Explorez tous les épisodes du podcast Lab Medicine Rounds

This episode marks the end of “Lab Medicine Rounds.” Host Justin Kreuter, M.D., reflects on the impact of the series and introduces an upcoming video-based project that will bring lab stories to life in powerful new ways.

In this episode of "Lab Medicine Rounds," we explore how to navigate the often-tricky terrain of giving and receiving feedback. Join the conversation as we unpack common pitfalls, reframe defensive reactions, and offer practical tools for fostering growth-minded, judgment-free dialogue. Whether you're leading a team or developing your own feedback skills, this episode offers thoughtful insights you can use right away.  

On this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., speaks with Erinn Downs, D.O., professor of laboratory medicine and pathology at Mayo Clinic’s Arizona campus, on the topic of benign mimics of malignant breast pathology.

In this episode of Lab Medicine Rounds, Justin Kreuter, M.D., and Miglena Komforti, D.O., from Mayo Clinic as they discuss threshold diagnoses of the breast — those gray zones that challenge even seasoned professionals. Learn why they’re important, how to approach them, and what role technology might play in the future. 

As we approach Lab Week, this episode of “Lab Medicine Rounds” includes a compilation of interviews from previous episodes highlighting the pivotal role laboratory professionals play in healthcare. Featured interviews include Dr. Eric Hsi, Dr. Curt Hanson, and Jane Hermansen, all from Mayo Clinic in Rochester, Minnesota.

Discussion includes:

·       The importance of highlighting the laboratory presence in current medical practice.

·       How laboratory medicine is informing the future successes of the field.

·       Wishes for the future of laboratory medicine and pathology.

Timestamps:

00:30: Interview w/Dr. Hsi

·       Why is it important to highlight the presence of the laboratory in current medical practice?

·       What would be your advice for clinicians who haven’t thought about the role the laboratory plays, and how to bring it more explicitly into their practice?

·       Where is the laboratory headed? 

·       What do you think might be the biggest challenge in stepping forward into more of the clinical domain?

05:32: Interview w/Dr. Hanson

·       Why is it important in lab medicine to look at the past when planning for the future?

·       How do you see certain aspects of laboratory medicine informing the future successes of the field?

·       How do we as laboratory professionals, shift from being service-oriented to being colleagues/equals with other health care professionals?

07:45: Interview w/Jane Hermansen

·       What do you wish for the future of laboratory medicine and pathology?

On this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., speaks with senior associate dean of academic affairs for Mayo Clinic Alix School of Medicine, Joseph Maleszewski, M.D., on the future of basic sciences in medical education.

Discussion includes:

·       Challenges of basic science in medical education.

·       Differing perspectives about basic science in medical education.

·       Ideas of exploration for the future.

On this episode of “Lab Medicine Rounds,” Just Kreuter, M.D., chats with Jennifer Boland Froemming, M.D., about creating the perfect rank list for training programs. Dr. Boland Froemming shares her insights and tips to help you make informed decisions.

Discussion Includes:

00:36 How rank lists work.

03:45 What to consider when making a rank list.

06:20 Recommendations for individuals applying to training programs.

In this month's episode of Lab Medicine Rounds, Justin Kreuter, M.D., speaks with Monica Ibarra about the essential role of diversity, equity, and inclusion in healthcare and beyond. 

Timestamps:
0:00 Introduction
0:43 Why conversations about diversity are important
3:56 Common challenges that arise during discussions
6:11 Approaching conversations in different environments
11:17 Leaders navigating challenging DEI conversations
20:00 Diversity reflection questions to ask yourself

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., speaks with Kristen Ruby, D.O., M.P.H., to discuss National Blood Donor Month and the impact blood donors make.

Timestamps:
00:00 Introduction
00:47 Celebrating blood donors
03:43 Types of blood donors
11:16 Diversity of blood inventory
17:17 Thank you
19:22 Outro

In this episode of Lab Medicine Rounds, Justin Kreuter, M.D., speaks with education specialist Bob Jackson on the challenges and importance of being a lifelong learner.

