, MD. Her research is focused on racial disparities in maternal health outcomes among African American women.

References

Ogunwole, S. M., Chen, X., Mitta, S., Minhas, A., Sharma, G., Zakaria, S., Vaught, A. J., Toth-Manikowski, S. M., & Smith, G. (2021). Interconception Care for Primary Care Providers: Consensus Recommendations on Preconception and Postpartum Management of Reproductive-Age Patients With Medical Comorbidities. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 5(5), 872–890. https://doi.org/10.1016/j.mayocpiqo.2021.08.004

Ogunwole, S. M., Karbeah, J., Bozzi, D. G., Bower, K. M., Cooper, L. A., Hardeman, R., & Kozhimannil, K. (2022). Health Equity Considerations in State Bills Related to Doula Care (2015–2020). Women’s Health Issues, 32(5), 440–449. https://doi.org/10.1016/j.whi.2022.04.004

Ogunwole, S. M., Oguntade, H. A., Bower, K. M., Cooper, L. A., & Bennett, W. L. (2023). Health Experiences of African American Mothers, Wellness in the Postpartum Period and Beyond (HEAL): A Qualitative Study Applying a Critical Race Feminist Theoretical Framework. International Journal of Environmental Research and Public Health, 20(13), Article 13. https://doi.org/10.3390/ijerph20136283

Sinaiko, A. D., Sloan, C. E., Soto, M. J., Zhao, O., Lin, C.-T., & Goss, F. R. (2023). Clinician Response to Patient Medication Prices Displayed in the Electronic Health Record. JAMA Internal Medicine, 183(10), 1172–1175. https://doi.org/10.1001/jamainternmed.2023.3307

Sloan, C. E., Millo, L., Gutterman, S., & Ubel, P. A. (2021). Accuracy of Physician Estimates of Out-of-Pocket Costs for Medication Filling. JAMA Network Open, 4(11), e2133188. https://doi.org/10.1001/jamanetworkopen.2021.33188

Sloan, C. E., & Ubel, P. A. (2019). The 7 Habits of Highly Effective Cost-of-Care Conversations. Annals of Internal Medicine, 170(9_Supplement), S33–S35. https://doi.org/10.7326/M19-0537

Disclosures 

The hosts and guests report no relevant financial disclosures.

Citation

Ogunwole M, Sloan C, Cooper A, Krishnamurthy S, Calac A, Pitre A, Pierce G, Essien UR, Fields NF, Lopez-Carmen V, Nolen L, Onuoha C, Watkins A, Williams J, Tsai J, Khazanchi R. “Episode 25: Live from SGIM 2024: Best of Antiracism Research at the Society of General Internal Medicine’s 2024 Annual Meeting” The Clinical Problem Solvers Podcast – Antiracism in Medicine Series. https://clinicalproblemsolving.com/antiracism-in-medicine/. September 19, 2024.

Show Transcript

Download CPSolvers App here

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More description

 

https://clinicalproblemsolving.com/wp-content/uploads/2024/09/CPSolvers-SGIM-2024-Episode-FINAL-91924-12.19PM.mp3

CPSolvers: Anti-Racism in Medicine Series

Episode 25 – Live from SGIM 2024: Best of Antiracism Research at the Society of General Internal Medicine’s 2024 Annual Meeting

Show Notes by Ashley M. Cooper

September 19, 2024

Summary: This episode highlights a selection of antiracism research presentations at a live recording of the podcast at the 2024 SGIM Annual Meeting. This year’s episode, our fourth conducted at SGIM, is focused on the importance of qualitative research and the role it plays in antiracism research, community-based work, and scholarship. During this episode, we hear from Dr. S. Michelle Ogunwole, MD, PhD, an internist and social epidemiologist who specializes in the care of women with chronic medical conditions and racial disparities in maternal health outcomes, and Dr. Caroline Sloan, MD, a general internist whose research focuses on how financial considerations are imbued into medical decision-making. This episode is hosted by Ashley Cooper and Sudarshan (Sud) Krishnamurthy. The show notes for this episode were written by Ashley M. Cooper.

Episode Learning Objectives

After listening to this episode, learners will be able to…

  1. Understand how they can better center patient experiences by engaging with, and conducting their own, qualitative research.
  2. Describe the positive impacts of qualitative methods on healthcare provision and/or policies in clinical settings. 
  3. Identify the critical role that qualitative research plays in antiracism and health equity work.

Credits

  • Written and produced by: Ashley Cooper, Sudarshan Krishnamurthy, Team
  • Hosts: Ashley M. Cooper, Sudarshan Krishnamurthy
  • Infographic: Canva
  • Audio Edits: Ashley M. Cooper
  • Show Notes: Ashley M. Cooper
  • Guests: Dr. Michelle Ogunwole and Dr. Caroline Sloan

Time Stamps

00:00: Opening

00:10: Introductions

01:03: Guest Introduction 1 – Dr. S. Michelle Ogunwole

01:54: Guest Introduction 2 – Dr. Caroline Sloan

02:48: Background and Inspiration for Guests

7:21: Barriers to Pursuing Qualitative Research in Medicine

12:31: The Role of Qualitative Research in Cultivating Health Equity

19:37: Qualitative Research as a vehicle towards centering patient experiences in research

28:14: Audience Questions

28:16: Meta-Cognition: Evaluating Biases in Interpreting Qualitative Data

34:05: Trajectory of Qualitative Research’s Incorporation into Medical Curricula

39:33: Qualitative Research at the Nexus of Storytelling and Narrative Medicine

45:42: Honoring Community Stakeholders in Qualitative Research

49:00: Fostering Communal Trust: Advocacy and Patient-Centered Care

52:33: Humility and Community Involvement 

56:55: Closing Remarks

Speaker biographies (Abbreviated)

  • Dr. S. Michelle Ogunwole, MD, PhD is a health disparities researcher, social epidemiologist and General Internal Medicine physician specializing in the care of women with chronic medical conditions. She has advanced training in Quality Improvement and Patient Safety Science. She currently practices at Johns Hopkins Hospital in Baltimore, MD. Her research is focused on racial disparities in maternal health outcomes among African American women.
  • Dr. S. Michelle Ogunwole, MD, PhD is a health disparities researcher, social epidemiologist and General Internal Medicine physician specializing in the care of women with chronic medical conditions. She has advanced training in Quality Improvement and Patient Safety Science. She currently practices at Johns Hopkins Hospital in Baltimore, MD. Her research is focused on racial disparities in maternal health outcomes among African American women.

References

Ogunwole, S. M., Chen, X., Mitta, S., Minhas, A., Sharma, G., Zakaria, S., Vaught, A. J., Toth-Manikowski, S. M., & Smith, G. (2021). Interconception Care for Primary Care Providers: Consensus Recommendations on Preconception and Postpartum Management of Reproductive-Age Patients With Medical Comorbidities. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 5(5), 872–890. https://doi.org/10.1016/j.mayocpiqo.2021.08.004

Ogunwole, S. M., Karbeah, J., Bozzi, D. G., Bower, K. M., Cooper, L. A., Hardeman, R., & Kozhimannil, K. (2022). Health Equity Considerations in State Bills Related to Doula Care (2015–2020). Women’s Health Issues, 32(5), 440–449. https://doi.org/10.1016/j.whi.2022.04.004

Ogunwole, S. M., Oguntade, H. A., Bower, K. M., Cooper, L. A., & Bennett, W. L. (2023). Health Experiences of African American Mothers, Wellness in the Postpartum Period and Beyond (HEAL): A Qualitative Study Applying a Critical Race Feminist Theoretical Framework. International Journal of Environmental Research and Public Health, 20(13), Article 13. https://doi.org/10.3390/ijerph20136283

Sinaiko, A. D., Sloan, C. E., Soto, M. J., Zhao, O., Lin, C.-T., & Goss, F. R. (2023). Clinician Response to Patient Medication Prices Displayed in the Electronic Health Record. JAMA Internal Medicine, 183(10), 1172–1175. https://doi.org/10.1001/jamainternmed.2023.3307

Sloan, C. E., Millo, L., Gutterman, S., & Ubel, P. A. (2021). Accuracy of Physician Estimates of Out-of-Pocket Costs for Medication Filling. JAMA Network Open, 4(11), e2133188. https://doi.org/10.1001/jamanetworkopen.2021.33188

Sloan, C. E., & Ubel, P. A. (2019). The 7 Habits of Highly Effective Cost-of-Care Conversations. Annals of Internal Medicine, 170(9_Supplement), S33–S35. https://doi.org/10.7326/M19-0537

Disclosures 

The hosts and guests report no relevant financial disclosures.

Citation

Ogunwole M, Sloan C, Cooper A, Krishnamurthy S, Calac A, Pitre A, Pierce G, Essien UR, Fields NF, Lopez-Carmen V, Nolen L, Onuoha C, Watkins A, Williams J, Tsai J, Khazanchi R. “Episode 25: Live from SGIM 2024: Best of Antiracism Research at the Society of General Internal Medicine’s 2024 Annual Meeting” The Clinical Problem Solvers Podcast – Antiracism in Medicine Series. https://clinicalproblemsolving.com/antiracism-in-medicine/. September 19, 2024.

Show Transcript

Download CPSolvers App here

RLRCPSOLVERS

Extract Knowledge
Listen elsewhere

 

https://clinicalproblemsolving.com/wp-content/uploads/2024/09/CPSolvers-09-12-24-1.mp3

In this Clinical Reasoning Rafael Medina Subspecialty episode, Dr. Kuchal Agadi presents a case to Dr. John Woller and Dr. Areeb Masood of a 67 year-old male with altered mental status. 

Session facilitator: Hui Ting Ruan

The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case discussant: 

Dr. John Woller is an academic hospitalist working in the Johns Hopkins Hospital in the Division of Hospital Medicine. As a clinical coach and Associate Program Director for clinical reasoning and bedside medicine, John is enthusiastic about teaching medical students and Osler residents at the bedside.

And Dr. Areeb Masood, is a third-year internal medicine resident at Johns Hopkins Hospital in the Osler Internal Medicine Residency and Urban Health Track. He earned his undergraduate degree from The University of Texas at Austin and his medical degree from The University of Texas Rio Grande Valley School of Medicine. After completing his residency, he aims to practice a blend of hospital medicine and HIV primary care. @areebmasoodMD

Case presenter: 

Dr. Kuchal Agadi, is first year Resident at a community hospital in Chicago. Kuchal is passionate about medical education. Apart from medicine she is a fitness enthusiast, and enjoys a good workout routine with Kettle bells. 

