Episodes

77
May 31, 2022

Med Ed for Residents, Fellows, and Faculty (Part 2)

Dr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of Run the List podcast talks with RTL host Blake Smith in a two-part series focused on Med Ed. This second episode caters to later trainees - residents, fellows, and new attendings/faculty - as they seek out opportunities in Med Ed. Navin offers some pearls for listeners - to diversify your educational portfolio, strive to be scholarly, take on formal lear...
76
May 20, 2022

Med Ed for Medical Students (Part 1)

Dr. Navin Kumar, an attending gastroenterologist at Brigham and Women's Hospital, medical educator at Harvard Medical School, and co-founder of Run the List podcast talks with RTL host Blake Smith in a two-part series focused on Med Ed. This first episode caters to early trainees and Navin takes listeners through his journey with medical education from his early days as a medical student. The episode walks through Navin's many pearls on becoming involved in Med Ed, including: 1) start early & of...
75
April 4, 2022

Careers in Pulmonary and Critical Care Medicine - with Dr. Daniela Lamas

Dr. Daniela Lamas, an Instructor in Medicine at Harvard Medical School and an attending physician in Pulmonary and Critical Care Medicine at Brigham and Women’s Hospital chats with Blake Smith (host) about a career in Pulm/CCM. They talk together about the field of Pulm/CCM at large - from outpatient pulmonary clinic (COPD, asthma) to the ICU - in addition to sub-specializing in specific genetic diseases (CF), lung transplants, or interstitial lung diseases. They also talk about what it's been l...
74
March 14, 2022

Hypoxemic Respiratory Failure/ARDS

Dr. Morgan Soffler, a Pulmonologist and ICU intensivist at Beth Israel Deaconess Medical Center (BIDMC), and an Assistant Professor at Harvard Medical School, continue a discussion of a patient with hypoxia in the setting of acute respiratory distress (from Ep. 73) with RTL host, Dr. Navin Kumar. Together, they talk through ARDS definition, etiology, pathophysiology, and ventilatory support.
73
Feb. 28, 2022

Respiratory Support

Dr. Morgan Soffler, a Pulmonologist and ICU intensivist at Beth Israel Deaconess Medical Center (BIDMC), and an Assistant Professor at Harvard Medical School, discusses a case of a patient with hypoxia in the setting of acute respiratory distress with RTL host, Dr. Navin Kumar. Dr. Soffler begins with a broad differential and provides a framework of timing, tempo, and medical history, along with labs and imaging, to sift through the myriad causes of hypoxia. Together, they walk through different...
72
Feb. 14, 2022

Pressors

Dr. Brady, an ICU intensivist and the director of the critical care medicine clerkship at Beth Israel Deaconess Medical Center (BIDMC), discusses vasopressors and inotropes with RTL host, Dr. Navin Kumar. Together, they use the previous episode's (Ep. 71: Approach to Shock) case of an elderly patient with suspected distributive shock secondary to urosepsis as a framework to approach pressor requirements. Dr. Brady walks through establishing access, how to choose a pressor based on adrenergic phy...
71
Jan. 31, 2022

Approach to Shock

Dr. Brady, an ICU intensivist and the director of critical care medicine at Beth Israel Deaconess Medical Center (BIDMC), explains how to categorize the four major types of shock with RTL host, Dr. Navin Kumar. Together, they discuss a case of an elderly patient with suspected urosepsis and walk through how to reconcile a patient’s history, physical exam, and lab findings along with the ongoing clinical picture. They touch on key decision points for patients in the ICU and end with some clinical...
70
Jan. 17, 2022

COPD

Dr. Walker, a Pulmonologist and Critical Care specialist at Brigham and Women's Hospital, explains how she diagnoses and manages COPD. They help breakdown a number of topics, including PFTs, severity classification, principles of outpatient and inpatient management, and how to talk about prognosis with your patients.
69
Jan. 3, 2022

Asthma & Social Determinants of Health

Dr. Jefferson, an Assistant Professor of Pediatrics in the division of Allergy & Immunology and bioethicist at the University of Arkansas for Medical Sciences, discusses the care of both pediatric and adult patients with asthma with host Dr. Walker Redd. Together, they define asthma and cover its triggers, diagnosis, and stepwise therapy plans. They also discuss how upstream factors - from environmental exposures to housing issues - can both exacerbate and affect access to appropriate care for p...
68
Dec. 22, 2021

Approach to Dyspnea

In this episode, host Joyce Zhou speaks with Dr. Jeremy Richards, a pulmonologist and critical care physician at the Beth Israel Deaconness Medical Center (BIDMC) and a medical educator who teaches the introduction to cardiopulmonary physiology course at Harvard Medical School. He grounds his framework for this common presenting concern in physiology and uses a case to discuss his take on diagnostic approaches.
67
Dec. 7, 2021

Careers in Infectious Diseases

Dr. Sigal Yawetz, an infectious disease attending physician and medical educator at Brigham and Women’s Hospital chats with Blake Smith (host) about a career in infectious diseases. They talk together about the field of ID at large, in addition to sub-specializing, with a focus on the HIV patient population. Dr. Yawetz also comments on what it has been like living through two viruses that have shaped the globe - HIV and COVID - all through the lens of being an ID physician. The episode closes wi...
66
Nov. 22, 2021

