Эпизоды
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In this episode, Dr. Mark Royer, private practice otolaryngologist and medical director of ENTLocums.com, joins BackTable to discuss salary negotiation for physicians.
Dr. Royer begins by using his personal career journey to highlight the importance of negotiation skills. Then, he describes how to develop these skills. Throughout the episode, Dr. Royer emphasizes the importance of knowing one’s value as a surgical subspecialist and tailoring your strategy to best suit your employer’s perspective and your needs. Relevant topics covered include selecting a practice, starting salaries, RVUs, locums, and non-compete agreements. Dr. Royer concludes by encouraging otolaryngologists to reflect on what they truly want out of their careers as they approach the negotiation table.
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SHOW NOTES
00:00 - Introduction
01:22 - Salary Negotiation
05:24 - Dr. Royer’s Journey from Residency to Entrepreneurship
10:16 - Negotiating Your Salary: Essential Tips and Strategies
26:27 - Different Approaches to Negotiation: Hospital vs. Private Practice
28:40 - Exploring the World of Locum Tenens
31:59 - Mid-Career Physician Negotiations and Raises
41:26 - Mastering Negotiation Tactics and Strategies: Tips from “Never Split the Difference”
47:38 - Navigating Non-Compete Clauses & Final Thoughts
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RESOURCES
ENT Surgery Solutions, LLC:
https://www.entlocums.com/
BackTable ENT Episode 57, “Locums Opportunities in ENT with Dr. Allison Royer:”
https://www.backtable.com/shows/ent/podcasts/57/locums-opportunities-in-ent
BackTable ENT Episode 107, “How Do I Negotiate My Physician Contract? Part I with Michael Johnson Jr., Esq:”
https://www.backtable.com/shows/ent/podcasts/107/how-do-i-negotiate-my-physician-contract-part-i
BackTable ENT Episode 108, “How Do I Negotiate My Physician Contract? Part II with Michael Johnson Jr., Esq:”
https://www.backtable.com/shows/ent/podcasts/108/how-do-i-negotiate-my-physician-contract-part-ii
“Never Split the Difference” by Chris Voss:
https://www.amazon.com/Never-Split-Difference-Negotiating-Depended/dp/0062407805 -
In this episode, Dr. Gavin Setzen of Albany ENT & Allergy Services addresses the current landscape of insurance reimbursement with host Dr. Ashley Agan.
The episode opens by reviewing the current state of healthcare financing, where climbing costs, declining reimbursement, and continued consolidation of medical groups confront physician-owned private practices. Mindful of this context, Dr. Setzen describes his experiences tackling reimbursement challenges. Recounting his successes, Dr. Setzen encourages physicians to base their claims in evidence-based medicine, enlist allies (such as patient unions), and develop relationships with insurers. He then provides strategies to efficiently manage Prior Authorizations, including Peer-to-Peer conversations. Finally, Dr. Setzen shares how coordinating one’s reimbursement strategy with colleagues and advocacy groups helps increase odds of success.
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CHECK OUT OUR SPONSOR
Stryker ENT
https://ent.stryker.com
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SHOW NOTES
00:00 - Introduction
01:55 - Dr. Gavin Setzen’s Journey and Practice Insights
05:30 - The Challenges of Healthcare Landscape and Insurance
10:06 - Innovations in ENT: Navigating New Technologies & Reimbursement Challenges
20:23 - Strategies for Overcoming Insurance Denials
52:30 - The Importance of Data and Collaboration in Patient Advocacy
55:19 - Closing Thoughts
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RESOURCES
Dr. Setzen’s Albany ENT & Allergy Services Profile:
https://albanyentandallergy.com/bio/gavin-setzen/ -
Пропущенные эпизоды?
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In this episode, pediatric otolaryngologist Dr. Julie Wei (Akron Children’s Hospital) and psychologist Dr. Herdley Paolini discuss surgeon burnout with guest host, pediatric otolaryngologist Dr. Anthony Sheyn (Le Bonheur Children’s Hospital).
First, Dr. Paolini reviews causes of surgeon burnout, drawing on three decades of experience working in physician wellness. Then, Dr. Sheyn and Dr. Wei discuss steps they’ve taken to combat burnout. Dr. Wei illuminates challenges unique to female surgeons, including higher levels of emotional exhaustion, fertility struggles, and ‘mom guilt.’ Then, the discussion shifts to address the roles that healthcare administration and medical education play in surgeon burnout. The podcast concludes with Dr. Wei’s experience advocating for needed changes in her hospital’s call policies.
