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En este episodio de BackTable Urology, Dr. José Silva da la bienvenida a su colega de residencia, el Dr. Omar Soto, para profundizar en el viaje y los desafíos del Dr. Soto al establecer una práctica de urología reconstructiva en Puerto Rico después de su extensa capacitación y práctica en Detroit.
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This podcast is supported by:
Photocure
https://www.photocure.com/
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SYNPOSIS
Los doctores exploran las complejidades de navegar la atención urológica, la importancia de cumplir con el estándar de atención a pesar de las limitaciones sistémicas y el panorama en evolución de la urología reconstructiva y protésica. El Dr. Soto comparte anécdotas personales, el impacto de la pandemia de COVID-19 en su práctica y el papel crucial de la colaboración comunitaria y profesional en el avance de los servicios urológicos en Puerto Rico. El episodio destaca la dedicación necesaria para mejorar la calidad de vida del paciente y adaptarse a las nuevas tecnologías médicas.
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TIMESTAMPS
00:00 - Viaje a la Urología Reconstructiva
08:32 - Decisión de Quedarse en Detroit
13:31 - Regresando al Puerto Rico
27:47 - Tratamientos Urológicos en América Latina
30:18 - Equilibrio entre la Práctica Privada y las Necesidades de la Comunidad
36:32 - Prácticas y Técnicas Quirúrgicas
41:25 - La Importancia del Aprendizaje Continuo
52:45 - Pensamientos Finales
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RESOURCES
Photocure
https://www.photocure.com/ -
Frustrated with stone retrieval after a long lithotripsy case? In this episode of the BackTable Urology Podcast, host Aditya Bagrodia, MD, and guest Roger Sur, MD, director of the Comprehensive Kidney Stone Center at UC San Diego Health, delve into the latest technological advancements in the treatment of kidney stones. The episode focuses on the CVAC (continuous vacuum aspiration and irrigation) device as a suction platform for endourologists.
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This podcast is supported by:
Photocure
https://www.photocure.com/
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SYNPOSIS
Their conversation offers interesting historical detail on the evolution of kidney stone treatment, from open surgery to modern techniques including percutaneous nephrolithotomy, shockwave lithotripsy, and ureteroscopy. As one of the original visionaries behind CVAC, Dr. Sur highlights the development journey from lab experiments to FDA approval. The episode covers data on CVAC’s superiority in patient outcomes and stone-free rates compared to other technologies. Key insights from recent studies, such as the ASPIRE trial, underscore the benefits of CVAC in reducing postoperative events and stone regrowth. The conversation also explores practical aspects of integrating suction platforms into practices and looks ahead towards the potential for machine learning to refine these technologies.
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TIMESTAMPS
00:00 - Introduction
04:29 - The Rise of Ureteroscopy
10:38 - Development of Suction Devices
12:22 - The CVAC Device: History and Functionality
21:05 - Comparing Suction Device Systems
31:34 - Looking Into the Data
37:42 - Considerations for Real-World Practice
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RESOURCES
Photocure
https://www.photocure.com/ -
Saknas det avsnitt?
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Are you curious about the biotechnology startup world? Learn how our guest transitioned from trauma surgeon to entrepreneur in this episode of the BackTable Podcast. Dr. Chris Kinsella, CEO of Watershed Therapeutics and our host Dr. Bryan Hartley discuss the importance of using entrepreneurship to solve clinical needs. Watershed Therapeutics has created a novel bladder drug delivery platform to help women with recurrent urinary tract infections.
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SYNPOSIS
The doctors systematically cover the process of identifying market needs, inventing solutions, bringing a product to the market, and managing risk. They also share examples of successful startup ventures and underscore the importance of perseverance, innovative thinking, and strategic market focus in forging a path to success.
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TIMESTAMPS
00:00 - Introduction
04:30 - The Birth of a Surgical Trainer
07:04 - Challenges and Innovations in Trauma Surgery
22:06 - Evaluating and Killing Ideas
28:27 - Challenging Assumptions
29:53 - Meeting a Co-Founder
33:07 - Developing the Solution
37:29 - Raising Funds
40:28 - Navigating Regulatory Challenges and Market Expansion
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RESOURCES
Watershed Therapeutics:
https://www.watershedtx.com/
Stanford Biodesign Innovation Fellowship:
https://biodesign.stanford.edu/programs/fellowships/innovation-fellowships.html -
Are you a 2025 Urology Match applicant or a residency program faculty member? In this week’s episode of the BackTable Urology podcast, guests Dr. Mihir Shah, Dr. Gina Badalato, and Dr. Lindsay Hampson provide guidance on navigating urology residency interviews. Their discussion offers insights from a residency leadership, department faculty, and medical student’s point of view with host Yash Shah.