To join us live and present a case, check out our virtual morning reports!

Download CPSolvers App here

RLRCPSOLVERS

 

.

More description

 

https://clinicalproblemsolving.com/wp-content/uploads/2024/09/CPSolvers-09-12-24-1.mp3

In this Clinical Reasoning Rafael Medina Subspecialty episode, Dr. Kuchal Agadi presents a case to Dr. John Woller and Dr. Areeb Masood of a 67 year-old male with altered mental status. 

Session facilitator: Hui Ting Ruan

The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case discussant: 

Dr. John Woller is an academic hospitalist working in the Johns Hopkins Hospital in the Division of Hospital Medicine. As a clinical coach and Associate Program Director for clinical reasoning and bedside medicine, John is enthusiastic about teaching medical students and Osler residents at the bedside.

And Dr. Areeb Masood, is a third-year internal medicine resident at Johns Hopkins Hospital in the Osler Internal Medicine Residency and Urban Health Track. He earned his undergraduate degree from The University of Texas at Austin and his medical degree from The University of Texas Rio Grande Valley School of Medicine. After completing his residency, he aims to practice a blend of hospital medicine and HIV primary care. @areebmasoodMD

Case presenter: 

Dr. Kuchal Agadi, is first year Resident at a community hospital in Chicago. Kuchal is passionate about medical education. Apart from medicine she is a fitness enthusiast, and enjoys a good workout routine with Kettle bells. 

To join us live and present a case, check out our virtual morning reports!

Download CPSolvers App here

RLRCPSOLVERS

 

.

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Published 2024-09-03

Episode 352 – RLR – The Wrong Context

42 min
View
https://clinicalproblemsolving.com/wp-content/uploads/2024/09/RLR-FOR-MAIN-PODCAST.mp3

Title  The Wrong Context

 

Episode description

Reza and Rabih discuss a fascinating case of jaundice

 

Student discount

https://www.rlrcpsolvers.com/student-discounts/

 

IMG discount

Use coupon code RLRIMG at check out  https://rlrcpsolvers.com/annual-plan

More description
https://clinicalproblemsolving.com/wp-content/uploads/2024/09/RLR-FOR-MAIN-PODCAST.mp3

Title  The Wrong Context

 

Episode description

Reza and Rabih discuss a fascinating case of jaundice

 

Student discount

https://www.rlrcpsolvers.com/student-discounts/

 

IMG discount

Use coupon code RLRIMG at check out  https://rlrcpsolvers.com/annual-plan

Extract Knowledge
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https://clinicalproblemsolving.com/wp-content/uploads/2024/08/RTPeditedAugust2024neuropodcast.mp3

Episode title: Episode 351 Neurology VMR – headache and double vision

Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Aye presents a case of bilateral lower limb weakness to Valeria.

Neurology DDx Schema

 

Aye Chan Moe Thant

Aye graduated from University of Medicine, Mandalay, Myanmar, and has been working with her mentor neurologist, one of only three neurologists covering the Upper Myanmar region of 23 million population. Through her experiences witnessing the challenges faced by patients in underserved areas and hearing their stories, Aye is dedicated to advancing health equity, global health initiatives, and various aspects of neurology, both in clinical practice and medical education. She is going to apply for a neurology residency program this year. Outside of work, she spends time playing piano, jogging along trails, and listening to music.

 

Valeria Roldan

@valeroldan23

Valeria Roldan was born and raised in Lima, Peru. She recently graduated medical school at Universidad Peruana Cayetano Heredia and is excited to pursue a career in Neurology. She is passionate about LGBTQ+ health, particularly advocating for trans rights, as well as medical education. She would describe herself as an optimist and outside of medicine you probably will find her running or talking about pop culture over a glass of wine.

  

Download CPSolvers App here
RLRCPSOLVERS

To join us live on virtual morning report, sign up here

More description
https://clinicalproblemsolving.com/wp-content/uploads/2024/08/RTPeditedAugust2024neuropodcast.mp3

Episode title: Episode 351 Neurology VMR – headache and double vision

Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Aye presents a case of bilateral lower limb weakness to Valeria.

Neurology DDx Schema

 

Aye Chan Moe Thant

Aye graduated from University of Medicine, Mandalay, Myanmar, and has been working with her mentor neurologist, one of only three neurologists covering the Upper Myanmar region of 23 million population. Through her experiences witnessing the challenges faced by patients in underserved areas and hearing their stories, Aye is dedicated to advancing health equity, global health initiatives, and various aspects of neurology, both in clinical practice and medical education. She is going to apply for a neurology residency program this year. Outside of work, she spends time playing piano, jogging along trails, and listening to music.

 

Valeria Roldan

@valeroldan23

Valeria Roldan was born and raised in Lima, Peru. She recently graduated medical school at Universidad Peruana Cayetano Heredia and is excited to pursue a career in Neurology. She is passionate about LGBTQ+ health, particularly advocating for trans rights, as well as medical education. She would describe herself as an optimist and outside of medicine you probably will find her running or talking about pop culture over a glass of wine.

  

Download CPSolvers App here
RLRCPSOLVERS

To join us live on virtual morning report, sign up here

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Listen elsewhere
https://clinicalproblemsolving.com/wp-content/uploads/2024/08/SLS-8-2024-RTP.mp3

Episode description: Mukund presents a case of nausea, vomiting and syncope with many twists and turns to Valeria and Jas.

Featuring: Mukund RaguramJasdeep BajwaValeria Roldan SchemasSyncopeNausea and vomiting thought trainImage negative abdominal pain 

Download CPSolvers App here

RLRCPSOLVERS

Click here to view the weekly episode recap email!

More description
https://clinicalproblemsolving.com/wp-content/uploads/2024/08/SLS-8-2024-RTP.mp3

Episode description: Mukund presents a case of nausea, vomiting and syncope with many twists and turns to Valeria and Jas.

Featuring: Mukund RaguramJasdeep BajwaValeria Roldan SchemasSyncopeNausea and vomiting thought trainImage negative abdominal pain 

Download CPSolvers App here

RLRCPSOLVERS

Click here to view the weekly episode recap email!

Extract Knowledge
Listen elsewhere
https://clinicalproblemsolving.com/wp-content/uploads/2024/08/CUS-4.mp3

Débora, Tansu, and Jack discuss a case presented by Samy.

Embark on this diagnostic journey with us! 

Download CPSolvers App here

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More description
https://clinicalproblemsolving.com/wp-content/uploads/2024/08/CUS-4.mp3

Débora, Tansu, and Jack discuss a case presented by Samy.

Embark on this diagnostic journey with us! 

Download CPSolvers App here

RLRCPSOLVERS

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https://clinicalproblemsolving.com/wp-content/uploads/2024/08/8.8-Wdx-RTP.mp3 To celebrate the new academic year, Kaylin and Sharmin sit down with Dr. Alice Mao to share a few memorable stories from their intern year. They reflect on tough days, lessons learned, power moves, and the importance of community. We hope these stories and reflections make you laugh, feel connected, and inspire you to take gentle care of yourself. Welcome to the profession—we are so excited to have you.      Dr. Alice Mao is an internal medicine and geriatric medicine physician who is passionate about social equity, community empowerment, and innovations in primary care. She was born in China and grew up in Canada and the US. She completed medical school at UCSF, internal medicine residency at the University of Washington, and geriatric medicine fellowship at Stanford. She is currently a primary care provider at On Lok Program of All-Inclusive Care for the Elderly where she gets to take care of help vulnerable seniors stay home for as long as possible. Outside of medicine, she enjoys spending time with family and friends, giving her cat cheek scratches, and resurrecting her childhood dreams of learning how to freestyle dance.   

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More description
https://clinicalproblemsolving.com/wp-content/uploads/2024/08/8.8-Wdx-RTP.mp3 To celebrate the new academic year, Kaylin and Sharmin sit down with Dr. Alice Mao to share a few memorable stories from their intern year. They reflect on tough days, lessons learned, power moves, and the importance of community. We hope these stories and reflections make you laugh, feel connected, and inspire you to take gentle care of yourself. Welcome to the profession—we are so excited to have you.      Dr. Alice Mao is an internal medicine and geriatric medicine physician who is passionate about social equity, community empowerment, and innovations in primary care. She was born in China and grew up in Canada and the US. She completed medical school at UCSF, internal medicine residency at the University of Washington, and geriatric medicine fellowship at Stanford. She is currently a primary care provider at On Lok Program of All-Inclusive Care for the Elderly where she gets to take care of help vulnerable seniors stay home for as long as possible. Outside of medicine, she enjoys spending time with family and friends, giving her cat cheek scratches, and resurrecting her childhood dreams of learning how to freestyle dance.   

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https://clinicalproblemsolving.com/wp-content/uploads/2024/08/audio1778632667-1.mp3

Episode description

Reza and Rabih discuss a fascinating case centered around the liver.

 

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Episode description

Reza and Rabih discuss a fascinating case centered around the liver.

 

Student discount

https://www.rlrcpsolvers.com/student-discounts/

 

IMG discount

Use coupon code RLRIMG at check out  https://rlrcpsolvers.com/annual-plan

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https://clinicalproblemsolving.com/wp-content/uploads/2024/07/ID-Episode-72224-8.25AM.mp3

In this Infectious Disease Rafael Medina Subspecialty episode, Dr. Milee Nelson presents a case to Dr. John Huang & Dr. Varun Phadke of a man presenting with a rash and shortness of breath. 

Session facilitator: Youssef Saklawi

The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case Discussants: Dr. Varun Phadke is an infectious disease specialist at Emory. 

 

Dr. John Huang is an infectious disease fellow at Emory. 

Case Presenter: Dr. Milee Nelson is an internal medicine resident at Emory. 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/07/ID-Episode-72224-8.25AM.mp3

In this Infectious Disease Rafael Medina Subspecialty episode, Dr. Milee Nelson presents a case to Dr. John Huang & Dr. Varun Phadke of a man presenting with a rash and shortness of breath. 

Session facilitator: Youssef Saklawi

The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case Discussants: Dr. Varun Phadke is an infectious disease specialist at Emory. 

 

Dr. John Huang is an infectious disease fellow at Emory. 

Case Presenter: Dr. Milee Nelson is an internal medicine resident at Emory. 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/07/RetiformPurpura_Final.mp3

Sharmin, Jack, Maddy, and Youssef share their approach to retiform purpura as they discuss a case presented by Andrew Sanchez.