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SHOW NOTES
00:00 - Introduction
03:18 - Operating Through Challenges: Dr. Wei’s Experience with Burnout
06:02 - Exploring Causes of Surgeon Burnout with Dr. Paolini
16:03 - Squashing the Stigma: Embracing Vulnerability in Surgery
25:37 - The Power of Advocacy and Building a Case for Wellness Programs
31:06 - Early Interventions and Transforming Medical Education
34:10 - Balancing Professional & Personal Life As A Surgeon
42:47 - Initiating System Changes for Physician Well-being
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RESOURCES
Dr. Anthony Sheyn’s Le Bonheur Children’s Hospital Profile:
https://www.lebonheur.org/doctors/anthony-sheyn
Dr. Julie Wei’s Akron Children’s Hospital Profile:
https://akronchildrens.org/people/Julie-Wei.html
About Dr. Herdley Paolini:
https://www.physicianintegration.org/about
“Safeguarding Physician Wellbeing” by Dr. Julie Wei:
https://www.routledge.com/Safeguarding-Physician-Wellbeing-Using-Checklists-for-Personal-Professional-and-Psychological-Safety/Wei/p/book/9781032589893
“Inside the Mind of a Physician: Illuminating the Mystery of How Doctors Think, What they Feel, and Why they Do the Things They Do” by Dr. Herdley Paolini:
https://www.amazon.com/Inside-Mind-Physician-Illuminating-Publishing/dp/0982040903 -
In this episode, Pediatric Speech Language Pathologist (SLP) Olivia Brooks (University of Florida Shands Hospital) shares her experience performing inpatient fiberoptic endoscopic evaluation of swallowing (FEES) with host Dr. Gopi Shah.
First, Olivia reviews the presentation of swallowing disorders in infants. She explains differences between the two most common swallowing tests: videofluoroscopic swallow study (VFSS) and (FEES). Then, she reviews how she uses patient comorbidities and the physical exam to select the appropriate test for each infant. Underscoring the importance of collaboration across care teams, she describes her role performing swallow studies in the NICU and pediatric CVICU. She then shares tips on equipment, ergonomics, and teamwork while performing bedside FEES. The podcast wraps with her advice about working on an interprofessional team to care for children with swallowing disorders.
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CHECK OUT OUR SPONSOR
Karl Storz Tele Pack
https://www.karlstorz.com/
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SHOW NOTES
00:00 - Introduction
06:26 - The Importance of a Comprehensive Evaluation
13:00 - Choosing Between VFSS & FEES
22:44 - The Evolution of Inpatient Bedside FEES
31:27 - The Role of Speech Pathologists in Swallow Assessment
33:23 - Collaboration between Speech Pathologists & Otolaryngologists
35:31 - Developing Safety Protocols for Bedside FEES
41:21 - Equipment for Bedside FEES
53:20 - Differences between the NICU and the CVICU
01:00:03 - Final Thoughts and Advice Regarding Swallow Studies
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RESOURCES
KARL STORZ ENT Products:
https://www.karlstorznetwork1.com/ent
Olivia Brooks CCC-SLP’s UF Profile
https://ufhealth.org/doctors/olivia-a-brooks/bio -
In this episode, Dr. Ashleigh Halderman, Rhinologist and Associate Professor at the University of Texas Southwestern Medical Center, discusses chronic invasive fungal sinusitis with hosts Dr. Gopi Shah and Dr. Ashley Agan,
First, Dr. Halderman outlines her advocacy work as President of the Texas Association of Otolaryngology. Then, the discussion transitions to chronic invasive fungal sinusitis. Dr. Halderman defines the disease, describes typical patient presentation, and reviews concerning imaging findings. Until biopsy can clinch the diagnosis, she maintains a high index of suspicion in cases of bizarre clinical presentation or facial paresthesia. The surgeons then shift their attention to management, which consists of culture-directed antifungals and judicious surgical intervention. Dr. Halderman wraps up the episode by sharing her pearls for operative management and long-term surveillance.
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SHOW NOTES
00:00 - Introduction
02:10 - Exploring the Texas Association of Otolaryngology
05:58 - Understanding Chronic Invasive Fungal Sinusitis: Types & Treatments
20:25 - Diagnostic Challenges and Imaging Insights
27:07 - Navigating Diagnostic Challenges and Treatment Options
29:40 - The Role of Biopsy in Confirming Fungal Infections
30:52 - Surgical Considerations and Pre-Operative Strategies
40:29 - Surveillance Strategies: Managing Chronic Invasive Fungal Sinusitis
46:34 - The Future of Surgical & Antifungal Therapies for Chronic Invasive Fungal Sinusitis
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RESOURCES
Dr. Ashleigh Halderman’s UT Southwestern Profile:
https://utswmed.org/doctors/ashleigh-halderman/
BackTable ENT Episode 30, “Revision Endoscopic Sinus Surgery"
https://www.backtable.com/shows/ent/podcasts/30/revision-endoscopic-sinus-surgery
Texas Association of Otolarynogology:
https://www.taohns.org/ -
In this episode, Dr. Sohit Kanotra, director of UCLA’s Complex Pediatric Airway Program, discusses open airway surgery in children with host Dr. Gopi Shah.
