The Curbsiders Internal Medicine Podcast

• Producer, Writer, Infographic, Cover Art: Nora Taranto MD 
• Hosts: Matthew Watto MD, FACP; Nora Taranto MD  
• Reviewer: Yan Emily Yuan MD, MSc
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Guest:  Carl Pallais MD, MPH 

• Intro, disclaimer, guest bio
• Dr. Pallais One-Liner
• Case from Kashlak
• Definitions: What’s a Normal Calcium Level, and how to adjust for Albumin
• Causes of hypercalcemia
• How Lithium works! 
• Testing for Hypercalcemia: Get that PTH, and that phos 
• Symptoms of Hypercalcemia, and Questions on History 
• Indications for Surgery for Parathyroidectomy 
• Management of Hypercalcemia and Hypercalcemic Emergency 
• Outro

• Written and Produced by: Avital O’Glasser MD, FACP, FHM
• Infographic: Avital O’Glasser MD, FACP, FHM
• Cover Art : Kate Grant MBChB MRCGP DipGUMed
• Show Notes: Kate Grant MBChB MRCGP DipGUMed, Maddie Morgan, and Avital O’Glasser MD, FACP, FHM
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O’Glasser MD, FACP, FHM
• Reviewer: Carolyn Chan, MD
• Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
• Guest: Bethany Samuelson Bannow, MD

• Intro, disclaimer, guest bio
• Guest one-liner
• Case 1 from Kashlak
• Definitions related to menstrual health
• Quantifying/defining heavy menstrual bleeding
• Overcoming stigma of asking about menstrual history/health
• Clinical evaluation/management of the patient with heavy menstrual bleeding
• Case 2 from Kashlak
• Risk of heavy menstrual bleeding (HMB) in the setting of therapeutic anticoagulation
• Hormonal and nonhormonal therapy options for HMB while anticoagulated
• Contraception options for someone who develops VTE
• Case 3 from Kashlak
• Counseling about VTE risk of different contraception options
• Take Home Points; Outro; Bonus clip

• Producer: Molly Heublein, MD
• Writer: Molly Heublein, MD, Michael Sternberg MD
• Show Notes: Molly Heublein, MD, Beth Garbitelli
• Infographic, Cover Art: Beth Garbitelli
• Hosts: Molly Heublein, MD; Paul Williams MD, FACP   
• Editor: (written materials); Cyrus Askin MD, Clair Morgan of nodderly.com
• Guest: Daniel Ambinder, MD; Rick Ferraro, MD

• Intro, disclaimer, guest bio
• Guest one-liner
• Picks of the Week*
• Case from Kashlak
• Definitions of stable angina, unstable angina
• INOCA
• Assessing risk
• Treatment - life prolonging vs symptom relief
• Diagnosis- stress testing vs anatomical studies
• Angioplasty/stenting- ISCHEMIA trial
• Take home points
• Outro

• Producer: Matthew Watto MD, FACP
• Writer (case): Daniel Minter MD (@dminter89)
• Show Notes: Matthew Watto, MD, FACP
• Cover Art: Sawyer Watto
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Guests: Reza Manesh MD and Rabih Geha MD

• Intro, disclaimer, guest bio
• Weakness and Falls
• Localization on the neuraxis
• NM junction
• Lung Mass
• Cognitive Autopsy
• Outro

• Producer: Isabel Valdez, PA-C
• Show Notes: Isabel Valdez, PA-C
• Infographic: Isabel Valdez, PA-C
• Cover Art: Kate Grant MD
• Hosts: Isabel Valdez, PA-C; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Emi Okamoto MD FACP and Leah Witt, MD  (written materials); Clair Morgan of nodderly.com
• Guest: Carolyn Crandall MD

• Intro, disclaimer, guest bio
• Guest one-liner
• Picks of the Week
• First Case from Kashlak
• Definitions of Osteoporosis and Low Bone Density (formerly Osteopenia)
• Patient Counseling on Treatment Side Effects
• Frequency of Testing
• Dental Clearance 
• CKD and Osteoporosis Treatment 
• Prevention
• Vitamin D and Calcium
• Take-home Points and Outro

• Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
• Infographics by: Elena Gibson, Emi Okamoto, Cyrus Askin, and Matt Watto
• Cover Art: Edison Jyang
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

• Intro, disclaimer
• Chronic Diarrhea, 
• Dementia, 
• OHS,
• MSK: Shoulder, Hip, Knee
• Outro

• Written and Produced by: Paul Williams MD, FACP
• Infographic: Edison Jyang
• Cover Art: Edison Jyang
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP 
• Editor: Molly Heublein, MD; Clair Morgan of nodderly.com
• Guest: Vivian Sanchez, MD

• Intro, disclaimer, guest bio
• Guest one-liner
• Picks of the Week
• Case from Kashlak
• Criteria for bariatric surgery
• Benefits of bariatric surgery
• Presurgical workup
• Postoperative management
• Complications
• Outro

• Written and Produced by: Molly Heublein, MD
• Show Notes by: Molly Heublein, MD
• Cover Art and Infographics: Matthew Watto
• Hosts: Stuart Brigham MD; Molly Heublein, MD Matthew Watto MD, FACP; Paul Williams MD, FACP  
• Editor: Emi Okamoto MD, FACP; Clair Morgan of nodderly.com (audio)

• Intro, disclaimer
• Case from Kashlak- general orthopedic complaints
• Yellow flags
• Case from Kashlak Knee
• 4 buckets of knee pain
• Ligamentous injury
• Meniscus
• Patellofemoral
• Knee exam
• Knee Imaging
• Osteoarthritis treatment
• Case from Kashlak: hip
• Three steps to hip diagnosis
• Case from Kashlak: Shoulder
• Case from kashlak: elbow
• Take-home points

• Written, Produced, and Hosted by: Paul Williams MD, FACP; Chris Chiu MD FACP; Sarah Roberts MPH, Beth “Garbs” Garbitelli
• Show Notes by: Beth Garbitelli
• Cover Art: Beth Garbitelli
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

• Primary care management of anxiety and depression
• Insomnia
• Medical Marijuana
• Venous Thromboembolism
• COVID-19 and Coagulopathy
• Syncope
• Diverticulitis
• Aspirin
• Delirium

• Written, Produced, and Hosted by: Deborah Gorth; Paul Williams MD, FACP; Matthew Watto MD FACP; Avital O’Glasser MD, FACP; Molly Heublein MD
• Show Notes by: Matthew Watto MD
• Cover Art: Beth Garbitelli
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

• Heart Failure
• Oral vs IV antibiotics for osteomyelitis, bacteremia, and endocarditis
• Inpatient Blood Pressure Management
• Perioperative sleep apnea
• Thyroid pearls (pregnancy and weekly dosing)
• Bariatric Surgery pearls
• GI disorders (Cdiff, constipation, diverticulitis)
• Super Gonorrhea; Sunscreen!
• Outro

• Written, Produced, and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
• Infographics by: Beth Garbitelli and Edison Jyang
• Cover Art: Edison Jyang
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

• Intro, disclaimer
• Peripheral Arterial Disease (Dx and Management)
• Abdominal Pain and the Abdominal Exam
• Iron deficiency and Anemia in CKD
• Acute Diarrhea
• Outro

• Written, Produced, and Hosted by: Sarah Phoebe Roberts MPH; Becca Raymond-Kolker, Paul Williams MD, FACP; Chris Chiu MD, FACP, FAAP; Matthew Watto MD FACP 
• Show Notes by: Sarah Phoebe Roberts MPH
• Cover Art and Infographic: Sarah Phoebe Roberts MPH
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

• LGBTQ health
• Gynecological health 
• Reproductive medicine 
• Primary Care 
• Hospital Medicine 
• Perioperative Medicine 
• Caring for the Muslim patient 
• Young adult medicine pearls (including COVID19; and Down Syndrome)
• Reflections on SGIM 2021 and Outro

• Written and Produced by: Cyrus Askin, MD
• Infographic: Cyrus Askin, MD
• Cover Art: Kate Grant MBChb, MRCGP
• Hosts: Cyrus Askin, MD; Matthew Watto MD, FACP; Paul Williams MD, FACP; Stuart Brigham MD
• Reviewer: Leah Witt, MD
• Editor: Matthew Watto, MD (written materials); Clair Morgan of nodderly.com
• Guest: Aneesa Das, MD