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SYNPOSIS
The episode covers tips for both virtual and in-person interviews, strategies for conversational engagement, and advice for how applicants should evaluate programs. They further detail aligning personal values with program culture, describing past challenges, and lowering interview anxiety through effective practice. The conversation offers applicants invaluable preparation tips to approach the interview process with confidence and a positive attitude.
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TIMESTAMPS
00:00 - Introduction
02:32 - Virtual vs. In-Person Interviews
07:02 - Preparing for Residency Interviews: Tips and Strategies
17:29 - The Role of Research
20:43 - Pivoting to Leadership and Advocacy
22:01 - Behavioral Questions: Tips and Examples
26:22 - Discussing Difficult Subjects
28:26 - Choosing the Right Residency Program
33:10 - Post-Interview Communication
36:24 - Final Advice -
Intrarenal pressure monitoring during ureteroscopy is a complex but crucial component of performing safe procedures. In this episode of the BackTable Urology Podcast, urologist Dr. Julie M. Riley from the University of Arkansas for Medical Sciences shares expert insights on ureteroscopy, focusing on intrarenal pressure monitoring, procedural techniques, and new technologies aimed at improving patient safety.
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This podcast is supported by:
Boston Scientific Urology
https://www.bostonscientific.com/en-US/about-us/core-businesses/urology-pelvic-health.html
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SYNPOSIS
Dr. Riley discusses the benefits of access sheaths, the utility of new devices including LithoVue Elite, and strategies for minimizing infection. She highlights the benefits and intended use cases of this new technology, and further outlines potential complications and challenges in using this new tool. Dr. Riley also shares her own approaches to complex patients, and her predictions for the future of ureteroscopy.
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TIMESTAMPS
00:00 - Introduction
03:10 - Ureteroscopy and Patient Candidacy
04:12 - Complications
09:50 - Technological Advances
13:30 - Practical Tips
32:59 - Looking Ahead
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RESOURCES
Boston Scientific
https://www.bostonscientific.com/en-US/home.html -
Catch up on the latest breakthroughs in bladder cancer management. In this episode of the BackTable Urology Podcast, Dr. Bogdana Schmidt (University of Utah) speaks with Dr. Andrea Apolo, a medical oncologist at the National Cancer Institute, about recent advancements in bladder cancer treatment presented at the 2024 European Society of Medical Oncology (ESMO) Congress.
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SYNPOSIS
They review pivotal trials like the NIAGARA and AMBASSADOR studies, the TAR-200 drug delivery system, the use of bladder-sparing treatment, and the role of ctDNA as a biomarker. Further, they detail the effectiveness of systemic therapies such as gemcitabine and pembrolizumab, the implications of perioperative immunotherapy, and the future role of antibody-drug conjugates. The conversation highlights the trend towards less invasive approaches while improving survival rates from bladder cancer.
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TIMESTAMPS
00:00 - Introduction
03:49 - NIAGARA Trial
09:10 - Challenges in Bladder Cancer Treatment
18:56 - AMBASSADOR Trial
25:30 - Adjuvant Immunotherapy
29:30 - Exploring Biomarkers and ctDNA
36:34 - Surgery and Less Invasive Therapies
46:31 - Future Directions in Bladder Cancer Treatment
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RESOURCES
ESMO
https://www.esmo.org/ -
Inequality persists in pay and career advancement between male and female urologists. In this episode of the BackTable Urology Podcast, Dr. Suzette Sutherland hosts Dr. Yahir Santiago-Lastra from the University of California San Diego. They discuss the gender wage gap in medicine, particularly amongst urologists.