First, the surgeons review the presentation of pediatric airway stenosis, which causes stridor in younger children and exercise intolerance in older ones. Drawing on his experience at UCLA, Dr. Kanotra addresses how to build a pediatric airway program, emphasizing the importance of relationships with the NICU and PICU. He advises airway surgeons to coordinate with these units to share protocols, organize conferences, and assist with bedside swallow assessments. Then, the discussion transitions to pre-operative evaluation of and contemporary strategies in pediatric airway reconstruction. Dr. Kanotra shares pearls for surgical planning, operative technique, and post-operative management. The episode concludes with Dr. Kanotra’s high-level advice to fellow pediatric airway surgeons.
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SHOW NOTES
00:00 - Introduction
03:03 - Building UCLA’s Complex Airway Program
09:37 - Decision-Making in Pediatric Open Airway Surgery
20:10 - Pediatric Airway Surgery: A Multidisciplinary Effort
32:24 - Preoperative Assessment for Open Airway Surgery
38:16 - Evaluating the Airway: Techniques & Tools
39:34 - Planning for Open Airway Surgery
40:15 - Understanding Expansion & Resection Procedures
56:58 - Using Release Maneuvers in Pediatric Open Airway Surgery
01:00:29 - Post-operative Management and Follow-up
01:06:33 - Concluding Thoughts & Pearls
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RESOURCES
Dr. Sohit Kanotra’s UCLA Profile
https://www.uclahealth.org/providers/sohit-kanotra -
In this episode, hosts Dr. Gopi Shah and Dr. Ashley Agan talk to Dr. Stephen Schoeff, laryngologist at Kaiser Permanente (Tacoma, WA) about subglottic stenosis in adults.
Dr. Schoeff introduces subglottic stenosis (SS) as a rare condition affecting adult women of all ages. Patients complain of progressive dyspnea, declining exercise tolerance, and mucus sensation. Sometimes confused for asthma, globus sensation, LPR, or paradoxical vocal fold motion, SS is diagnosed when airway scarring and narrowing is visible on laryngoscopy. After describing workup, Dr. Schoeff reviews etiologies of SS, including iatrogenic, idiopathic, and autoimmune. Treatment options for SS include cricotracheal resection, endoscopic dilation, and airway steroid injections. Dr. Schoeff concludes the episode by sharing his success using periodic airway steroid injections for treatment of SS.
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SHOW NOTES
00:00 - Introduction
01:21 - Dr. Schoeff’s Journey & Practice
08:28 - Symptoms & Differential Diagnosis
12:31 - Physical Examination & Diagnosis
27:23 - Introduction to Endoscopic Dilation
28:57 - Steroid Injections as a Management Option
31:24 - The Three Big Categories of Treatment
33:05 - How Steroids Address Disease Pathophysiology
38:58 - Technique for Airway Dilation
49:06 - Deciding on Cricotracheal Resection
51:14 - How Insurance Affects Treatment Options
55:05 - Final Thoughts & Pearls -
In this episode, hosts Dr. Ashley Agan and Dr. Gopi Shah discuss the transition from residency to private practice with Dr. Christopher Gentile of Northeast Atlanta ENT.
First, Dr. Gentile briefly describes his career journey from medical school to private practice. Shedding light on the residency to private practice transition, he addresses the challenges of adapting to a new clinical environment and negotiating an employment contract. Then, he dives into the day-to-day realities of private practice. He advises young otolaryngologists to build strong connections with their clinic team, which includes practice managers, medical assistants, and fellow surgeons. By advocating for themselves, young otolaryngologists can balance their load of surgical cases and pursue areas of clinical interest. Finally, he shares tips on choosing a first job out of residency.