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Sharmin, Jack, Maddy, and Youssef share their approach to retiform purpura as they discuss a case presented by Andrew Sanchez.

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https://clinicalproblemsolving.com/wp-content/uploads/2024/07/RTPeditedJuly2024neuropodcas.mp3

 

Episode 344: Neurology VMR – bilateral lower limb weakness

Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Aye presents a case of bilateral lower limb weakness to Valeria.

Neurology DDx Schema

Aye Chan Moe Thant

Aye graduated from University of Medicine, Mandalay, Myanmar, and has been working with her mentor neurologist, one of only three neurologists covering the Upper Myanmar region of 23 million population. Through her experiences witnessing the challenges faced by patients in underserved areas and hearing their stories, Aye is dedicated to advancing health equity, global health initiatives, and various aspects of neurology, both in clinical practice and medical education. She is going to apply for a neurology residency program this year. Outside of work, she spends time playing piano, jogging along trails, and listening to music.

 

Valeria Roldan

@valeroldan23

Valeria Roldan was born and raised in Lima, Peru. She recently graduated medical school at Universidad Peruana Cayetano Heredia and is excited to pursue a career in Neurology. She is passionate about LGBTQ+ health, particularly advocating for trans rights, as well as medical education. She would describe herself as an optimist and outside of medicine you probably will find her running or talking about pop culture over a glass of wine.

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Episode 344: Neurology VMR – bilateral lower limb weakness

Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Aye presents a case of bilateral lower limb weakness to Valeria.

Neurology DDx Schema

Aye Chan Moe Thant

Aye graduated from University of Medicine, Mandalay, Myanmar, and has been working with her mentor neurologist, one of only three neurologists covering the Upper Myanmar region of 23 million population. Through her experiences witnessing the challenges faced by patients in underserved areas and hearing their stories, Aye is dedicated to advancing health equity, global health initiatives, and various aspects of neurology, both in clinical practice and medical education. She is going to apply for a neurology residency program this year. Outside of work, she spends time playing piano, jogging along trails, and listening to music.

 

Valeria Roldan

@valeroldan23

Valeria Roldan was born and raised in Lima, Peru. She recently graduated medical school at Universidad Peruana Cayetano Heredia and is excited to pursue a career in Neurology. She is passionate about LGBTQ+ health, particularly advocating for trans rights, as well as medical education. She would describe herself as an optimist and outside of medicine you probably will find her running or talking about pop culture over a glass of wine.

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https://clinicalproblemsolving.com/wp-content/uploads/2024/07/CUS-3-Final-1.mp3

Débora and Noah host Ravi discussing a case of silent jaundice presented by our dear Prof. Rez!  

 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/07/CUS-3-Final-1.mp3

Débora and Noah host Ravi discussing a case of silent jaundice presented by our dear Prof. Rez!  

 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/07/RLR-1.mp3

Title  Anemia and odynophagia

 Episode description

Reza and Rabih discuss these 2 findings and how they merge towards a clear answer.

 

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Title  Anemia and odynophagia

 Episode description

Reza and Rabih discuss these 2 findings and how they merge towards a clear answer.

 

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Published 2024-06-27

Episode 341: WDx #30: Introspective Spaces

67 min
View
https://clinicalproblemsolving.com/wp-content/uploads/2024/06/6.27.24-WDx-RTP-1.mp3

Sharmin, Kaylin, and Jane interview Anu Gorukanti, MD and Laura Holford, RN MSN, the co-founders of Introspective Spaces. They discuss their journeys in healthcare and what motivated them to build an inclusive space to foster connection, cultivate contemplative practice, and empower women in healthcare through introspective and reflection.

Anu Gorukanti, MD is a public health advocate and pediatric hospitalist at a county hospital in Los Angeles, CA who is passionate about health equity and racial justice. She went to undergraduate and medical school at Saint Louis University and completed her residency at Stanford University.  She is passionate about social justice and the role that reflection and contemplation play as building blocks for revolution (as inspired by many theologians, spiritual leaders, and activists before her). She strongly believes that understanding who you are, what you value, and where your values come from can lead to a meaningful and authentic life. In her perspective, social change should always honor and incorporate both the individual and systems-based approach. 

Laura Holford, RN MSN, is an oncology certified nurse and public health nurse committed to working to reduce nursing burnout and moral distress, and the reassembly of responsibility and accountability in healthcare. Liberation theology led her to train as a masters prepared nurse at University of San Francisco. She works as a community health nurse in Sacramento, CA She has a background as a campus minister & was lay community pastor of an Christian Interfaith church and she enjoys nothing more than accompanying people on their healing, reflective, and spiritual paths. Like many mystics before her, she believes that contemplation and action cannot be separated and finds herself naturally helping others’ build reflective, imaginative, and spiritual practices to ground their action and work in the world. 

Find out more at the links below:

https://www.introspectivespaces.com/

https://introspectivespaces.substack.com/

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https://clinicalproblemsolving.com/wp-content/uploads/2024/06/6.27.24-WDx-RTP-1.mp3

Sharmin, Kaylin, and Jane interview Anu Gorukanti, MD and Laura Holford, RN MSN, the co-founders of Introspective Spaces. They discuss their journeys in healthcare and what motivated them to build an inclusive space to foster connection, cultivate contemplative practice, and empower women in healthcare through introspective and reflection.

Anu Gorukanti, MD is a public health advocate and pediatric hospitalist at a county hospital in Los Angeles, CA who is passionate about health equity and racial justice. She went to undergraduate and medical school at Saint Louis University and completed her residency at Stanford University.  She is passionate about social justice and the role that reflection and contemplation play as building blocks for revolution (as inspired by many theologians, spiritual leaders, and activists before her). She strongly believes that understanding who you are, what you value, and where your values come from can lead to a meaningful and authentic life. In her perspective, social change should always honor and incorporate both the individual and systems-based approach. 

Laura Holford, RN MSN, is an oncology certified nurse and public health nurse committed to working to reduce nursing burnout and moral distress, and the reassembly of responsibility and accountability in healthcare. Liberation theology led her to train as a masters prepared nurse at University of San Francisco. She works as a community health nurse in Sacramento, CA She has a background as a campus minister & was lay community pastor of an Christian Interfaith church and she enjoys nothing more than accompanying people on their healing, reflective, and spiritual paths. Like many mystics before her, she believes that contemplation and action cannot be separated and finds herself naturally helping others’ build reflective, imaginative, and spiritual practices to ground their action and work in the world. 

Find out more at the links below:

https://www.introspectivespaces.com/

https://introspectivespaces.substack.com/

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https://clinicalproblemsolving.com/wp-content/uploads/2024/06/Nephro-VMR-June24-final.mp3

In this Nephrology Rafael Medina Subspecialty episode, Dr. Maddie Abrams  presents a case to Dr. Jai Radhakrishnan of a 28 year old woman presenting with headache and blurry vision.

Session facilitator: Şeyma Yıldırım 

The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case discussant: Dr. Jai Radhakrishnan is Professor of Medicine at Columbia University Medical Center in New York. He is the Director of Clinical Services of the Nephrology Division and co-director of the hypertension center of Columbia University. @jradnephro

Case presenter: Dr. Maddie Abrams is an Internal Medicine PGY-2 & an aspiring cardiologist at ColumbiaMed at NewYork-Presbyterian Hospital. She graduated from Zucker School of Medicine in 2022. @Maddie_Abrams

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https://clinicalproblemsolving.com/wp-content/uploads/2024/06/Nephro-VMR-June24-final.mp3

In this Nephrology Rafael Medina Subspecialty episode, Dr. Maddie Abrams  presents a case to Dr. Jai Radhakrishnan of a 28 year old woman presenting with headache and blurry vision.

Session facilitator: Şeyma Yıldırım 

The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case discussant: Dr. Jai Radhakrishnan is Professor of Medicine at Columbia University Medical Center in New York. He is the Director of Clinical Services of the Nephrology Division and co-director of the hypertension center of Columbia University. @jradnephro

Case presenter: Dr. Maddie Abrams is an Internal Medicine PGY-2 & an aspiring cardiologist at ColumbiaMed at NewYork-Presbyterian Hospital. She graduated from Zucker School of Medicine in 2022. @Maddie_Abrams

To join us live and present a case, check out our virtual morning reports!

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https://clinicalproblemsolving.com/wp-content/uploads/2024/06/06.08.24neuro-RTP.mp3

Episode 339: Neurology VMR – left facial numbness for 5 days

We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Aye presents a case of left facial numbness for 5 days to Andrea and Sridhara.

Neurology DDx Schema

Aye Chan Moe Thant

Aye graduated from University of Medicine, Mandalay, Myanmar, and has been working with her mentor neurologist, one of only three neurologists covering the Upper Myanmar region of 23 million population. Through her experiences witnessing the challenges faced by patients in underserved areas and hearing their stories, Aye is dedicated to advancing health equity, global health initiatives, and various aspects of neurology, both in clinical practice and medical education. She is going to apply for a neurology residency program this year. Outside of work, she spends time playing piano, jogging along trails, and listening to music.

 

Andrea Mendez Colmenares

@andreamendez92

 

Andrea Mendez Colmenares is a Venezuelan medical doctor and cognitive neuroscientist. She recently completed her PhD and postdoctoral fellowship in Colorado and will begin her neurology residency at Duke University in North Carolina in the summer of 2024. Outside of medicine, she enjoys playing guitar, discovering new coffee shops, hiking, and climbing mountains.

 

Sridhara Yaddanapudi

@syaddana_neuro

Sridhara is a board-certified internist, neurologist, vascular neurologist, and hypertension specialist. Currently, he holds the position of Clinical Assistant Professor at Thomas Jefferson University Hospital and serves as the Director of Neurology for Jefferson New Jersey. As a medical professional, he is passionate about case-based learning, clinical reasoning, and teaching decision-making while avoiding the pitfalls of heuristics. His goal is to bridge the ever-growing gap between neurology and internal medicine, an area in which he has a keen interest.

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https://clinicalproblemsolving.com/wp-content/uploads/2024/06/06.08.24neuro-RTP.mp3

Episode 339: Neurology VMR – left facial numbness for 5 days

We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Aye presents a case of left facial numbness for 5 days to Andrea and Sridhara.

Neurology DDx Schema

Aye Chan Moe Thant

Aye graduated from University of Medicine, Mandalay, Myanmar, and has been working with her mentor neurologist, one of only three neurologists covering the Upper Myanmar region of 23 million population. Through her experiences witnessing the challenges faced by patients in underserved areas and hearing their stories, Aye is dedicated to advancing health equity, global health initiatives, and various aspects of neurology, both in clinical practice and medical education. She is going to apply for a neurology residency program this year. Outside of work, she spends time playing piano, jogging along trails, and listening to music.

