Afleveringen
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There is often a gap between what happens in the laboratory and what happens with patients in clinical practice. Yet both experiences are required to advance patient outcomes. This is why we need more doctors like Robert Starke. Dr. Starke is a clinician scientist at the University of Miami with over 700 operations and just as many academic publications in his young career. Join me as I sit down with Dr. Starke to discuss the secrets to his extraordinary success, the grant writing process, and future pathways for the development of clinician scientists in the field of neurosurgery.
You will want to hear this episode if you are interested in...
Getting to know Dr. Starke, his clinical practice, and his research [0:36]Dr. Starkeâs evolution into a productive clinician scientist and the challenges of pursuing both basic and clinical science [4:34]Dr. Starkeâs current research setup and how he chose his area of focus [9:38]How Dr. Starke innovates, where his funding comes from, and the story of his first major grant [16:59]Choosing a faculty position that allows you to thrive and how to build a balanced life [24:58]Dr. Starkeâs paper writing process and the publications heâs most proud of [29:18]The role mentors have played in Dr. Starkeâs career and what he would do differently [32:15]The importance of training clinician scientists and future pathways for development [37:05]Dr. Starkeâs three secrets to an extraordinary neurosurgery career and his advice to struggling clinician scientists [40:12]The magic wand question [44:33]Connect with Dr. Robert Starke
Dr. Robert M. StarkeFollow Dr. Starke on LinkedInConnect With Maxwell Boakye
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In the quest to optimize spine surgery outcomes, we need better information and better research. This means better clinical trials and more funding. Join me, as I sit down with Dr. Zoher Ghogawala to discuss his thoughts on clinical trial design, developing the evidence for spine surgery, improving patient outcomes, and the results of his most recent research.
You will want to hear this episode if you are interested in...
Getting to know Dr. Ghogawala, his clinical practice, and his research [0:37]Discussing Dr. Ghogawalaâs clinical trials on spondylolisthesis and cervical spondylotic myelopathy [4:07]Dr. Ghogawalaâs work on improving clinical trial design [15:15]Exploring roadblocks to PCORI (Patient Centered Outcomes Research Institute) funding [24:33]The most important things learned from the N2QOD [28:12]Improving spine surgery outcomes [33:13]What Dr. Ghogawala wish he knew 15 years ago and the magic wand question [34:46]Resources & People Mentioned
Laminectomy plus Fusion versus Laminectomy Alone for Lumbar Spondylolisthesis Effect of Ventral vs Dorsal Spinal Surgery on Patient-Reported Physical Functioning in Patients With Cervical Spondylotic Myelopathywww.nidusai.comConnect with Dr. Zoher Ghogawala
Zoher Ghogawala, MD Follow Dr. Ghogawala on LinkedInConnect With Maxwell Boakye
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There are few names as recognizable as Dr. Edward Benzel in the field of spine surgery. He quite literally wrote the book on it. On this episode, I have the distinct privilege of sitting down with Dr. Benzel to discuss a myriad of topics including his experiences in spine surgery and the lessons heâs learned, his evolution as a spine surgeon, safety in spine surgery, and his thoughts on where the field is headed next.
You will want to hear this episode if you are interested in...
Getting to know Dr. Benzel and his current clinical practice [0:37]How to evolve as a spine surgeon [5:59]Improving your decision-making skills [11:38]How Dr. Benzel stays productive and relevant [14:48]Cognitive versus psychomotor development and advice for surgeons training the next generation [17:12]How to best minimize complications and the most common errors made by surgeons [20:18]Dr. Benzelâs seven cardinal sins for a spine surgeon [23:19]Addressing burnout in spine surgeons [25:44]Improvements in biomechanical knowledge from surgeons in training [28:14]What surprises Dr. Benzel the most about the evolution of spine surgery and the new technologies he is most excited about [31:19]Dr. Benzelâs take on current trends in spine surgery [34:55]Exploring the prevention and treatment of chronic back pain [37:56]The role mental health plays in the treatment of severe stenosis and spondylolisthesis [40:32]How Dr. Benzel treats cervical spondylotic myelopathy (CSM) [41:37]Getting specific about laminoplasty [48:04]Dr. Benzel answers rapid-fire spine surgery questions and three things hospitals with spine programs can do to optimize their outcomes [50:06]Comparing global spine surgery rates and eliminating unnecessary operations [54:59]The magic wand question [56:41]Connect with Dr. Edward Benzel
Edward Benzel, MD | Cleveland ClinicConnect With Maxwell Boakye
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How do we push the ball forward for the research and treatment of traumatic brain injury and other neurological diseases? To answer that question, my guest Dr. Dalton Dietrich will dive into everything he and his team are doing at the Miami Project to Cure Paralysis. Join us as we discuss his work with inflammasomes, secrets for research success, and the most exciting advances in the field of TBI.
