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Updated 13/09/2024
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15 June

Speech Scope Episode 28: Dysphagia Mythbusting: How Do We Facilitate QoL With Compromise?

Dr. Amber Heape, ClinScD, CCC-SLP, CDP, joins host Sarah Baar to unpack some of the most common and controversial myths surrounding dysphagia management in residential care. Drawing from over two decades of clinical leadership and teaching experience, Amber and Sarah challenge long-held assumptions about compliance, patient choice, and what truly supports quality of life. Together, they explore how clinicians can shift from fear-based decision-making to evidence-informed, person-centered care. Tune in as we navigate the gray areas of dysphagia practice and explore what it really means to compromise for the sake of dignity and autonomy. Learning Outcomes Analyze the evidence around dysphagia management practices in residential care settings, with a focus on ethical considerations and person-centered careDetermine the situations in which individualized care planning and interdisciplinary collaboration provide the most benefit for balancing aspiration risk and quality of lifeSolve patient case scenarios involving dysphagia management by applying current evidence, patient autonomy, and ethical communication strategies in team-based careTimestamps (00:00:00) Welcome(00:00:05) Introduction and the ethics of dysphagia(00:01:18) Guest introduction: Dr. Amber Heape(00:03:40) The evolution of evidence-based practice(00:05:19) Myth: waivers and the Medicare Benefit Policy Manual(00:09:32) Myth: patient choice and decision-making capacity(00:14:23) Strategies for quality of life compromises(00:17:42) Myth: clinical judgment vs. the patient's lived experience(00:24:00) Myth: discharge due to “noncompliance“(00:29:18) Myth: aspiration risk and altered consistencies(00:32:24) Myth: cultural perspectives on food and caring(00:34:57) Impact on assessment time and planning(00:36:45) Shifting facility culture through communication(00:41:48) Top three actionable takeaways(00:44:05) Experiential learning and clinical empathy(00:48:08) Final words of wisdom Speech Scope is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Speech Scope, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/speech-scope⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/

15 June

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50 min
15/08/2025

Speech Scope Episode 18: What’s the Colorado Motor Speech Framework, and How Do I Use It?

Allison Hilger, PhD, CCC-SLP, joins host Sarah Baar to explore the Colorado Motor Speech Framework—a free, easy-to-use tool for assessing motor speech disorders. Together, they discuss how it supports clinical decision-making and simplifies dysarthria diagnosis. Tune in for practical tips you can bring to your next evaluation. Learning Objectives Analyze the evidence around motor speech/dysarthria assessmentApply evidence-based, practical strategies to actionably address diagnosing motor speech disorders and dysarthria subtyping, as well as logging perceptual observations of the patient’s speechSolve patient case scenarios involving unclear motor speech diagnoses, such as mixed dysarthria subtypes Timestamps (00:00:00) Welcome(00:00:05) Introduction to the Colorado motor speech framework(00:02:53) The need for a new assessment tool(00:05:55) Development of the Colorado motor speech framework(00:08:23) Understanding dysarthria and its subtypes(00:11:33) How to use the Colorado motor speech framework(00:14:11) Clinical applications and settings for the framework(00:21:15) Differential diagnosis in motor speech disorders(00:28:02) The importance of individualized treatment goals(00:36:23) Actionable takeaways(00:40:16) Real-world clinical examples and wins(00:45:40) Final thoughts Speech Scope is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Speech Scope, visit ⁠⁠⁠⁠https://www.medbridge.com/speech-scope⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠https://www.medbridge.com/pricing/

15/08/2025

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49 min
15 Apr

Speech Scope Episode 26: Facial Nerve Paralysis: How Can Therapists and Surgeons Collaborate?

Dr. Nina Lu, MD, facial plastic surgeon and director of the Facial Nerve Center at the University of Washington (UW), and Emily Wilson, MS, CCC-SLP, a facial therapist and lecturer at UW, join host Sarah Baar for an eye-opening look at interdisciplinary care for facial nerve paralysis. Sarah dives into this underexplored topic with curiosity, asking how therapists and surgeons can truly partner in meaningful ways. Together, they unpack what collaboration looks like in practice, explore evidence-based approaches to facial retraining, and reflect on the power of aligning goals with patient priorities. If you’ve ever wondered where facial therapy fits into your scope—or how to build bridges across disciplines—this conversation is for you. Learning Outcomes Analyze the evidence around individualized treatment planning for facial paralysis resulting from peripheral nerve injuryDetermine the situations in which interdisciplinary collaboration enhances patient outcomes in facial nerve rehabilitationSolve patient case scenarios involving peripheral facial nerve paralysis by applying collaborative treatment planning between therapists and surgeonsTimestamps (00:00:00) Welcome(00:00:05) Introduction to facial nerve injury and therapy(00:04:54) Understanding facial paralysis: causes and patient diversity(00:08:11) The role of multidisciplinary clinics in treatment(00:12:47) Collaboration between otolaryngologists and speech-language pathologists(00:17:45) Patient goals and outcomes in facial therapy(00:23:20) Assessment and measurement in facial therapy(00:28:15) Billing and therapy codes: navigating the system(00:29:41) Collaboration between therapists and physicians(00:33:29) Understanding synkinesis: a complex recovery(00:35:36) Therapeutic techniques: soft-tissue mobilization(00:41:02) Patient engagement: the key to successful therapy(00:45:30) The multidisciplinary approach to facial reanimation(00:47:46) Networking for facial therapy: building connections(00:52:40) Actionable takeaways for clinicians(00:56:21) Final thoughts: the future of facial therapy Speech Scope is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Speech Scope, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/speech-scope⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/