HIV

Dr. Michelle Cespedes, an infectious disease attending physician at Mount Sinai Hospital, is interviewed by host Emily Gutowski about the diagnosis of patients with HIV. They talk about both the acute presentation as well as the management of a patient with uncontrolled HIV.
65
Nov. 8, 2021

Hospital-Acquired Infections

Dr. Mikyung Lee, an infectious disease attending physician and program director for the ID fellowship at Mount Sinai Hospital, discusses hospital-acquired infections, including ventilator-acquired pneumonias and catheter-associated UTIs.
64
Oct. 25, 2021

Cellulitis

Dr. Sal Cilmi, an infectious disease attending physician and IM program director at Mount Sinai Hospital, discusses cellulitis and common culprits of soft tissue infections.
63
Oct. 11, 2021

Approach to Pneumonia

Dr. Mary Montgomery, an Infectious Diseases specialist at Brigham and Women's Hospital, teaches host Walker Redd how she diagnoses and manages pneumonia. They discuss IDSA guidelines, classification, diagnostic studies, empiric antibiotics, complications, pathophysiology, and more.
62
Sept. 27, 2021

Approach to Fever

Dr. Solomon, an Infectious Diseases specialist at Brigham and Women's Hospital, discusses his approach to fever with host, Walker Redd. In discussing Dr. Solomon's framework for clinical reasoning in infectious diseases and applying it to a case of fever of unclear etiology, they ask: Who is the host? What are the notable exposures? What is the syndrome? What doesn't fit? Run the List podcast on AccessMedicine: https://accessmedicine.mhmedical.com/multimedia.aspx#1460
61
Sept. 15, 2021

Goals of Care Conversations

Dr. Andy Lawton, a palliative care physician at Brigham and Women's Hospital shares with host, Joyce Zhou, the REMAP framework for having effective goals of care conversations with patients with serious illness. Dr. Lawton offers sample language on key components of goals of care conversations such as how to discuss prognoses, respond to emotions, and ask about values. He also reflects on how to best strike a balance between paternalism and patient autonomy during serious illness conversations.
60
Aug. 30, 2021

Geriatrics Overview

Dr. Schwartz, a geriatrician at the VA Boston, gives an overview of Geriatric Medicine in this discussion with host, Walker Redd. They discuss how a systematic approach called the "5Ms of Geriatrics" - which includes mind, mobility, medications, multi-complexity, and matters most - can help us take better care of our older patients.
59
Aug. 16, 2021

Careers in Rheumatology

Dr. Eli Miloslavsky, a rheumatologist and medical educator at Massachusetts General Hospital, chats with Blake Smith (host) about a career in rheumatology. They talk about subspecialties within rheumatology, in addition to the changing landscape of the field. The episode closes with Dr. Miloslavksy's pearls on how to think about choosing a medical specialty - rheumatology or other - and how to keep perspective when making the decision.
58
Aug. 2, 2021

Approach to Acute Back Pain

Dr. Andrew Coyle, primary care physician formerly at Mount Sinai Hospital and current Program Director of the IM residency at the University of Wisconsin-Madison, gives an overview of a common issue in outpatient medicine: acute back pain. In this conversation with host, Emily Gutowski, Dr. Coyle discusses the broad differential diagnosis of back pain, red flags to look out for, and therapeutic options for patients.
57
July 19, 2021

Approach to Joint Pain

Dr. Eli Miloslavsky, a rheumatologist and medical educator at Massachusetts General Hospital, shares an approach to joint pain with Joyce Zhou (host).
56
July 5, 2021

Approach to Rheumatologic Diseases

Dr. Eli Miloslavsky, a rheumatologist and medical educator at Massachusetts General Hospital, shares an approach to rheumatologic diseases with Joyce Zhou (host).
55
May 11, 2021

Diagnostic Uncertainty in Medicine

In this episode, Dr. Daniel Motta-Calderon chats with Dr. Anuj Dalal, an academic hospitalist at Brigham and Women's Hospital, and Dr. Lindsey Wu, teaching hospitalist at the Durham VA Medical Center. The discussion begins with a case of a patient presenting with atypical chest pain at the time of admission. Dr. Wu shares her degree of certainty about the case, and she teaches us about the causes and consequences of not addressing diagnostic uncertainty in the hospital setting. We later learn ab...
54
March 15, 2021

Financial Literacy for Medical Trainees

In this episode, Emily Gutowski (host) interviews Dr. William Bernstein, a neurologist, financial theorist, and author. They speak about the importance of learning to manage finances early on in one’s medical career, as well as some of the hurdles faced specifically by young trainees. Lastly, Dr. Bernstein provides suggestions for individuals looking to start investing. Linked resources: https://www.amazon.com/White-Coat-Investor-Personal-Investing/dp/0991433106 https://www.etf.com/docs/IfYouC...