Timestamps:
00:00 Introduction
00:31 Importance of lifelong learning
02:03 Challenges of lifelong learning
06:07 Adapting to change
10:58 Teaching and learning
13:39 Embracing uncertainty
17:00 Encouraging lifelong learning
24:00 New Year's resolutions

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., speaks with medical students on the importance of understanding healthcare systems, their experiences from a global surgery hackathon, and how maintaining curiosity and continuous learning can enhance their medical practice.

Timestamps:
0:00 Introductions
0:49 Importance of Understanding Healthcare Systems
1:33 Fundamentals of Healthcare Systems
3:03 Complexity of Healthcare Systems
5:13 Selective vs Curriculum
6:08 Systems and Inequalities
7:18 Billing and Economics in Healthcare
8:17 Balancing Medical Training and System Knowledge
9:01 Curiosity and Continuous Learning
10:02 Learning Opportunities
13:02 Slowing Down in Critical Phases
16:41 Revising Healthcare Systems
18:02 Capturing Learning
22:03 Maintaining Curiosity
24:01 Advice for Developing Skills in Healthcare Systems

In this episode of Lab Medicine Rounds, Justin Kreuter, M.D., speaks with career educator Elissa Hall, Ed.D., on the integration and impact of artificial intelligence in graduate medical education, exploring strategies for teaching AI, the importance of critical thinking, and the ethical considerations involved.

Timestamps
0:00 Intro

01:07 Graduate medical education and artificial intelligence

03:20 How to use AI to develop physician skills. 

05:00 Educational strategies for training in AI?

08:21 Training with AI look

12:22 How to be a critical thinker

14:24 Assessment with AI education

17:40 How to use AI in clinical practice 

21:25 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., interviews John Sherbeck, M.D., Laboratory Medical Director of Trinity Health IHA Medical Group, about how to plan your time at medical conferences. He also briefly discusses this year’s takeaways from AABB’s national conference.

Timestamps:
0:00 Intro
00:45 Why are medical conferences important to attend?
03:10 Engaging in debate
05:11 Prepping your team to present at a national conference
06:40 Take aways from the AABB annual meeting?
09:57 When you attend a conference, how do you go about planning out your time?
12:57 How do you approach networking?
15:05 What is your current practice for approaching vendors?
17:18 How do you capture your conference learning?
19:50 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., interviews Timothy Long, M.D., about the importance of asking good questions in healthcare settings, such as when you’re with patients, as an educator, or at a conference or presentation. 

Timestamps:
00:00 Introduction
01:58 Developing the skill of asking good questions
06:37 Characteristics of effective questions
11:45 Effectively using questioning techniques as an educator
15:33 Considerations for asking questions in large group settings

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., interviews Reade Quinton, M.D., an associate professor of laboratory medicine and pathology and anatomic pathologist at Mayo Clinic, to discuss interview tips for future pathology residents. 

Timestamps:
0:00 Introduction
0:45 Interviewer assessment
7:07 Communication style & personality
10:25 Asking questions to help with rank lists
17:45 Follow-up after interview
22:09 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., interviews Shannon Strader, D.O., a resident in cellular therapy at Mayo Clinic in Rochester, Minnesota, to discuss trailblazing new connections in medicine.

Timestamps: 
0:00 Intro

00:56 Can you share your story with our listeners of how you connected the dots between physical medicine and rehab (PM&R) and cellular therapy?

04:54 What’s been those challenges and joys of working in the lab medicine world now?

08:38 You’re talking about your creativity, is that something that you’ve been able to tap into throughout your life during PM&R training, etc.?

10:24 What’s been your experience for the level of knowledge of cellular therapy in the physical medicine and rehab world? Is this something that people are aware of?

13:35 In what ways can laboratory professionals reach out and relationships with clinical colleagues?

15:31 What does the future of PM&R look like with cellular therapies in the toolbox?

17:13 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., interviews Ewa Wysokinska, M.D., an assistant professor of medicine and consultant in the Division of Hematology and Medical Oncology at Mayo Clinic in Florida, to talk about clinical updates in thrombotic thrombocytopenic purpura.