 

Andrea Mendez Colmenares

@andreamendez92

 

Andrea Mendez Colmenares is a Venezuelan medical doctor and cognitive neuroscientist. She recently completed her PhD and postdoctoral fellowship in Colorado and will begin her neurology residency at Duke University in North Carolina in the summer of 2024. Outside of medicine, she enjoys playing guitar, discovering new coffee shops, hiking, and climbing mountains.

 

Sridhara Yaddanapudi

@syaddana_neuro

Sridhara is a board-certified internist, neurologist, vascular neurologist, and hypertension specialist. Currently, he holds the position of Clinical Assistant Professor at Thomas Jefferson University Hospital and serves as the Director of Neurology for Jefferson New Jersey. As a medical professional, he is passionate about case-based learning, clinical reasoning, and teaching decision-making while avoiding the pitfalls of heuristics. His goal is to bridge the ever-growing gap between neurology and internal medicine, an area in which he has a keen interest.

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Published 2024-06-03

Episode 338 – RLR – Brain Mass

40 min
View
https://clinicalproblemsolving.com/wp-content/uploads/2024/06/RLR-01.mp3

Title  A Brain Mass

 

Episode description

Reza, Aaron and Rabih discuss a case of a patient with a brain mass

 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/06/RLR-01.mp3

Title  A Brain Mass

 

Episode description

Reza, Aaron and Rabih discuss a case of a patient with a brain mass

 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/05/5.31.24-SLS-RTP.mp3 Episode description: SLS team members Mukund, Jasdeep and Valeria discuss a case of a second-trimester primigravida with new headache. Featuring: Mukund RaguramJasdeep BajwaValeria Roldan SchemasSecondary HeadacheCSF Lymphocytic Pleocytosis 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/05/5.31.24-SLS-RTP.mp3 Episode description: SLS team members Mukund, Jasdeep and Valeria discuss a case of a second-trimester primigravida with new headache. Featuring: Mukund RaguramJasdeep BajwaValeria Roldan SchemasSecondary HeadacheCSF Lymphocytic Pleocytosis 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/05/CUS-2-Final-1.mp3

In this episode, the team from The CPSolvers Academy participated in a fantastic discussion. Nidhi presented a case to Mark, Noah, & Yazmin. 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/05/CUS-2-Final-1.mp3

In this episode, the team from The CPSolvers Academy participated in a fantastic discussion. Nidhi presented a case to Mark, Noah, & Yazmin. 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/05/5.16.24-WDx-RTP.mp3

In this episode of WDx, Dr Nidhi Patel joins Jane, Kaylin, and Sharmin and presents a case of a 23 yr old woman with worsening dyspnea and orthopnea. 

 

Screenshot

Nidhi is a current CPSolvers Academy member and a PGY2 in internal medicine at Emory University.  She grew up in South Florida and went to University of Miami for undergrad and for medical school. Clinically she is interested in prevention of atherosclerotic disease, cardiac imaging and women’s health in cardiology! In her free time, she loves to catch a morning sunrise, and loves being outdoors to try adventurous activities including white water rafting, kayaking, and fast roller coasters. 

This case was recently presented by Nidhi on a VMR with Rabih and Reza. Check it out here!

 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/05/5.16.24-WDx-RTP.mp3

In this episode of WDx, Dr Nidhi Patel joins Jane, Kaylin, and Sharmin and presents a case of a 23 yr old woman with worsening dyspnea and orthopnea. 

 

Screenshot

Nidhi is a current CPSolvers Academy member and a PGY2 in internal medicine at Emory University.  She grew up in South Florida and went to University of Miami for undergrad and for medical school. Clinically she is interested in prevention of atherosclerotic disease, cardiac imaging and women’s health in cardiology! In her free time, she loves to catch a morning sunrise, and loves being outdoors to try adventurous activities including white water rafting, kayaking, and fast roller coasters. 

This case was recently presented by Nidhi on a VMR with Rabih and Reza. Check it out here!

 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/05/SubspecialtyEpiosdeRheum_FINAL.mp3

In this rheumatology Rafael Medina Subspecialty episode, Dr. Appledene Osbourne presents a case of polyarticular joint pain to Dr. Lianne Gensler. 

Session facilitator: Maddy Conte

The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case Discussant: Dr. Lianne Gensler is a rheumatologist and serves as director of the UCSF Ankylosing Spondylitis Clinic, which is dedicated to care for this inflammatory disease. Gensler’s primary research interest is the disease progression of axial spondyloarthritis (a category that includes ankylosing spondylitis).

Case Presenter: Dr. Appledene Osbourne is a current rheumatology fellow at UCSF.

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https://clinicalproblemsolving.com/wp-content/uploads/2024/05/SubspecialtyEpiosdeRheum_FINAL.mp3

In this rheumatology Rafael Medina Subspecialty episode, Dr. Appledene Osbourne presents a case of polyarticular joint pain to Dr. Lianne Gensler. 

Session facilitator: Maddy Conte

The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case Discussant: Dr. Lianne Gensler is a rheumatologist and serves as director of the UCSF Ankylosing Spondylitis Clinic, which is dedicated to care for this inflammatory disease. Gensler’s primary research interest is the disease progression of axial spondyloarthritis (a category that includes ankylosing spondylitis).

Case Presenter: Dr. Appledene Osbourne is a current rheumatology fellow at UCSF.

To join us live and present a case, check out our virtual morning reports

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https://clinicalproblemsolving.com/wp-content/uploads/2024/05/Sequence-01.mp3

Title  Progressive back pain

 

Episode description

Reza and Rabih discuss a case of a patient with back pain

 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/05/Sequence-01.mp3

Title  Progressive back pain

 

Episode description

Reza and Rabih discuss a case of a patient with back pain

 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/05/SchemaEpisode_SplenicInfarct-FINAL.mp3

Maddy, Jack, and Sharmin share their approach to focal splenic lesions and splenic infarcts as they discuss a case presented by Youssef.

 

Frameworks Discussed in Case:

Focal Splenic Lesion

Splenic Infarct

Splenic Infarct vs Abscess

 

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https://clinicalproblemsolving.com/wp-content/uploads/2024/05/SchemaEpisode_SplenicInfarct-FINAL.mp3

Maddy, Jack, and Sharmin share their approach to focal splenic lesions and splenic infarcts as they discuss a case presented by Youssef.

 

Frameworks Discussed in Case:

Focal Splenic Lesion

Splenic Infarct

Splenic Infarct vs Abscess

 

To join us live on Virtual Morning Report (VMR), sign up HERE

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https://clinicalproblemsolving.com/wp-content/uploads/2024/04/editedneuropodcastRTPapril2024.mp3

Episode 331: Neurology VMR – Headaches and loss of sensation in the left leg

We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Hans presents a case of headaches and loss of sensation in the left leg to Andrew and Maria.

Neurology DDx Schema

 Hans Kaus

 Hans Kaus received his MD from Ross University School of Medicine. He completed his undergraduate education in Pharmacy at the University of Tübingen, Germany. Driven by a deep desire to understand patient concerns, Hans wanted to go beyond pharmaceutical care. While in medical school, the virtual morning reports, Clinical Problem Solvers, unleashed his passion for solving complex patient cases. The blend of medicine and pharmacy will markedly benefit patients. In his spare time, Hans enjoys embarking on long bicycle rides.

 

Andrew Sanchez

@ASanchez_PS

Andrew Sanchez is an exiting PGY-3 in internal medicine at Yale New Haven Hospital: he will soon be starting a career in academic hospital medicine at Beth Israel Deaconess Medical Center, Boston. Meeting hospitalized patients and working with them to achieve diagnostic clarity is his primary clinical passion. His interest in diagnosing the undifferentiated patient is the driving force behind deep interest in learning and teaching diagnostic reasoning. On X/Twitter – which he considers the centerpiece of his teaching portfolio – he is known for creating and sharing schemas for both common and uncommon clinical dilemmas, which are frequently accompanied by “Tweetorial” commentary, as well as diagnostic case challenges.

 

María Jimena Alemán

@MariaMjaleman

 

María Jimena Alemán was born and raised in Guatemala. After suffering from long-standing neurophobia, she has embraced her love for neurology and will soon be starting her neurology residency at the University of California San Francisco. She looks forward to dedicating her life to improving neurological care and education around the globe. Maria loves art and culture and is currently obsessed with textiles and flowers

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Episode 331: Neurology VMR – Headaches and loss of sensation in the left leg

We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Hans presents a case of headaches and loss of sensation in the left leg to Andrew and Maria.

Neurology DDx Schema

 Hans Kaus

 Hans Kaus received his MD from Ross University School of Medicine. He completed his undergraduate education in Pharmacy at the University of Tübingen, Germany. Driven by a deep desire to understand patient concerns, Hans wanted to go beyond pharmaceutical care. While in medical school, the virtual morning reports, Clinical Problem Solvers, unleashed his passion for solving complex patient cases. The blend of medicine and pharmacy will markedly benefit patients. In his spare time, Hans enjoys embarking on long bicycle rides.

 

Andrew Sanchez

@ASanchez_PS

Andrew Sanchez is an exiting PGY-3 in internal medicine at Yale New Haven Hospital: he will soon be starting a career in academic hospital medicine at Beth Israel Deaconess Medical Center, Boston. Meeting hospitalized patients and working with them to achieve diagnostic clarity is his primary clinical passion. His interest in diagnosing the undifferentiated patient is the driving force behind deep interest in learning and teaching diagnostic reasoning. On X/Twitter – which he considers the centerpiece of his teaching portfolio – he is known for creating and sharing schemas for both common and uncommon clinical dilemmas, which are frequently accompanied by “Tweetorial” commentary, as well as diagnostic case challenges.

 

María Jimena Alemán

@MariaMjaleman

 

María Jimena Alemán was born and raised in Guatemala. After suffering from long-standing neurophobia, she has embraced her love for neurology and will soon be starting her neurology residency at the University of California San Francisco. She looks forward to dedicating her life to improving neurological care and education around the globe. Maria loves art and culture and is currently obsessed with textiles and flowers

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Our new members of the Spaced Learning Series team, Jasdeep and Mukund, join Valeria to discuss a case of progressive rash.

Featuring:
Valeria Roldan
Jasdeep Bajwa
Mukund Raguram

Schemas
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Our new members of the Spaced Learning Series team, Jasdeep and Mukund, join Valeria to discuss a case of progressive rash.

