Episodi
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Artificial Intelligence (AI) already powers search results and chat bots, but what if it could help physicians diagnose cancer? In this episode of the BackTable ENT podcast, laryngologist Dr. Anthony Law of Emory University discusses applications of AI to laryngology with host Dr. Ashley Agan and guest host Dr. Mihir Patel, also of Emory.
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PearsonRavitz
https://pearsonravitz.com/backtable
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SYNPOSIS
First, Dr. Law discusses how he connects his passions for laryngology and machine learning as a surgeon-scientist. Before opening the conversation, he defines terms needed to understand AI in medicine. Then, he discusses his work using deep learning models to identify laryngeal cancer patients based on voice recordings. Ideally, he envisions deploying his model (which is over 90% accurate) to help primary care physicians make timely ENT referrals. Mindful of the impact technology has, Dr. Law reviews technical and ethical concerns accompanying use of AI in medicine, which include underrepresented patient groups in research, patient privacy, and safe use of technology. Finally, he offers insight into the future of AI research more broadly.
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TIMESTAMPS
00:00 - Introduction
04:18 - Understanding Deep Neural Networks
07:13 - Applications of AI in Clinical Practice
15:08 - Data Security and Privacy Concerns
25:09 - Collecting Representative Data
31:13 - Biometrics: The Future of Medicine?
39:12 - Challenges & Costs of AI
42:26 - Final Thoughts & Future Directions
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RESOURCES
Pearson Ravitz
https://pearsonravitz.com/
Dr. Anthony Law’s Emory University Profile: https://winshipcancer.emory.edu/profiles/law-anthony.php
Dr. Anthony Law Lab:
https://anthonylaw2.wixsite.com/website
“What Our Voice Reveals About Our Health,” Dr. Anthony Law at TedxAtlanta: https://www.youtube.com/watch?v=-J2W5IVCECE -
Nothing is more satisfying than draining an abscess, right? But when is medical management sufficient or even better? In this episode of the BackTable ENT Podcast, pediatric otolaryngologist Dr. John McClay joins host Dr. Gopi Shah to educate listeners on the diagnosis and management of pediatric retropharyngeal abscess (RPA).---CHECK OUT OUR SPONSORPearsonRavitzhttps://pearsonravitz.com/backtable---SYNPOSISFirst, Dr. McClay reviews the symptoms, pathophysiology, and workup of neck abscesses (including RPA) in children. When evaluating any suspected neck abscess, he uses CT results to evaluate its precise size and location. Then, he addresses the role of surgery in treatment of neck abscesses. While many patients will improve with IV antibiotics alone, he mentions that most abscesses lateral to the carotid sheath and greater than 2 cm in size require surgical drainage. Finally, the conversation shifts to cover important topics including antibiotic selection, the role of steroids, and cost-effective care.---TIMESTAMPS00:00 - Introduction03:34 - Pathophysiology & Presentation of Retropharyngeal Abscess09:54 - Physical Examination in the Child with Suspected Neck Abscess17:43 - The Importance of CT Scans31:40 - Treatment of Neck Abscesses: Antibiotics vs Surgery37:56 - The Role of Steroids in Abscess Treatment53:41 - Applying Value-Based Care as a Pediatric Otolaryngologist55:44 - Recap & Final Pearls---RESOURCESDr. McClay’s website:https://www.johnmcclaymd.com/pediatric-sinus-center/Pearson Ravitzhttps://pearsonravitz.com/McClay JE, Murray AD, Booth T. Intravenous antibiotic therapy for deep neck abscesses defined by computed tomography. Arch Otolaryngol Head Neck Surg. 2003 Nov;129(11):1207-12.Johnson RF. Emergency department visits, hospitalizations, and readmissions of patients with a peritonsillar abscess. Laryngoscope. 2017 Oct;127 Suppl 5:S1-S9.
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Episodi mancanti?
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Rhinoplasty stands out as one of the most transformative yet technically challenging procedures in facial plastic surgery. In this episode of the BackTable ENT Podcast, rhinoplasty expert Dr. Patrick Cleveland of West Palm Beach shares his approach to the procedure with host Dr. Gopi Shah.