You will want to hear this episode if you are interested in...
Dr. Dietrich discusses his research, how he got involved in neurotrauma and some of his career highlights [3:20]Diving into the logistics of Dr. Dietrichâs world-renowned neurotrauma research center [5:50]Dr. Dietrich's advice to up-and-coming neuroscience institutes [12:11]Advancing scientific care through fundraising [13:45]The secret of scientific innovation and success [16:40]The most exciting recent advances in traumatic brain injury treatments or research [18:53]Inflammasomes and their role in traumatic brain injury [25:51]The impact COVID has on people living with TBI [32:32]TBI and the development of Alzheimer's [35:48]Dr. Dietrich looks 30 years back and 30 years forward [38:16]The magic wand question [42:17]Connect with Dr. Dalton Dietrich
W. Dalton Dietrich, Ph.D. - The Miami ProjectConnect With Maxwell Boakye
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How does greater access to specialized care optimize the treatment of spinal cord injuries? On this episode, Dr. Steven Kirshblum dives into the differences between general and specialized rehabilitation for SCI patients, why specialized care is critical for better patient outcomes, and the challenges of integrating specialized care for spinal cord injuries into the medical system.
You will want to hear this episode if you are interested in...
Advancements and challenges in the treatment of spinal cord injury [3:14]Are rehabilitation centers certified to treat spinal cord injuries? [6:04]Why do specialist rehabs get better results? [8:45]Examining racial and ethnic disparities in spinal cord injury care [12:30]The integration of spinal cord injury care into the medical system [14:24]Exploring trends in spinal cord injury care [16:55]Dr. Kirshblumâs take on polypharmacy in SCI care [19:17]Discussing natural recovery after traumatic spinal cord injury [21:40]Causes of mortality in SCI patients [27:10]Why steroid treatments have failed to translate to human trials [31:39]Developing resilience in SCI patients [34:18]Managing bladder issues in SCI care [36:41]Neuromodulation as an FDA approved treatment for spinal cord injury [39:00]Dr. Kirshblum answers the magic wand question [43:27]Resources & People Mentioned
Characterizing Natural Recovery after Traumatic Spinal Cord Injury (Paper)Connect with Dr. Steven Kirshblum
Dr. Steven KirshblumConnect With Maxwell Boakye
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Has the future of spinal cord injury treatment arrived? On this episode, I sit down with Drs. Gregoire Courtine and Jocelyne Bloch to discuss their recently published and highly publicized paper on restoring motor function after paralysis. They briefly dive into their protocol, their approach to Epi-Stim, and their answer to the magic wand question.
You will want to hear this episode if you are interested in...
A brief overview of the recent paper published by Drs. Courtine and Bloch [2:43]How Drs. Courtine and Bloch designed their protocol to strengthen residual pathways [5:31] What Dr. Courtine wished he knew 20 years ago [7:46]Dr. Blochâs training and evolution as a neurosurgeon [8:48]Dr. Courtine breaks down his approach to Epi-Stim [10:36]Drs. Courtine and Bloch answer the magic wand question [12:27]Resources & People Mentioned
Activity-dependent spinal cord neuromodulation rapidly restores trunk and leg motor functions after complete paralysis (Paper)Explaining STIMO (Christopher Reeve Foundation interview)Connect with Drs. Gregoire Courtine and Jocelyne Bloch
ONWARD (Website)Connect With Maxwell Boakye
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How do we optimize spinal surgery outcomes? Dr. Steven Glassman believes better data is the answer! On this episode, we discuss the American Spine Registry, what it is, what it's currently being used for, and its potential to provide better evidence for spine surgery, improve patient outcomes, and establish universal best practices.