• Intro, disclaimer, guest bio
• Guest one-liner
• Picks of the Week
• Case from Kashlak
• Basic risk factors for OHS and red flags
• That pathophysiologic trifecta
• Physical Exam & History - OHS
• Surveys and specific testing
• Labs and other tests (PFTs, Echo, and more)
• OSA, OHS, and Central Sleep Apnea
• Treating OSA: CPAP vs Bilevel
• The importance of weight loss
• Keys for inpatient management
• Perioperative considerations
• Take-home points
• Outro

• Producer, cover art, infographic: Emi Okamoto MD, FACP
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP 
• Editor: Leah Witt MD (written materials); Clair Morgan of nodderly.com
• Guest: Josh Uy MD

• Intro, disclaimer, guest bio
• Guest one-liner and picks of the Week*
• Case from Kashlak
• Definitions of dementia and cognitive impairment
• Subtyping dementia
• Cases to refer and basic laboratory testing
• Potential imaging
• Management of dementia
• Take-home points, Outro

• Producer: Elena Gibson MD
• Writer: Elena Gibson MD, Beth Garbitelli
• Cover Art: Kate Grant, MD 
• Hosts: Elena Gibson MD, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP  
• Editor: Matthew Watto MD (written); Clair Morgan of nodderly.com (audio)
• Guest: Xiao Jing (Iris) Wang MD

• Intro, disclaimer, guest bio 
• Case from Kashlak 
• Osmotic diarrhea & stool osmotic gap
• Causes of osmotic Diarrhea
• Algorithm for evaluating diarrhea workup
• Testing workup for chronic diarrhea
• Endoscopic evaluation indications
• Disorders of the Gut-Brain Axis

• Producer: Elena Gibson MD
• Writer: Elena Gibson MD, Beth Garbitelli
• Cover Art: Kate Grant, MD 
• Hosts: Elena Gibson MD, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP  
• Editor: Matt Watto MD (written); Clair Morgan of nodderly.com (audio)
• Guest: Xiao Jing (Iris) Wang MD

• Intro, disclaimer, guest bio 
• Picks of the Week 
• Case from Kashlak 
• Definitions
• Small bowel vs. Large bowel pathology
• Red flags
• Microbiologic evaluation of acute diarrhea
• Non-Culture based testing panels
• Supportive Management
• Post infectious diarrhea
• Oral Rehydration Solution 
• Take-Home points and Outro

• Written, Produced and Hosted by: Matthew Watto MD, FACP; Paul Williams MD, FACP  
• Infographics by: Beth Garbitelli and Edison Jyang
• Cover Art: Edison Jyang
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

• Intro, disclaimer
• Hypertension pearls
• Sarcoidosis pearls
• Seizures pearls
• Outro

• Written, Produced and hosted by: Rahul Ganatra MD, MPH; Adnan Khan MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Cover Art: Matthew Watto MD, FACP
• Editor: Rahul Ganatra MD (written materials); Clair Morgan of nodderly.com

• Intro, disclaimer
• Pick of the week: Dark (Netflix TV series)
• Preventive Medicine Updates
• Semaglutide for weight loss
• Amox-clav vs FQ-metronidazole for Diverticulitis
• Perioperative COVID19 infection and timing of surgery
• Rahul’s take-home points
• Outro

• Writer, Producer:  Stuart Brigham, MD
• Cover Art:  Kate Grant MBChB, MRCGP
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP 
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Guest: Joel Topf MD, Matt Sparks MD, Pascale Khairallah MD

• Intro, disclaimer, guest bio
• Case from Kashlak
• Approaching CKD in Primary Care
• Iron and anemia labs in CKD
• Ferritin Goals in CKD
• Oral Replacement of Iron in CKD
• IV Replacement of Iron in CKD
• Discussing treatment option for Anemia of CKD
• Basic information on HIF Stabilizers/ PHIs in CKD
• Take-home points and Outro

• Written and produced by: Jake Kieserman and Paul Williams MD, FACP
• Infographic: Edison Jyang
• Cover Art: Kate Grant MBChB DipGUMed
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
• Guest: Vladimir Lakhter, DO

• Intro, disclaimer, guest bio- 00:33
• Guest one-liner- 3:25
• Dr. Lakhter book recommendations- 5:36
• Case from Kashlak- 8:35
• Definition and background for PAD- 10:25
• Classification schema for PAD- 12:45
• The physical examination- 21:05
• ABIs and PVR in the diagnosis of PAD- 33:50
• Exercise program for PAD-  46:08
• Medication therapy-  52:05
• Revascularization- 62:50
• Outro- 68:45

• Producers: Carolyn Chan MD; Nora Taranto MD
• Infographics: Hannah R Abrams; Justin Berk MD, MPH, MBA; Carolyn Chan MD; Nora Taranto MD
• Writer and Cover Art: Carolyn Chan, MD
• Hosts: Carolyn Chan MD; Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Justin Berk MD (written materials); Clair Morgan of nodderly.com

• Intro, disclaimer 00:00
• Alcohol Use disorder (inpatient and outpatient management) 03:50 
• Sponsor -Panacea Finanicial 24:00
• Partner -The Cribsiders Pediatric Medicine Podcast
• Chronic Pain and  Opioid Therapy (prescribing buprenorphine; microdosing) 25:30
• Benzo Tapers 46:11
• Outro

• Written, Produced and Hosted by: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP  
• Infographics by: Elena Gibson MD, Beth Garbitelli and Carolyn Chan MD
• Cover Art: Matthew Watto MD
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

• Producer: Paul Williams MD, Beth Garbitelli         
• Writer and Infographics: Beth Garbitelli
• Cover Art: Kate Grant  MBChB DipGUMed 
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Cyrus Askin MD (written materials); Clair Morgan of nodderly.com
• Guest: Sara Dawit MD

• Producer: Cyrus Askin MD and Deborah Gorth
• Writer: Deborah Gorth
• Infographic and Cover art: Edison Jyang
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Cyrus Askin MD (written materials); Clair Morgan of nodderly.com
• Guest: Drs. Mary Beth Scholand & Jonathan Boltax

• 00:00 Intro, disclaimer, guest bio, Awful(ly good?) Pun
• 03:42 Guest one-liners
• 06:28 Sponsor - ACP’s MKSAP19
• 07:40 Case from Kashlak
• 08:40 Explaining sarcoidosis
• 12:19 Possible drivers of sarcoidosis
• 13:30 Taking a sarcoidosis history
• 17:26 Suggestions for catching sarcoidosis
• 21:44 Sponsor - birchliving.com/curb
• 23:52 Sarcoidosis physical exam, Diagnosis
• 33:00 Lofgren’s and Heerfordt’s syndromes; Imaging for sarcoidosis
• 40:44 Initiating therapy for sarcoidosis; Prognosis; the Treatment team
• 51:23 Primary care considerations for sarcoidosis 
• 54:55 Diagnosing and treating a sarcoidosis exacerbation
• 61:20 Take home points and outro

• Written and Produced by: Matthew Watto MD, FACP
• Cover Art: Matthew Watto MD, FACP
• Hosts: Rahul Ganatra MD, MPH; Michael Sternberg MD; Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

• Intro, disclaimer
• 01:45 Fun animal fact; Picks of the Week*
• 06:33 PT vs steroid injection for chronic knee OA
• 21:00 Colchicine for stable CAD
• 33:00 Low dose colchicine vs naproxen for acute gout flares

• Produced by: Deborah Gorth and Isabel Valdez, PA
• Written by: Deborah Gorth 
• Infographic and Cover Art: Edison Jyang
• Hosts: Stuart Brigham, MD; Matthew Watto, MD, FACP; Paul Williams, MD, FACP   
• Editor: Molly Heublein, MD (written materials); Clair Morgan of nodderly.com
• Guest: Wanpen Vongpatanasin, MD

• Written and Produced by: Molly Heublein, MD
• Cover Art: Chris Chiu, MD, FACP, FAAP
• Infographic: Tima Karginov
• Hosts: Chris Chiu, MD, FACP, FAAP; Molly Heublein, MD; Paul Williams, MD, FACP
• Editor: Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio)
• Guest: Monica Gandhi, MD, MPH

• Intro, disclaimer, guest bio - 00:00
•  Guest one-liner, book recommendation - 3:40
• Authorized vaccines in the US - 8:30
• AstraZeneca vaccine mechanism- 9:26
• mRNA vaccine mechanism - 10:30
• Vaccine distribution issues (cold chain) - 16:05
• mRNA safety - 18:24
• mRNA vaccine efficacy/data from phase 3 trials - 19:40
• How did we get this so quickly - 23:40
• Vaccine impact on asymptomatic infection - 26:18
• AstraZeneca trials - 28:20
• Pregnancy - 35:10
• Anaphylaxis - 37:10
• Prior COVID-19 infection - 39:07
• Side effects - 42:05
• Pediatric patients - 45:12
• Phases of role outs in the US -46:50
• Herd immunity - 48:16
• Thoughts of how to make this happen - 52:45
• Preexisting conditions - 53:40
• How long will immunity last - 57:15
• Mutant strains - 58:25
• Future of mRNA vaccines - 1:00:30
• Take home points and Outro - 1:02:12