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SYNPOSIS
First, Dr. Cleveland addresses the initial rhinoplasty consultation, including patient history, physical exam, and photo documentation. Then, the surgeons delve into technical approaches to rhinoplasty. Tackling valuable topics including graft choices, cartilage sources for revision rhinoplasty, and tools used. Dr. Cleveland offers lessons to help any otolaryngologist improve their knowledge of this essential surgery. Finally, the episode concludes with a survey of contemporary trends in rhinoplasty.
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TIMESTAMPS
00:00 - Introduction
03:28 - Fundamentals of Rhinoplasty
04:19 - Interviewing Patients & Identifying Red Flags
10:25 - Physical Exam for Rhinoplasty
15:14 - The Importance of Photo Documentation
30:26 - Cephalic Trim & Turnover Flap Techniques
32:52 - Tip Supporting Grafts and Cartilage Harvesting
36:46 - Instruments for Rhinoplasty
39:42 - Sourcing Cartilage in Revision Rhinoplasty
49:20 - Post-operative Care & Complications
56:07 - Future Directions in Rhinoplasty
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RESOURCES
Patrick Cleveland Facial Plastic Surgery:
https://www.drpatrickcleveland.com/
Deformity, etiology, solution, sequence (DESS): Facial analysis in rhinoplasty: https://pubmed.ncbi.nlm.nih.gov/37952257/ -
Facial nerve injury affects each patient in a unique way. Accordingly, surgical treatment of facial paralysis must be meticulously planned and personalized. In this episode, Dr. Shiayin Yang, Associate Professor of Otolaryngology at Vanderbilt University, addresses management of synkinesis and static procedures for flaccid facial palsy with host Dr. Ashley Agan.
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CHECK OUT OUR SPONSOR
PearsonRavitz
https://pearsonravitz.com/backtable
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SYNPOSIS
First, Dr. Yang reviews the difference between flaccid and non-flaccid (including synkinetic) facial paralysis. She describes her approach to facial paralysis, which includes clarifying the patient’s diagnosis and thoroughly examining the facial nerve function. Dr. Yang then transitions the conversation to surgical solutions, emphasizing dual goals of restoring symmetry and function. She divides her discussion to first tackle synkinesis and then static procedures for flaccid paralysis. Procedures discussed include Botox, brow lift, blepharoplasty, myectomy, and neurectomy as well as lower eyelid and midface procedures and temporalis tendon transfer. While surgical approaches to the two conditions differ, eye protection represents an important theme throughout. The episode concludes with Dr. Yang’s pearls for approaching these complex surgical problems and a reminder of how facial paralysis affects patients’ emotional health.
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TIMESTAMPS
00:00 - Introduction
02:36 - Understanding Flaccid & Non-Flaccid Facial Paralysis
07:13 - Botox for Facial Synkinesis
12:38 - History-Taking & Physical Exam in Facial Paralysis
15:07 - Surgical Management of Synkinesis
30:47 - Patient Counseling and Motivation
32:47 - Static Procedures for Flaccid Facial Palsy
37:26 - Nuances of Peri-Ocular Procedures
43:42 - Lower Eyelid & Midface Considerations
53:00 - Dynamic Surgery Options
56:56 - Final Surgical Pearls
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RESOURCES
Dr. Shiayin Yang’s Vanderbilt University Profile: https://www.vanderbilthealth.com/doctors/yang-shiayin
BackTable ENT Episode 151- Navigating Synkinesis: From Diagnosis to Comprehensive Care with Dr. Shiayin Yang
https://open.spotify.com/episode/1JucnHB8tNC5qRW6u82ie8?si=ba729d3f3e164d6f -
Adding allergy services to your practice can improve your comprehensive ENT care. When otolaryngologists treat allergies, they more effectively address related conditions, such as sinusitis and otitis media. In this episode, Dr. Michelle Liu, general ENT in Fairfax, Virginia, shares her wisdom on starting an otolaryngologic allergy practice with host Dr. Ashley Agan.
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CHECK OUT OUR SPONSOR
Medtronic ENT
https://www.medtronic.com/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23
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SYNPOSIS
First, Dr. Liu summarizes her journey to treating allergy as an otolaryngologist. She finds the continuity of care and personal connections that accompany allergy care fulfilling. Then, she describes the different testing and treatment modalities used in her clinic. While subcutaneous immunotherapy is more common, sublingual immunotherapy offers an appealing needle-free alternative for some patients. Finally, she explains the logistics of starting an allergy practice, including finances, continuing education, and safety considerations for immunotherapy initiation.