You will want to hear this episode if you are interested in...
Getting to know Dr. Glassman, his clinical practice, and why he chose spine research [0:59]Exploring the nature and necessity of registries [3:56]What is the American Spine Registry, what areas of spine surgery are represented by it, and how long has it been in place? [6:27]What areas of spine surgery are represented by the ASR? [13:24]The most surprising findings from studies based off of the Quality Outcomes Database [18:08] Predicting the future evolution of the ASR [21:35]Examining ASR logistics and how hospitals can join the registry [25:10]How the ASR can bring better clarity to spine surgery outcomes [28:28]Using the ASR to develop predictive models and the role imaging plays with the registry [30:50]Exciting future studies and the magic wand question [35:15]Resources & People Mentioned
American Spine RegistryConnect with Dr. Steven Glassman
Follow Dr. Glassman on LinkedInConnect With Maxwell Boakye
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Have you ever misplaced your keys or forgotten a random fact and worried that you had a neurodegenerative disease? What is the difference between Alzheimerâs and simply getting old? On this episode, I sit down with memory and aging expert, Dr. Robert Friedland, to discuss his research, how Alzheimerâs is diagnosed, and habits you can start right now to help protect your brain and keep it healthy.
You will want to hear this episode if you are interested in...
Dr. Friedlandâs current clinical practice and research focus [3:25]The logistics of Dr. Friedlandâs research [9:16]Diagnosing Alzheimerâs disease and the current status of treatment options [11:02] Aging versus Alzheimerâs and the four factors that impact how you age [18:57]Why Dr. Friedland chose memory as his medical focus [30:47]Dr. Friedlandâs most surprising discoveries and the magic wand question [34:26]Connect with Dr. Robert Friedland
Follow Dr. Friedland on LinkedIn Pre-order Dr. Friedlandâs book: Unaging: The Four Factors that Impact How You AgeConnect With Maxwell Boakye
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Training to become a neurosurgeon is both incredibly rewarding and incredibly difficult. But is it more difficult than it needs to be and how can we make the experience better? On this episode, Iâm pleased to speak with University of Louisville chief resident Dr. Aurora Cruz about neurosurgical training, residency, leadership, burnout, and her advice for prospective neurosurgery residents.
You will want to hear this episode if you are interested in...
A day in the life of a modern neurosurgery resident [3:56]How COVID has affected the neurosurgery training experience [5:24]The unexpected challenges of neurosurgery residency [7:18]Dr. Cruzâs advice for residents with spouses and children [9:22]Advice for those considering studying neurosurgery [12:18]Pursuing professional goals in the field of neurosurgery [13:57]Fighting burnout and improving resident wellness [21:02]The biggest impediments to learning neurosurgery and the acquisition of appropriate psychomotor skills [26:38]Mentorship in neurosurgery residency [29:27]Describing the modern neurosurgery residency experience [32:48]Training neurosurgery residents to become better leaders [39:52]Book recommendations from Dr. Cruz [42:48]Advice for struggling residents [44:10]Dr. Cruz answers the magic wand question [46:32]Resources & People Mentioned
How to Win Friends & Influence People (Book)Influence: The Psychology of Persuasion (Book)Connect with Dr. Aurora Cruz
Follow Dr. Cruz on LinkedInConnect With Maxwell Boakye
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Few people have as long or as distinguished a career as Dr. Haring Nauta. On this episode, we discuss his observations about neurosurgical residency, neurosurgical training, and how to improve the quality of that experience. We also dive into his exciting work using the punctate myelotomy procedure to treat pain and current research topics.
You will want to hear this episode if you are interested in...