• Written and produced by: Carolyn Chan, MD
• Infographic: Edison Jyang
• Cover Art: Kate Grant
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Cyrus Askin, MD (written materials); Clair Morgan of nodderly.com
• Guest: Steve Baldassarri MD MHS

• 03:02 Intro, disclaimer, guest bio
• 04:35 Guest one-liner 
• 09:50 Tobacco Use Disorder - Chronic Disease
• 11:08 Case from Kashlak
• 11:56 Obtaining a history
• 13:39 Motivations for Smoking Cessation
• 15:29 Factors associated with challenges in smoking cessation:
• 21:40 Gradual Tapers vs Cold Turkey
• 25:18 Nicotine Replacement 32:40
• 28:57 Pharmacotherapy - “Controller” Medications
• 31:05 Pharmacotherapy - Short Acting Medications
• 33:20 Dosing Medications
• 38:35 Varenicline
• 39:00 Nicotine gum dosing 
• 44:40 Duration of therapy
• 48:08 Bupropion 
• 49:05 Behavioral Interventions
• 55:24 Vaping and electronic cigarettes 
• 57:03 Vaping for smoking cessation
• 01:02:35 EVALI
• 01:05:49 Outro

What the USPSTF?! It’s time for some preventive medicine updates on: screening for unhealthy drug use, cervical cancer, hepatitis C and draft recs for colorectal cancer; plus how to interpret USPSTF screening recs. Dr. Amber-Nicole Bird @ABirdMD (Penn Medicine) refreshes our love for preventive medicine, with updates on the newest recommendations. She reviews how to appropriately interpret and adopt guidelines for our patients, being cognizant of the source. We shine light on the mechanism of USPSTF, including how their guidelines differ from others, so we can understand the value and context when utilizing the guidance in the clinic.

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Produced and Written by: David Madick MD; Peter Wikoff MD; Paul Williams MD, FACP
• Infographic: Beth Garbitelli
• Cover Art: Chris Chiu MD
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Emi Okamoto, MD (Show notes); Clair Morgan of nodderly.com
• Guest: Amber-Nicole Bird, MD
  

Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years. “Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org and use the code IM21CURB. Register now—Early Bird savings end January 31st!

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org.

• Producer, writer, infographic, cover art: Elena Gibson MD
• Hosts: Elena Gibson MD, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Emi Okamoto MD (written); Clair Morgan of nodderly.com (audio)
• Guest: Joel Topf MD

Recap the top pearls from recent shows on vulvovaginitis, cellulitis and bites, MGUS and the SPEP. Tales from the Curbside (TFTC) is pilot project providing a rapid review of recent Curbsiders episodes. Note: There is no CME for this mini-episode but visit curbsiders.vcuhealth.org to claim credit for #244, #246 and #247.

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Written, Produced and Hosted by: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
• Infographics by: Kate Grant MBChb, MRCGP, Beth Garbitelli and Nora Taranto MD
• Cover Art: Matthew Watto
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Sponsor: The American College of Physicians

Join us for ACP Internal Medicine Meeting 2021: Virtual Experience for 3 days of interactive, livestreaming education and events April 29 through May 1—plus on-demand post-meeting access to CME credit for up to 3 years.

“Early Bird” members get an additional $80 registration discount on top of their member discount. Visit annualmeeting.acponline.org and use the code IM21CURB.

Register now—Early Bird savings end January 31st!

*Note: Time Stamps refer to ad free versions.

• 00:00 Intro, disclaimer, guest bio
• 02:35 Vulvovaginitis
• 05:35 Cellulitis and Bites
• 09:45 SPEP it Up
• 15:15 Outro

Our team shares the top pearls of 2020 in our annual recap extravaganza featuring guest host, Chris “The Chiu Man” Chiu @cjchiu. Check out the video version at YouTube. Topics: hypothyroidism, women in medicine, hypothermia, diuretics, heart failure, AKI, lipids, post-op fever, refugee health, SGLT2 inhibitors, euglycemic DKA, UTIs, bat bites, rabies, ILD, statins in NAFLD, framework for hair loss, and more! Plus: Our picks of the year and the Curbsiders gift guide! Note: This episode is not available for CME but #208 through #247 are available for CME/MOC at curbsiders.vcuhealth.org for free!

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Producer: Chris Chiu MD, FACP, FAAP
• Written by: The Curbsiders Team
• Show Notes: Matthew Watto MD, FACP
• Cover Art: Chris Chiu MD, FACP, FAAP
• Hosts: Chris Chiu MD, FACP, FAAP, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  

Sponsor: Panacea Financial

This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.com

Panacea Financial, a Division of Sonabank, Member FDIC

On this episode, Dr. Jorge Castillo (Harvard, Dana Farber) walks us through some immunology basics, teaches us the limitations of the SPEP, plus some additional tests that complement it (think Immunofixation), shares his clinical gestalt about when to suspect  MGUS, Myeloma, Waldenstrom’s, and Amyloidosis--and finally, how to talk to patients about them. If you, like Stuart, have ever wondered what on earth to do with that pesky free light chain ratio or the SPEP that so often gets inboxed to you without explanation, then fear not, Dr Castillo has your back!

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Written and Produced by Nora Taranto MD
• Infographics by Nora Taranto MD
• Cover Art by Kate Grant MBChB, MRCGP
• Hosts: Matthew Watto MD, FACP; Stuart Brigham MD, FACP, Nora Taranto MD
• Editor: Matthew Watto MD, FACP ; Clair Morgan of nodderly.com
• Reviewer: Jooho Chung MD, PhD
• Guest: Jorge Castillo MD

This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.com

Panacea Financial, a Division of Sonabank, Member FDIC

Sponsor: VCU Health CE

We are excited to announce that the Curbsiders are now partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Check out curbsiders.vcuhealth.org and create your account!

Master common skin and soft tissues infections: cellulitis, abscesses, human and animal bites with returning guest, infectious diseases expert, Dr Boghuma Titanji MD, PhD @boghuma (Emory; TED).

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Written (including CME) and Produced by: Matthew Watto MD, FACP
• Cover Art and Infographic by: Beth Garbitelli
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Matthew Watto (written materials); Clair Morgan of nodderly.com
• Guest: Boghuma Titanji MD, M.Sc., DTM&H, PhD
  

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org.

*Note: Time Stamps refer to ad free version.

• 00:00 Intro, disclaimer, guest bio
• 02:00 Picks of the Week
• 06:00 Definitions, Initial Approach to cellulitis
• 10:35 Nonpurulent cellulitis; antibiotic choice
18:10 Fish handler’s disease
• 24:30 Recurrent cellulitis
• 31:30 Purulent cellulitis and MRSA; Antibiotic choice; Step down therapy
• 47:33 Abscesses; Adjuvant antibiotics; Packing Wounds
• 53:30 Decolonization for recurrent MRSA infections
• 56:30 Human Bites (clenched fist injury); Dog bites and Cat bites
• 67:10 Take home points and Outro

Diagnosis, Management, and Social Implications of Attention Deficit Hyperactivity Disorder. 

Ever gotten overwhelmed by all the categories of ADHD, or interpreting the scores on a Vanderbilt form? Join us with Dr. Sarah Vinson, a triple-boarded clinician in adult  psychiatry, child psychiatry, and pediatrics who helps us optimize a diagnosis and management process for ADHD. What other conditions can masquerade as ADHD? Which type of stimulant should you use? Listen to find out more! Show notes at: https://thecurbsiders.com/cribsiders/13 Subscribe at: Apple , Google, Spotify

• Writer, Producer, Infographic: Angela Zhang
• Cover Art: Chris Chiu
• Hosts: Justin Berk, Chris Chiu
• Editor:Justin Berk; Clair Morgan of nodderly.com
• Guest(s): Dr. Sarah Y. Vinson

• 5:30 Diagnosis of ADHD
• 6:53 Considering a differential diagnosis of ADHD
• 8:43 Categories of ADHD
• 15:02 Ancillary Supports
• 18:27 Consequences of Misdiagnosis
• 19:53 Parent Counseling
• 22:08 Behavioral Interventions Treatment
• 25:56 Gender Differences in ADHD
• 28:00 Anaphylaxis Promo
• 28:39 Alternative Treatments
• 30:54 Pharmacotherapy for ADHD
• 37:29 Side Effects of Medical Treatments
• 44:33 Monitoring Progress
• 46:19 Treating concurrent mood disorders
• 49:21 ADHD in Young Adults
• 55:29 ADHD and Race
• 1:08:13 Future of ADHD

Learn about the latest in COVID-19: Do masks prevent infection?, SARS-CoV-2 home testing, vaccine advice, and how to prevent and treat VTE in COVID-19. Join us as our tzar-of-clinical-appraisal Curbsider/internist/epidemiologist Rahul Ganatra MD MPH (@rbganatra) talks us through the controversial DANMASK-19 trial, plus Watto reports back on his conversation with Dr Parth Rali @parthrali (Temple Lung Center) who helped write the CHEST anticoagulation guidelines for COVID-19.