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TIMESTAMPS
00:00 - Introduction
03:36 - Dr. Liu’s Medical Journey: From Military Resident to Civilian Otolaryngologist
08:46 - Adding Allergy Testing to Your Practice
28:44 - Adding Immunotherapy to Your Practice
31:22 - Patient Selection & Financial Considerations
39:39 - Pediatric Allergy
45:09 - Emergency Preparedness in Allergy Clinics
49:15 - Sublingual Immunotherapy & Tablets
53:48 - Continuing Medical Education in Allergy
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RESOURCES
Medtronic ENT
https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html
Dr. Michelle Liu’s Inova Profile:
https://www.inova.org/doctors/michelle-f-liu-md
Otolaryngology Associates’ Facebook Page:
https://www.facebook.com/otoassoc/
American Academy of Otolaryngologic Allergy:
https://www.aaoallergy.org/ -
In today’s complex healthcare landscape, how can pediatric otolaryngologists help more children access evidence-based, quality care? In this episode, Dr. Jill D’Souza, pediatric otolaryngologist at Children’s Hospital of New Orleans, discusses pediatric health equity in the Gulf South with hosts Dr. Gopi Shah and Dr. Ashley Agan.
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SYNPOSIS
First, Dr. D’Souza defines the “Gulf South” to include parts of Louisiana, Texas, Mississippi, Alabama, and the Florida panhandle. Challenges to healthcare delivery in this region include rural settings, high poverty rates, and difficulties funding out-of-state Medicaid patients. Then, using tonsillectomy and tracheostomy as examples, Dr. D’Souza explains how social factors complicate access to care. She shares her successes connecting underprivileged children to the care they need. Finally, the episode concludes with her thoughts on how interprofessional teamwork powers better pediatric ENT care.
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TIMESTAMPS
00:00 - Introduction
02:17 - Challenges in Pediatric ENT Care
05:43 - Healthcare Inequities in the Gulf South
10:38 - Tracheostomy Education in Rural, Resource-Limited Settings
21:33 - Helping Patients Tackle Financial Challenges
26:52 - Caring for All in Public Hospitals
37:57 - Keeping the Big Picture in Mind
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RESOURCES
PearsonRavitz
https://pearsonravitz.com/
Dr. Jill D’Souza’s LSU Health Profile: https://www.medschool.lsuhsc.edu/otorhinolaryngology/dsouza_jill.aspx -
What is the best way to manage an infected thyroglossal duct cyst? In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan welcome Dr. Christopher Liu, associate professor of pediatric otolaryngology at UT Southwestern, to learn about his vast experience with evaluation and management of thyroglossal duct cysts and the nuances of other congenital neck masses.
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CHECK OUT OUR SPONSOR
Medtronic ENT
https://www.medtronic.com/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23
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SYNPOSIS
First, Dr. Liu describes how thyroglossal duct cysts present. Patients often become aware of their cyst when a parent palpates a midline neck mass or when the cyst gets infected. Then, Dr. Liu describes non-operative management of thyroglossal duct cysts, including antibiotics to treat infection and cases in which drainage is appropriate. The conversation proceeds to surgical strategy, with Dr. Liu describing how his approach to cyst excision evolved over the years. The episode concludes with pearls on post-operative management and potential surgical complications.
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TIMESTAMPS
00:00 - Introduction
02:53 - Understanding Thyroglossal Duct Cysts
11:48 - Managing Infected Thyroglossal Duct Cysts
14:02 - Antibiotic Choices & Drainage Techniques
21:05 - Imaging & Workup
25:39 - Surgical Approach and Techniques
27:29 - Koempel’s Technique for Thyroglossal Duct Cyst Surgery
39:04 - Surgical Complications, Risk of Recurrence, & Post-Operative Care
52:37 - Key Takeaways for Thyroglossal Duct Cyst Surgery
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RESOURCES
Dr. Christopher Liu’s UT Southwestern Profile:
https://utswmed.org/doctors/christopher-liu/
Jeffrey Koempel, “Thyroglossal Duct Remnant Surgery: A Reliable, Reproducible Approach to the Suprahyoid Region”:
https://pubmed.ncbi.nlm.nih.gov/25193588/ -
Given that recurrent otitis media can expose children to hearing loss, delayed speech development, and repeated antibiotic use, it is not at all surprising that ear tube insertion is the most common ambulatory procedure performed in the United States. But what if there was a way to insert ear tubes in children without going to the operating room? In this episode, host Dr. Ashley Agan speaks with Dr. Shelagh Cofer, pediatric otolaryngologist at the Mayo Clinic, about the Hummingbird Tympanostomy Tube insertion system.