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EARN CME
Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/2jhXN8
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SHOW NOTES
00:00 - Introduction
01:36 - Dr. Gentile’s Journey and Current Practice
08:03 - Determining How Your Contract is Structured
12:02 - Tips for Negotiating Contracts
15:16 - Understanding Patient Scheduling & Practice Structure
20:35 - The Struggles of Balancing Work & Personal Life
24:18 - The Importance of Building a Team Around You
26:37 - Establishing Yourself in a New Practice
31:39 - The Job Hunting Experience: Lessons Learned
38:24 - Final Thoughts & Advice for New Graduates
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RESOURCES
Dr. Gentile’s Northeast Atlanta ENT Profile:
https://northeastatlantaent.com/christopher-gentile-m-d/ -
In this episode, host Dr. Ashley Agan discusses eustachian tube (ET) dilation with Dr. Dennis Poe, neurotologist and Professor of Otolaryngology at Harvard Medical School.
First, the surgeons describe clinically meaningful differences between adult and pediatric ETs. Then, Dr. Poe reviews workup of pediatric ET disorders. Since inflammation accounts for most ET dysfunction, controlling comorbid allergies and/or performing adenoidectomy provides relief to some patients. For patients with continued symptoms, balloon dilation – now approved for children as young as eight years of age– directly counteracts obstructive inflammation in the tube lumen. To conclude, Dr. Poe describes how to select patients for, perform, and avoid complications of balloon dilation.
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CHECK OUT OUR SPONSOR
Acclarent AERA Eustachian Tube Balloon Dilation System
https://www.jnjmedtech.com/en-US/product/Acclarent-aera-eustachian-tube-balloon-dilation-system
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SHOW NOTES
00:00 - Introduction
04:03 - Understanding Eustachian Tube Anatomy
07:22 - Causes of Eustachian Tube Dysfunction in Children
12:53 - Examination and Diagnosis of Eustachian Tube Dysfunction
19:10 - Treatment Options for Eustachian Tube Dysfunction
27:05 - Avoiding Unpredictable Injury and Scarring During Balloon Dilation
31:51 - Contraindications and Precautions for Balloon Dilation
37:49 - Understanding Risks & Complications of Balloon Dilation
48:34 - Closing Remarks & Future Prospects
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RESOURCES
Dr. Dennis Poe’s Harvard Profile:
https://oto.hms.harvard.edu/people/dennis-poe
BackTable ENT Ep. 40 – “Diagnosis & Management of Eustachian Tube Disorders with Dr. Dennis Poe:”
https://www.backtable.com/shows/ent/podcasts/40/diagnosis-management-of-eustachian-tube-disorders
American Academy of Otolaryngology-Head and Neck Surgery Clinical Practice Guideline: Otitis Media with Effusion (Update):
https://www.entnet.org/quality-practice/quality-products/clinical-practice-guidelines/ome/
“Complications of Eustachian Tube Balloon Dilation: Manufacturer and User Facility Device Experience (MAUDE) Database Analysis and Literature Review,” Chisolm, P.F. et al: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10731503/ -
In this episode, Dr. Nora Perkins (Albany ENT & Allergy Services), discusses in-office procedural management of nasal airway obstruction with hosts Dr. Ashley Agan and Dr. Gopi Shah.
First, the surgeons discuss the advantages of in-office procedures. Then, Dr. Perkins describes different presentations of nasal airway obstruction and their medical management. Diving deeper, Dr. Perkins shares her procedural workflow, including anesthetic protocols, her VivAer Aerin device technique, and billing considerations. Finally, the episode concludes with Dr. Perkins’ advice to otolaryngologists interested in performing more in-office procedures.
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CHECK OUT OUR SPONSOR
Aerin Medical
https://aerinmedical.com/
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SHOW NOTES
00:00 - Introduction
02:07 - Discussion of Nasal Airway Obstruction
08:21 - The Patient with Nasal Airway Obstruction
15:29 - Medical Management of Nasal Airway Obstruction
26:17 - The Aerin VivAer RF Ablation Device
32:12 - Anatomical Considerations and Treatment Options
35:10 - Anesthetic Protocol & Patient Comfort
47:56 - Long-term Outcomes and Quality of Life
49:42 - Billing and Insurance Considerations
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RESOURCES
Dr. Nora Perkins’ Albany ENT & Allergy Services Profile:
https://albanyentandallergy.com/bio/nora-w-perkins/
Aerin VivAer Website:
https://vivaer.com/ -
In this episode, Dr. Anita Jeyakumar, pediatric ENT at Mercy Health (Youngstown, Ohio) discusses language for Deaf and Hard of Hearing (HoH) children with podcast host Dr. Gopi Shah.