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Producer: Deb Gorth ScM
• Show Notes, Cover Art, and CME by: Deb Gorth ScM and Matthew Watto MD
• Written by: Matthew Watto MD, Paul Williams MD, and Rahul Ganatra MD MPH
• Hosts: Rahul Ganatra MD MPH, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
  

Join with other clinicians in working to raise influenza and other adult vaccination rates. Visit acponline.org/ai to access free tools and learn new strategies to support your efforts.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

• 00:00 Intro, disclaimer, Picks of the week* and Vaccines
• 08:00 DANMASK-19
• 25:00 Anticoagulation in COVID-19
• 35:06 COVID-19 home PCR testing
• Outro
  

Everything you need to know about vulvovaginitis: candidiasis, bacterial vaginosis, and Genitourinary Syndrome of Menopause. Join us on the journey of a lifetime as we learn all about diagnosing, treating and managing vulvovaginal conditions in patients of all ages. Plus, a bit on how to recognize and treat lichen sclerosus. Our brilliant guest for this episode is Dr. Monica Christmas (@drmonicaxmas on Twitter), who is a self-described yoga enthusiast, avid reader, wannabe artist and gynecologist. Dr. Christmas is currently an Assistant Professor at the University of Chicago in the section of Minimally Invasive Gynecologic Surgery where she is the director of the Menopause Program. Monica specializes in gynecologic surgery, abnormal uterine bleeding and menopause management with an interest in sexual dysfunction. Her focus is on helping women live healthy, vibrant, happy lives.

Episodes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Produced by: Kate Grant MD; Sarah Phoebe Roberts MPH
• Written by: Kate Grant MD
• Show Notes by: Sarah Phoebe Roberts MPH, Kate Grant MD
• Cover Art and Infographic: Kate Grant MD
• Hosts: Kate Grant MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Guest: Dr. Monica Christmas, MD

Sponsor: ACP’s I Raise the Rates
Join with other clinicians in working to raise influenza and other adult vaccination rates. Visit acponline.org/ai to access free tools and learn new strategies to support your efforts.

Sponsor: VCU Health CE

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit.

Listen in as we recap four of our favorite diabetes episodes to bring you the pearls you need to stay up to date on type 2 diabetes management in the clinic.  We cover pitfalls of A1c testing, guidelines for A1C targets, when and how to use the newer medications SGLT-2 inhibitors and GLP-1 agonists.  We wrap up with a discussion of managing DM2 in patients with kidney disease and in which patients to consider de-intensifying treatment.  Feel confident managing diabetes with the latest data in 2020!

Listeners can claim 4 HOURS of Free CE credit for this episode through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date).

Show Notes | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | CME!

Credits

• Written and Produced by: Molly Heublein, MD
  
• Infographic and Cover Art: Isabel Valdez, PA
  
• Show Notes: Isabel Valdez, PA; Molly Heublein, MD
  
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP, Molly Heublein, MD
  
• Editors: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com

Join with other clinicians in working to raise influenza and other adult vaccination rates. Visit acponline.org/ai to access free tools and learn new strategies to support your efforts.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

Time Stamps

0:00 Intro,

2:45 Pitfalls of A1c testing,

7:00 Diabetes goals/A1c guidelines; Macrovascular vs Microvascular benefits,

16:20 Choosing between SGLT2 inhibitors vs GLP1 agonists,

19:10 Stuart rants on insulin for symptomatic hyperglycemia,

22:32 Start your patient on an SGLT2i and counsel them about potential adverse events,

30:30 GLP-1 agonists,

36:50 Deintensification; Diabetes Treatment in CKD,

Diabetes, hypoglycemia, SGLT2 inhibitors, GLP-1 agonist, metformin, CKD, primary care, assistant, doctor, education, family, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, physician, resident, student

Explore the essentials of Wilderness Medicine and prepare yourself for austere environments as we discuss Altitude Sickness, Frostbite, Animal Bites, Thermoregulation, Wound Care and the proper way to apply a tourniquet.

Thinking about outdoor escapes and vacations now more than ever? Listen as our esteemed guest Dr. Thomas DeLoughery @Bloodman (Oregon Health & Science University) takes us through the fascinating, and at times chilling, world of Wilderness Medicine. This episode will empower you to explore the great outdoors as safely as possible.  We discuss the breadth of wilderness medicine, multiple unique clinical entities encountered in austere environments, and practical ways to protect yourself and others on your adventures.  This episode is truly wild!

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). 

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Written, Produced, and Infographic by: Avital O’Glasser MD, FACP, FHM
• Show Notes: Deborah Gorth ScM and Avital O’Glasser MD, FACP, FHM
• Cover Art: Kate Grant, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O’Glasser MD, FACP, FHM
• Editor: Matthew Watto MD, FACP (written materials); Clair Morgan of nodderly.com
• Guest: Thomas DeLoughery MD, MACP, FAWM

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

• Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
• Sponsor - VCU Health CE curbsiders.vcuhealth.org   
• 00:00 Intro, disclaimer, guest bio
• 03:45 Guest one-liner, advice and Picks of the Week*
• 08:10 Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
• 09:00 Case of mountaineering; What is Wilderness Medicine?

• 12:05 What’s in your first aid kit?

• 21:36 Altitude sickness: acute mountain sickness, high altitude cerebral edema and High altitude pulmonary edema

• 31:25 Hypothermia  
• 39:36 Frostbite 

• 47:25 Hyperthermia: Heat exhaustion and Heat stroke; How much water should you drink?

• 51:55 Bat bites and rabies

• 58:20 Snake bites

• 66:03 Wound care and tourniquets

• 75:40 Take Home Points; Outro; Bonus clip
• Sponsor - VCU Health CE curbsiders.vcuhealth.org   

1. De Gaulle by Julian Jackson 
2. Command and Control by Eric Schlosser
3. Auerbach's Wilderness Medicine, 2-Volume Set 
4. Whatever book Paul said he was reading, sounds nerdy (The First Law Trilogy) 
5. Wilderness Medicine Society
6. Stop The Bleed: Home 
7. Into Thin Air: A Personal Account of the Mt. Everest Disaster by Jon Krakauer
8. National Outdoor Leadership School
9. Advanced Wilderness Life Support 
10. Inside the ER at Mt. Everest 
11. Annapurna by Maurice Herzog 
12. K2, The Savage Mountain: The Classic True Story Of Disaster And Survival On The World's Second-Highest Mountain– by Charles Houston and Robert Bates 

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will learn the basics of wilderness medicine and how to approach a few common conditions. 

After listening to this episode listeners will…  

1. Appreciate Wilderness Medicine as a medicine subspeciality and understand why or how someone might pursue this clinical focus area
2. Recognize signs and symptoms of high altitude sickness
3. Develop an approach to treating animal bites and injuries
4. Learn high yield tips for administering first aid in the wilderness including field hemostasis

Dr DeLoughery reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

O’Glasser AY, Gorth D, Deloughery T, Williams PN, Watto MF. “#242 Wilderness Medicine: Prfor Disaster”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date November 16, 2020.

Wilderness Medicine, Travel medicine, first aid, first aid kit, altitude sickness, acute mountain sickness, high altitude cerebral edema, high altitude pulmonary edema, acetazolamide, dexamethasone, hypothermia, frostbite, frostnip, heat exposure, heat exhaustion, heat syncope, hyperthermia, hyponatremia, animal bites, bats, rabies, snakes, antivenom, wound care, tourniquet, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Rejoice! as our phenomenal guest Dr. Brad Hayward @bradleyjhayward (Weill Cornell Medicine) demystifies chronic cough for the primary care provider. Dr. Hayward, an internist, pulmonologist, intensivist AND palliative care physician sits down with us to discuss common causes for chronic cough, work up pearls and options for treatment. Follow him on Twitter, @BradleyJHayward. Listeners can claim free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). We hope you enjoy learning from this episode as much as we enjoyed producing it!