Diving into the current practice of Dr. Nauta [3:02]What is a punctate midline myelotomy and how does it help neurosurgical pain? [10:03]The logistics of a punctate myelotomy [26:00]Dr. Nautaâs thoughts on the evolution of neurosurgical training [32:11]Defining leadership and the qualities that make a good chief resident [38:48]Fighting the resident burnout epidemic and the role of emotional intelligence [41:42]Looking back at Dr. Nautaâs incredible career [46:05]Dr. Nautaâs advice for young neurosurgeons striving for excellence [49:39] Dr. Nauta answers the magic wand question [55:30]Connect with Dr. Haring Nauta
Haring Nauta, MD, PhD, FACS, FAANSConnect With Maxwell Boakye
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One of oncologyâs greatest challenges in treating cancer is when it spreads to a different part of the body. When cancer spreads to the spine, it presents unique challenges for doctors creating a successful treatment plan. On this episode, I have the pleasure of interviewing the chief of Oncology at Sloan Kettering, and one of my mentors, Dr. Mark Bilsky. Weâll discuss the logistics of his practice, surgical and non-surgical treatment strategies, as well as recent advances in the field of spinal oncology.
You will want to hear this episode if you are interested in...
Getting to know Dr. Mark Bilsky and his practice [0:56]Why Dr. Bilsky decided to focus on spinal oncology [4:18]The epidemiology of spinal cancer, the role surgery plays in treatment, and how surgical techniques and equipment have changed over time [6:45]How Dr. Bilsky evaluates spinal metastases at his center and the logistics of his practice [18:03]Examining advances in radiosurgery and the systems Dr. Bilsky uses at Sloan Kettering [23:51]Treating instability in spinal cancer patients [25:48]Rapid-fire updates on modeling management for various types of tumors [28:42]The magic wand question [33:19]Connect with Dr. Mark Bilsky
Mark H. Bilsky | Memorial Sloan Kettering Cancer CenterConnect With Maxwell Boakye
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Happy New Year! Weâre kicking off 2022 by shedding light on an area of research that isnât talked about enough: pediatric spinal cord injury. Most spinal cord injury conversations revolve around adults, but children also suffer from injury and face unique challenges in both treatment and research. Thankfully, my guest, Dr. Andrea Behrman is leading the way for both! We discuss her work, her breakthroughs, the current state of pediatric spinal cord injury treatment, and what the future looks like for this vitally important field.
Getting to know Dr. Andrea Behrman and her work [1:01] Why Dr. Behrmanâs work is so important [7:36]The epidemiology of pediatric spinal cord injury [11:46]The quality of life for kids with spinal cord injury [13:30]Taking a closer look at initial care for pediatric spinal cord injury [21:43]Dr. Behrman looks back at her accomplishments over three decades [25:19]The challenges of pediatric spinal cord injury treatment and research [32:48]Looking at the future of pediatric spinal cord injury treatment [38:13] A message of hope for parents and physicians of kids with spinal cord injury [40:38]Training the next generation and the magic wand question [43:42]
You will want to hear this episode if you are interested in...
Noninvasive spinal stimulation safely enables upright posture in children with spinal cord injury | Nature Communications (Paper)
Resources & People Mentioned
Andrea Behrman, Ph.D., PT, FAPTA
Connect with Dr. Andrea Behrman
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If youâve never heard the term digital neurosurgery before, youâre not alone. While it sounds like something out of a space opera, digital neurosurgery is likely the future of medical neuroscience. On this episode, I have the pleasure of interviewing Dr. Thomas Picht, the first professor of digital neurosurgery in the world. We take a deep dive into everything that digital neurosurgery entails, exciting technological advancements in the field, and the future ramifications of the digitalization of medicine.