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CHECK OUT OUR SPONSOR
Hummingbird PE Ear Tubes
https://www.hummingbirdeartubes.com/physicians/hummingbird-tts-device/
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SYNPOSIS
First, Dr. Cofer reviews the epidemiology of pediatric otitis media. When a child has 3 ear infections in three months or 5-7 in a year, tympanostomy tubes are indicated. Wanting to facilitate this procedure, Dr. Cofer brought the in-office Hummingbird tympanostomy tube system to her practice as one of the principal investigators in the clinical trials. After reviewing how the device was developed, she walks listeners through how she uses it, including how to avoid pitfalls such as “dunking” a tube. Finally, she shares feedback from parents whose children had ear tubes inserted using the Hummingbird system.
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TIMESTAMPS
00:00 - Introduction
02:25 - Ear Infections & Ear Tubes
09:34 - Selecting Patients for In-Office Ear Tube Placement
15:50 - Inserting Ear Tubes in the Office: A Step-by-Step Guide
34:33 - Benefits of In-Office Ear Tube Placement
42:35 - Avoiding & Mitigating Complications from Ear Tube Insertion
56:23 - Parent Feedback on the Hummingbird System
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RESOURCES
Dr. Shelagh Cofer’s Mayo Clinic Profile: https://www.mayoclinic.org/biographies/cofer-shelagh-a-m-d/bio-20055176
Hummingbird TTS Website:
https://www.hummingbirdeartubes.com/ -
Epidemiological studies reveal that women make up 25% of all obstructive sleep apnea (OSA) patients, yet only 11% of patients carrying OSA diagnoses are women. What drives this disparity? In this episode of the BackTable ENT Podcast, sleep surgeon and UCSF Associate Professor Dr. Megan Durr joins host Dr. Gopi Shah to discuss OSA in women.
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CHECK OUT OUR SPONSOR
Medtronic ENT
https://www.medtronic.com/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23
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SYNPOSIS
First, Dr. Durr recounts her path to sleep surgery, including her interest in women’s sleep issues, which grew out of discussions with her female friends experiencing pregnancy-related sleep disturbances. When asked why OSA is under-diagnosed in women, Dr. Durr underscores how women’s OSA symptoms – mental fog, memory issues, and insomnia – are relatively nonspecific. While it presents differently in women, OSA increases the risk of heart failure, hypertension, and dementia in all patients, regardless of sex. Then, Dr. Durr shares her physical exam and testing strategies to uncover OSA in female patients. Once diagnosed, she advocates multimodal treatment, including CPAP, weight loss, and surgery.
The podcast concludes with discussion of how ENTs can eliminate barriers to better sleep in women, underrepresented minorities, and low-income patients.
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TIMESTAMPS
00:00 - Welcome to the BackTable ENT Podcast
03:06 - Dr. Megan Durr’s Background & Journey
08:15 - Challenges Diagnosing Sleep Apnea in Women
14:55 - Long-term Effects of Sleep Apnea in Women
20:06 - Hormonal Influences on Sleep Apnea
29:56 - CPAP & Oral Devices in Women with OSA
32:21 - Positional Therapy & Surgery in Women with OSA
36:34 - Weight Loss to Combat OSA
41:04 - Countering Disparities in OSA Treatment
48:06 - Identifying & Caring For “Unseen” OSA Patients: A Team Effort
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RESOURCES
Medtronic ENT
https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html
Dr. Durr’s UCSF Profile:
https://ohns.ucsf.edu/megan-durr
Dr. Durr’s X:
https://x.com/drmegandurr -
Before bringing a new device into your practice, it’s prudent to understand the science behind, indications for, and insurance coverage of that device. In this episode, Dr. Rajiv Pandit, comprehensive otolaryngologist at Dallas ENT Head & Neck Surgery Center, joins BackTable to discuss his success treating sinusitis with drug-eluting stents.
