BackTable Urology BackTable
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The BackTable Urology Podcast is a resource for practicing urologists to learn tips, techniques, and practical advice from their peers in the field. Listen here or on the streaming platform of your choice.
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Ep. 165 Empowering Clinicians through Quality Improvement Initiatives with Dr. Andrew Harris
In this episode of BackTable Urology, Dr. Aditya Bagrodia invites Dr. Andrew Harris (University of Kentucky) to discuss the significance of quality improvement using the lean methodology to improve patient safety and healthcare efficiency.
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SYNPOSIS
First, Dr. Harris shares his transformative journey into quality improvement following a personal experience in the operating room, highlighting how critical it is for healthcare professionals to scrutinize and refine daily processes for better outcomes. The conversation dives into the heart of quality improvement, complex problem solving, encouraging healthcare professionals to apply their analytical skills to improve systems and processes. They discuss the importance of communication, team involvement, and leadership in fostering a culture that embraces quality improvement. Practical examples from Harris’s experience underscore how small changes can lead to significant benefits in patient care, staff satisfaction, and overall healthcare efficiency.
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TIMESTAMPS
00:00 - Introduction
05:16 - Combating Burnout with Quality Improvement Initiatives
13:38 - Exploring the Anatomy of a Quality Improvement Project
25:24 - Optimizing Operating Room Efficiency
28:37 - Balancing Standardization and Flexibility in Healthcare Processes
34:11 - Ad Hoc Solutions vs. Structured Quality Improvement
40:36 - Incorporating Patient Perspectives in Quality Improvement -
Ep. 164 Urology Advocacy: From Passion to Policy with Dr. Seth Cohen and Dr. Michelle Leach
In this episode of Backtable Urology, Dr. Suzette Sutherland invites Dr. Seth Cohen (City of Hope) and Dr. Michelle Leach (UC San Diego) to explore the importance and impact of advocacy work in the field of urology, highlighting how physicians can wield their influence to affect change within their communities and the healthcare system at large.
Dr. Cohen and Dr. Leach first discuss their personal journeys into advocacy work, the projects they’ve been involved in, and the tangible changes they have helped make, including a resident book club and increasing access to sacral neuromodulation. They both emphasize the importance of physician involvement in advocacy at both the beginning and throughout their careers. They also provide practical advice on participating in professional organizations (AUA, AMA, etc.) and the importance of surveys in guiding advocacy efforts. The discussion concludes with encouragement for medical professionals to engage in policy and advocacy to safeguard their practice and enhance patient care.
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SHOW NOTES
00:00 - Introduction
16:50 - Real-World Success Stories
25:36 - Navigating the Complexities of Health Policy and Advocacy
33:06 - The Importance of Membership in Professional Organizations
36:14 - Highlighting Urology’s Influence in Health Policy
45:14 - The AUA Summit Experience
55:23 - The Value of Engagement and Advocacy
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RESOURCES
Ep. 82- Advocacy Basics for the Urologist: From Your Clinic to Capitol Hill with Dr. Ruchika Talwar
https://www.backtable.com/shows/urology/podcasts/82/advocacy-basics-for-the-urologist-from-your-clinic-to-capitol-hill
Ep. 154- Navigating Healthcare Reform: Lessons from Urology Advocacy with Dr. Mara Holton
https://www.backtable.com/shows/urology/podcasts/154/navigating-healthcare-reform-lessons-from-urology-advocacy -
Ep. 163 Navigating Physician Partnerships: Understanding Stark Law with Clint Davis and David Soler
In this episode, Clint Davis, Senior Vice President & General Counsel at HealthTronics joins Dr. Silva to discuss the nuances of physician-industry partnerships in urology, focusing on mobile equipment services like shockwave lithotripsy and ureteroscopy.
First, they delve into the Stark Law restrictions on physician referrals and the unique legal status of lithotripsy services. The conversation also covers partnership benefits, compliance strategies for different services, the importance of due diligence, and considerations for physicians looking to invest in or maintain ancillary income through such partnerships. Additionally, they explore the impact of the Federal Sunshine Act on partnership reporting obligations, as well as advice for navigating hospital policies and ensuring legal and financial protections when engaging in these partnerships.