Featuring:
Valeria Roldan
Jasdeep Bajwa
Mukund Raguram

Schemas
Fever and Rash

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Débora and Noah bring back the Clinical Unknown Series!

To kick off the first episode, we host Alec and Austin, who discuss a case presented by Laure. Embark on this diagnostic journey with us! 

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Débora and Noah bring back the Clinical Unknown Series!

To kick off the first episode, we host Alec and Austin, who discuss a case presented by Laure. Embark on this diagnostic journey with us! 

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Published 2024-03-27

Episode 326 – RLR – Whole Body Pain

32 min
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Reza and Rabih discuss a case of a patient with whole body pain

 

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Reza and Rabih discuss a case of a patient with whole body pain

 

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In this clinical reasoning Rafael Medina Subspecialty episode, Dr. Mark Heslin presents a case to Dr. Tony Breu of a man presenting with facial swelling. 

Session facilitator: Youssef Saklawi

The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case Discussant: Anthony C. Breu, MD is the Director of Resident Education at the Veterans Affairs Boston Healthcare System and an Assistant Professor of Medicine at Harvard Medical School. He is also core faculty at the Center for Bioethics at Harvard Medical School. He completed his undergraduate degree in biomedical ethics at Brown University, where he also received his medical degree.

 

Case Presenter: Mark Heslin is a third-year internal medicine resident at the University of Pennsylvania. This summer, he will be starting his career as an academic hospitalist at Stanford. His clinical interests include medical education, clinical reasoning, diagnostic error, and the use of innovative technology to disseminate the teaching of clinical reasoning. 


 

 

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In this clinical reasoning Rafael Medina Subspecialty episode, Dr. Mark Heslin presents a case to Dr. Tony Breu of a man presenting with facial swelling. 

Session facilitator: Youssef Saklawi

The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case Discussant: Anthony C. Breu, MD is the Director of Resident Education at the Veterans Affairs Boston Healthcare System and an Assistant Professor of Medicine at Harvard Medical School. He is also core faculty at the Center for Bioethics at Harvard Medical School. He completed his undergraduate degree in biomedical ethics at Brown University, where he also received his medical degree.

 

Case Presenter: Mark Heslin is a third-year internal medicine resident at the University of Pennsylvania. This summer, he will be starting his career as an academic hospitalist at Stanford. His clinical interests include medical education, clinical reasoning, diagnostic error, and the use of innovative technology to disseminate the teaching of clinical reasoning. 


 

 

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Episode 324: Schema Episode – Joint Pain

32 min
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Sharmin, Jack, and Youssef discuss their approach to joint pain as they reason through a case presented by Maddy

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Monoarticular Arthritis Framework

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Episode title: Episode 323: Neurology VMR – Visual hallucinations

Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Valeria presents a case of visual hallucinations to Greg and Umbish.

Neurology DDx Schema

Valeria Roldan

@valeroldan23

Valeria Roldan was born and raised in Lima, Peru. She recently graduated medical school at Universidad Peruana Cayetano Heredia and is excited to pursue a career in Neurology. She is passionate about LGBTQ+ health, particularly advocating for trans rights, as well as medical education. She would describe herself as an optimist and outside of medicine you probably will find her running or talking about pop culture over a glass of wine

Gregory I. Atafo

Dr. Atafo is a general physician currently practicing in Accra, Ghana. He attended undergrad at the University of Benin, Nigeria where he received his degree as a Doctor of Optometry. He then attended the University of Ghana for his medical degree. He is currently applying for residency in the United States and has interests in Neuroscience, Internal Medicine and Global health.

In his free time, Greg loves to play soccer, volunteer at medical outreach programs and is passionate about sharing medical knowledge across borders.

Umbish Dino

@UmbishD

Umbish Dino, born in New York but raised in Pakistan, embodies a blend of cultures that enrich her perspective both personally and professionally. Having lived and worked in both the United States and Pakistan, she’s set to bring her diverse experiences back to the U.S. as she embarks on her journey into the 2024 internal medicine residency match. Outside the hospital, she is a devoted mom to her four-year-old son, Rayyan, and two cats, Drogo and Luna. She is a talented singer, and a culinary enthusiast who finds joy in cooking. Her passion for clinical reasoning has drawn her to the CP Solvers Academy, where she engages with complex medical cases, reflecting her commitment to excellence in patient care and her zeal for continuous learning.

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Episode title: Episode 323: Neurology VMR – Visual hallucinations

Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Valeria presents a case of visual hallucinations to Greg and Umbish.

Neurology DDx Schema

Valeria Roldan

@valeroldan23

Valeria Roldan was born and raised in Lima, Peru. She recently graduated medical school at Universidad Peruana Cayetano Heredia and is excited to pursue a career in Neurology. She is passionate about LGBTQ+ health, particularly advocating for trans rights, as well as medical education. She would describe herself as an optimist and outside of medicine you probably will find her running or talking about pop culture over a glass of wine

Gregory I. Atafo

Dr. Atafo is a general physician currently practicing in Accra, Ghana. He attended undergrad at the University of Benin, Nigeria where he received his degree as a Doctor of Optometry. He then attended the University of Ghana for his medical degree. He is currently applying for residency in the United States and has interests in Neuroscience, Internal Medicine and Global health.

In his free time, Greg loves to play soccer, volunteer at medical outreach programs and is passionate about sharing medical knowledge across borders.

Umbish Dino

@UmbishD

Umbish Dino, born in New York but raised in Pakistan, embodies a blend of cultures that enrich her perspective both personally and professionally. Having lived and worked in both the United States and Pakistan, she’s set to bring her diverse experiences back to the U.S. as she embarks on her journey into the 2024 internal medicine residency match. Outside the hospital, she is a devoted mom to her four-year-old son, Rayyan, and two cats, Drogo and Luna. She is a talented singer, and a culinary enthusiast who finds joy in cooking. Her passion for clinical reasoning has drawn her to the CP Solvers Academy, where she engages with complex medical cases, reflecting her commitment to excellence in patient care and her zeal for continuous learning.

Download CPSolvers App here

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CPSolvers: Anti-Racism in Medicine Series

Episode 24 – Leveraging Narrative Medicine to Cultivate Antiracist Praxis

Show Notes by Sudarshan Krishnamurthy

February 13, 2024

Summary: This episode highlights the ways in which we might leverage stories, at the individual and structural levels, to reimagine medicine with a liberatory practice. During this episode, we hear from Zahra Khan, an educator and editor who has written extensively on abolition in medicine, and Dr. Sayantani DasGupta, a physician-educator, prolific children’s book author and faculty at the Center for the Study of Ethnicity and Race and the Institute for Comparative Literature and Society at Columbia University. Together, our guests offer context around how the medical and carceral systems are deeply intertwined and go hand-in-hand. Further, they expand on this to discuss how we might use stories in the form of visionary and speculative fiction to reimagine new landscapes of health care. This discussion is hosted by Sudarshan Krishnamurthy and Ashley Cooper. The show notes for this episode were written by Sudarshan Krishnamurthy.

Episode Learning Objectives

After listening to this episode, learners will be able to:

  1. Illustrate the relationship between narrative medicine and healing relationships.
  2. Explain the significance of abolition medicine, and the role of the medical system in upholding and perpetuating carceral logics.
  3. Discuss how we might use narrative and stories to enact social change and reimagine medicine.

Credits

  • Written and produced by: Sudarshan Krishnamurthy, Ashley Cooper, Team
  • Hosts: Sudarshan Krishnamurthy and Ashley Cooper
  • Infographic: Creative Edge Design
  • Audio Edits: Ashley Cooper
  • Show Notes: Sudarshan Krishnamurthy
  • Guests: Dr. Sayantani DasGupta, Zahra Khan

Time Stamps

00:00 Opening

00:45 Introductions

01:03 Guest Introduction 1 – Zahra Khan

01:26 Guest Introduction 2 – Sayantani DasGupta

02:40 Background and Inspiration for Guests

13:45 Narrative Medicine in the Clinical Setting 

23:45 Role of Narrative in Abolition Medicine

37:10 How does storytelling impact your clinical work and vice-versa?

42:00 Abolitionist reimaginings of Health

55:05 Democratizing Narrative Medicine

1:03:05 Closing Remarks and Clinical Pearls

Speaker biographies (Abbreviated)

  • Zahra Khan is an educator and editor whose work emerges at the intersection of narrative, healing and disability justice, and liberation pedagogy. Her research, writing, and community engagement focuses on shifting consciousness in medical education toward abolitionist possibilities. Zahra enjoys facilitating spaces that cultivate critical consciousness, earnest reflection, and collective care. Her work has appeared in publications such as the Lancet, Journal of Medical Ethics, and AMA Journal of Ethics. She currently works with Project NIA, a nonprofit dedicated to ending youth incarceration, and teaches in the graduate program in Narrative Medicine at Columbia University and at CUNY School of Medicine.
  • Sayantani DasGupta is a faculty member in the Master’s Program in Narrative Medicine, the Center for the Study of Ethnicity and Race and the Institute for Comparative Literature and Society, all at Columbia University. Originally trained in pediatrics and public health, her work has appeared in journals including The Lancet, JAMA, Pediatrics, The Hastings Center Report, Literature and Medicine, Teaching and Learning in Medicine, and The Journal of Medical Humanities. She is an associate editor of the journal Literature and Medicine, and her current interests are in issues of narrative humility in medical education and practice, racial justice and health, diaspora studies, and science fiction/health futurities. She is also a New York Times bestselling children’s author. Learn more about her work at www.sayantanidasgupta.com.