In this month’s episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., interviews Jessica Stellmaker on creating a culture of continuous improvement using Kaizen events.

Timestamps:
0:00 Intro
00:40 What is a kaizen event?
04:01 Kaizen week

06:28 Create a culture of continuous improvement 

09:54 Resources
11:31 Fail point

13:15 Impacts on laboratory functions

17:02 Outro

Resources:
Continuous Improvement: Kaizen Events - Insights (mayocliniclabs.com)

For additional learning:

1. Flug J, Stellmaker J, Sharpe R, et al. Kaizen Process Improvement in Radiology: Primer for Creating a Culture of Continuous Improvement. RadioGraphics, 42(3), 919-928.
2. Flug J, Stellmaker J, Tollefson C, et al. (2022). Improving Turnaround Time in a Hospital-based CT Division with the Kaizen Method. RadioGraphics, 42(E125-E131).

In this month’s episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., interviews Isabella Holmes, D.O., a PGY-3 resident and assistant co-chief pathology resident at the University of Michigan, to discuss her reflections on residency. 

Timestamps:
0:00 Intro

01:20 Reflections on past year

02:45 Being comfortable as a resident

05:00 Taking on leadership roles

07:51 Identifying what to focus on

11:06 Becoming better mentors

13:01 Being respectfully direct

14:17 New academic year

16:06 Balancing work and personal well-being

17:26 Outro

In this month’s episode of Lab Medicine Rounds, Justin Kreuter, M.D., interviews Nidhi Kataria, M.B.B.S., and Thane Kubik, M.D., M.S., for a deep dive into optimizing the residency experience. 

This month’s episode of Lab Medicine Rounds, Justin Kreuter, M.D., interviews Jeffrey Winters, M.D., the medical director of the Therapeutic Apheresis Treatment Unit at Mayo Clinic for Myasthenia Gravis awareness month.

In this episode of #LabMedicineRounds, Justin Kreuter, M.D., interviews Ashima Makol, M.B.B.S., for National Scleroderma Awareness Month, including a discussion about lab medicine's important role in diagnosis. 
 
Timestamps:
0:00 Intro
0:53 Why is it important for healthcare professionals to be aware of scleroderma? 
2:34 What are some important things for laboratory professionals to understand about scleroderma?
6:22 Rule in/rule out this rare diagnosis and help you understand where it fits within the scleroderma spectrum.
8:44 Is there something you would like to highlight about scleroderma?
11:58 Therapeutic or prognostic role in testing for scleroderma?
13:56 Can you give our audience a sense for how dynamic can this disease be?
16:05 What’s on the horizon for people diagnosed with scleroderma?
18:21 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., interviews Douglas McMahon, M.D., from the Allergy and Asthma Center of Minnesota, to discuss how the lab supports asthma and allergy medical practice. 

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., interviews Eric Hsi, M.D., chair of the Department of Laboratory Medicine and Pathology at Mayo Clinic in Rochester, Minnesota, about the lab’s important role in healthcare.

Timestamps:
00:00 Intro
00:42 Importance of labs in current medical practice
02:41 Understanding & appreciating the role of lab medicine
05:30 Working as a team to affect patient care
08:14 What advice do you have for upcoming lab professionals to cultivate their leadership skills?
12:43 Where do you see the future of laboratory medicine?

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Chancey Christenson, M.D., about the lab's important role in healthcare.
 
Timestamps:
0:00 Intro
01:00 Why is it important to highlight the extensive presence of the laboratory in current medical practice?
05:20 What’s the story of how you first came to appreciate the extensive role of the medical laboratory?
07:03 How do you and your team work together for efficient patient care?
10:15 Do you have any thoughts or advice for how to move through setbacks and creating that environment where people feel empowered to speak?
11:57 How do you see the role of the laboratory evolving in the coming years?
17:35 Closing

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Brooke Katzman, Ph.D., to discuss the blood tube collection order.