15 Apr

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1 hr
15/05/2025

Speech Scope Episode 15: Dysarthria and Life Participation: Where Do I Begin?

Dr. Carolyn Baylor, PhD, CCC-SLP—creator of the Framework for Participation-Focused Intervention and expert in motor speech disorders—joins host Sarah Baar to explore how clinicians can prioritize life participation in dysarthria intervention. Together, they unpack how to set meaningful goals, measure real-world outcomes, and move beyond the drill-and-repeat rut. If you’re ready to help clients reconnect with what matters most, this episode offers the practical strategies to get you started. Learning Objectives Analyze the evidence supporting participation-based approaches to interventionApply evidence-based, practical strategies to actionably address barriers clients face to full participation in the communication aspects of their livesSolve patient case scenarios involving participation-based interventions for dysarthria Timestamps (00:00:00) Welcome(00:01:30) Introduction to guest, Dr. Carolyn Baylor(00:03:30) The clinical motivation behind the framework(00:06:50) Understanding the framework: a practical approach(00:12:10) Identifying ideal clients for the framework(00:16:10) Assessment strategies for participation-focused therapy(00:19:30) Setting goals: from participation to outcomes(00:22:00) Engaging clients in goal setting(00:23:10) Real-life applications and client stories(00:24:40) Balancing participation and impairment goals(00:27:30) Environmental accessibility in therapy(00:31:15) Wild card question(00:32:40) Effective intervention strategies(00:37:06) Patient and family compliance/push back(00:41:34) Actionable takeaways for clinicians(00:47:30) Empowering clinicians in therapy Speech Scope is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Speech Scope, visit ⁠https://www.medbridge.com/speech-scope⁠ If you’d like to subscribe to Medbridge, visit ⁠https://www.medbridge.com/pricing/

15/05/2025

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50 min
15/07/2024

Speech Scope Episode 5: How Can SLPs Think More Broadly About Decisions in Dysphagia Management?

Join us as Tim Stockdale, a leading voice in dysphagia management and critical thinking, sits down with Sarah Baar to discuss how expanding your clinical perspectives and asking “why” can elevate your patient care. Don’t miss out on this opportunity to deepen your understanding and broaden your clinical reasoning when it comes to dysphagia management. Interpret factors among patients with dysphagia that contribute to negative impact on health and quality of life Apply evidence-based, practical strategies to actionably address critical thinking in dysphagia management Solve patient case scenarios involving dysphagia management to promote holistic outcomes Timestamps (00:00:00) Welcome (00:00:30) Introduction to guest (00:02:14) Introduction to dysphagia management and decision-making (00:06:14) The importance of asking “why” in dysphagia care (00:13:43) Clinical application: Assessment, goals, and interventions (00:30:54) Actionable takeaways (00:42:19) The mindset of progress and continuous improvement Speech Scope is brought to you by MedBridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your MedBridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on MedBridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Speech Scope, visit https://www.medbridge.com/speech-scope If you’d like to subscribe to MedBridge, visit https://www.medbridge.com/pricing/

15/07/2024

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47 min
14/11/2025

Speech Scope Episode 21: Anosognosia: What Are Key Clinical Treatment Considerations for SLPs?