First, Dr. Jeyakumar explains the difference between speech and language. She then introduces the concept of “language nutrition,” which describes social exposure to rich and varied language. Acknowledging that language fluency–spoken or visual such as American Sign Language–underlies success, she shares strategies to foster these skills in Deaf and HoH children. Dr. Jeyakumar describes resources that support these patients, including early intervention services for children under age three and school-based resources for older children. She reviews assistive technologies including hearing aids, cochlear implants, and closed captioning. To conclude, she urges physician advocacy to better support the needs of Deaf and HoH children.
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SHOW NOTES
00:00 - Introduction
02:08 - Understanding Language and Speech
04:23 - The Concept of Language Nutrition
07:53 - Addressing Speech Delay in Children
21:32 - The Role of Technology in Supporting Deaf and HoH Children
24:10 - Promoting Health Equity for Deaf and HoH Children
27:52 - Resources for Families of Deaf and HoH Children
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RESOURCES
Dr. Anita Jeyakumar’s Mercy Health Profile:
https://www.mercy.com/find-a-doctor/physicians/anita-s-jeyakumar/1985497
Hands & Voices Guide By Your Side™:
https://www.handsandvoices.org/gbys/
American Speech-Language-Hearing Association (ASHA):
https://www.asha.org/
American Cochlear Implant Alliance (ACI Alliance):
https://www.acialliance.org/
A.G. Bell Association for the Deaf & Hard of Hearing:
https://www.agbell.org/ -
In this episode, Dr. Spencer Payne, a rhinologist at the University of Virginia School of Medicine, shares his journey developing RefluxRaft, a natural, alginate-based reflux therapy, with host Dr. Ashley Agan.
First, Dr. Payne describes how his research interests and father’s premature death spurred his interest in functional medicine. Wary of side effects associated with conventional reflux medications, he teamed up with fellow UVA faculty member and laryngologist Dr. James (Jim) Daniero to develop RefluxRaft, a natural dietary supplement. Starting from his initial concept, Dr. Payne delves into challenges marketing, manufacturing, and distributing RefluxRaft. He then explains how RefluxRaft uses alginates to combine with stomach acid and form a gel-like “raft” that stops movement of acid into the esophagus. The episode concludes with an overview of how to dose and order RefluxRaft.
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SHOW NOTES
00:00 - Introduction
03:45 - Holistic Approaches to Medicine
06:46 - Functional Medicine Perspective on Reflux
08:54 - Dietary Modifications for Reflux Patients
17:07 - The Development of RefluxRaft
20:00 - From Concept to Prototype: The Kitchen Lab Experiments
20:57 - The Business Side: Marketing, Manufacturing, & Logistics
27:21 - The Product: Understanding Alginates & Their Benefits
36:29 - The Future: New Flavors & Holistic Reflux Therapies
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RESOURCES
Dr. Payne’s UVA Profile
https://med.virginia.edu/otolaryngology/faculty/spencer-c-payne-m-d/
Dr. Daniero’s UVA Profile:
https://med.virginia.edu/otolaryngology/faculty/james-j-daniero-m-d-m-s/
RefluxRaft: Natural Reflux Relief:
https://refluxraft.com/
RefluxRaft YouTube Channel:
https://www.youtube.com/@refluxraft -
In this episode, Dr. Gerard Gianoli of The Ear & Balance Institute (Covington, Louisiana), joins host Dr. Ashley Agan to discuss his experience with the third-party-free practice model.
First, Dr. Gianoli describes how his work treating vestibular disorders spurred his interest in the third-party-free practice model, where patients pay upfront for services, then submit insurance claims for reimbursement as appropriate. Dr. Gianoli walks listeners through his practice’s transition, focusing on referral patterns and patient concerns. Then, the surgeons speak to the model’s advantages, including reduced rates of physician burnout, higher-value patient care, and reduced administrative burden. Looking ahead, Dr. Gianoli assesses the role of third-party-free practices in the U.S. healthcare landscape. Finally, the episode wraps with a discussion of Dr. Gianoli’s recent book on Third Mobile Window Syndrome.
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SHOW NOTES
00:00 - Introduction
05:34 - Transitioning to a Third-Party-Free Practice
07:48 - The Financial Impact of Going Third-Party-Free
12:11 - Benefits of a Third-Party-Free Practice
27:28 - Navigating Surgery Costs in a Third-Party-Free Practice
32:01 - Determining Prices in a Cash-Based Practice
35:10 - The Importance of Patient Education in Medical Practice
38:15 - Drawbacks of the Third-Party-Free Model
52:32 - Trends in Physician Practice Models
56:38 - Dr. Gianoli’s Book on Third Mobile Window Syndrome
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RESOURCES
Dr. Gianoli’s physician profile at the Ear & Balance Institute:
https://earandbalance.net/dr-gianoli/
Dr. Gianoli’s Wall Street Journal Editorial from January 2015: “Saying Goodbye to Third-Party Medical Payments.”