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Written (including CME questions) and Produced by: Cyrus Askin MD
• Infographic by: Cyrus Askin MD
• Cover Art: Kate Grant MBChb, MRCGP
• Hosts: Matthew Watto MD, FACP; Stuart Brigham MD; Paul Williams MD, FACP   
• Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
• Guest: Brad Hayward MD

This episode is supported by Panacea Financial, digital banking built for doctors, by doctors. At Panacea Financial you can have your own free personal banker and a support team that works around the clock- just like you do. Open your free checking account today at panaceafinancial.com

Panacea Financial, a Division of Sonabank, Member FDIC

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

• Sponsor - Panacea Financial panaceafinancial.comSponsor - VCU Health CE curbsiders.vcuhealth.org
• 00:00 Intro, disclaimer, guest bio; Guest one-liner and Pick of the Week*
• 06:23 Sponsor - Panacea Financial panaceafinancial.com
• 07:30 Case of Post Infectious Cough; Basic definitions for cough
• Important aspects of the history
• Empiric therapies for post-viral cough
• 22:50 Case of idiopathic chronic cough; Physical exam
• 29:20 Basic testing and empiric therapy for the common causes of chronic cough
• 41:51 When to refer to pulmonology; Therapy for idiopathic chronic cough; OTC cough meds
• 54:28 Take home message; Outro
• Sponsor - VCU Health CE curbsiders.vcuhealth.org

• 90 Day Fiancé (show)  
• Below Deck Mediterranean (show)
• Mastering Communication with Seriously Ill Patients by  Anthony Back, Robert Arnold & James Tulsky (book) 

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will develop a pragmatic approach to evaluating subacute and chronic cough in adult patients.

After listening to this episode listeners will be able to…  

1. ... define sub-acute vs chronic cough
2. ... build a repertoire of history questions geared towards identifying the etiology of cough in a patient
3. ... build a toolbox of diagnostic studies / tests that can be used in the evaluation of cough
4. ... marry history, physical and diagnostic studies into a coherent approach to diagnosing subacute and chronic cough through a tiered/logical approach
5. ... understand empiric therapies for cough that may have an advantageous risk-reward profile, even in the absence of diagnosis 
6. ... educate patients on common causes for subacute cough and chronic cough, as well as how to appropriately set expectations regarding symptoms severity and duration

Dr. Hayward reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

Askin CA, Hayward B, Williams PN, Brigham SK, Okamoto E, Watto MF. “241: Chronic Cough”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original Air Date: November 9, 2020.

Cough, dyspnea, asthma, COPD, eosinophil, IL-5, allergy, ENT, allergist, pulmonary, pulmonologist, PFT, spirometry,  post-nasal drip, GERD, reflux, eczema, rash, atopy, mucus, bronchiectasis, lung, antihistamine, CT, X-Ray,  smoking, vaping, birds, dust, cockroaches, steroids, ICS, inhaled, gabapentin,  primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Returning guest expert Dr Ted Parks helps us get the elbow straight with a simple approach to common causes of elbow pain for primary care.  Listen as he guides Stuart through physical exam techniques (or watch them on YouTube) for epicondylitis and learn what the bursa is there for anyways. Find out what fracture you can treat in your office, why you shouldn’t stab straight into the olecranon bursa and when elbow pain should be referred.  Feel confident when your patient comes in with elbow pain!

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). 

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com

• Written and Produced by: Molly Heublein, MD
• Cover Art and Infographic: Edison Jyang
• Hosts: Stuart Brigham MD, Matthew Watto MD, FACP; Molly Heublein, MD
• Editor: Emi Okamoto, MD (written materials); Clair Morgan of Nodderly.com (audio/video)
• Guest: Ted Parks, MD

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

• Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
• Sponsor - VCU Health CE curbsiders.vcuhealth.org   
• 00:00 Intro, disclaimer, guest bio
• 04:00 Picks of the Week*
• Sponsor - Provider Solutions and Development https://curbsiders.vcuhealth.org/
• 09:50 Medial and lateral epicondylitis case, Elbow anatomy
• 13:00 Pathophysiology of epicondylitis, Epicondylitis exam, Epicondylitis treatment
• 34:11 Olecranon bursitis, Bursitis diagnosis and aspiration
• 46:12 Radial head fracture diagnosis, Radial head fracture treatment
• 55:30 Cubital tunnel nerve entrapment
• 57:45 Platelet rich plasma
• 60:39 Take home points, Plug and Outro
• 64:00 Bonus Pick of the Week
• Sponsor - VCU Health CE curbsiders.vcuhealth.org   

Listeners will have a working differential of elbow complaints that commonly present in primary care, and understand how to diagnose these and initiate treatment.

After listening to this episode listeners will...

1. Perform an exam for medial and lateral epicondylitis.
2. Describe treatment options for medial and lateral epicondylitis
3. Identify when further evaluation for clinical olecranon bursitis beyond clinical exam is needed
4. Explain how radial head fractures differ from most other fractures, and why casting or surgery is generally not needed.

1. Molly’s Pick: The Warmth of Other Suns (book) by Isabel Wilkerson 
2. Stuart’s Pick: The Fringe (TV show), JJ Abrams
3. Practical Office Orthopedics (textbook) by Ted Parks, MD

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

1. Johnson GW, Cadwallader K, Scheffel SB, Epperly TD. Treatment of lateral epicondylitis. Am Fam Physician. 2007 Sep 15;76(6):843-8. PMID: 17910298.
2. Simental-Mendía M, et al. Clinical efficacy of platelet-rich plasma in the treatment of lateral epicondylitis: a systematic review and meta-analysis of randomized placebo-controlled clinical trials. Clin Rheumatol. 2020 Aug;39(8):2255-2265. doi: 10.1007/s10067-020-05000-y. Epub 2020 Feb 26. PMID: 32103373.
3. Parks, Ted.  Practical Office Orthopedics.   McGraw-Hill Education / Medical; 1st Edition (December 29, 2017).  
4. Khodaee M. Common Superficial Bursitis. Am Fam Physician. 2017 Feb 15;95(4):224-231. PMID: 28290630.
5. Liow RY, Cregan A, Nanda R, Montgomery RJ. Early mobilisation for minimally displaced radial head fractures is desirable. A prospective randomised study of two protocols. Injury. 2002 Nov;33(9):801-6. doi: 10.1016/s0020-1383(02)00164-x. PMID: 12379391.
6. Boone S, Gelberman RH, Calfee RP. The Management of Cubital Tunnel Syndrome. J Hand Surg Am. 2015 Sep;40(9):1897-904; quiz 1904. doi: 10.1016/j.jhsa.2015.03.011. Epub 2015 Aug 1. PMID: 26243318.

Elbow, orthopedics, olecranon bursitis, bursa, aspiration, septic joint, medial epicondylitis, lateral epicondylitis, radial head fracture, PRP, platelet rich plasma, humerus, olecranon, radius, tendonitis, primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Dr Parks reports is the author of Practical Office Orthopedics (McGraw-Hill 2017) . The Curbsiders report no relevant financial disclosures. 

Heublein M, Parks T, Jyang E, Brigham SK, Okamoto E, Watto MF. “#240 Elbow Pain: Straighten it out. A dabble into elbow care  with Dr Ted Parks”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list November 02, 2020.

A runny nose won’t have you running in circles this cold season with our fantastic overview of rhinosinusitis in all its forms! We discuss etiology and presentation of viral versus bacterial rhinosinusitis, practical counseling tips for guiding patients on nasal irrigation, and working up chronic rhinosinusitis! Our guest is the fabulous Dr. Dink Jardine, a general otolaryngologist, Commander in the US Navy, and Director for Professional Education (DPE) and Designated Institutional Official (DIO) at Naval Medical Center Camp Lejeune (NMCCL). 

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). 

