RUSK Insights on Rehabilitation Medicine

Dr. Thomas Elwood
  • 4.7 (92)
  • Health & Fitness
  • Updated Semimonthly

RUSK Insights on Rehabilitation Medicine is a top podcast featuring interviews with faculty and staff of RUSK Rehabilitation at NYU Langone Medical Center. These podcasts are being offered by RUSK, one of the top rehabilitation centers in the world. Your host for these interviews is Dr. Tom Elwood. He will take you behind the scenes to look at what is transpiring in the exciting world of rehabilitation research and clinical services through the eyes of those involved in making dynamic breakthroughs in health care.

  1. 4d ago

    Dr. James Capozzi: High Reliability Organizations, Part 2

    Dr. Capozzi is a board-certified orthopedic surgeon with specialty training in joint replacement surgery. After receiving his bachelor's degree from Columbia University, he obtained his medical degree from Mount Sinai School of Medicine. He completed his orthopedic training at Mount Sinai and the Otto Alfrank Adult Joint Reconstructive Fellowship at the New England Baptist Hospital in Boston. In addition to performing hip and knee replacements, Dr. Capozzi specializes in difficult revision surgery, utilizing the newest techniques in joint reconstructive surgery.   Part 2   Figuring out what happened took them less than a day because the cause of the crash was fuel exhaustion. The plane ran out of gas. Why it happened took about 15 months to figure out all that took place, how a plane runs out of fuel on its approach. So, what transpired? The crash analysis in the NTSB report indicates that there were significant communication errors. Keep this in mind when dealing with matters in the hospital. When there's really an urgent situation, you're very mindful of how you're conveying that urgency. To air traffic control, saying that we're running out of fuel doesn't mean anything significant. It's like if I'm in the operating room and I say that a patient's blood pressure is a little low. Well, pressure is always a little low. There's blood loss, there's anesthesia, there's pain medication, we're operating. The pressure is expected to be low. But if the patient's crashing, I would assume there'd be more sense of urgency in that statement. It is called mitigated speech when it downplays or sugarcoats or when wanting to be polite or the speaker is ashamed, embarrassed or trying to be deferential to authority. So doing away with mitigated speech, doing away with ambiguous terminology, and really being clear when there's a patient safety concern that needs to be brought up. Again, this is classic for an operating room.

    27 min

  2. Jun 24

    Dr. James Capozzi: High Reliability Organizations, Part 1

    Dr. Capozzi is a board-certified orthopedic surgeon with specialty training in joint replacement surgery. After receiving his bachelor's degree from Columbia University, he obtained his medical degree from Mount Sinai School of Medicine. He completed his orthopedic training at Mount Sinai and the Otto Alfrank Adult Joint Reconstructive Fellowship at the New England Baptist Hospital in Boston. In addition to performing hip and knee replacements, Dr. Capozzi specializes in difficult revision surgery, utilizing the newest techniques in joint reconstructive surgery.   Part 1 This presentation is about tenets of high reliability organizations involving modes of communication errors and communication training. When looking at studies of large organizations that perform complex and dangerous tasks, a couple of principles stand out that have some common themes. One is that the work tends to be highly technical and inherently dangerous. Very often there are high time constraints and time pressures that entail rushing to complete work in very tight environments, which sounds like any of our operating rooms or ICUs. At some point, most of these entities are going to fail spectacularly. The government defines a high-reliability organization as one that can operate in complex, high-hazard domains for extended periods of time without serious accidents or catastrophic failures, which pretty much defines what we do every day in the hospital. These organizations tend to have five key principles that define all of them the same way. One is a deference to expertise. Second is a reluctance to simplify. Third is a sensitivity to operations. Fourth is a commitment to resilience. Fifth is a preoccupation with failure. Two not-too-distant past failures are interesting. One is the Chernobyl nuclear disaster and the second is the Avianca plane crash on Long Island.

    25 min

  3. May 27

    Dr. Mahya Beheshti: Visual Impairment

    Dr. Mahya Beheshti is a physician-scientist at Rusk Rehabilitation, NYU Langone Health, where she works at the intersection of medicine and engineering to advance neurorehabilitation and assistive technologies. Her research focuses on neurorehabilitation, human–machine interfaces, EEG-based pattern recognition, and wearable technologies. She is particularly interested in how eye–hand coordination and multimodal neurophysiological signals can inform the development of intelligent rehabilitation systems for individuals with stroke, multiple sclerosis, and vision impairment. Fascinated by the powerful synergy between medicine and engineering, she earned her medical degree from Gulf Medical University and she is pursuing a part-time Ph.D. in mechanical and aerospace engineering while continuing her clinical and scientific work at Rusk. The discussion included the following topics: reason for choosing to do research in the area of visual impairment rehabilitation; research involving centers on sensory–motor coordination; key research findings; what is missing when doing traditional motor control assessments; how subtle timing disruptions between the eyes and hands affect daily functioning; and new investigations that may be undertaken in the next 12 months.