https://www.wsj.com/articles/gerard-j-gianoli-saying-goodbye-to-third-party-medical-payments-1421280968
“Third Mobile Window Syndrome of the Ear: Superior Semicircular Canal Dehiscence and Associated Disorders,” edited by Gerard Gianoli and Philippa Thomson:
https://link.springer.com/book/10.1007/978-3-031-16586-3
“The Private Practice Solution: Reclaiming Physician Autonomy and Restoring the Doctor-Patient Relationship,” by Grace Torres-Hodges:
https://www.amazon.com/Private-Practice-Solution-Doctor-Patient-Relationship/dp/B0CK3QR1XX -
In this episode, Dr. Sujana Chandrasekhar, neurotologist with New York City’s ENT and Allergy Associates, joins host Dr. Ashley Agan to discuss labyrinthitis.
The podcast begins by reviewing the clinical presentation of labyrinthitis, drawing on Dr. Agan’s personal experience with the condition. Then, Dr. Chandrasekhar explains in-depth the physical exam of the dizzy patient, focusing on differentiating central vestibular lesions (such as strokes) from peripheral ones (such as labyrinthitis). While labyrinthitis is a self-limited condition, Dr. Chandrasekhar shares strategies to mitigate the associated nausea, imbalance, and hearing loss patients find debilitating. Finally, the surgeons discuss how vestibular physical therapy and adequate rest enable prompt recovery.
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SHOW NOTES
00:00 - Introduction
01:22 - Discussion of and Personal Experience with Labyrinthitis
08:14 - Recovery and Treatment of Labyrinthitis
11:01 - Examination and Workup of Labyrinthitis
16:11 - Understanding Nystagmus in Labyrinthitis
20:29 - Further Testing and Examination for Labyrinthitis
33:49 - Treatment for Labyrinthitis
40:53 - The Role of Physical Therapy
43:12 - Follow-up and Recovery
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RESOURCES
Dr. Chandrasekhar’s ENT and Allergy Associates Profile: https://www.entandallergy.com/find-a-doctor/sujana-s-chandrasekhar-md-facs/
Backtable ENT Ep. 87 – “Sudden Sensorineural Hearing Loss with Dr. Sujana Chandrasekhar:” https://www.backtable.com/shows/ent/podcasts/87/sudden-sensorineural-hearing-loss
“The Ten-Minute Examination of the Dizzy Patient,” J.A. Goebel: https://pubmed.ncbi.nlm.nih.gov/11774054/
“She’s On Call” Podcast featuring Dr. Sujana Chandrasekhar and Dr. Maurina Kurian: https://podcasts.apple.com/us/podcast/shes-on-call-weekly-medical-show/id1582727930
“Otolaryngologic Clinics” Podcast hosted by Consulting Editor Sujana S. Chandrasekhar, features in-depth discussions and commentary on the articles in each issue by the guest editors themselves.
Otolaryngologic Clinics (Elsevier) on Apple Podcasts -
In this episode, Dr. Gopi Shah, welcomes Dr. Elton Lambert, a pediatric otolaryngologist at Texas Children’s Hospital in Houston, to discuss the use of ultrasound in pediatric otolaryngology.
First, the surgeons delve into why ultrasound offers a precise and convenient method for diagnosing pathologies ranging from parotitis to vocal fold immobility in children. Dr. Lambert describes treating sialorrhea with ultrasound-guided Botox injections. From this point, the discussion transitions to the use of ultrasound for voice and airway issues. Use of ultrasound provides additional detail to complement (or occasionally replace) flexible scope exams in children with vocal cord immobility. The discussion finishes with Dr. Lambert’s pearls to successfully obtain and document ultrasound results.
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SHOW NOTES
00:00 - Introduction
02:10 - Understanding Ultrasound in Pediatric Otolaryngology
05:35 - Training and Incorporation of Ultrasound in Medical Curriculum
08:43 - Ultrasound for Salivary Pathology in Children
14:04 - Salivary Botox Injections
25:34 - Ultrasound for Voice and Airway in Children
29:59 - Vocal Cord Immobility Post Cardiac Surgery
30:23 - Ultrasound for Vocal Cord Mobility
30:45 - Detecting Nodules and Granulomas with Ultrasound
32:38 - Ultrasound for Laryngomalacia
34:52 - Ultrasound for Subglottic Stenosis
41:55 - Ultrasound for Tracheostomy Patients
45:43 - Ultrasound for Dysphagia
50:38 - Documenting Ultrasound Findings
53:37 - Limitations of Ultrasound
56:21 - Final Thoughts on Ultrasound in Pediatric Otolaryngology
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RESOURCES
Dr. Lambert’s Texas Children’s Hospital Profile:
https://www.texaschildrens.org/find-a-doctor/elton-m-lambert-md
Dr. Lambert’s Contact:
[email protected] -
In this episode, Dr. Kevin Sykes, PhD, MPH, director of clinical research at Baylor Scott & White Health in Dallas, explores health equity research in otolaryngology with host Dr. Gopi Shah.