Episode Takeaways

  • Origin Stories – Zahra encountered abolition for the first time at the ‘Beyond the Bars’ Conference, where she encountered students and community members from all backgrounds who were dedicated to ending mass incarceration. Here, she encountered Angela Davis, where she was encouraged to reimagine and build frameworks that center justice and do not reproduce oppression. She started in the Narrative Medicine program at Columbia around Sayantani, and wanted to focus on incarceration as a healthcare issue, and has since engaged in work that attempts to decarcerate health care. Sayantani became a physician since she thought it was a concrete tool for social justice. She came from an activist family, with her mother being one of the first South Asian feminist activists in the country. She grew up among stories of activist struggle and decolonial movements, and discovered a lot around the frameworks in medicine as she navigated her medical education. She discovered narrative medicine, and to her, it was about finding and retelling individual and structural stories in antiracist ways. Now, she teaches undergraduates and graduate students at the intersections of stories, social justice, and health. Part of her journey has been imagining how abolition and medicine go together, thinking through the carceral logics that have built medicine, and reimagining a new form of medicine with a liberatory practice.
  • Role of Narrative Medicine in the Clinical Setting – Narrative Medicine is often called different things in different places; it is called health humanities in some places, to decenter the physician in the health care team, and Sayantani is a fan of this terminology. What the term gestures towards is the centering of the ‘story’ in healing relationships. However, it is important to think about individual stories within the broader historical and sociocultural context; for instance, you cannot highlight stories in individual physician-patient dyads, without discussing mechanisms of racialized, historical, or sociocultural power and other larger structural forces. Listening to individual stories within the context of their structural stories is important. Stories are not inherently just. It is important to be critical of stories, and we must train individuals to recognize stories that dehumanize groups of people and transform them into more just stories that humanize everyone.
  • For instance, Toni Morrison’s “Home” depicts scenes of a community of Black women nursing a woman who has been the victim of medical racism and violence. It helps us understand Morrison’s critiques of anti-Black racism in medicine, and better understand care, restoration, and safety too. This helps people think about how people tend to each others’ well-being in their communities as well. It also helps illustrate the power of witnessing and mutual recognition, where there is a narrative exchange between patient and provider, with a validation of patients’ suffering. Apart from this, this also helps practitioners in improving their capacity to develop empathy for their patients, to be more curious about, and appreciate the complex context of those they care for.
  • Narrative in Abolition Medicine: Zahra explains that structural competency is a framework that Jonathan Metzl and Helena Hansen offer to understand structural factors and barriers to care that perpetuate worse health outcomes like housing, food, and water as upstream factors that lead to worse health. Sayantani and Zahra (along with Yoshiko Iwai) have written about policing to be another one of these upstream factors that affect health, and offer ‘abolition medicine’ as a framework. Medicine often has a role in caring for those impacted by police brutality, and it should also have a role in creating new visions for violence prevention and reenvisioning healthcare without relying on carceral logics. It involves understanding stories and their relationships to power and structural oppression. Narrative medicine can offer us an imaginative space to create change. “Practicing New Worlds”, a book by Andrea Ritchie, talks about visionary fiction to help us look towards abolitionist futures, and can even help us reimagine new possibilities for health care. Sayantani expands on this to discuss the class she teaches on the relevance of visionary medicine, speculative fiction, and imagining an antiracist health system. Abolition Medicine itself involves recognizing and dismantling the carceral logics baked into medicine, and looking outside of medicine to see how we might reimagine these structures to improve health.
  • How does storytelling impact your clinical work, and how does clinical work impact storytelling? – As a pediatrician, Sayantani shares that physical health, corporeal health, intellectual health, and imaginative health can be thought of as a part of the same praxis. Childrens’ fiction has always been about imagination, and it creates paths forward and gives young people the ability to imagine acts of justice within the storyteller’s own stories. 
  • Abolitionist reimaginings of health – Zahra talks about the piece she wrote with Yoshiko and Sayantani, and talks about how they wrote this piece in the backdrop of the American Medical Association recognizing systemic racism as a public health crisis, and acknowledging that police violence has severe health consequences. They realized that if policing and prisons are systems that require abolitionist reimaginings, health care does too. Ruth Wilson Gilmore, an abolitionist scholar and geographer, uses the term ‘organized abandonment’ to describe what happens when communities lose protections from the state through systems and structures that are involved in disinvestment from communities, leading to these communities being more vulnerable to increased criminalization and police presence, and resulting in these communities lacking safe and just infrastructure in the form of housing options, lack of access to clean and safe water, transportation, etc. For instance, the presence of police and ICE officials in health care settings, along with the use of restraints, are examples of the ways policing has permeated medicine as well. And we have examples of mutual aid networks and organizations that worked to improve care in the setting of organized abandonment; some of these include the Black Panther Party providing free healthcare in communities, and the Puerto Rican activist organization ‘The Young Lords’ ensuring their community receives tuberculosis screenings. There are also more contemporary organizations doing this work; Zahra works with Mental Health First, organized by the Anti Police-Terror Project, a multiracial, intergenerational, mobile, crisis-intervention team led by mental health officials to provide life-affirming treatment and deescalation assistance, without having to rely on law enforcement. This offers a framework for abolitionist and non-carceral solutions that can be implemented around the world.
  • Sayantani shares that the medical system and carceral system work hand-in-hand and it is not possible to decarcerate medicine or practice antiracism in medicine without acknowledging the carceral logics that permeate medicine and that the medical industrial complex is a part of the carceral system. This is a prerequisite to dismantling oppressive systems within medicine.
  • Democratizing Narrative Medicine – Zahra says that one of the loudest aspects of narrative medicine that is most powerful is using ‘story’, staying with narratives, and close reading and listening of story. Democratizing narrative medicine is also a matter of breaking open institutions to make knowledge and information more accessible to the public. Zahra also expresses hope around the spread of narrative medicine to the mainstream, and thinks that it might help more people organize around the story. However, institutions are only one place where actions happen, and actions within the institution often remain within the institution. So, it is important to consider how we might use narrative to advance social justice outside of institutions and in the world. Sayantani adds that there is a reason that certain voices are kept away from the fore, and that there are structural forces that are doing so intentionally. For instance, book bans around the country exist because states recognize the radical power of ‘story’  and it is the reason that they attempt to suppress the spread of these stories. Stories are imaginative playgrounds for social change. She even adds that she prescribes reading in a clinical setting, both for the parent to the child and by the child themselves. It is also important to recognize that teachers and librarians that attempt to get banned stories in the hands of their students are also engaged in this work of democratizing narrative medicine. 

Pearls

  • Zahra says that there are so many resources that help us practice and imagine new futures now, and shares with listeners these resources. One of these include Interrupting CriminalizationBeyond Do No Harm is one network of U.S. based health practitioners, advocates, nurses, community members, educators, social workers, and others who are working across racial, gender, reproductive, migrant and disability justice, drug policy, sex worker, and anti-HIV criminalization movements. Another is an Interrupting Criminalization podcast called One Million Experiments, that shares projects that are happening all over the country that build transformative solutions to safety without relying on police and prisons. Another thing Zahra mentions is that we must all be cartographers in mapping out new possibilities of an antiracist health care that satisfies all of us. As Mariame Kaba says, this is an opportunity to shrink the space between our values and our actions, and this is a collaborative and collective project where she invites everyone to think about their role in advancing health and justice.
  • Sayantani encourages listeners of this podcast not to feel overwhelmed. So many times, we take care of others’ needs better than our own, and there is a sense of exhaustion, frustration, and anger that many face from medical training. We must strive to change the violent carceral logics that medical training and education inculcates, and also remember that we do not have to do everything alone and that we are not alone in this work. Rather than viewing it as one more thing to do, it is easier to become learners again, where we view antiracism as a new philosophy of living, learning, and working, and just taking it one step at a time. 

References

Dasgupta, S. (n.d.). GU4340: Visionary Medicine: Racial Justice, Health and Speculative Fictions. Science and Society – Columbia University. https://scienceandsociety.columbia.edu/content/gu4340-visionary-medicine-racial-justice-health-and-speculative-fictions-s-dasgupta 

Iwai Y, Khan ZH, DasGupta S. Abolition medicine. Lancet. 2020 Jul 18;396(10245):158-159. doi: 10.1016/S0140-6736(20)31566-X. PMID: 32682471; PMCID: PMC7365639.

Narvaez, A. (1970, June 18). THE young lords seize x‐ray unit. The New York Times. https://www.nytimes.com/1970/06/18/archives/the-young-lords-seize-xray-unit-take-it-to-area-where-they-say-it.html 

Interrupting criminalization: Research in action. Interrupting Criminalization | Research In Action. (n.d.). https://www.interruptingcriminalization.com/  

Beyond the Bars Conference 2023: Seeding Justice. (n.d.). New York City. https://centerforjustice.columbia.edu/events/beyond-bars-conference-2023-seeding-justice 

Metzl JM, Hansen H. Structural competency: theorizing a new medical engagement with stigma and inequality. Soc Sci Med. 2014 Feb;103:126-133. doi: 10.1016/j.socscimed.2013.06.032. PMID: 24507917; PMCID: PMC4269606.

Khan Z, Iwai Y, DasGupta S. Military metaphors and pandemic propaganda: unmasking the betrayal of ‘Healthcare Heroes’. Journal of Medical Ethics. 2021;47:643-644.

Khan ZH, Iwai Y, DasGupta S. Abolitionist Reimaginings of Health. AMA J Ethics. 2022 Mar 1;24(3):E239-246. doi: 10.1001/amajethics.2022.239. PMID: 35325526.

Ritchie, Andrea J. Gumbs, Alexis Pauline. Brown, Adrienne Maree. (2023). Practicing new worlds: Abolition and emergent strategies. Consortium Book Sales & Dist.

DuBois, W. E. B. (1920). The Comet. http://zacharyrawe.com/sem_6_the_comet_dubois.pdf 

Nelson, A. (2013). Body and soul: The black panther party and the fight against medical discrimination. University of Minnesota Press.

Beyond do no harm – interrupting criminalization: Research in action. Interrupting Criminalization | Research In Action. (n.d.-a). https://www.interruptingcriminalization.com/beyond-do-no-harm 

Disclosures 

The hosts and guests report no relevant financial disclosures.

Citation

Khan Z, DasGupta S, Krishnamurthy S, Cooper A, Siddiqui H, Calac A, Pitre A, Pierce G, Essien UR, Fields NF, Lopez-Carmen V, Nolen L, Onuoha C, Watkins A, Williams J, Tsai J, Ogunwole M, Khazanchi R. “Leveraging Narrative Medicine to Cultivate Antiracist Praxis.” The Clinical Problem Solvers Podcast – Antiracism in Medicine Series. https://clinicalproblemsolving.com/antiracism-in-medicine/. February 13, 2024.

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CPSolvers: Anti-Racism in Medicine Series

Episode 24 – Leveraging Narrative Medicine to Cultivate Antiracist Praxis

Show Notes by Sudarshan Krishnamurthy

February 13, 2024

Summary: This episode highlights the ways in which we might leverage stories, at the individual and structural levels, to reimagine medicine with a liberatory practice. During this episode, we hear from Zahra Khan, an educator and editor who has written extensively on abolition in medicine, and Dr. Sayantani DasGupta, a physician-educator, prolific children’s book author and faculty at the Center for the Study of Ethnicity and Race and the Institute for Comparative Literature and Society at Columbia University. Together, our guests offer context around how the medical and carceral systems are deeply intertwined and go hand-in-hand. Further, they expand on this to discuss how we might use stories in the form of visionary and speculative fiction to reimagine new landscapes of health care. This discussion is hosted by Sudarshan Krishnamurthy and Ashley Cooper. The show notes for this episode were written by Sudarshan Krishnamurthy.

