63 episodes

The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. Tune in to the BackTable ENT Podcast every week for candid conversations about rhinology, laryngology, otology, and head and neck surgery.

BackTable ENT BackTable ENT

    • Health & Fitness
    • 5.0 • 17 Ratings

The BackTable ENT Podcast is a resource for otolaryngologists to learn tips, techniques, and practical advice on all things ear, nose, and throat. Tune in to the BackTable ENT Podcast every week for candid conversations about rhinology, laryngology, otology, and head and neck surgery.

    Ep. 62 The Challenges of a Dual Physician Household with Dr. Bill Collins

    Ep. 62 The Challenges of a Dual Physician Household with Dr. Bill Collins

    In this episode of BackTable ENT, Dr. Varun Varadarajan and Dr. Gopi Shah discuss their personal advice and stories of navigating the challenges of a dual physician household with Dr. Bill Collins, chief of Pediatric Otolaryngology at the University of Florida College of Medicine.

    The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/o4ATPJ
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    CHECK OUT OUR SPONSOR

    Athletic Greens
    https://www.athleticgreens.com/backtableent

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    SHOW NOTES

    In this episode of BackTable ENT, Dr. Varun Varadarajan and Dr. Gopi Shah discuss their personal advice and stories of navigating the challenges of a dual physician household with Dr. Bill Collins, chief of Pediatric Otolaryngology at the University of Florida College of Medicine.

    First, the doctors discuss the considerations involved in deciding to participate in the couples match. They agree that it is best to keep larger cities with multiple programs in mind when forming a rank list but note that the match can also be complicated if one partner is choosing to pursue a more competitive specialty. Additionally, although staying together would be ideal, couples might not have another choice besides engaging in a long-distance relationship during residency and fellowship. Dr. Collins highlights the importance of finding program directors and other mentors who can help to maintain value in relationships during training. During residency applications and beyond, he emphasizes that communication, honesty, and compromise are key to sustaining a strong relationship.

    Next, they discuss raising children in dual physician households. All three doctors agree that there is no “perfect” time to have children because it depends on the circumstances and preferences of every couple. If a couple wanted to have a child during both of their residencies, they would also have to consider the long uncontrollable hours of residency as well as the need for extensive child care. Additionally, Dr. Collins emphasizes that physician schedules will remain busy, even after residency, so it is important to schedule concrete family time sooner than later. Dr. Shah mentions the difficulty surgeons have with separating work from home and Dr. Varadarajan encourages them to devote quality time to their kids before getting on their phones to answer emails and finish notes.

    Lastly, the doctors consider scenarios in which one partner is seeking a job change. Although being further along in their careers and having older children may complicate the job search and moving demands, all three doctors agree that decisions should be made for the overall good of the family. Thus, all factors and possibilities should be considered and discussed. Finally, Dr. Shah emphasizes the importance of having discussions about family planning with medical residents and medical students in order to open channels for advice and mentorship.

    • 1 hr 25 min
    Ep. 61 The Ins and Outs of Ear Tubes

    Ep. 61 The Ins and Outs of Ear Tubes

    In this episode of BackTable ENT, Dr. Ashley Agan and Dr. Gopi Shah discuss the complications of ear tubes and differences in adult and pediatric ear tube management.

    The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/qQS22s

    • 51 min
    Ep. 60 Otologic Manifestations of Migraine with Dr. Hamid Djalilian

    Ep. 60 Otologic Manifestations of Migraine with Dr. Hamid Djalilian

    In this episode of BackTable ENT, Dr. Walter Kutz interviews otologist Dr. Hamid Djalilian about the link between the hearing/vestibular disorders and migraines.

    The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/eCd3zl

    • 50 min
    Ep. 59 Feeding Difficulties in Adults with Theresa Richard SLP

    Ep. 59 Feeding Difficulties in Adults with Theresa Richard SLP

    Theresa Richard, SLP educates us on the best approach to evaluating the adult patient with swallowing difficulty, including the importance and challenges of obtaining high quality assessments, and recommendations for therapy.