First, Dr. Sykes underscores how historical injustices contribute to health disparities seen today, using differences in life expectancy as an example. He then addresses challenges with assessing head & neck cancer outcomes, including small sample sizes, limited community participation, and data aggregation. Speaking to study design, Dr. Sykes shares his experience working with community health workers, whom he finds invaluable for their ability to build relationships with research participants. Finally, Dr. Shah and Dr. Sykes brainstorm how health equity research can shape public health policies and medical education.
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SHOW NOTES
00:00 – Introduction
01:29 – Understanding Health Equity Research
09:44 – The Role of Social Determinants in Health Equity
12:00 – The Importance of Community Representation in Research
14:34 – Challenges in Health Equity Research
17:32 – The Role of Community Health Workers in Research
26:00 – Designing a Health Equity Research Study
30:48 – The Role of Qualitative Data in Health Equity Research
32:39 – Understanding Racial Differences in Treatment Choices
33:30 – The Power of Qualitative Data in Uncovering Lived Experiences
35:32 – The Rigor and Challenges of Qualitative Research
42:35 – The Impact of Health Equity Research on Policy and Advocacy
48:33 – The Role of Medical Education in Health Equity Research
56:54 – Resources and Recommendations for Health Equity ResearcH
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RESOURCES
Backtable ENT Episode 98, “Health Equity Collaborative in ENT with Dr. Alexander Chiu and Dr. Romaine Johnson:” https://www.backtable.com/shows/ent/podcasts/98/health-equity-collaborative-in-ent
Backtable ENT Episode 31, “Mentorship Feedback & Coaching with Dr. Carrie Francis:” https://www.backtable.com/shows/ent/podcasts/31/mentorship-feedback-coaching
Backtable ENT Episode 129, “American Head and Neck Society Scholarship for Underrepresented Minority Medical Students with Dr. Tammara Watts:” https://www.backtable.com/shows/ent/podcasts/129/american-head-neck-society-scholarship-for-underrepresented-minority-medical-students -
In this episode, host Dr. Ashley Agan discusses management of synkinesis with Dr. Shiayin (Shi) Yang, facial plastic surgeon at Vanderbilt University Medical Center.
The surgeons begin by defining synkinesis, a condition in which voluntary facial muscle movement triggers involuntary contraction of other facial muscles. Though the pathophysiology of synkinesis remains incompletely understood, damage to and aberrant “rewiring” of the facial nerve is thought to trigger these symptoms. Causes of synkinesis include Bell’s Palsy, facial tumors, and intra-operative injury. Dr. Yang explains the importance of appropriate patient counseling, especially given the misperception that synkinesis is a “disease of vanity.” The discussion then transitions to treatment options, including physical therapy, Botox injections, and surgical intervention (including myectomy and selective neurectomy). The podcast finishes with Dr. Yang’s insights into the mental health impact of synkinesis.
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SHOW NOTES
00:00 – Introduction
02:26 – Understanding Synkinesis
05:08 – Common Patient Presentations
06:11 – Importance of Early Treatment and Patient Education
07:48 – Referral and Timeliness of Treatment
09:35 – Pathophysiology of Nerve Rewiring
12:11 – Workup and Diagnosis
17:57 – Treatment Options: Botox Therapy
25:51 – Treatment Options: Surgical Interventions
30:31 – Long-term Management and Expectations
33:27 – Eye Protection in Facial Paralysis
37:16 – Mental Health Impact of Synkinesis
38:27 – Conclusion and Contact Information
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RESOURCES
Dr. Yang’s Vanderbilt University Medical Center profile:
https://search.vanderbilthealth.com/doctors/yang-shiayin -
In this episode, Dr. Gopi Shah discusses the role of ENT in gender-affirming care with facial plastic surgeons Dr. Daniel Knott of UCSF and Dr. Rahul Seth of Golden State Plastic Surgery. This episode is the second half of a two-part series featuring Drs. Knott and Seth.