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CHECK OUT OUR SPONSOR
Medtronic ENT Propel Implants
https://www.medtronic.com/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23
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SYNPOSIS
First, Dr. Pandit shares the benefits of localized drug delivery, including fewer systemic steroid effects and improved compliance. He shares his experience deploying Propel and SINUVA stents to treat sinusitis. Then, Dr. Pandit shares his workflow for treating sinusitis, including patient education, anesthesia protocols, stent placement, and billing. The episode wraps with his tips on incorporating a new device into your practice.
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TIMESTAMPS
00:00 - Introduction
02:44 - Dr. Rajiv Pandit’s Path to Treating Sinusitis in Private Practice
04:31 - Understanding Local Drug Delivery for Sinus Disease
06:17 - The Evolution of Propel & Sinuva Sinus Stents
18:33 - Contraindications & Post-Op Protocols
32:35 - Understanding Insurance Coverage & Preauthorization
37:47 - Patient Education & Long-Term Treatment Plans
48:10 - Anesthetic Protocols for In-Office Sinonasal Procedures
54:48 - Bringing Drug-Eluting Sinus Stents to Your Practice
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RESOURCES
Dr. Pandit’s Dallas ENT Profile:
https://www.dallasent.com/providers/rajiv-pandit
Dallas ENT Instagram:
https://www.instagram.com/dallas.ent/embed/
Dr. Pandit’s Email:
[email protected] -
Any otolaryngologist or cochlear implant (CI) patient can tell you that the journey to better hearing begins in earnest after CI activation. When the patient in question is a child, what does that journey look like? In this episode of the BackTable ENT podcast, Dr. Sarah Cordingley, audiologist with Peak ENT (Provo, Utah), joins host Dr. Gopi Shah to discuss aural rehabilitation for pediatric CI patients.
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SYNPOSIS
First, Dr. Cordingley explains how audiologists work alongside otolaryngologists, social workers, and occupational therapists to prepare patients for cochlear implantation. Since younger patients cannot sit for a standard audiogram, she uses auditory milestones, visual reinforcement audiology (VRA) and conditioned play audiometry (CPA) to assess pediatric hearing loss. Then, she explains how audiologists help patients learn to use their implant, underscoring the importance of regular use, streaming, and participation in structured aural rehabilitation programs. The podcast concludes with a discussion of efforts to increase patient access to cochlear implants.
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TIMESTAMPS
00:00 - Welcome to the BackTable ENT Podcast
05:05 - Audiologists’ Crucial Role in Cochlear Implant Evaluation
13:59 - Implant Activation & Programming
20:11 - The Importance of Family Support in Pediatric Hearing Loss
26:31 - Uses of Telehealth in Audiology
32:49 - Learning to Use New CI Technologies
41:47 - Equitable Access to Cochlear Implants
45:27 - Audiologists & Otolaryngologists: Partners for CI Success
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RESOURCES
Dr. Cordingley’s Peak ENT Profile:
https://peakent.com/our-healthcare-providers/
Dr. Cordingley’s email:
[email protected] -
Part of being a doctor is making high-stakes decisions nearly every day. However, making quality choices becomes even harder when you’re inundated with work and not sure where to start. In this episode, Dr. Steven Goudy, Professor of Pediatric Otolaryngology at Emory University (Atlanta), joins host Dr. Gopi Shah to cover decision fatigue.
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SYNPOSIS
First, Dr. Goudy defines decision fatigue and explains its relation to clinician burnout. Based on their experience, decision fatigue might look different in an early-career versus a mid-career surgeon, but it will leave both feeling depleted. Then, Dr. Goudy shares strategies to mitigate decision fatigue, including delegation, coaching, and standardization. He uses examples from the business world to illustrate the importance of saying “no” to opportunities you aren’t interested in. Finally, the podcast concludes with a reflection on how your values should guide the choices you make.