    23 min

  4. May 13

    Dr. Sofiya Prilik and Dr. Greg Sweeney: Cardiac Rehabilitation: Strategies to Improve Access, Part 2

    Dr. Sofiya Prilik is Clinical Director of Cardiopulmonary Rehabilitation and Transplant Rehabilitation and Clinical Assistant Professor of Physical Medicine and Rehabilitation at the NYU Rusk Rehabilitation department. Dr. Greg Sweeney is a Clinical Instructor in the Department of Rehabilitation Medicine at the NYU Grossman School of Medicine. Part 2 The discussion included the following topics: phases of cardiac rehabilitation; impact of mobile apps and wearables; common barriers that patients face in obtaining care; challenges aligning cardiac care with other comorbidities; provision of virtual services; research that led to modifying health care delivery models; evidence that patients who participate in rehabilitation have better health outcomes; role of government in expanding access to rehabilitation; and possible ways of making cardiac care more accessible.

    25 min

  5. Apr 29

    Dr. Sofiya Prilik and Dr. Greg Sweeney: Cardiac Rehabilitation: Strategies to Improve Access, Part 1

    Dr. Sofiya Prilik is Clinical Director of Cardiopulmonary Rehabilitation and Transplant Rehabilitation and Clinical Assistant Professor of Physical Medicine and Rehabilitation at the NYU Rusk Rehabilitation department. Dr. Greg Sweeney is a Clinical Instructor in the Department of Rehabilitation Medicine at the NYU Grossman School of Medicine. Part 1 The discussion included the following topics: nature of a webinar to be offered on June 12  at NYU on the topic of cardiac rehabilitation; measuring whether the webinar achieves its objectives; outcomes or activities attendees can be expected to undertake afterward; kinds of health conditions and problems that qualify patients to be eligible to participate in cardiac rehabilitation; role played by disparities in obtaining health care; and kinds of patients that benefit most from cardiac rehabilitation.

    22 min

  6. Apr 15

    Drs. Steven Flanagan and Jonathan Whiteson: Leadership Transition, Part 3

    Dr. Steven Flanagan is Howard A. Rusk Professor of Rehabilitation Medicine and Chairperson of the Department of Rehabilitation Medicine at Rusk. He provides care for patients with physical and cognitive disabilities. He specializes in treating those who are recuperating from a stroke or brain injury. He is accompanied in this interview by Dr. Jonathan Whiteson who holds the rank of professor in both the Department of Medicine and the Department of Rehabilitation at Rusk Rehabilitation. Dr. Whiteson's skills and expertise focus on patients recovering from coronary and lung conditions. Part 3 The discussion included the following topics: measures used to monitor patient safety, quality of care, and patient satisfaction during the transition period; approaches to dealing with staff burnout; challenges that continue to exist after 18 years when positive outcomes proved highly difficult to achieve; and the likelihood that any new clinical divisions will be created at Rusk or the number of residency slots and accredited fellowships will be increased.

    24 min

  7. Apr 1

    Drs. Steven Flanagan and Jonathan Whiteson: Leadership Transition, Part 2

    Dr. Steven Flanagan is Howard A. Rusk Professor of Rehabilitation Medicine and Chairperson of the Department of Rehabilitation Medicine at Rusk. He provides care for patients with physical and cognitive disabilities. He specializes in treating those who are recuperating from a stroke or brain injury. He is accompanied in this interview by Dr. Jonathan Whiteson who holds the rank of professor in both the Department of Medicine and the Department of Rehabilitation at Rusk Rehabilitation. Dr. Whiteson's skills and expertise focus on patients recovering from coronary and lung conditions. Part 2 The discussion included the following topics: Dr. Whiteson was asked if there is any kind of new knowledge he may have to acquire to be successful in his upcoming role and how he is obtaining it; he also was asked how he intends to preserve Dr. Flanagan's  accomplishments while balancing them with the development of new priorities; and short-term and long-term challenges involved in incorporating AI in the work at Rusk.

    28 min

  8. Mar 18

    Drs. Steven Flanagan and Jonathan Whiteson: Leadership Transition, Part 1

    Dr. Steven Flanagan is Howard A. Rusk Professor of Rehabilitation Medicine and Chairperson of the Department of Rehabilitation Medicine at Rusk. He provides care for patients with physical and cognitive disabilities. He specializes in treating those who are recuperating from a stroke or brain injury. He is accompanied in this interview by Dr. Jonathan Whiteson who holds the rank of professor in both the Department of Medicine and the Department of Rehabilitation at Rusk Rehabilitation. Dr. Whiteson's skills and expertise focus on patients recovering from coronary and lung conditions. Part 1 The discussion included the following topics: when they both began working at Rusk; how Rusk looked 18 years ago (e.g., amount of external research funding); potential upsides and downsides of selecting an insider to take over leadership responsibilities versus bringing in an outsider; when planning for the transition was started; and the kinds of engagement with groups that could be affected by this transition, such as teaching faculty, clinicians, patients, and labor unions.

    24 min
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About

RUSK Insights on Rehabilitation Medicine is a top podcast featuring interviews with faculty and staff of RUSK Rehabilitation at NYU Langone Medical Center. These podcasts are being offered by RUSK, one of the top rehabilitation centers in the world. Your host for these interviews is Dr. Tom Elwood. He will take you behind the scenes to look at what is transpiring in the exciting world of rehabilitation research and clinical services through the eyes of those involved in making dynamic breakthroughs in health care.

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