Episode Learning Objectives

After listening to this episode, learners will be able to:

  1. Illustrate the relationship between narrative medicine and healing relationships.
  2. Explain the significance of abolition medicine, and the role of the medical system in upholding and perpetuating carceral logics.
  3. Discuss how we might use narrative and stories to enact social change and reimagine medicine.

Credits

  • Written and produced by: Sudarshan Krishnamurthy, Ashley Cooper, Team
  • Hosts: Sudarshan Krishnamurthy and Ashley Cooper
  • Infographic: Creative Edge Design
  • Audio Edits: Ashley Cooper
  • Show Notes: Sudarshan Krishnamurthy
  • Guests: Dr. Sayantani DasGupta, Zahra Khan

Time Stamps

00:00 Opening

00:45 Introductions

01:03 Guest Introduction 1 – Zahra Khan

01:26 Guest Introduction 2 – Sayantani DasGupta

02:40 Background and Inspiration for Guests

13:45 Narrative Medicine in the Clinical Setting 

23:45 Role of Narrative in Abolition Medicine

37:10 How does storytelling impact your clinical work and vice-versa?

42:00 Abolitionist reimaginings of Health

55:05 Democratizing Narrative Medicine

1:03:05 Closing Remarks and Clinical Pearls

Speaker biographies (Abbreviated)

  • Zahra Khan is an educator and editor whose work emerges at the intersection of narrative, healing and disability justice, and liberation pedagogy. Her research, writing, and community engagement focuses on shifting consciousness in medical education toward abolitionist possibilities. Zahra enjoys facilitating spaces that cultivate critical consciousness, earnest reflection, and collective care. Her work has appeared in publications such as the Lancet, Journal of Medical Ethics, and AMA Journal of Ethics. She currently works with Project NIA, a nonprofit dedicated to ending youth incarceration, and teaches in the graduate program in Narrative Medicine at Columbia University and at CUNY School of Medicine.
  • Sayantani DasGupta is a faculty member in the Master’s Program in Narrative Medicine, the Center for the Study of Ethnicity and Race and the Institute for Comparative Literature and Society, all at Columbia University. Originally trained in pediatrics and public health, her work has appeared in journals including The Lancet, JAMA, Pediatrics, The Hastings Center Report, Literature and Medicine, Teaching and Learning in Medicine, and The Journal of Medical Humanities. She is an associate editor of the journal Literature and Medicine, and her current interests are in issues of narrative humility in medical education and practice, racial justice and health, diaspora studies, and science fiction/health futurities. She is also a New York Times bestselling children’s author. Learn more about her work at www.sayantanidasgupta.com.

Episode Takeaways

  • Origin Stories – Zahra encountered abolition for the first time at the ‘Beyond the Bars’ Conference, where she encountered students and community members from all backgrounds who were dedicated to ending mass incarceration. Here, she encountered Angela Davis, where she was encouraged to reimagine and build frameworks that center justice and do not reproduce oppression. She started in the Narrative Medicine program at Columbia around Sayantani, and wanted to focus on incarceration as a healthcare issue, and has since engaged in work that attempts to decarcerate health care. Sayantani became a physician since she thought it was a concrete tool for social justice. She came from an activist family, with her mother being one of the first South Asian feminist activists in the country. She grew up among stories of activist struggle and decolonial movements, and discovered a lot around the frameworks in medicine as she navigated her medical education. She discovered narrative medicine, and to her, it was about finding and retelling individual and structural stories in antiracist ways. Now, she teaches undergraduates and graduate students at the intersections of stories, social justice, and health. Part of her journey has been imagining how abolition and medicine go together, thinking through the carceral logics that have built medicine, and reimagining a new form of medicine with a liberatory practice.
  • Role of Narrative Medicine in the Clinical Setting – Narrative Medicine is often called different things in different places; it is called health humanities in some places, to decenter the physician in the health care team, and Sayantani is a fan of this terminology. What the term gestures towards is the centering of the ‘story’ in healing relationships. However, it is important to think about individual stories within the broader historical and sociocultural context; for instance, you cannot highlight stories in individual physician-patient dyads, without discussing mechanisms of racialized, historical, or sociocultural power and other larger structural forces. Listening to individual stories within the context of their structural stories is important. Stories are not inherently just. It is important to be critical of stories, and we must train individuals to recognize stories that dehumanize groups of people and transform them into more just stories that humanize everyone.
  • For instance, Toni Morrison’s “Home” depicts scenes of a community of Black women nursing a woman who has been the victim of medical racism and violence. It helps us understand Morrison’s critiques of anti-Black racism in medicine, and better understand care, restoration, and safety too. This helps people think about how people tend to each others’ well-being in their communities as well. It also helps illustrate the power of witnessing and mutual recognition, where there is a narrative exchange between patient and provider, with a validation of patients’ suffering. Apart from this, this also helps practitioners in improving their capacity to develop empathy for their patients, to be more curious about, and appreciate the complex context of those they care for.
  • Narrative in Abolition Medicine: Zahra explains that structural competency is a framework that Jonathan Metzl and Helena Hansen offer to understand structural factors and barriers to care that perpetuate worse health outcomes like housing, food, and water as upstream factors that lead to worse health. Sayantani and Zahra (along with Yoshiko Iwai) have written about policing to be another one of these upstream factors that affect health, and offer ‘abolition medicine’ as a framework. Medicine often has a role in caring for those impacted by police brutality, and it should also have a role in creating new visions for violence prevention and reenvisioning healthcare without relying on carceral logics. It involves understanding stories and their relationships to power and structural oppression. Narrative medicine can offer us an imaginative space to create change. “Practicing New Worlds”, a book by Andrea Ritchie, talks about visionary fiction to help us look towards abolitionist futures, and can even help us reimagine new possibilities for health care. Sayantani expands on this to discuss the class she teaches on the relevance of visionary medicine, speculative fiction, and imagining an antiracist health system. Abolition Medicine itself involves recognizing and dismantling the carceral logics baked into medicine, and looking outside of medicine to see how we might reimagine these structures to improve health.
  • How does storytelling impact your clinical work, and how does clinical work impact storytelling? – As a pediatrician, Sayantani shares that physical health, corporeal health, intellectual health, and imaginative health can be thought of as a part of the same praxis. Childrens’ fiction has always been about imagination, and it creates paths forward and gives young people the ability to imagine acts of justice within the storyteller’s own stories. 
  • Abolitionist reimaginings of health – Zahra talks about the piece she wrote with Yoshiko and Sayantani, and talks about how they wrote this piece in the backdrop of the American Medical Association recognizing systemic racism as a public health crisis, and acknowledging that police violence has severe health consequences. They realized that if policing and prisons are systems that require abolitionist reimaginings, health care does too. Ruth Wilson Gilmore, an abolitionist scholar and geographer, uses the term ‘organized abandonment’ to describe what happens when communities lose protections from the state through systems and structures that are involved in disinvestment from communities, leading to these communities being more vulnerable to increased criminalization and police presence, and resulting in these communities lacking safe and just infrastructure in the form of housing options, lack of access to clean and safe water, transportation, etc. For instance, the presence of police and ICE officials in health care settings, along with the use of restraints, are examples of the ways policing has permeated medicine as well. And we have examples of mutual aid networks and organizations that worked to improve care in the setting of organized abandonment; some of these include the Black Panther Party providing free healthcare in communities, and the Puerto Rican activist organization ‘The Young Lords’ ensuring their community receives tuberculosis screenings. There are also more contemporary organizations doing this work; Zahra works with Mental Health First, organized by the Anti Police-Terror Project, a multiracial, intergenerational, mobile, crisis-intervention team led by mental health officials to provide life-affirming treatment and deescalation assistance, without having to rely on law enforcement. This offers a framework for abolitionist and non-carceral solutions that can be implemented around the world.
  • Sayantani shares that the medical system and carceral system work hand-in-hand and it is not possible to decarcerate medicine or practice antiracism in medicine without acknowledging the carceral logics that permeate medicine and that the medical industrial complex is a part of the carceral system. This is a prerequisite to dismantling oppressive systems within medicine.
  • Democratizing Narrative Medicine – Zahra says that one of the loudest aspects of narrative medicine that is most powerful is using ‘story’, staying with narratives, and close reading and listening of story. Democratizing narrative medicine is also a matter of breaking open institutions to make knowledge and information more accessible to the public. Zahra also expresses hope around the spread of narrative medicine to the mainstream, and thinks that it might help more people organize around the story. However, institutions are only one place where actions happen, and actions within the institution often remain within the institution. So, it is important to consider how we might use narrative to advance social justice outside of institutions and in the world. Sayantani adds that there is a reason that certain voices are kept away from the fore, and that there are structural forces that are doing so intentionally. For instance, book bans around the country exist because states recognize the radical power of ‘story’  and it is the reason that they attempt to suppress the spread of these stories. Stories are imaginative playgrounds for social change. She even adds that she prescribes reading in a clinical setting, both for the parent to the child and by the child themselves. It is also important to recognize that teachers and librarians that attempt to get banned stories in the hands of their students are also engaged in this work of democratizing narrative medicine. 

Pearls

  • Zahra says that there are so many resources that help us practice and imagine new futures now, and shares with listeners these resources. One of these include Interrupting CriminalizationBeyond Do No Harm is one network of U.S. based health practitioners, advocates, nurses, community members, educators, social workers, and others who are working across racial, gender, reproductive, migrant and disability justice, drug policy, sex worker, and anti-HIV criminalization movements. Another is an Interrupting Criminalization podcast called One Million Experiments, that shares projects that are happening all over the country that build transformative solutions to safety without relying on police and prisons. Another thing Zahra mentions is that we must all be cartographers in mapping out new possibilities of an antiracist health care that satisfies all of us. As Mariame Kaba says, this is an opportunity to shrink the space between our values and our actions, and this is a collaborative and collective project where she invites everyone to think about their role in advancing health and justice.
  • Sayantani encourages listeners of this podcast not to feel overwhelmed. So many times, we take care of others’ needs better than our own, and there is a sense of exhaustion, frustration, and anger that many face from medical training. We must strive to change the violent carceral logics that medical training and education inculcates, and also remember that we do not have to do everything alone and that we are not alone in this work. Rather than viewing it as one more thing to do, it is easier to become learners again, where we view antiracism as a new philosophy of living, learning, and working, and just taking it one step at a time. 