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This podcast is supported by:
Photocure
https://www.photocure.com/
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SYNPOSIS
Dr. Santiago, a Latina from Puerto Rico and a first-generation physician, highlights the latest data on pay, research funding, and professional advancement for women physicians. They debunk common myths, discuss the importance of transparency, and emphasize the need for inclusive work environments. The conversation also covers the economic phenomena underlying current discrepancies and the benefits of fostering diversity. This episode offers valuable insights for leaders on retaining and nurturing talent within their organizations.
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TIMESTAMPS
00:00 - Introduction
06:28 - Impact of Menopause and Women’s Health
10:33 - Gender Gaps in Urology
31:52 - The Meritocracy Myth
35:56 - The Abrasiveness Trap and Gender Schema
40:04 - Navigating Work Personalities
47:54 - Leadership and Inclusivity in Organizations
51:30 - Tokenism vs. True Inclusion
56:58 - The Benefits of a Diverse Workforce
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RESOURCES
Photocure
https://www.photocure.com/ -
What does recent research say about the role of perirectal spacers in prostate cancer treatment? In this episode of the BackTable Urology Podcast, host Dr. Jose Silva discusses the use of perirectal spacers for prostate radiotherapy with guests Dr. Eric Chenven, Chief of Urology at Broward Health Medical Center, and Dr. Nadim Nasr, a radiation oncologist at Arlington Radiation Oncology.
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This podcast is supported by:
Boston Scientific SpaceOAR Hydrogel
https://www.spaceoar.com/about-spaceoar-hydrogel/how-spaceoar-hydrogel-works/?utm_source=google&utm_medium=cpc&utm_campaign=uro-ph-us-spaceoar-dtp&utm_content=nf-cs-prostatecancer_search_en_us_brand_conversion_dtp_uro-spaceoar-651995397243-res&gad_source=1&gclid=CjwKCAjw9eO3BhBNEiwAoc0-jTE63KEHSnZ1soXre9ovVRqweY2QctIuZ_iN2QUjk6Px4k6fK1757BoCVNgQAvD_BwE
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SYNPOSIS
Their conversation delves into the use of Boston Scientific’s SpaceOAR hydrogel to reduce radiation exposure to the rectum. The experts elaborate on the techniques and logistical challenges of placing spacers, as well as their effects on patient outcomes. They also discuss insurance hurdles, use of sedation, fiducial marker placement, and the impact of large prostate size on treatment efficacy. Finally, they touch on Barrigel, the newest spacer option. This episode emphasizes the need for collaboration between urologists and radiation oncologists to improve patient care.
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TIMESTAMPS
00:00 - Introduction
06:33 - Importance of Perirectal Spacing
11:17 - Techniques and Protocols
13:00 - Barrigel: The New Option
14:58 - Challenges and Practical Considerations
24:55 - Future Directions
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RESOURCES
Boston Scientific SpaceOAR
https://www.bostonscientific.com/en-US/products/hydrogel-spacers/spaceoar-hydrogel.html
URO108 - Minimizing Radiation Therapy Side Effects
https://www.backtable.com/shows/urology/podcasts/108/minimizing-radiation-therapy-side-effects
URO123 - Perfecting Rectal Spacer Placement for Optimal Care
https://www.backtable.com/shows/urology/podcasts/123/perfecting-rectal-spacer-placement-for-optimal-care -
Learn how Advanced Practice Providers (APPs) can boost workflow efficiency and improve patient experience in your urology practice. In this episode of the BackTable Urology podcast, host Dr. Jose Silva speaks with Dr. Arpeet Shah and advanced practice nurse (APN) Nicole Hollander, about the role of APPs in benign prostate hyperplasia (BPH) patient care.
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CHECK OUT OUR SPONSOR
Boston Scientific Rezum Water Vapor Therapy
https://www.bostonscientific.com/rezum
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SYNPOSIS
Hollander and Shah discuss the importance of effective APP training and onboarding. Dr. Shah shares his wisdom on structuring an APP program to ensure that new practitioners are educated, compliant, and satisfied; all while helping to address the current urologist shortage. The discussion also covers BPH workflows, effective follow-up, and staying up to date on evolving medical knowledge in the context of innovations such as GreenLight Laser and UroCuff.