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TIMESTAMPS
00:00 - Introduction
01:32 - Decision Fatigue Defined
03:51 - Personal Strategies to Combat Decision Fatigue
06:10 - Decision Fatigue in the Clinic
24:29 - Decision Fatigue in the Operating Room
29:49 - Decision Fatigue at Home
37:37 - Making Choices that Align with Your Values & The Importance of Saying “No”
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RESOURCES
Dr. Steven Goudy’s Emory University Profile: https://med.emory.edu/directory/profile/?u=SGOUDY
Article on Judges & Decision Fatigue:
https://www.pnas.org/doi/10.1073/pnas.1018033108
Article on Orthopedic Surgeons & Decision Fatigue:
https://onlinelibrary.wiley.com/doi/full/10.1002/hec.3933
Article on Interruptions in the Trauma OR:
https://pubmed.ncbi.nlm.nih.gov/22124638/ -
While resident education represents the top priority of most otolaryngology departments, few attending surgeons receive formal training on teaching. In this episode of the BackTable ENT podcast, host Dr. Gopi Shah covers surgical education with Dr. Oswaldo Henriquez, rhinologist at Wellstar Health and adjunct associate professor at Emory School of Medicine.
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CHECK OUT OUR SPONSOR
Medtronic ENT
https://www.medtronic.com/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23
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SYNPOSIS
First, Dr. Henriquez shares his passion for teaching and learning. In his view, surgeons are career-long learners: even established otolaryngologists benefit from surgical coaching. Then, he describes the unique needs of adult learners. When teaching technical skills, Dr. Henriquez emphasizes providing realistic goals, actionable feedback, and opportunities for supervised practice. When teaching “soft skills,” Dr. Henriquez focuses on modeling the professionalism and compassion he expects of his trainees. Finally, the episode concludes with Dr. Henriquez’s thoughts on teaching as a skill all academic surgeons should hone.
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TIMESTAMPS
00:00 - Introduction
03:29 - Dr. Enriquez’s Journey as a Surgical Educator
07:26 - Teaching Adult Learners
24:14 - Challenges in Modern Surgical Education
31:39 - Setting Goals & Expectations
36:40 - The Importance of Feedback in Surgical Education
43:25 - Modeling & Teaching Surgical “Soft Skills”
53:01 - Learning How to Teach: Lessons From a Surgical Educator
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RESOURCES
Dr. Oswaldo Henriquez’s Wellstar Profile:
https://www.wellstar.org/physicians/oswaldo-henriquez-md
Medtronic ENT
https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html -
Dr. Aditya Bagrodia sits down with Elie Toubiana, founder and CEO of ScribeMD.ai, to discuss the transformative potential of artificial intelligence (AI) in medical documentation.
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SYNPOSIS
Their conversation covers the capabilities and benefits of using an AI-driven medical scribe that ensures HIPAA compliance, reduces physician burnout, and enhances patient interactions. Elie also shares his insights about the technology’s adaptability across various medical fields. Finally, Dr. Bagrodia and Elie discuss ethical considerations surrounding applications of AI in other aspects of healthcare, such as medical workup and diagnosis.
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TIMESTAMPS
00:00 - Introduction
06:00 - How ScribeMD AI Works
14:14 - Integration with EMR
20:31 - Legal Considerations with AI Technology
26:34 - Cost Implications of AI Scribes
38:46 - Future of AI in Medical Diagnosis
41:45 - Conclusion and Final Thoughts
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RESOURCES
ScribeMD.ai
https://www.scribemd.ai/ -
While the mantra “see one, do one, teach one” once guided surgical education, nowadays, technologies like 3D printed models and realistic surgical videos allow trainees to safely gain hands-on experience. In this episode of the BackTable ENT podcast, Dr. François Simon, pediatric otolaryngologist at Necker Hospital for Sick Children (Paris, France) joins host Dr. Gopi Shah to discuss technological innovations in surgical education.
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SYNPOSIS
First, Dr. Simon explains how 3D printing technology expands trainees’ anatomical knowledge. He speaks to his experience working alongside a 3D printing engineer to develop models used to teach otoscopy and ear surgery. Then, Dr. Simon tackles the role of videos in surgical education. His conversation with Dr. Shah focuses on the composition, ethics, and distribution of effective educational videos. Finally, Dr. Simon discusses how attending surgeons can leverage technology to maximize trainee learning in the operating room.