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Written and Produced by: Paul Williams MD, FACP, Beth Garbitelli
• Cover Art: Kate Grant MBChb, MRCGP 
• Infographic by:  Beth Garbitelli
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Editor: Molly Heublein MD (written materials); Clair Morgan of nodderly.com (audio)
• Guest: Dink Jardine, MD

Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

• Sponsor – National Internal Medicine Day, The American College of Physicians
• Sponsor - VCU Health Continuing Education
• 00:30 Intro, disclaimer, guest bio
• 03:00 Guest one-liner, Favorite failure, Pick of the Week*:  Still Life by Louise Penny
• Sponsor – National Internal Medicine Day, The American College of Physicians
• 09:30 Case 1 - Acute Viral Rhinosinusitis 
• 10:40 Rhinosinusitis vs. Sinusitis 
• 14:20 Physical exam in rhinosinusitis
• 20:40 Counseling patients about viral vs. bacterial infection
• 22:56  Sinus regimen/nasal irrigation - “Is there a sinus toilet”
• 27:10 Intranasal fluticasone and other intranasal medications 
• 29:40 Rhinitis medicamentosa
• 30:40 Nasal spray positioning
• 33:50 Case 1 - Double Sickening
• 37:40 Worst case scenarios from rhinosinusitis
• 40:40 Antibiotic treatment for bacterial rhinosinusitis
• 43:20 Failed improvement on antibiotics? Second-line options
• 49:30 Case 2 - Chronic rhinosinusitis 
• 52:28 Etiology of chronic rhinosinusitis
• 53:33 Making a diagnosis of chronic rhinosinusitis
• 55:25 Treating chronic rhinosinusitis 
• 58:40 Vasomotor rhinitis 
• 60:40 Sinus irrigation counseling and tips (YouTube)
• 65:30 Case 3 - Allergic Rhinitis 
• 70:13 Oral medications for allergic rhinitis; Chronic allergic/non-allergic rhinitis 
• 73:51 Take-home points

1. Still Life: A Chief Inspector Gamache Novel by Louise Penny,  Chief Inspector Gamache series
2. “Dr. Adappa and Dr. Palmer teach you How to do Nasal Irrigation” https://www.youtube.com/watch?v=Br928VfiC1M

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will develop an approach to the diagnosis and management of rhinosinusitis.

After listening to this episode listeners will...

1. Classify rhinosinusitis, including acute, chronic, bacterial, and viral.
2. Discuss the microbiology and pathophysiology underpinning rhinitis and sinusitis.
3. Differentiate the presentation and management of acute bacterial and acute viral rhinosinusitis.
4. Develop an approach to the diagnosis and management of allergic rhinosinusitis.
5. Recognize and manage patients with non-allergic rhinitis.
6. Discuss the role of antibiotic therapy and surgery in the management of rhinosinusitis.

Dr. Jardine reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

Williams PN, Garbitelli B, Jardine D, Heublein M, Watto MF.. “#239 Sinusitis: It’s not that tricky.” The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date October 26, 2020.

sinus, sinusitis, rhinitis, acute bacterial, rhinosinusitis, bacterial, viral, virus, nose, chronic sinusitis, ENT, primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

DVT / PE Triple Distilled! Our favorite VTE pearls summarized in this fast paced recap gleaned from our discussions with Dr Oren Friedman #92 Pulmonary Embolism for the Internist and hematologist, heavy metal enthusiast, Dr Michael Streiff #154 DVT and PE Master Class. Introducing our new Triple Distilled sub-series offering shorter episodes that reinforce and refresh key concepts from past shows along with any pertinent updates. 

Listeners can claim 2 hours of Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). 

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Written and Produced by: Matthew Watto MD, FACP
• Cover Art by: Matthew Watto MD, FACP
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit.

• 00:00 Intro, disclaimer
• 01:40 Making the diagnosis of VTE
• 09:07 Triage and risk stratify Pulmonary Embolism
• 14:00 Anticoagulant choice; Duration of therapy after unprovoked DVT / PE
• 21:00 Workup for unprovoked DVT / PE; DOACs in special populations: at extremes of weight,  advanced CKD and in antiphospholipid syndrome
• 28:22 IVC filters 
• 30:20 Outro

Check out the full show notes from previous Curbsiders’ shows covering VTE. 

1. Dr Oren Friedman #92 Pulmonary Embolism for the Internist 
2. Dr Michael Streiff #154 DVT and PE Master Class

Listeners will feel confident in the diagnosis and management of VTE

After listening to this episode listeners will...

• Diagnose (VTE) DVT and PE using imaging, risk scores and clinical gestalt

• Risk stratify patients with pulmonary embolism

• Choose the appropriate initial anticoagulant for VTE

• Decide duration of anticoagulation for VTE

• Recall real risks and questionable benefits of IVC filters in DVT / PE

• Determine need for cancer or thrombophilia workup in unprovoked DVT / PE

The Curbsiders report no relevant financial disclosures. 

Watto MF, Williams PN, Brigham SK, Watto MF. “#238 DVT / PE Triple Distilled”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date October 22, 2020.

Pulmonary embolism, vte, dvt, pe, heparin, anticoagulation, right ventricle, RV, left ventricle, LV, circulation, hypotension, shock, IVC filter, TPA, echocardiogram, CT scan, bleed, clot, deep, vein, thrombosis, DOAC, NOAC, anticoagulation, d-dimer, Wells, primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Fun, fluorescein, and fundoscopy unite as our esteemed guest, Dr. Nisha Chadha @iEducatorMD (Mount Sinai School of Medicine) brings us ophthalmology for primary care! Dr. Chadha is a medical educator and the content creator of the med-ed simulation website 20/20 Sim. She teaches us the 3-vital signs of ophthalmology, how to recognize common diabetic eye diseases, how to explain diabetic retinopathy to our patients, how to optimize a patient for cataract surgery and so much more. This episode is truly vision-ary!

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). 

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Written, Produced, and Infographic by: Carolyn Chan, MD
• Cover Art: Kate Grant
• Hosts: Matthew Watto MD, FACP; Carolyn Chan, MD
• Editor: Emi Okamoto MD (written materials); Clair Morgan of nodderly.com
• Guest: Dr. Nisha Chadha

Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit.

• Sponsor – National Internal Medicine Day, The American College of Physicians
• Sponsor – VCU Health Continuing Education
• 00:30 Intro, disclaimer, guest bio  
• 03:21 Guest one-liner, Carolyn’s Pick of the Week 
• 09:05  Picks of the Week*
• 10:13 Case from Kashlak, 3 - Vital Signs of Ophthalmology 
• 17:09  Ocular complications of diabetes
• 20:22 Screening for diabetic retinopathy; Reports and Abbreviations
• 26:07 Counseling Patients: The eye is a camera; Clinical symptoms of ocular complications 
• 32:07 Fluorescein Stain; Treatment Options for Diabetic Eye Disease: NPDR, PDR, VH, and RD 
• 41:16 Eye Vitamins for Macular Edema
• 43:35 Cataracts 
• 47:22 Missing Glaucoma Drops 
• 50:50 Periop Optimization for Cataract Surgery, Anticoagulation and Other Medical Management 
• 58:14 Take Home Points, Plug: 20/20 Sim; Outro
• Sponsor – VCU Health Continuing Education

1. Mindset: The New Psychology of Success by Carol S.  Dwek 
2. Crackdown Podcast
3. 20/20 Sim Site

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

After listening to this episode listeners will…  

1. Define and assess the three vital signs of ophthalmology. 
2. List ocular complications of diabetes.
3. Counsel a patient on a new diagnosis of  diabetic retinopathy.
4. Describe treatments for diabetic retinopathy.
5. Define proliferative retinopathy, non-proliferative retinopathy, and macular edema.
6. Compose a perioperative medication management plan for cataract surgery

Dr. Chadha reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

Chan C., Chadha N., Okamoto E., Watto MF. “#237 Ophthalmology for Primary Care”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date October 19, 2020.

Eye, ophthalmology, ophtho, optometry, glaucoma, diabetes, diabetic retinopathy, macular edema, cataracts, cataract surgery, perioperative management, physical exam,  primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Learn which exam maneuvers are worthwhile and which ones are worthless in your approach to shortness of breath. In our evidence based series on the physical exam, we discuss the approach to the dyspneic patient with Dr. Brian Garibaldi (Hopkins, SBM), associate professor of pulmonary and critical care medicine at Johns Hopkins, and co-president of the Society of Bedside Medicine. We discuss the physical exam’s effect on our differential diagnosis, maneuvers that are commonly taught, and some simple tests with great data that may go overlooked. Be prepared, this episode may take your breath away!

• Written and Produced by: Justin Berk, MD, MPH, MBA and Sam Masur, MD 
• Infographic: Sam Masur, MD, Beth Garbitelli
• Cover Art: Beth Garbitelli
• Hosts: Stuart Brigham, MD; Matthew Watto, MD, FACP; and Paul Williams, MD, FACP
• Editor:Justin Berk MD; Clair Morgan of nodderly.com
• Guest(s): Brian Garibaldi, MD

Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit.