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TIMESTAMPS
00:00 - Introduction
06:58 - Nicole’s APP Journey
07:42 - Training APPs
12:22 - BPH Workflow
21:04 - Deciding on Procedures for BPH
26:40 - Rezum
33:40 - Ensuring APP Clinical Excellence and Compliance
36:34 - APP Career Development and Retention
40:31 - Looking Ahead -
Did you know that robotic prostatectomy has its roots in both the immigrant experience and the renowned manufacturing legacy of Detroit? In this episode of BackTable Urology, Dr. Mani Menon, a pioneer in robotic surgery, joins Dr. Aditya Bagrodia to discuss the development of robotic prostatectomy technology.
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CHECK OUT OUR SPONSORS
Siemens Healthineers Theranostics
https://www.siemens-healthineers.com/en-us/clinical-specialities/theranostics
Photocure
https://www.photocure.com/
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SYNPOSIS
Dr. Menon reflects on how robotic prostatectomy techniques have evolved over his career. He shares his journey from India to the United States, highlighting his trailblazing work at the Vattikuti Urology Institute at Henry Ford Hospital. He also talks about the challenges of working with robotic technology, recent advancements in the field, and what the future may hold for robotic surgery.
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TIMESTAMPS
00:00 - Introduction
03:05 - Dr. Menon’s Early Life
06:51 - Experiences of an International Medical Graduate
19:51 - The Move to Henry Ford
36:44 - Transitioning to Robotic Surgery
41:36 - Patient Outcomes and Reflections
47:50 - Technological Advancements in Surgery
55:52 - Looking Ahead
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RESOURCES
Photocure
https://www.photocure.com/
Siemens Healthineers
https://www.siemens-healthineers.com/en-us/urology-equipment -
What is the role of testosterone therapy in prostate cancer? Urologist Dr. Abraham Morgentaler of Beth Israel Deaconess Medical Center and Harvard Medical School joins host Dr. Jose Silva to discuss the evolution of testosterone therapies, modern testosterone treatments, and how to integrate testosterone replacement therapy into your practice.
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CHECK OUT OUR SPONSOR
KYZATREX™
https://www.kyzatrex.com
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SYNPOSIS
Dr. Morgenhaler starts by sharing his pioneering journey with testosterone replacement therapy starting in the 1980s, challenging long-held beliefs that it increases prostate cancer risk. He highlights key studies to debunk myths about testosterone’s dangers and emphasizes the ability to improve patients’ quality of life. Further, he discusses modern treatment options and provides practical advice for safely initiating testosterone replacement therapy. Finally, he discusses its use in patients with a history of prostate cancer and emphasizes the importance of individualized treatment plans.
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TIMESTAMPS
00:00 - Introduction
03:04 - Historical Perspectives on Testosterone and Prostate Cancer
21:31 - Evolution of Testosterone Treatments
31:16 - Testosterone and Prostate Cancer: A Controversial History
35:42 - Treating Prostate Cancer Patients with Testosterone
37:12 - A Case Study
43:05 - Shifting Perspectives
57:15 - Final Thoughts
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RESOURCES
T4L Education
https://t4leducation.com/
Marius Pharmaceuticals
https://mariuspharma.com/
Testosterone Replacement in Prostate Cancer Survivors URO98
https://www.backtable.com/shows/urology/podcasts/98/testosterone-replacement-in-prostate-cancer-survivors
Men's Health & Testosterone Replacement Therapy URO114
https://www.backtable.com/shows/urology/podcasts/114/mens-health-testosterone-replacement-therapy
Testosterone & Hypogonadism: A Clinical Perspective URO124
https://www.backtable.com/shows/urology/podcasts/124/testosterone-hypogonadism-a-clinical-perspective
Testosterone: Navigating Options & Implementation in Clinical Practice URO 125
https://www.backtable.com/shows/urology/podcasts/125/testosterone-navigating-options-implementation-in-clinical-practice -
Hot off the press! The results of the 2023 American Urological Association Census findings will likely surprise listeners. In this episode of the BackTable Urology Podcast, host Dr. Suzette Sutherland is joined by Dr. Amanda North (The Children’s Hospital at Montefiore) and Dr. Matt Nielsen (University of North Carolina) to dive deep into the census data and offer a call to action for all urologists.