Allison Mezo, MA, CCC-SLP, CBIST, returns to join host Sarah Baar for part 2 of their deep dive into anosognosia, this time focusing on what SLPs can actually do in treatment. Drawing from extensive research and clinical experience, Allison and Sarah explore how to meet clients where they are on the awareness continuum and use therapy time meaningfully—even when insight is limited. You’ll walk away with practical strategies to build therapeutic alliance, structure intervention by awareness level, and foster life participation outcomes. Learning Objectives Analyze the current evidence base for interventions targeting anosognosia and delineate the role of the speech-language pathologist in intervention planningApply evidence-based treatment approaches for anosognosia to match a patient’s level of awareness (intellectual, emergent, anticipatory)Solve real-world case examples to select and adapt appropriate anosognosia treatment techniques, monitor progress, and adjust intervention plans collaborativelyTimestamps (00:00:00) Welcome(00:00:05) Introduction to anosognosia treatment(00:01:07) Allison Mezo’s background and clinical perspective(00:03:10) Why treating awareness matters in rehab(00:07:19) Evidence-based foundations of treatment(00:08:49) Core principles: motivational interviewing, feedback, and more(00:14:19) Aligning treatment with awareness levels(00:15:17) Treating clients with no awareness(00:19:39) Clinical example: “Mary” and environmental supports(00:23:11) Therapy at the intellectual awareness level(00:28:09) “Mary’s” progress: intellectual awareness in action(00:34:20) Therapy at the emergent awareness level(00:38:13) Experiential learning and the predict-perform-reflect cycle(00:40:25) Anticipatory awareness: planning ahead in therapy(00:42:30) “Mary” at the anticipatory stage(00:45:10) Three actionable takeaways for clinicians(00:50:15) Final words of wisdom on building alliance Speech Scope is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Speech Scope, visit ⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/speech-scope⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/

14/11/2025

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54 min
16/09/2025

Neuro Navigators Episode 19: Focal Dystonia: Can We Really Retrain the Brain?

Dr. Nancy Byl, a pioneer in neuroplasticity and expert in focal dystonia, joins host J.J. Mowder-Tinney for a dynamic conversation on how OTs and PTs can rethink assessment and intervention for this underrecognized movement disorder. J.J. brings curiosity and clinical insight as they explore the sensory origins of dystonia, surprising traits shared by many patients, and why behavioral retraining may hold more promise than you think. Along the way, Dr. Byl shares case examples, brain mapping data, and creative treatment strategies grounded in decades of experience. Tune in to discover how targeted sensory retraining—and a little outside-the-box thinking—may help retrain the brain. Learning Objectives Analyze the evidence around the definition, diagnosis, and prevalence of focal dystonia (FD)Apply evidence-based, practical strategies to address the treatment of FD, grounded in principles of neuroplasticity and behavioral interventions, and to support engagement in meaningful occupationsSolve patient case scenarios involving FD while integrating current research, clinical reasoning, and potential directions for future investigation Timestamps (00:00:00) Welcome(00:01:05) Introduction to guest and focal dystonia research(00:06:56) Understanding focal dystonia in context(00:11:16) The impact of focal dystonia on lives(00:16:01) Personality traits and focal dystonia(00:18:35) Neuroscience insights into dystonia(00:24:39) Behavioral retraining and dystonia(00:28:18) Patient characteristics and outcomes(00:33:49) Assessment techniques for dystonia(00:46:08) Innovative treatment approaches(00:47:17) The role of behavioral training in recovery(00:49:46) Real-life retraining success stories and insights Neuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Neuro Naviagators, visit ⁠⁠⁠⁠⁠https://www.medbridge.com/neuro-navigators⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/⁠⁠⁠⁠⁠ IG: ⁠⁠https://www.instagram.com/medbridgeteam/

16/09/2025

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1hr 1min
15/09/2025

Speech Scope Episode 19: Dysphagia Decisions: What’s In and What’s Out?

Dr. Phyllis M. Palmer, a leading voice in dysphagia research, and Aaron H. Padilla, a practicing clinical SLP, join host Sarah Baar to explore how dysphagia management is evolving and why that matters for your daily practice. Together, they dig into clinical gray areas, from navigating thickened liquids to balancing patient safety with quality of life. The discussion also highlights how the BOLUS framework offers a practical, evidence-informed tool to support individualized decision-making at the bedside. If you’ve ever questioned your go-to strategies, this conversation is for you. Learning Objectives Analyze the evidence on individual differences in dysphagia management using the BOLUS frameworkApply evidence-based, practical strategies to address modifiable factors in dysphagia management, such as oral care and smoking statusSolve case scenarios involving patients who aspirate, with emphasis on factors that increase the risk of poor outcomes Timestamps (00:00:00) Welcome(00:00:05) Introduction to dysphagia management(00:03:40) Evolution of dysphagia practices(00:05:29) The importance of individualized care(00:12:15) Navigating changes in clinical practices(00:15:15) Introducing the BOLUS framework(00:20:30) Understanding bolus variables(00:29:20) Oral health—the foundation of dysphagia management(00:35:40) Lifestyle and activity levels in dysphagia management(00:39:50) Unintended influences in clinical practice(00:44:40) Understanding system status in dysphagia management(00:48:30) Actionable takeaways for clinicians Speech Scope is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Speech Scope, visit ⁠⁠⁠⁠⁠https://www.medbridge.com/speech-scope⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/

15/09/2025

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57 min
15 Jan

Speech Scope Episode 23: Improving Conversation in Aphasia: What Is “ECoLoGiC-Tx” All About?

