30 episodes

Stay informed of the most relevant medical developments by subscribing to Clinical Conversations (podcasts.jwatch.org), from NEJM Journal Watch. This podcast features a round-up of the week's top medical stories, clinically-oriented interviews and listeners’ comments…in 30 minutes or less. Produced by the publishers of the New England Journal of Medicine, NEJM Journal Watch (jwatch.org) delivers independent, practical, and concise information you can trust.

NEJM Journal Watch Podcasts: Clinical Conversations NEJM Group

    • Medicine

Stay informed of the most relevant medical developments by subscribing to Clinical Conversations (podcasts.jwatch.org), from NEJM Journal Watch. This podcast features a round-up of the week's top medical stories, clinically-oriented interviews and listeners’ comments…in 30 minutes or less. Produced by the publishers of the New England Journal of Medicine, NEJM Journal Watch (jwatch.org) delivers independent, practical, and concise information you can trust.

    Podcast 248: “Hotspotting” didn’t work in its home town — why?

    Podcast 248: “Hotspotting” didn’t work in its home town — why?

    The process of identifying super-users of healthcare and reducing the frequency of their hospitalizations — so-called “hotspotting” — was subjected to a randomized, controlled trial in Camden, NJ, the birthplace of the idea. It failed there. Those in the intervention group had a readmission rate within 6 months that was statistically identical to those getting usual care. […]

    • 15 min
    Podcast 247: Managing dyspepsia

    Podcast 247: Managing dyspepsia

    A “network meta-analysis” (we’ll explain that) finds that “test and treat” is the best way forward in managing this common condition. Patients, paradoxically, prefer immediate endoscopy to test-and-treat, but unless the patient has “alarm symptoms” (such as dysphagia, weight loss, and anemia), endoscopy is likely to add complications and costs without adding further benefit. Our guest is […]

    • 21 min
    Podcast 246: Where we die now

    Podcast 246: Where we die now

    For the first time in almost a century, Americans are dying at home more often than dying in hospitals. This seems to mark a cultural change that will affect both how and where clinical medicine is practiced. Dr. Haider Warraich’s letter to the editor of the NEJM presents the numbers, and he’s agreed to talk about their implications. […]

    • 16 min
    Podcast 245: We revisit a 2018 episode on NPs’, PAs’, and MDs’ performance in the primary care of diabetes

    Podcast 245: We revisit a 2018 episode on NPs’, PAs’, and MDs’ performance in the primary care of diabetes

    In November 2018 we interviewed two authors of an Annals of Internal Medicine study comparing the quality of diabetes care afforded by three provider types: nurse-practitioners, PAs, and MDs. They reported that there were no clinically significant differences in the intermediate outcomes — glycated hemoglobin, systolic pressure, or low-density lipoprotein cholesterol — among the groups. We’re […]

    • 20 min
    Podcast 244: Colchicine after myocardial infarction

    Podcast 244: Colchicine after myocardial infarction

    The anti-inflammatory colchicine is powerful and cheap. It’s thought that, because cardiovascular problems often stem from inflammation, colchicine could help prevent secondary events after MI. That’s what Jean-Claude Tardif and an international group of colleagues set out to investigate. The group reports in the NEJM that daily low-dose colchicine was associated with a lower rate of […]

    • 20 min
    Podcast 243: Lowering high blood pressure lowers dementia risk

    Podcast 243: Lowering high blood pressure lowers dementia risk

    Controlling hypertension lowers the relative risk for dementia and Alzheimer’s disease by roughly 15%. Given that many people have poorly-controlled hypertension, the finding that all antihypertensives are effective in bringing about this result might get your patients to be more adherent. We talk with Dr. Lenore Launer of the NIH’s Institute on Aging about her recent meta-analysis […]

    • 16 min

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