What is digital neurosurgery? [3:04] The Adaptive Digital Twin in digital neurosurgery [9:14]The challenges brain tumor neurosurgeons face and how Dr. Picht is trying to solve them [12:38] Exciting technological advancements Dr. Picht is using in the field [13:57]Dr. Pichtâs research at the Berlin Simulation and Training Center [15:59]How simulation training impacts education in the medical field [18:21] How the advent of electroencephalography (EEG) and transcranial magnetic stimulation (TMS) improves patient outcomes [29:29]The reason Dr. Picht chose digital neurosurgery [32:41]Dr. Pichts advice for young digital neurosurgeons [35:32]
You will want to hear this episode if you are interested in...Resources & People Mentioned
Berlin Training and Simulation Center
Dr. Thomas Picht
Connect with Dr. Thomas Picht
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We constantly talk about quality improvement on this podcast, but what does it actually take? Is one method better than another? Where should hospitals start in terms of improving quality? On this episode, I sit down with Dr. Jordan Peck of Southern Maine Healthcare and the Harvard School of Public Health for a multifaceted conversation about quality improvement in the medical field.
Defining quality improvement in healthcare [2:24]How do we assess the quality of a healthcare institution? [6:47] Dr. Peckâs take on the best way to improve the quality of care [10:05]Comparing different methods for quality improvement [13:17]The relationship between patient safety and quality improvement [18:15]The role of physicians in quality improvement [20:14]Which problems should hospitals tackle first to improve quality? [22:42]Looking back at the quality improvement and patient safety movements [25:45]Examining the benefits and limitations of checklists [31:48]Areas Dr. Peck thinks are overdue for a quality improvement [35:38]The future of quality improvement and the âmagic wand questionâ [38:32]
You will want to hear this episode if you are interested in...Resources & People Mentioned
The Fifth Discipline: The Art & Practice of The Learning Organization (Book)
Jordan S. Peck, PhD
Connect with Dr. Jordan Peck
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Itâs not every day that you get to talk to someone with 40 years of research experience in your field. Let alone, someone as distinguished as my guest for this episode. Join me as I sit down with Dr. Scott Whittemore to discuss a myriad of topics from his four-decade career as a spinal cord injury research scientist including stem cell research, proteostasis in spinal cord injured patients, and the reversible silencing of lumbar interneurons.
The secret sauce that makes scientific collaborations work [3:24] Taking a deep dive into Dr. Whittemoreâs research [10:06]Dr. Whittemoreâs take on the current potential of stem cells [18:40]What is proteostasis? [21:22] Pharmaceutical solutions for proteostasis [27:18]The silencing of the lumbar interneurons [29:19] What Dr. Whittemore wish he knew 40 years ago [35:02]Becoming a good scientist and training the next generation [37:14]
You will want to hear this episode if you are interested in...
The Miami Project to Cure Paralysis and The Buoniconti FundKentucky Spinal Cord Injury Research Center Reversible silencing of lumbar spinal interneurons unmasks a task-specific network for securing hindlimb alternation (Paper)
Resources & People Mentioned
Scott R. Whittemore, Ph.D
Connect with Dr. Scott Whittemore
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Optimizing the quality of patient care is what this podcast is all about and my guest for this episode is challenging the status quo by creating incredible patient experiences. Dr. Ryan Grant left a promising neurosurgery career to start Vori Health, a virtual one-stop-shop for musculoskeletal care. We discuss how he made that transition, the current challenges of the medical system to provide next-level care, and how Vori Health is answering the call for better patient experiences.
Getting to know Dr. Ryan Grant [1:44]What is Vori Health? [6:11]Why Dr. Grant started with musculoskeletal care [12:04]Dr. Grantâs take on how to improve the treatment of chronic back pain [14:10]The Vori Health patient experience [19:32] Virtual versus in-person treatment [26:12]Mental health as a component of musculoskeletal care [29:11] Patient outcomes and feedback [32:30]Applying the Vori Health model to academics [36:04]How Dr. Grant measures success [38:51]
You will want to hear this episode if you are interested in...
Vori Health
Resources & People Mentioned
Follow Dr. Grant on LinkedIn
Connect with Dr. Ryan Grant
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Functional neurosurgery is a small but growing medical field that has had a major impact on the treatment of movement disorders such as Parkinsonâs disease and epilepsy. On this episode, I have the pleasure of interviewing Dr. Joseph Neimat, a brilliant neurosurgeon and clinician-scientist helping lead the charge for greater research and innovation in his field. We discuss the evolution of functional neurosurgery, its future in modern medicine, and ways to optimize it for safer and more successful results.
