134 episodes

Join cohosts Kendall Britt, MD and Amy Rogers, MD for a 15 minute check-up on current issues in medicine and health policy. The doctors examine current medical concerns in light of the best available medical evidence and the policy issues of the day with a focus on their impact on the doctor patient relationship.

2 Docs Talk: The podcast about healthcare, the science of medicine and everything in between. Kendall Britt, MD and Amy Rogers, MD

    • Medicine

Join cohosts Kendall Britt, MD and Amy Rogers, MD for a 15 minute check-up on current issues in medicine and health policy. The doctors examine current medical concerns in light of the best available medical evidence and the policy issues of the day with a focus on their impact on the doctor patient relationship.

    Episode 133: The End of the Paper Chart

    Episode 133: The End of the Paper Chart

    When EMRs or EHRS first started popping up, it was an exciting time to be alive. The promise of no longer having to dig through fat charts to locate a lab report or trying to decipher some all but illegible note from a consultant left many physicians downright hopeful.
    But, as with most changes in medicine over the past few decades, the real reason for shifting to electronic was financial. This means that many EMRs are not designed to better patient care, but to better the billing process. 
    Today,  2 Docs Talk about the role of EMRs, where they have failed us, and how we can still make them work for us with a little effort.

    • 12 min
    Episode 132: Melanoma Medicine

    Episode 132: Melanoma Medicine

    A lot has changed over the past 50 years. We've gone from a society that used baby oil and reflective tanning mats in the 70s to one that will spend $50 and up on a rashguard with UV protection.

    These changes were prompted by the growing number of melanoma diagnoses. 
    In this episode, 2 Docs Talk about what melanoma is and how it's demographics have shifted over time. We also take a look at prevention, diagnosis, and treatment of melanoma. 

    • 10 min
    Episode 131: The Anti-Vax Movement and the Dunning-Kruger Effect

    Episode 131: The Anti-Vax Movement and the Dunning-Kruger Effect

    With the continued persistence of the modern anti-vaccination movement, even with the studies that originated it debunked, we have to ask some difficult questions about what we know and how we reach people with accurate medical evidence. 
    The Dunning-Kruger effect is the wrench in the works when we ask those questions. How does it, and our modern love of celebrity, stand in our way?
    Today, 2 Docs Talk about those questions and ponder some solutions.

    • 10 min
    Episode 130: Changing Thoughts on Colon Cancer Screening

    Episode 130: Changing Thoughts on Colon Cancer Screening

    For so long, colorectal cancer screening beginning at age 50 has been gospel in preventative medicine.

    But recently, trends in the incidence of colorectal cancer suggest we may be doing to much screening in the wrong people, and not enough screening in the right people. This means missed diagnoses and unnecessary interventions. 

    Recent research offers an alternative that we hope will target screening for the right people, while the rest of us get to avoid the "scope."

    • 11 min
    Episode 129: Is There a Physician Shortage

    Episode 129: Is There a Physician Shortage

    For those who pay attention to the state of healthcare in the U.S., the idea that we face a looming physician shortage is nothing new.

    Today, 2 Docs Talk about where the idea of a potential shortfall comes from, what is being done to try to remedy the problem, and some numbers that suggest maybe a shortage isn't on the horizon anyway.
    Resources:
    AAMC predictions of physician shortage
    Ezekiel Emanuel's response to AAMC prediction
     
     

    • 12 min
    Episode 128: Tracking Maternal Mortality

    Episode 128: Tracking Maternal Mortality

    There has been a lot of commentary in the news and in medical journals about the problem of maternal mortality - specifically how we are really crappy at tracking it, which makes it really difficult to know if interventions are working or making things worse. In a country with healthcare as advanced as it is in the U.S., this is just stupid. I mean, we could use fancier words, but the bottom line is stupid. 

    Today, 2 Docs Talk about maternal mortality, the problems with tracking it, and one place that's done a pretty good job of both tracking and improving the numbers. 

    Resources:

    That Propublica article we kept referring to.
    Obstetrics and Gynecology article about trends and tracking
    Identifying Maternal Deaths in Texas
    CMQCC Toolkits

    WHO's Trends in Maternal Mortality

    • 12 min

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