    The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/gY34n9

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    CHECK OUT OUR SPONSOR

    DI4MDs
    Protect your most valuable asset, the skill and ability to practice your medical specialty. Be prepared by establishing a specialty specific disability insurance policy from the experts at DI4MDs. Contact them today at www.Di4MDS.com or call 888-934-4637.

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    SHOW NOTES

    In this episode of BackTable ENT, Dr. Ashley Agan, Dr. Gopi Shah, and Theresa Richard, a board-certified speech language specialist (SLP) in swallowing and swallowing disorders, about diagnosing and managing adult dysphagia.

    First, Richard speaks about starting Mobile Dysphagia Diagnostics, a company that provides mobile FEES studies, her experience with having a son with a swallowing disorder, and her recent career shift towards providing speech-language education for her colleagues. Then, she discusses the two primary swallowing imaging studies: the modified barium study (MBS) and fiberoptic endoscopic evaluation of swallowing (FEES). MBS, also known as video fluoroscopy, was traditionally the gold standard for swallowing imagery. It is the superior imaging technique for detecting esophageal issues and provides a better understanding of the oral phase of swallowing. Richard prefers to use FEES first because it provides a live picture of laryngeal and pharyngeal structures. It is useful in patients with secretion issues and post-head and neck cancer surgery patients. Mobile FEES is also an option, which involves an endoscope with recording capabilities and a laptop.

    Next, Richard discusses how to work up a patient with dysphagia. She starts with taking a thorough history and asks the patient about their dietary routine, and their medical and surgical history. Common medications that may cause dysphagia are muscle relaxants, L-DOPA, and medications that can cause dry mouth, such as scopolamine patches. Next, she discusses eating habits, with special considerations for cultural practices, age, and disability status. She notes that functional swallowing can look different for individual patients. Patients who repetitively aspirate may have recurrent pneumonia and require further evaluation. The first basic test she performs is watching her patients swallow 3 ounces of water. If they cannot swallow the three ounces, she moves to imaging studies. If they can swallow the three ounces, she escalates the test and starts to give the patients thicker liquids and different food types.

    Some patients with dysphagia may require special considerations, such as ICU patients, patients with nasogastric (NG) tubes, and head and neck cancer patients.

    Finally, Richard discusses how ENTs can help SLPs by providing a solid case history and being available for communication throughout the patient’s therapy. She also discusses a new type of therapy, adult neuromuscular stimulation, but notes that the parameters may be dangerous and not FDA approved.

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    RESOURCES

    “So You’re Having Trouble Swallowing” by Theresa Richard
    https://theresarichard.com/so-youre-having-trouble-swallowing/

    Theresa Richard Blog
    https://theresarichard.com/blog/

    Swallow Your Pride Podcast
    https://podcast.theresarichard.com/

    • 1 hr 5 min
    Ep. 58 Mentorship for Wellness with Dr. Julie Wei

    Ep. 58 Mentorship for Wellness with Dr. Julie Wei

    We talk with Dr. Julie Wei about what it means to connect with a mentor, the challenges of finding the right fit, and how mentoring relationships will grow and change throughout our career and undoubtedly contribute to overall wellness.

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    CHECK OUT OUR SPONSOR

    Laurel Road for Doctors
    https://www.laurelroad.com/healthcare-banking/

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    EARN CME

    Reflect on how this Podcast applies to your day-to-day and earn AMA PRA Category 1 CMEs: https://earnc.me/3tnqFx

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    SHOW NOTES

    In this episode of BackTable ENT, Dr. Ashley Agan, Dr. Gopi Shah, and Dr. Julie Wei discuss the benefits and evolution of mentorship in the medical field.