Getting to know Dr. Joseph Neimat [1:49]The progression of functional neurosurgery [6:46]Technological advancements in the field of functional neurosurgery [12:23]Functional neurosurgery as a treatment for depression and obesity [16:21]Taking a deep dive into Dr. Neimatâs research [19:43]Training the next generation of neuro-innovators [23:38]The development status of Dr. Neimatâs novel devices [27:53] Optimizing functional neurosurgery [29:51]
You will want to hear this episode if you are interested in...
Irving S. Cooper (1922-1985): a pioneer in functional neurosurgery
Resources & People Mentioned
Joseph Neimat, MD, MS
Connect with Dr. Joseph Neimat
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In the ever-growing, ever-advancing field of medical science, the need for self-directed learners is at an all-time high. This is especially true for both graduate medical students and medical professionals who wish to improve their patientâs quality of care. On this episode, I am joined by the brilliant Dr. Staci Saner to discuss the science of learning and the best methods for developing self-directed learners to further quality improvement in medical care.
Understanding learning on a scientific level [2:04] Utilizing different learning techniques [5:20] The importance of self-directed learning [10:55] Breaking down different theories for learning [16:57] Reflective practice as a learning tool [20:48] What is the QARRD? [28:01]The role of motivation and growth mindsets in self-directed learning [30:43] Dr. Sanerâs encouragement for healthcare educators [34:52]
You will want to hear this episode if you are interested in...
Effects of active engagement and spaced retrieval practice on knowledge and application of a selfâassessment rubric (Paper) HPE Program (Website)Questioning Aid for Rich, Real-Time Discussion (QARRD): A Tool to Improve Critical Thinking in Clinical Settings (Paper)
Resources & People Mentioned
Email Dr. SanerFollow Dr. Saner on Twitter
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One of the leading scientists researching treatments for paralysis and spinal cord injury is Dr. Susan Harkema. Her work has led to multiple breakthroughs that led to improved function and quality of life for patients that were previously deemed impossible. On this episode, I invite Dr. Harkema to discuss those discoveries, how they came about, and the future of treating paralysis.
Dr. Harkemaâs background and training [1:20]An overview of paralysis and spinal cord injury [4:35]Non-pharmacological approaches to treating paralysis [10:12]Dr. Harkemaâs groundbreaking study on neuromodulation through epidural stimulation [15:24]Redefining the possibilities for paralysis recovery [19:28]Other benefits of epidural stimulation [23:56]Overcoming technological limitations and pioneering the future of paralysis treatment [29:09]What Dr. Harkema believes is missing from spinal cord injury care [32:04]The future of epidural stimulation in the treatment of spinal cord injury [34:02]
You will want to hear this episode if you are interested in...
Effect of epidural stimulation of the lumbosacral spinal cord on voluntary movement, standing, and assisted stepping after motor complete paraplegia: a case study (2011 Case Study) Recovery of Over-Ground Walking after Chronic Motor Complete Spinal Cord Injury (2018 Case Study)Victory Over Paralysis (Website)
Resources & People Mentioned
Like Dr. Harkema on FacebookFollow Dr. Harkema on Twitter
Connect with Dr. Susan Harkema
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A major issue plaguing spinal cord injury patients and the medical field as a whole is polypharmacy and the over-prescribing of pharmaceuticals. Itâs a complicated problem without a âone-size-fits-allâ solution. On this episode, Iâm joined by Dr. Sara Guilcher to discuss the impact and risks of polypharmacy as well as some of the ways physicians can help tackle the problem and increase the quality of care for patients with a potential need for multiple medications.
You will want to hear this episode if you are interested in...
Defining polypharmacy [2:06] The impact and risks of polypharmacy [5:48] The role of pain in polypharmacy [11:00] Examining the complexities of the polypharmacy problem [13:49] Polypharmacy as a systemic patient safety issue [22:46] Dr. Guilcherâs five steps to prevent polypharmacy [27:15]
Craig H. Neilsen Foundation
Resources & People Mentioned
GuilcherLab.comFollow Dr. Guilcher on Twitter
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