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TIMESTAMPS
00:00 - Introduction
02:36 - Embracing 3D Printing in Surgical Education
14:32 - Collaborating with Engineers to Produce High-Fidelity Anatomic Models
17:59 - The Future of 3D Printing in Medicine
20:44 - The Role of Video in Surgical Education
24:59 - Creating Effective Educational Videos
34:49 - How to Distribute Your Video to its Target Audience
36:23 - Ethical Considerations: Patient Consent & Privacy
44:56 - Final Thoughts & Resources for Educators
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RESOURCES
3D Printed Model to Teach Otoscopy:
https://www.m3d-print.com/en/products/otoscopic-simulator-tympano/
Dr. Simon’s Guide to Making an Effective Surgical Video:
https://videos-chirurgicales.u-paris.fr/en/
IVORY (Instructional Videos in Otorhinolaryngology by YO-IFOS): A Consensus on Surgical Videos in Ear, Nose, and Throat: https://onlinelibrary.wiley.com/doi/full/10.1002/lary.29020 -
In this episode, laryngologist Dr. Inna Husain joins host Dr. Ashley Agan for a deep dive into laryngopharyngeal reflux (LPR) to illuminate patient presentation, diagnostic tests, and future directions in LPR research.
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SYNPOSIS
The episode begins with a recap of Episode 83, in which Dr. Husain explained LPR fundamentals. Continuing from where they left off, the surgeons discuss various presentations of LPR, emphasizing the distinctions between acidic/non-acidic and direct/indirect reflux. Then, they review tests used to diagnose LPR and role of collaboration with gastroenterology colleagues. Dr. Husain shares her therapeutic approach to LPR, which includes lifestyle modifications for all patients, alginates for those with mechanical reflux, and nerve blocks for those with neurally mediated symptoms. The podcast wraps with a discussion of hot topics in LPR research.
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TIMESTAMPS
00:00 - Introduction
01:01 - Sponsor Spotlight: Medtronic ENT Innovations
04:37 - Summary of BackTable Episode 83 on Laryngopharyngeal Reflux (LPR)
08:34 - Typical vs. Atypical Presentations of LPR
23:36 - Dr. Husain’s Personal Experience with LPR
38:27 - Diagnosing LPR
46:43 - Lifestyle & Dietary Changes for LPR
50:53 - Hot Topics in Contemporary LPR Research
53:17 - The Brain-Gut Connection & LPR
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RESOURCES
BackTable ENT Episode 83: “Laryngopharyngeal Reflux with Dr. Inna Hussain:” https://www.backtable.com/shows/ent/podcasts/83/laryngopharyngeal-reflux
Medtronic ENT
www.medtronicent.com
Dr. Inna Husain’s Community Healthcare System profile: https://www.comhs.org/find-a-doctor/h/husain-inna
Dr. Inna Husain’s X:
https://x.com/drinnahusain
Dr. Inna Husain’s Instagram:
https://www.instagram.com/innahusainmd/
Dr. Inna Husain’s TikTok:
https://www.tiktok.com/@throatdoc -
In this episode, Dr. Raj Sindwani, rhinologist at the Cleveland Clinic, joins host Dr. Gopi Shah to discuss advanced navigation systems, such as virtual reality (VR), to improve functional endoscopic sinus surgery (FESS).
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CHECK OUT OUR SPONSOR
Stryker ENT
https://ent.stryker.com
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SYNPOSIS
First, Dr. Sindwani shares how he combines pre-operative imaging data and navigation to plan successful surgeries. Then, he delves into features available in newer navigation systems, including target/anti-target technology, which notifies surgeons as their instruments approach critical structures. He covers topics relevant to navigation in clinical practice, including reimbursement, patient counseling, and troubleshooting in the OR. The episode concludes with a short conversation on the future of navigation-assisted FESS.