• Sponsor – National Internal Medicine Day, The American College of Physicians
• Sponsor – VCU Health Continuing Education
• 00:00 Intro, disclaimer, guest bio
• Sponsor – National Internal Medicine Day, The American College of Physicians
• 03:47 Introduction to evidence-based exam, pre-test probability, and likelihood ratios
• 05:29 Case from Kashlak Memorial 
• 06:51 Dr. Garibaldi’s initial maneuvers for the dyspneic patient
• 11:33 Recapping the exam maneuvers
• 14:05 Likelihood ratios for common maneuvers
• 18:25 Over 6/Under 6 maneuvers
• 25:30 Recap of Dr. Garibaldi’s go-to maneuvers
• 28:19 Role of labs and diagnostic imaging
• 31:03 Role of point-of-care ultrasound (POCUS)
• 34:10 Friday at 5pm
• 36:31 Take home points
• 39:25 Outro
• Sponsor – VCU Health Continuing Education

1. Stanford 25: Teaching and promoting bedside exam skills to students, residents and healthcare professionals both in person and online
2. The 5 Minute Moment at the Society of Bedside Medicine
3. The POCUS Atlas: Evidence Based Point of Care Ultrasound

Listeners will feel confident how to optimally use the physical exam to guide clinical decision-making in patients presenting with dyspnea.

After listening to this episode listeners will…  

1. Describe the effectiveness of the exam when it comes to aiding diagnosis in a patient with dyspnea
2. Identify specific exam maneuvers that can aid clinical decision-making 
3. Identify exam maneuvers that may not offer more information compared to imaging such as POCUS

This episode was made with assistance from the Society of Bedside Medicine and funding from the New York Academy Medicine.  Dr Garibaldi reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

Masur S, Garibaldi BT, Watto M, Williams P, Brigham S, Berk J.  #236 Physical Exam Series: Approach to Shortness of Breath. The Curbsiders Internal Medicine Podcast. https:/www.thecurbsiders.com/episode-list. Original Air Date October 12,  2020.

1. Mochizuki K et al. Importance of respiratory rate for the prediction of clinical deterioration after emergency department discharge: a single-center, case-control study. Acute Med Surg. Nov 2016. doi:10.1002/ams2.252
2. Sarkar M et al. Physical signs in patients with chronic obstructive pulmonary disease. Lung India. 2019. doi:10.4103/lungindia.lungindia_145_18
3. Fagan TJ. Letter: Nomogram for Bayes theorem. N Engl J Med. 1975;293(5):257. doi:10.1056/NEJM197507312930513
4. Simel, David, et al. Rational Clinical Examination, McGraw-Hill Professional Publishing, 2009. ProQuest Ebook Central 
5. McGee, Steven. Evidence-based physical diagnosis [4th edition] Elsevier, 2018. Clinical Key
6. Benbassat, J., Baumal, R. Narrative Review: Should Teaching of the Respiratory Physical Examination Be Restricted Only to Signs with Proven Reliability and Validity?. J GEN INTERN MED 25, 865–872 (2010). https://doi.org/10.1007/s11606-010-1327-8
7. Al Deeb M et al. Point-of-care ultrasonography for the diagnosis of acute cardiogenic pulmonary edema in patients presenting with acute dyspnea: a systematic review and meta-analysis. Acad Emerg Med. 2014;21(8):843-852. doi:10.1111/acem.12435
8. Yousefifard et al. Screening Performance Characteristic of Ultrasonography and Radiography in Detection of Pleural Effusion; a Meta-Analysis. Emerg (Tehran). 2016;4(1):1-10.
9. Martindale et al. Diagnosing Acute Heart Failure in the Emergency Department: A Systematic Review and Meta-analysis. Acad Emerg Med. 2016;23(3):223-242. doi:10.1111/acem.12878
10. Caldentey et al. Prognostic value of the physical examination in patients with heart failure and atrial fibrillation: insights from the AF-CHF trial (atrial fibrillation and chronic heart failure). JACC Heart Fail 2014.. doi:10.1016/j.jchf.2013.10.004

Physical exam, dyspnea, shortness of breath, auscultation, PMI, percussion, heart failure, wheeze, POCUS, COPD, JVD, hepatojugular reflux, observation, asymmetry, Brian Garibaldi, practice, pallor, lung, heart, hands.

Time for spooky cakes with a side of candy corn. We discuss Dapagliflozin (SGLT2i) for CKD, Turmeric for knee pain and Honey for URTI (cough) on this halloween themed hotcakes with Rahul Ganatra MD, MPH @rbganatra

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (Note: CME for this episode won’t be available until 10/12/20. We apologize for the inconvenience). 

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Producer: Sarah Phoebe Roberts
• Written by: Rahul Ganatra MD, MPH, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP, Sarah Phoebe Roberts MPH   
• Cover Art: Matthew Watto MD, FACP
• Hosts: Rahul Ganatra MD, MPH, Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP, Sarah Phoebe Roberts MPH   
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

Help ACP celebrate National Internal Medicine Day on October 28th. Visit https://www.acponline.org/NIMD20 to learn how you can show your internal medicine pride. Be sure to tag @ACPInternists and use the hashtags #NationalInternalMedicineDay, #IMProud, and #IMEssential.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit.

• 00:00 Sponsor – National Internal Medicine Day, The American College of Physicians
• 00:25 Sponsor – VCU Health Continuing Education
• 00:40 Intro, disclaimer, Picks of the Week
• 07:38 Sponsor – National Internal Medicine Day, The American College of Physicians
• 08:40 Dapa-CKD
• 20:00 Turmeric for Knee Osteoarthritis
• 32:10 Honey for URTI and Cough
• 46:32 Shout out to @votehealth2020 and PatientVoting.com 
• 48:25 Outro
• Sponsor – VCU Health Continuing Education

1. Candy Corn (autumn mix) and (classic)
2. Paul’s Halloween movie marathon: Cabin in the Woods, The Descent, The Witch, Ghostbusters

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will review and perform critical appraisal of recent articles with the potential to change internal medicine practice

After listening to this episode listeners will…  

1. Review the potential benefits of dapagliflozin for prevent of CKD progression and death
2. Evaluate the utility of turmeric for osteoarthritis with inflammatory synovitis
3. Discuss the efficacy of honey for the treatment of acute upper respiratory tract infection and persistent post-infectious cough

The Curbsiders report no relevant financial disclosures. 

Watto M, Ganatra R, Williams PN, Brigham SK, Roberts SP. “235 Spooky Cakes”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date October 5, 2020.

Dapagliflozin, slgt2i, sglt2 inhibitors, ckd, turmeric, curcumin, knee osteoarthritis, knee pain, synovitis, honey, urti, respiratory tract infection, cough, primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student

Master your breast cancer screening spiel, cultivate your approach to the breast mass, and empower your patients with empathetic shared decision-making (which we know you’re all already fabulous at)!  On this fantastic episode, we are joined by Dr. Nancy Keating @NancyKeatingMD, policy wonk and primary care doc extraordinaire at Brigham and Women’s Hospital. This episode is rife with drama, as the ACS butts heads with the USPTF and the ACR, and you have to figure out  what’s right for the patient by talking with them--almost as exciting as that moment on Grey’s when Izzie cuts the...anyway, I won’t ruin a key plot point in the most excellent medical show of all time, all in a day’s work, here at The Curbsiders. Enjoy! 

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). 

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Producer and Writer: Nora Taranto MD
• Show Notes: Nora Taranto MD, Isabel Valdez PA 
• Infographic: Nora Taranto MD
• Cover Art: Kate Grant, MD 
• Hosts: Stuart Brigham MD, FACP; Matthew Watto MD, FACP; Paul Williams MD, FACP, Nora Taranto MD   
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Reviewer: Arielle Medford MD 
• Guest: Nancy Keating MD, MPH

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit.

• Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
• Sponsor - VCU Health Continuing Education
• 00:30   Intro & Guest Bio
• 03:27   Guest one-liner
• 05:27   Best Advice for Women in Medicine
• 07:34   Picks of the Week
• Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
• 10:00   Case 1: Brenda Cantwell and Breast Lump DDx
• 13:39   Clinical Breast Exam vs Self Breast Exam
• 17:26   Practical Tips for the Clinical Breast Exam
• 21:50   Imaging to Evaluate the Breast Lump
• 26:36   Demystifying BIRADS
• 28:36   Epidemiology Potpourri
• 33:02   Breast Pain without a Mass
• 34:30   Case 2: Mammie Gram and Breast Screening
• 46:03   Average Risk vs High Risk Screening
• 47:18   Breast Risk Prediction Tools
• 48:51   Breast Density
• 53:16   Imaging Modalities
• 61:28     Shared Decision Making in Screening  
• 68:04    Case 3: Ms Britta Lumpworth and When to Stop Screening Mammograms
• 74:42    Take Home Points and Outro
• Sponsor - VCU Health Continuing Education

1. Evicted: Poverty and Profit in the American City by Matthew Desmond
2. Run The List podcast 
3. ACOG Practice Bulletin 179, 2017
4. Elmore et al, Ten Year Risk of False Positive Screening Mammograms and Clinical Breast Examinations, N Engl J Med, 1998. 
5. Thomas, et al, Randomized trial of breast self-exam in Shanghai: final results. JNCI, 2002.
6. Semagliazov et al, Results of a prospective randomized investigation [Russia] to evaluate the significance of self-examination for the early detection of breast cancer, Vopr Onkol, 2003. 
7. Fuller, M. S., Lee, C. I., & Elmore, J. G. Breast cancer screening: an evidence-based update. The Medical clinics of North America, 2015.
8. Chan et al, False-negative rate of combined mammography and ultrasound for women with palpable breast masses. Breast Cancer Res Treat, 2015. 
9. ACS Recommendations for the Early Detection of Breast Cancer, 2020.
10. USPTF Breast Cancer Screening Recommendations, 2016. 
11. Henderson et al, Breast Examination Techniques, 2020. 
12. Kolb et al. Comparison of the performance of screening mammography, physical exam, and breast ultrasound and evaluation of factors that influence them: an analysis of 27.825 patient evaluations, Radiology, 2002. 
13. Mammogram Interpretation, Chapter 2. Radiology Key.Com. 
14. Flobbe et al, The Additional Diagnostic Value of Ultrasonography in the Diagnosis of Breast Cancer. Arch Intern Med, 2003. 
15. ACS Understanding Mammogram Readings, 2019. 
16. Bittner, Guide to mammography reports: BIRADS terminology, Am Fam Physician, 2010. 
17. Seer cancer statistics review, 1975-2017. 2020. 
18. Anders CK et al, Breast carcinomas arising at a young age: unique biology or a surrogate for aggressive intrinsic subtypes?. Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2011 
19. ACS How Common is Breast Cancer? 
20. SEER Lifetime Risk (%) of Dying from Cancer by Site and Race/Ethnicity: Females, Total US, 2014-2016
21. Garcia et al, Cardiovascular disease in women: clinical perspectives, Circ res, 2017. 
22. Cancer Statistics Center: Breast Statistics. 
23. Independent UK Panel on Breast Cancer Screening, The Benefits and harms of breast cancer screening: an independent review, Lancet, 2012. 
24. CDC Breast Cancer Screening Guidelines 2020 
25. ACS Breast Cancer Screening Guidelines, 2015
26. USPTF Breast Cancer Screening Recommendations, 2016. 
27. ACR Breast Cancer Screening Update, 2018. 
28. Canadian Task Force Breast Cancer Screening Recommendations 
29. UK-NHS Breast Cancer Screening Recommendations 
30. Biller-Andorno et al. Perspective: Abolishing Mammography Screening Programs? A View from the Swiss Medical Board, N Eng J Med, 2014. 
31. Nelson et al, Effectiveness of Breast Cancer Screening: Systematic Review and Meta-analysis to Update the 2009 US PTF Recommendation, Ann Intern Med, 2016. 
32. Miller et al, Twenty five year follow-up for breast cancer incidence and mortality of the Canadian National Breast Screening Study: randomised screening trial, BMJ, 2014. 
33. Breast Cancer Risk Assessment Tool (NCI)  
34. BCSC Breast Cancer Risk Assessment Tool 
35. Health Decision/University of Wisconsin Decision Tool
36. Harding Center for Risk Literacy Fact Box  
37. Keating et al, Breast Cancer Screening in 2018: Time for Shared Decision Making, Jama Insights, 2018. 
38. ePrognosis life expectancy calculator 

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will learn how to evaluate a breast lump in the primary care clinic, what the guidelines recommend for asymptomatic breast cancer screening, and how to engage a patient in shared-decision making given the data available on mammograms. 

After listening to this episode listeners will…  

1. Triage and evaluate the Breast Lump 
2. Perform breast cancer risk assessment 
3. Recall the Guideline Recommendations for Breast Cancer Screening and how they vary 
4. Engage patients in conversation about b...

Listen to our medical education heroes, Dr. Abby Spencer, @abbyCCim (Cleveland Clinic), and Dr. Alia Chisty, @aliachisty (Penn State Health), school us on how to give effective and meaningful feedback! Topics include: the ADAPT framework, how to give difficult feedback, keywords and phrases when giving feedback, how to avoid gender and racial bias when giving feedback, giving feedback to your peers and how to solicit effective feedback as a team leader.  

Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). 

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

• Written and Produced by Paul Williams MD, FACP
• Cover Art: Paul Williams, MD, FACP
• Infographic: Edison Jyang
• Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP   
• Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com
• Guests: Abby Spencer MD and Alia Chisty MD

Provider Solutions & Development is a community of experts dedicated to offering guidance and career coaching to physicians and clinicians throughout their entire career journey. With exclusive access to hundreds of opportunities across the nation, reach out today to begin the search for your perfect practice: www.psdrecruit.org/curbsiders.

The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit. 

• Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
• Sponsor - VCU Health Continuing Education
• 00:30 Intro, disclaimer, guest bio, pun
• 04:00 Guest one-liners, Picks of the Week* (see links below)
• 10:25 Sponsor - Provider Solutions & Development www.psdrecruit.org/curbsiders.
• 11:00 Case from Kashlak, Feedback definitions
• 15:00 Addressing perceived barriers to feedback
• 31:45 ADAPT model of feedback
• 38:10 Addressing potentially gendered feedback; 
• 42:45 Giving feedback to those who lack insight
• 48:29 Feedback and racial bias
• 52:25 Giving peer feedback
• 58:10 Tips for soliciting feedback as a supervisor
• 69:05 Does giving difficult feedback mean people won’t like you?
• 75:10 Take home points and Outro
• Sponsor - VCU Health Continuing Education

1. Radical Candor (book)
2. Host (film)
3. Percy Jackson & The Olympians: The Lightning Thief movie 
4. Hamilton on Disney Plus
5. Her (film) 

*The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra.

Listeners will demonstrate effective techniques to deliver and solicit meaningful feedback.

After listening to this episode listeners will…  

1. Discuss the definitions and terms used to discuss feedback.
2. Deliver effective feedback that is concordant with the learning goals of their trainees.
3. Address potential perceived barriers to feedback.
4. Utilize the ADAPT framework to partner with their learners and develop shared goals.
5. Develop strategies to mitigate against using gender- or racially-biased narrative language.
6. Deliver feedback to learners with limited insight by leveraging the impact of perception on achieving goals.
7. Solicit effective and meaningful feedback despite being in a position of authority

Drs. Spencer and Chisty report no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

Williams PN, Spencer A, Chisty A, Brigham SK, Jyang E, Watto MF. “#233 Giving effective feedback with Abby Spencer and Alia Chisty”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date September 21, 2020.

1. Ende J. Feedback in Clinical Medical Education.  JAMA.  1983. . [https://pubmed.ncbi.nlm.nih.gov/6876333/] 
2. Brown B.  2018.  Dare to Lead.  Random House.
3. Stone D and Heen S.  2014.  Thanks for the Feedback.  Penguin Books.
4. Scott K.  2019.  Radical Candor.  St. Martin’s Press.
5. Fainstad T et al.  Feedback can be less stressful: Medical trainee perceptions of using the Prepare to ADAPT (Ask-Discuss-Ask-Plan Together) framework.  Cureus.  2018. [https://pubmed.ncbi.nlm.nih.gov/30906679/] 
6. Rojek AE et al.  Differences in narrative language in evaluations of medical students by gender and under-represented minority status.  J Gen Int Med.  2019.  [https://pubmed.ncbi.nlm.nih.gov/30993609/] 
7. Mueller AS et al.  Gender differences in attending physicians’ feedback to residents.  JGME.  2017.  [https://pubmed.ncbi.nlm.nih.gov/29075375/] 
8. Ross, DA et al.  Differences in words used to describe racial and gender groups in Medical Student Performance Evaluations.  PLoS ONE.  2017.  [https://pubmed.ncbi.nlm.nih.gov/28792940/]