References

Dasgupta, S. (n.d.). GU4340: Visionary Medicine: Racial Justice, Health and Speculative Fictions. Science and Society – Columbia University. https://scienceandsociety.columbia.edu/content/gu4340-visionary-medicine-racial-justice-health-and-speculative-fictions-s-dasgupta 

Iwai Y, Khan ZH, DasGupta S. Abolition medicine. Lancet. 2020 Jul 18;396(10245):158-159. doi: 10.1016/S0140-6736(20)31566-X. PMID: 32682471; PMCID: PMC7365639.

Narvaez, A. (1970, June 18). THE young lords seize x‐ray unit. The New York Times. https://www.nytimes.com/1970/06/18/archives/the-young-lords-seize-xray-unit-take-it-to-area-where-they-say-it.html 

Interrupting criminalization: Research in action. Interrupting Criminalization | Research In Action. (n.d.). https://www.interruptingcriminalization.com/  

Beyond the Bars Conference 2023: Seeding Justice. (n.d.). New York City. https://centerforjustice.columbia.edu/events/beyond-bars-conference-2023-seeding-justice 

Metzl JM, Hansen H. Structural competency: theorizing a new medical engagement with stigma and inequality. Soc Sci Med. 2014 Feb;103:126-133. doi: 10.1016/j.socscimed.2013.06.032. PMID: 24507917; PMCID: PMC4269606.

Khan Z, Iwai Y, DasGupta S. Military metaphors and pandemic propaganda: unmasking the betrayal of ‘Healthcare Heroes’. Journal of Medical Ethics. 2021;47:643-644.

Khan ZH, Iwai Y, DasGupta S. Abolitionist Reimaginings of Health. AMA J Ethics. 2022 Mar 1;24(3):E239-246. doi: 10.1001/amajethics.2022.239. PMID: 35325526.

Ritchie, Andrea J. Gumbs, Alexis Pauline. Brown, Adrienne Maree. (2023). Practicing new worlds: Abolition and emergent strategies. Consortium Book Sales & Dist.

DuBois, W. E. B. (1920). The Comet. http://zacharyrawe.com/sem_6_the_comet_dubois.pdf 

Nelson, A. (2013). Body and soul: The black panther party and the fight against medical discrimination. University of Minnesota Press.

Beyond do no harm – interrupting criminalization: Research in action. Interrupting Criminalization | Research In Action. (n.d.-a). https://www.interruptingcriminalization.com/beyond-do-no-harm 

Disclosures 

The hosts and guests report no relevant financial disclosures.

Citation

Khan Z, DasGupta S, Krishnamurthy S, Cooper A, Siddiqui H, Calac A, Pitre A, Pierce G, Essien UR, Fields NF, Lopez-Carmen V, Nolen L, Onuoha C, Watkins A, Williams J, Tsai J, Ogunwole M, Khazanchi R. “Leveraging Narrative Medicine to Cultivate Antiracist Praxis.” The Clinical Problem Solvers Podcast – Antiracism in Medicine Series. https://clinicalproblemsolving.com/antiracism-in-medicine/. February 13, 2024.

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Sharmin and Kaylin sit down with Dr. Denise Davis to discuss communication as a procedure, continuous and incremental improvement, and the interrelationship between social and health justice

 

Denise L. Davis is a general internist and Clinical Professor of Medicine at University of California San Francisco. She serves as Associate Director for Faculty Development for the SanFrancisco VA Center of Excellence in Primary Care Education. Dr.Davis teaches locally and nationally on a range of topics, including teaching and coaching students, trainees and physicians in communication skills that increase quality, safety and improve patient experience. She is on the Executive Committee of the Academy on Communication in Healthcare and serves as VP of Diversity, Equity and Inclusion. She is also a specialist for minority medical students at UCSF School of Medicine. Dr. Denise Davis is a recipient of many awards, includingthe prestigious Kaiser Foundation Award for Excellence in Teaching and she was elected to the UCSF Academy of Medical Educators in 2015.

 

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Sharmin and Kaylin sit down with Dr. Denise Davis to discuss communication as a procedure, continuous and incremental improvement, and the interrelationship between social and health justice

 

Denise L. Davis is a general internist and Clinical Professor of Medicine at University of California San Francisco. She serves as Associate Director for Faculty Development for the SanFrancisco VA Center of Excellence in Primary Care Education. Dr.Davis teaches locally and nationally on a range of topics, including teaching and coaching students, trainees and physicians in communication skills that increase quality, safety and improve patient experience. She is on the Executive Committee of the Academy on Communication in Healthcare and serves as VP of Diversity, Equity and Inclusion. She is also a specialist for minority medical students at UCSF School of Medicine. Dr. Denise Davis is a recipient of many awards, includingthe prestigious Kaiser Foundation Award for Excellence in Teaching and she was elected to the UCSF Academy of Medical Educators in 2015.

 

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Episode 319 – RLR – Profound Fatigue

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In this Rheumatology Rafael Medina Subspecialty episode, Dr. John Landefeld presents a case to Dr. Sarah Goglin of a 74 year old woman presenting with headache.

Session facilitator: Şeyma Yıldırım 

The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case discussant: Dr. Sarah Goglin is a rheumatologist and associate director at Zuckerberg San Francisco General Rheumatology clinic and at the UCSF Vasculitis Clinic. @SarahGoglinMD

Case presenter: Dr. John Landefeld is an internist and medical educator at Sacramento County Public Health & an assistant Clinical Professor at UC Davis Health. @johnlandefeld

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In this Rheumatology Rafael Medina Subspecialty episode, Dr. John Landefeld presents a case to Dr. Sarah Goglin of a 74 year old woman presenting with headache.

Session facilitator: Şeyma Yıldırım 

The goal of this session is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Case discussant: Dr. Sarah Goglin is a rheumatologist and associate director at Zuckerberg San Francisco General Rheumatology clinic and at the UCSF Vasculitis Clinic. @SarahGoglinMD

Case presenter: Dr. John Landefeld is an internist and medical educator at Sacramento County Public Health & an assistant Clinical Professor at UC Davis Health. @johnlandefeld

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Episode title: Episode 317: Neurology VMR – Generalized weakness

Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Kirtan presents a case of generalized weakness to Vivek and Hannah.

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Kirtan Patolia

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Kirtan Patolia is a second-year Internal Medicine resident from John H. Stroger Jr., Hospital of Cook County, Chicago. He relishes being the CPSolvers team member, as solving cases and generating differential diagnoses are his biggest passions. You will frequently find him sharing clinical cases on VMR. Outside of medicine, he likes to read fiction, particularly Agatha Christie and Nancy Drew novels. He also loves kite flying, especially using various techniques and maneuvers to fly the kites.

 

Vivek Paul

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Vivek Paul is a medical graduate from Bharati Vidyapeeth University in Pune (India), now based in Chicago, Illinois. Having worked as a junior doctor in India after completing medical school, Vivek has more recently been involved in clinical research at Northwestern University Feinberg School of Medicine and is working towards a residency in Internal Medicine. He is also an avid musician with a Spotify account where he releases songs he has written through the years. When not working, Vivek can be found making loud and angry music, playing tennis, exploring local food joints, or on long walks with his dog, Melody.

 

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Episode title: Episode 317: Neurology VMR – Generalized weakness

Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Kirtan presents a case of generalized weakness to Vivek and Hannah.

Neurology DDx Schema

 

Kirtan Patolia

@KirtanPatolia

 

Kirtan Patolia is a second-year Internal Medicine resident from John H. Stroger Jr., Hospital of Cook County, Chicago. He relishes being the CPSolvers team member, as solving cases and generating differential diagnoses are his biggest passions. You will frequently find him sharing clinical cases on VMR. Outside of medicine, he likes to read fiction, particularly Agatha Christie and Nancy Drew novels. He also loves kite flying, especially using various techniques and maneuvers to fly the kites.

 

Vivek Paul

@vjpaul88

 

Vivek Paul is a medical graduate from Bharati Vidyapeeth University in Pune (India), now based in Chicago, Illinois. Having worked as a junior doctor in India after completing medical school, Vivek has more recently been involved in clinical research at Northwestern University Feinberg School of Medicine and is working towards a residency in Internal Medicine. He is also an avid musician with a Spotify account where he releases songs he has written through the years. When not working, Vivek can be found making loud and angry music, playing tennis, exploring local food joints, or on long walks with his dog, Melody.

 

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Episode 314 – RLR – Systemic Stones

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In this Hepatology Rafael Medina Subspecialty episode, Dr. Christopher Coe presents a case to Dr. Arpan Patel of a woman presenting with fatigue and splenomegaly. 

Session facilitator: Maddy Conte

The goal of this series is to expand access to subspecialty, primary care, and internal medicine-adjacent specialty education to learners around the world. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

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Episode title: Episode 312: Neurology VMR – Frequent stumbling

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Valeria is a medical student at Universidad Peruana Cayetano Heredia. She was born and lives in Lima, Perú. She hopes to pursue Neurology residency. Her interests include neuro-infectious diseases, transgender health and medical education. Her work with CPSolvers involves being a part of the Virtual Morning Report team and serving on the Spanish schemas team. Outside of Medicine she loves running, hiking, cooking pasta and spending time with her dogs.

 

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Neurology DDx Schema

 

Valeria Roldan

 

Valeria is a medical student at Universidad Peruana Cayetano Heredia. She was born and lives in Lima, Perú. She hopes to pursue Neurology residency. Her interests include neuro-infectious diseases, transgender health and medical education. Her work with CPSolvers involves being a part of the Virtual Morning Report team and serving on the Spanish schemas team. Outside of Medicine she loves running, hiking, cooking pasta and spending time with her dogs.

 

Nilayan Sarkar

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Nilayan is a first year Internal Medicine Resident at Lady Hardinge Medical College in New Delhi, India. He has been an avid fan of the CPSolvers since his third year of medical school. Clinically, his interests include Point of Care Ultrasound (POCUS), Critical Care, Cardiology and Medical Reasoning. Outside of work, Nilayan enjoys quiet evening walks with his family, meditation, and nature jaunts. He hopes this episode brings you as much joy as it did to him and believes Dr. Aaron Berkowitz is the best thing that has ever happened to #beatingNeurophobia.

 

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