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TIMESTAMPS
00:00 - When to Use Navigation
10:42 - Harnessing Augmented Reality for Better Surgical Planning
20:43 - Registering Landmarks with Navigation
22:27 - How Navigation Systems Enhance Surgical Education
27:53 - Navigation in Office-Based Procedures
35:05 - Troubleshooting Problems with Navigation Systems
42:25 - The Future of Navigation-Assisted FESS
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RESOURCES
Stryker ENT Products:
https://www.stryker.com/us/en/ent.html
Dr. Sindwani’s Cleveland Clinic Profile:
https://my.clevelandclinic.org/staff/14102-raj-sindwani -
In this episode of the BackTable ENT Podcast, thyroid expert Dr. Dana Gibbs speaks with host Dr. Ashley Agan about Hashimoto’s Thyroiditis and hypothyroidism. Despite the high prevalence of Hashimoto’s Thyroiditis (1-2%), the condition is often misunderstood. Otolaryngologists and internists alike will benefit from Dr. Gibbs’ insight into Hashimoto’s presentation, diagnosis, and treatment.
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SYNPOSIS
First, Dr. Gibbs explains how she shifted her clinical focus from comprehensive otolaryngology to thyroid disease. Recounting her decades-long, personal experience with hypothyroidism, she describes how nonspecific symptoms of fatigue, hair loss, and weight gain can lead clinicians astray. Then, she reviews the pathophysiology and diagnosis of Hashimoto’s Thyroiditis. Using labs and questionnaires, she interrogates the patient’s overall endocrine health, which she addresses using a combination of levothyroxine (T4), liothyronine (T3), and select supplements. She demonstrates how lessons learned treating Hashimoto’s extend to hypothyroidism management more broadly. Finally, the use of integrative medicine strategies to treat thyroid disorders is discussed.
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TIMESTAMPS
00:00 - Introduction
02:33 - Dr. Gibbs’ Personal Experience with Hypothyroidism
11:32 - Understanding Hashimoto’s Thyroiditis
18:26 - Hashimoto’s: A Challenging Diagnosis
33:17 - The Role of Stress in Thyroid Disease
35:04 - Thyroid Medications
51:21 - The Role of Surgery in Managing Hypothyroidism
55:01 - An Integrative Medicine Perspective on Hypothyroidism
59:27 - Final Thoughts on Hashimoto’s & Hypothyroidism
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RESOURCES
Dr. Gibbs’ Consultants in Metabolism Profile:
https://www.danagibbsmd.com/
Dr. Gibbs’ Instagram:
https://www.instagram.com/danagibbsmd/ -
In this episode, Dr. Mihir Patel, Professor of Otolaryngology at Emory University and expert in Transoral Robotic Surgery (TORS), discusses HPV-positive head and neck cancer with host Dr. Ashley Agan.
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CHECK OUT OUR SPONSOR
Medtronic ENT
https://www.medtronic.com/us-en/healthcare-professionals/medical-specialties/ear-nose-throat.html?cmpid=Vanity_URL_MIX_medtronicent-com_202212_US_EN_NS_ENT_FY23
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SYNPOSIS
Dr. Patel opens by briefly sharing his journey to head & neck surgery, and, more specifically, expertise in TORS. After, Dr. Patel explains the epidemiology and pathophysiology of HPV-caused cancers, which frequently present as painless neck masses. Then, Dr. Patel describes workup and treatment of these cancers. He shares surgical strategies, paying special attention to cases of unknown primary lesions. He underscores the importance of collaboration with medical and radiation oncologists, particularly given the rapid pace of treatment innovation. Finally, Dr. Agan and Dr. Patel examine how increased HPV vaccine uptake could drastically lower the burden of this disease in the coming decades.
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TIMESTAMPS
00:00 - Introduction
05:26 - The Evolution of HPV-Related Oropharyngeal Cancer Treatment
17:26 - Contemporary Diagnostics for Head & Neck Cancer
24:39 - Surgical Strategies for Unknown Primary Lesions
38:15 - The Role of ctDNA in Cancer Management
46:10 - Advancements in HPV-Driven Cancer Treatment
53:30 - The Future of Cancer Screening and Vaccination
01:01:54 - Vaccination: A Tool for Cancer Prevention
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RESOURCES
Medtronic ENT:
https://www.medtronic.com/us-en/healthcare-professionals/products/ear-nose-throat.html
Dr. Mihir Patel’s Emory University Profile:
https://winshipcancer.emory.edu/bios/faculty/patel-mihir-r.html
AVOID Trial:
https://pubmed.ncbi.nlm.nih.gov/31785337/ - Mostra di più