Dr. Marion Leaman, PhD, CCC-SLP—an experienced clinician and leading researcher in conversation-level aphasia therapy—joins host Sarah Baar to share the story behind ECoLoGiC-Tx, the spontaneous, conversation-based treatment she developed with her PhD mentor, Dr. Lisa Edmonds. Sarah and Marion examine how this evidence-based approach facilitates language recovery in individuals with moderate to severe aphasia, diverging from traditional cueing or drill-based models. You’ll learn how this therapy framework centers on real conversation, respects adult autonomy, and achieves measurable impact to patient communication. Tune in to learn what makes ECoLoGiC-Tx both structured and radically human—and how you can start applying it in your sessions. Learning Objectives Analyze the evidence around ECoLoGiC-Tx for supporting conversational engagement in individuals with moderate to severe aphasiaApply evidence-based, practical strategies to address conversational breakdowns and promote language complexity during spontaneous communication in aphasia therapySolve patient case scenarios involving the use of ECoLoGiC-Tx for goal writing, outcome measurement, and family engagement, especially with hesitant participants or stakeholdersTimestamps (00:00:00) Welcome(00:00:05) Introduction to guest and ECoLoGiC Treatment for aphasia(00:02:59) Big picture of aphasia research and conversation therapy(00:06:08) The journey of developing ECoLoGiC-Tx(00:10:54) Research insights and outcomes of ECoLoGiC-Tx(00:14:32) Understanding the target population for ECoLoGiC-Tx(00:16:10) Therapeutic conversation: structure and steps(00:24:51) Therapeutic repair: addressing communication breakdowns(00:28:15) The importance of belief in communication(00:29:00) Understanding and layering the seven-step hierarchy of support(00:31:13) Requesting specific information for clarity(00:33:24) Metafeedback: enhancing communication skills(00:37:04) Setting meaningful goals and documenting progress in therapy(00:45:30) Addressing client concerns in therapy(00:51:27) Key takeaways for effective communication Speech Scope is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Speech Scope, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/speech-scope⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/

15 Jan

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57 min
15 June

Neuro Navigators Episode 28: Trust in FND: What Builds It—and What Breaks It? (Live Podcast Recording)

This course is a recording of a previously hosted live webinar event. Polling and question submission features are not available for this recording. Format and structure may differ from those of standard podcasts. Join host J.J. Mowder-Tinney, PT, PhD, NCS, for an insightful conversation with Julie Hershberg, PT, DPT, NCS, a renowned expert with over two decades of experience navigating the complexities of functional neurological disorder (FND). Together, they unpack the critical—and often fragile—role of the therapeutic alliance, exploring how past medical stigma and past clinical “gaslighting” can derail patient progress before treatment even begins. You will discover how to identify subtle “trust-breakers” in your own practice and replace them with actionable, evidence-based strategies that center the patient’s wisdom. Tune in to learn how to move beyond simple patient education and build a collaborative partnership that fosters genuine healing. Learning Outcomes Analyze the evidence related to medical stigma and the impact of mistrust on clinical outcomes in functional neurological disorder (FND)Apply evidence-based, practical strategies to build trust and foster patient-led collaboration in FNDIntegrate case-based approaches to restore therapeutic alliance and strengthen rapport with individuals with FNDTimestamps (00:00:00) Welcome(00:00:00) Introduction to trust in FND(00:02:11) Building trust with patients(00:10:23) Understanding stigma in healthcare(00:15:36) Impact of stigma on trust(00:18:45) Explaining FND to patients(00:24:00) Interdisciplinary team approach(00:31:50) Discharge recommendations for FND patients(00:34:25) Starting therapy with FND patients(00:36:35) The importance of listening and believing patients(00:40:28) Building trust through empathy and understanding(00:47:40) Creative approaches in therapy sessions(00:59:20) Navigating insurance and patient care(01:10:00) Family dynamics and patient belief(01:11:00) Unusual adaptations in therapy for trust buildingNeuro Navigators is brought to you by Medbridge. If you’d like to earn continuing education credit for listening to this episode and access bonus takeaway handouts, log in to your Medbridge account and navigate to the course where you’ll find accreditation details. If applicable, complete the post-course assessment and survey to be eligible for credit. The takeaway handout on Medbridge gives you the key points mentioned in this episode, along with additional resources you can implement into your practice right away. To hear more episodes of Neuro Naviagators, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/neuro-navigators⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ If you’d like to subscribe to Medbridge, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.medbridge.com/pricing/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ IG: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/medbridgeteam/⁠

15 June

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1hr 15min

Medbridge podcasts are a collection of shows that equip and support healthcare professionals with the latest evidence, best practices, and practical takeaways for optimal patient care. For more information about Medbridge, check out https://www.medbridge.com/

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