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CHECK OUT OUR SPONSOR
PearsonRavitz
https://pearsonravitz.com/backtable
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SYNPOSIS
The conversation covers noteworthy statistics on burnout, accessibility to mental health care, and practice patterns within the urologic community. The doctors also discuss the evolution in demographics amongst practicing urologists, improvement in diversity, equity, and inclusion initiatives, and the growing concern of workforce shortages. Finally, the episode explores the importance of this census data in informing AUA advocacy efforts to shape future government policies.
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TIMESTAMPS
00:00 - Introduction
06:04 - The AUA Census
11:20 - Demographics of Urologists in the U.S.
22:48 - Trends in Private Practice and Employment
38:00 - Burden of Prior Authorizations
43:17 - Addressing Burnout
45:29 - Diversity, Equity, and Inclusion
52:43 - Conclusion
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RESOURCES
Pearson Ravitz
https://pearsonravitz.com/
Photocure
https://www.photocure.com/ -
What is the role of blue light cystoscopy in bladder cancer? In this episode, Dr. Suzette Sutherland interviews Dr. Suzanne Merrill from Colorado Urology about the benefits of this technology in the diagnosis and treatment of bladder cancer, and how to implement it into your practice.
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CHECK OUT OUR SPONSOR
Photocure
https://www.photocure.com/
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SYNPOSIS
The doctors start by discussing the advantages of using blue light cystoscopy, including better detection rates of Ta and T1 lesions and the reduction of cancer recurrence by as much as 11%. They highlight the importance of complete transurethral resection of bladder tumor (TURBT) and patient compliance. Dr. Merrill emphasizes the necessity of accurate risk stratification and the logistics of real-life incorporation. Finally, she also comments on new bladder cancer technologies, such as narrow band imaging.
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TIMESTAMPS
00:00 - Introduction
03:45 - Epidemiology and Risk of Bladder Cancer
05:48 - AUA Guidelines for Bladder Cancer
08:01 - Mechanism and Benefits of Blue Light Cystoscopy
10:33 - Practical Applications
34:48 - Conclusion
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RESOURCES
Photocure
https://www.photocure.com/ -
Empathy, social awareness, and servant leadership are important qualities for all physicians to possess. This week on the BackTable Urology Podcast, Houston Methodist urologists Dr. Raj Satkunasivam and Dr. Rose Khavari sit down with Dr. Timothy Boone to discuss developing humanistic skills in medicine.
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SYNPOSIS
Dr. Boone reflects on his personal journey into urology and his experiences in education and administration. The urologists emphasize the significance and joys of patient relationships and effective mentorship for other doctors. Furthermore, they offer advice for young urologists on self-reflection, time management, and the art of doctoring.
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TIMESTAMPS
00:00 - Introduction
05:00 - Early Influences and Career Path
24:28 - Challenges in Maintaining Empathy
29:19 - The Importance of Self-Reflection
33:24 - Recruitment and Retention in Leadership
36:12 - Balancing Personal Life
42:03 - Innovative Medical Education
48:54 - Final Thoughts
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RESOURCES
Pearson Ravitz
https://pearsonravitz.com/
BackTable URO24 - Operate with Zen
https://www.backtable.com/shows/urology/podcasts/24/operate-with-zen -
Beyond patient morbidity, complications can have a significant impact on surgeon health and relationships outside of medicine. In this episode of the PGY Pearls Series of BackTable Urology, hosts Dr. Lindsay Hampson (UCSF) and Dr. Gina Badalato (Columbia University) discuss the “second victim phenomenon” with special guest Dr. Chloe Peters, a fifth-year urology resident at the University of Washington.
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SYNPOSIS
The “second victim phenomenon” refers to the negative emotional response a healthcare worker endures after a traumatic patient care event. The conversation explores the psychological impacts of surgical complications as Dr. Peters describes the phases of coping. She emphasizes the need to distinguish between personal failure and professional setbacks and highlights the importance of peer and institutional support. The discussion also delves into recent cultural shifts in medicine, especially in the wake of COVID-19. The experts conclude by discussing steps for progress and improvement within the surgical work environment.