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SHOW NOTES
00:00 - Introduction
06:38 - Exploring Physician Partnerships and Investment Models
10:28 - Navigating Legal and Regulatory Aspects of Urology Partnerships
12:43 - Investment Strategies and Compliance for Urologists
21:42 - Addressing Common Concerns and Opportunities in Urology Partnerships
34:53 - Advice on Urology Partnerships
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RESOURCES
HealthTronics
https://www.healthtronics.com/ -
Ep. 162 Leadership Development During Residency with Dr. Max Bowman
In this episode of the BackTable Urology, Dr. Lindsay Hampson (UCSF), Dr. Gina Badalato (Columbia), and Dr. Max Bowman (UCSF) delve into leadership development during urology residency.
First, Dr. Bowman shares his journey towards leadership, starting from his junior residency years and leading up to his current chief resident role and soon-to-be faculty position at UCSF. Max discusses the importance of setting clear expectations, direct communication, and maintaining friendships despite hierarchical differences in residency. The conversation also highlights the benefits of proactive mentorship, the persistent pursuit of leadership opportunities, and the value of leading by example. The urologists then summarize intentional leadership development in medical training and offer advice for residents and early career faculty aiming to enhance their leadership skills.
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SHOW NOTES
00:00 - Introduction
07:37 - Intentional Leadership Development
17:51 - Balancing Friendship and Authority
20:42 - Crafting a Culture of Leadership
32:44 - Seeking and Embracing Leadership Opportunities
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RESOURCES
Episode 145 - Urology Training: From Intern to Expert with Dr. Gina Badalato and Dr. Lindsay Hampson
https://www.backtable.com/shows/urology/podcasts/145/urology-training-from-intern-to-expert -
Ep. 161 The Terrible Urological 5: Time for Cystectomy and Urinary Diversion with Dr. Drew Peterson
This week on BackTable Urology, Dr. Suzette Sutherland (University of Washington) and Dr. Drew Peterson (Duke University) explore the psychological and clinical challenges faced by genitourinary cancer survivors dealing with the urological consequences of cystectomy and urinary diversion.
First, they delve into the “Terrible Urological Five”, a set of criteria indicating when it might be necessary to consider cystectomy and urinary diversion. Dr. Peterson shares his insights on patient care, emphasizing how long-term follow-up and comprehensive care can transform survivors’ quality of life. He also addresses the psychological aspects of major urological surgery, highlighting the importance of acceptance and adjustment for patients and their families. Alongside specific medical considerations, the surgeons underscore surgical advancements that enhance safety and outcomes, reaffirming the potential for patients to regain a fulfilling life post-surgery.
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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/wEWNiy
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SHOW NOTES
00:00 - Introduction to Cancer Survivorship
08:06 - The Terrible Urological Five: When to Consider Cystectomy
23:09 - The Journey to Accepting a Cystectomy and Urinary Diversion
35:03 - Support Networks and Postoperative Quality of Life
38:53 - Concluding Thoughts and the Importance of Moving Forward -
Ep. 160 The Evolution of Bladder Cancer Treatment: New Insights on Lymphadenectomy with Dr. Seth Lerner
This week on BackTable Urology, Dr. Seth Lerner (Baylor College of Medicine) discusses the intricacies of lymph node dissection in bladder cancer management, including an overview of patterns of metastasis, genomic classifiers, and recent clinical trials.
The discussion highlights the evolution of bladder cancer treatment, from the use of cytotoxic chemotherapy to the current practice of neoadjuvant chemotherapy and radical cystectomy. Dr. Lerner and Dr. Bagrodia further explore diagnostic and treatment strategies, including the role of Decipher Prostate Genomic Classifier in tailoring patient treatment plans. The podcast delves into the necessity of a multidisciplinary approach to bladder cancer, the benefits of multimodal therapy, and the integration of circulating tumor DNA in management plans. Dr. Lerner then discusses clinical trials assessing the impact of extended lymph node dissection during cystectomies and emphasizes the importance of surgical quality and adherence to established protocols in bladder cancer treatment.
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CHECK OUT OUR SPONSOR
Veracyte
https://www.veracyte.com/decipher
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SHOW NOTES
00:00 - Introduction
06:17 - The Role of Imaging in Bladder Cancer Staging
08:00 - Exploring the Potential of Genomic Classifiers
16:55 - Debating the Efficacy of Extended Lymph Node Dissection
27:47 - Update on Bladder Cancer Clinical Trials
48:54 - Final Thoughts and the Future of Bladder Cancer Treatment