First, the surgeons emphasize the importance of understanding terms related to gender identity and using patients’ correct pronouns. Relative to the general population, transgender individuals face higher rates of poverty, unemployment, and serious mental illness, all of which shape their interaction with the healthcare system. Then, using California as a case study, doctors Knott and Seth discuss strategies that successfully increase access to gender-affirming care. The episode finishes by addressing how insurance coverage, clinical research, education and advocacy shape gender-affirming care.
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SHOW NOTES
00:00 - Introduction to the Podcast
01:23 - Understanding Transgender and Gender Diverse Individuals
03:06 - Challenges Faced by Transgender and Gender Diverse Individuals
08:55 - The Role of Otolaryngologists in Gender Affirming Care
17:02 - The Impact of Insurance and State Laws on Access to Care
28:40 - The Importance of Education and Advocacy in Gender Affirming Care
40:21 - Closing Thoughts and Final Remarks
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RESOURCES
Dr. Knott's and Dr. Seth’s Facial Plastic Clinic:
https://ohns.ucsf.edu/facialplastics
Backtable ENT Ep. 148 – “Facial Masculinization in Gender Affirming Care with Dr. P Daniel Knott and Dr. Rahul Seth:”
https://www.backtable.com/shows/ent/podcasts/148/facial-masculinization-in-gender-affirming-care
Backtable ENT Ep. 125 - “Gender Affirming Voice Care with Sara Schneider MS, CCC-SLP and Dr. Mark Courey:”
https://www.backtable.com/shows/ent/podcasts/125/gender-affirming-voice-care
Backtable ENT Ep. 27 – “Facial Feminization with Dr. Sarah Saxon:”
https://www.backtable.com/shows/ent/podcasts/27/facial-feminization
Operative Techniques in Otolaryngology chapter covering facial masculinization surgery:
https://www.optecoto.com/article/S1043-1810(23)00011-8/fulltext
ENTtoday: “Gender Affirmation Surgery in California,” Suresh Mohan, MD, Rahul Seth, MD, and Daniel Knott, MD:
https://www.enttoday.org/article/gender-affirmation-surgery-in-california/
ENTtoday: “Transgender Care: Otolaryngologists Can Help Fill an Unmet Need for This Patient Population,” P. Daniel Knott, MD and Rahul Seth, MD
https://www.enttoday.org/article/transgender-care-otolaryngologists-can-help-fill-an-unmet-need-for-this-patient-population/
Otolaryngologic Clinics of America August 2022 issue – “Gender Affirmation Surgery in Otolaryngology:” https://www.oto.theclinics.com/issue/S0030-6665(22)X0004-2
“National Variation of Insurance Coverage for Gender-Affirming Facial Feminization Surgery,” S. Gadkaree et al.:
https://pubmed.ncbi.nlm.nih.gov/32865436/ -
In this episode of Back Table ENT, host Dr. Gopi Shah explores the entrepreneurial journey of Dr. Rohan Walvekar, an otolaryngologist at Louisiana State University-New Orleans and innovator/CEO of nDorse, a team engagement software application.
Dr. Walvekar shares his experience in launching ‘nDorse’ — his novel team engagement software designed for healthcare providers. This idea was sparked from his realization that daily contributions and positivity within the healthcare space could be better recognized with real time feedback. He noticed that hospital nursing turnover was high, which could have been attributed to insufficient engagement and connection with coworkers.
The nDorse software application can be used by anyone in an organization and allows users to post meaningful recognitions (via messages, emojis, pictures, GIFs) for their coworkers, with the ability to tag recognitions to the organization’s specific mission and values. Since its implementation, nDorse has been adopted even in various educational and financial institutional settings. Dr. Walvekar describes his journey to creating the application, including the software building process, initial sales, mentors, and the nDorse team. He also offers advice for physician entrepreneurs about being thoughtful with innovation and resilience in the startup sphere.
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SHOW NOTES
00:00 Introduction to the Podcast
02:46 A Focus on Real Time Recognition for Coworkers
04:48 Introduction to nDorse: A Team Engagement Software
13:06 Market Research and a Minimum Viable Product
20:16 Product Launch and First Customers
23:04 Financing the Project
26:03 Pitching to New Clients
29:00 Team Members and Mentors
31:44 Balancing Innovation with Clinical Practice
36:20 Challenges During the Entrepreneurship Journey
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RESOURCES
nDorse:
https://www.ndorse.net/
BackTable ENT Ep. 115- Management of the Plunging Ranula:
https://www.backtable.com/shows/ent/podcasts/115/management-of-the-plunging-ranula
Healthcare Plus Solutions Group:
https://healthcareplussg.com/ - Показать больше