    First, Dr. Wei shares her personal definition of mentorship. Traditionally, mentorship involves a dyad: one junior and one senior partner with the knowledge. However, she challenges this dynamic by broadening the definition of mentorship by coining the term “co-mentorship”, a term that encompasses the mentor’s ability to learn from the mentee and the experience of reflecting as well. The doctors also discuss the challenges of finding mentors after training, since the natural hierarchy of academic medicine is not present. Dr. Wei encourages ENTs to attend society meetings and seek multidisciplinary mentors and mentees in different fields. She mentions that she has served as a mentor for respiratory techs and nurses as well.

    Next, the doctors explore the idea of work-life balance. Dr. Wei disagrees with the consistent compartmentalization of career and personal wellness and prefers to advocate for and use the term “work-life integration” instead. She also recommends unconventional meeting platforms, such as Zoom, phone calls, and “walking meetings” in order to build relationships. Peer support groups can also be helpful, but the optimal size of the group may depend on the issue being discussed. Additionally, Dr. Wei observes that more female physicians today are able to share their struggles and vulnerabilities openly with their trainees and patients, thus building stronger relationships. She also talks about the importance of allies and notes that mentors and mentees do not have to have all of the same shared experiences–both can still be sources of insight and wisdom for each other.

    Finally, the three doctors reflect on their personal experiences with mentorship and executive coaching.

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    RESOURCES

    “Leadership, Engagement, and Well Being” by Julie Wei
    https://www.enttoday.org/article/leadership-engagement-and-well-being/3/?singlepage=1

    A Healthier Wei
    https://www.drjuliewei.com/pages/a-healthier-wei

    Acid Reflux in Children
    https://www.drjuliewei.com/pages/acid-reflux-in-children#:~:text=Acid%20Reflux%20in%20Children%3A%20A,Julie%20Wei&text=CONGESTION%2C%20COUGH%20%2B%20CROUP-,Co%2Dauthored%20by%20Dr.,symptoms%20this%20condition%20can%20create.

    • 1 hr 8 min
    Ep. 57 Locums Opportunities in ENT with Dr. Allison Royer

    Ep. 57 Locums Opportunities in ENT with Dr. Allison Royer

    We talk with Dr. Allison Royer about locums opportunities for otolaryngologists, why locums is becoming more popular amongst ENTs, and how to get started as a locums physician.

    The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/MMVvXV

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    CHECK OUT OUR SPONSORS

    DI4MDs
    https://www.di4mds.com

    Laurel Road for Doctors
    https://www.laurelroad.com/healthcare-banking/

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    SHOW NOTES

    In this episode of BackTable ENT, Dr. Gopi Shah and Dr. Ashley Agan interview Dr. Allison Royer, a private practice ENT who co-founded ENT Surgery Solutions, a staffing company that organizes ENT locums.

    First, Dr. Royer shares her transition from being a hospital-employed ENT to becoming a locum physician with her husband. Once they met other locum physicians and heard about their experiences, they decided to start their own locum staffing company. Dr. Royer believes ENT Surgery Solutions is unique because it is managed directly by ENT physicians; Dr. Royer and her husband directly work with the doctors they employ to find work opportunities that will fit their unique needs. Although ENT Surgery Solutions is primarily Midwest-based, it is quickly expanding in the West and South.

    Next, Dr. Royer transitions to discussing why many doctors are moving toward locums work. She explains that because many small private practice groups and community hospitals have been bought by hospital systems, there are now significant call burdens needing to be covered by small ENT groups. For this reason, many ENTs decide to do locums in order to balance work and life. Additionally, with locums, doctors don’t have to renegotiate their salaries or their call schedules. Finally, Dr. Royer highlights that locums are fun for her because she likes to work in different hospitals and ORs and see different patient populations and pathology.

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    RESOURCES

    ENT Surgery Solutions
    ​​https://www.entlocums.com/

    • 37 min

Customer Reviews

5.0 out of 5
17 Ratings

17 Ratings

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