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TIMESTAMPS
00:00 - Introduction
02:00 - Second Victim Phenomenon
06:52 - Challenges for Trainees
09:43 - Managing Complications
17:04 - Phases of Emotions
20:31 - Peer Support and Institutional Resources
35:04 - Building a Supportive Training Environment
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RESOURCES
Pearson Ravitz
https://pearsonravitz.com/
BackTable URO24- Operate with Zen
https://www.backtable.com/shows/urology/podcasts/24/operate-with-zen
BackTable URO39- The Anatomy of a Complication https://www.backtable.com/shows/urology/podcasts/39/the-anatomy-of-a-complication-surgeon-health
BackTable URO42- Mental Constructs to Avoid Complications https://www.backtable.com/shows/urology/podcasts/42/mental-constructs-to-avoid-complications -
With contemporary treatment options, your female patients don’t have to live with urinary incontinence! In this crossover episode of BackTable Urology and OBGYN, host Dr. Suzette Sutherland from University of Washington interviews Dr. Sarah Boyles, a urogynecologist at The Oregon Clinic, regarding female urinary incontinence, its diagnostic criteria, and various treatment options to help improve quality of life in the incontinence patient.
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CHECK OUT OUR SPONSOR
PearsonRavitz
https://pearsonravitz.com/backtable
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SYNPOSIS
First, Dr. Boyles explains the importance of patient history and physical examination, along with the need for certain diagnostic tests for proper characterization of the type of urinary incontinence in a patient. She also explores behavioral treatments, pelvic floor physical therapy, vaginal pessaries, and advanced interventions such as urethral bulking and surgery for stress incontinence. The doctors further discuss innovative pharmaceutical and neuromodulation options for urge incontinence.
Dr. Boyles concludes with a mention of patient education resources that are available on her platform, thewomensbladderdoctor.com.
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TIMESTAMPS
00:00 - Introduction
02:35 - The Women’s Bladder Doctor Initiative
07:03 - Types of Urinary Incontinence
11:49 - Diagnostic Approaches to Urinary Incontinence
28:39 - Treatment Algorithms for Urinary Incontinence
31:12 - Bladder Retraining and Pelvic Floor Therapy
40:00 - Urethral Seals and Vaginal Pessaries
50:47 - Treatment for Urgency
57:51 - Future Directions
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RESOURCES
Pearson Ravitz
https://pearsonravitz.com/
The Women’s Bladder Doctor
https://thewomensbladderdoctor.com/ -
It can be tough to avoid burnout, stay motivated, and retain your passion for patient care when facing the day-to-day challenges of medical practice. In this episode of the BackTable Urology Podcast, Dr. Alexander Kutikov from Fox Chase Cancer Center discusses keys to developing a sustainable and fulfilling career within urology.
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Attention residents and fellows! In this episode of the BackTable Urology podcast, Dr. Jay Shah hosts Dr. Eugene Shkolyar, a recent SUO fellowship graduate and new faculty member at Stanford, to discuss the process of securing a first job out of training.
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CHECK OUT OUR SPONSOR
Fellow
https://www.meetfellow.com/
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SYNPOSIS
The conversation covers the importance of introspection, geography, and mentorship. Dr. Shkoliar also delves into practical aspects of networking, job offer negotiation, and the balance between professional aspirations and personal life. Dr. Shkoliar shares personal experiences from this career milestone.
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TIMESTAMPS
00:00 - Introduction
02:17 - The Job Search
09:13 - Balancing Personal and Professional Goals
16:43 - Exploring Different Career Paths
22:26 - Understanding Healthcare Structures
26:14 - Practical Steps
30:07 - Mentorship and Networking
37:39 - Negotiation Tactics
49:48 - Final Reflections
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RESOURCES
Fellow
https://www.meetfellow.com/ -
How can residents maximize their surgical skills development and personal growth during the grueling years of urology residency? In the second edition of the BackTable Urology podcast’s PGY Playlist series, host Dr. Gina Badalato interviews Dr. George Moran, a chief resident from Columbia University, about his recommended strategies.
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SYNPOSIS
Dr. Moran shares his approach to studying medical guidelines, using the spaced repetition app, Anki, and preparing for the annual in-service exam. The doctors also discuss GAMERS, a surgical simulation competition started by Dr. Moran intended to improve robotic skills. Finally, Dr. Moran speaks to the importance of adaptability, personalization, and mentorship in effective learning during residency.
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TIMESTAMPS
00:00 - Introduction
02:38 - Strategies for Learning Medical Knowledge
09:08 - Preparing for Exams
16:14 - Robotic Simulation
21:46 - Final Wisdom - Visa fler