Show Notes:
0:00 Intro
0:41 Rational of blood tube order
3:15 Direct and indirect contamination
4:58 Draw order
8:11 Serum vs. Plasma
10:23 Testing for specific analytes
12:39 Interferences
14:38 Teaching order of draw
17:22 Best practices
20:41 Closing

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Reade Quinton, M.D., assistant professor of laboratory medicine and pathology, to discuss a popular topic at this year’s 9th Annual Forensic Science Symposium, the bullet catch and other deadly illusions. 
 
Timestamps:
0:00 Introduction

0:45 Forensic Science Symposium discussion
3:30 Historical conference topics
5:50 Story of the bullet catch illusion 
10:00 Approach to storytelling
12:45 Developing presentation skills
16:30 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with operations administrator Mark Brown to discuss the significance of collaborating with administrators.

Show notes:
0:00 Intro
0:59 Importance of working with lab administrators
3:00 Role of administrators
10:20 Resetting with admins
14:20 Supporting wellbeing

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Alfredo Quinones-Hinojosa, M.D., a neurosurgeon and scientist at Mayo Clinic. From humble beginnings as a migrant worker, his story is one of resilience, determination, and a relentless pursuit of knowledge.

Timestamps:
0:00 Introduction
1:54 Importance for physicians to play a role in science
5:28 Setting yourself up for success
9:48 Inquisitive mind
14:00 Mentoring
22:00 Looking ahead
23:55 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with placement coordinator Jamie Herget to discuss recruitment initiatives within the laboratory profession.

Timestamps:
0:00 Introduction
0:59 Importance of recruitment
2:57 What roles are being recruited?
5:31 Effective strategies for recruitment
9:28 Ineffective strategies for recruitment
15:01 Trends & Collaborations

Resources:
www.jobs.mayoclinic.org
Clinical Laboratory Technologist/Scientist - CLT/CLS/MLS at Mayo Clinic 

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., and Rondell Graham, M.B.B.S., delve into the critical decisions involved in contemplating a role on the staff at the institution where you receive your training.

Timestamps:
00:00 Introduction
01:25 Why did you decide to take a job at the institution where you finished training?
03:35 Things to think about when accepting a job

07:27 What to focus on during interviews
11:37 Importance of early years
16:58 How do you learn about updates in medicine?
20:35 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., engages in a compelling conversation with Lindsey Randall, a third-year medical student, as they discuss her experiences and insights in the role of a teaching assistant. 

00:00 Introduction
01:05 Why did you decide to get involved in teaching in the first place?
02:07 You’ve been teaching in this course, but how has your learning been from this experience of teaching?
05:45 Do you have any thoughts about what you’ve learned about chunking information and sequencing information?
08:01 Could you elaborate on your approach for writing those questions?
10:25 You don’t shy away from questions where there is clearly a “best answer.” Could you talk on why you’ve included those questions intentionally? 
13:14 How do you handle those moments when you don’t know an answer? 
15:45 What advice do you have for those listening who may be interested in developing their teaching skills?

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., along with the Lab Medicine Rounds podcast team share their experience on starting an educational podcast and reflecting on past episodes.

Timestamps
00:00 Introduction
01:02 Rick: How did the podcast start up? What was the genesis, how did this all start?
03:05 Dr. Kreuter: How does this work around the podcast all come together? And what’s most surprising about it?
07:03 Rick to Dr. Kreuter: From your standpoint, what do you have to do to prepare for a podcast?
08:48 Rick: What was the overall goal or mission statement of the podcast when you started?
11:14 Rick: What are your takeaways, funny things, things that Dr. Kreuter does that annoys you, or what do you look forward to?
14:02 Dr. Kreuter to Rick: Can you share some of the pointers you give to presenters before we begin recording?
18:15 Rick: What do you think is different from when we started, the first one we did here in this studio, to the 99th one we just finished?
21:18 Rick to Dr. Kreuter: What does the future of the Lab Medicine Rounds podcast hold?
23:57 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Alex Klobassa, assistant supervisor for transfusion medicine in the Department of Laboratory Medicine and Pathology at Mayo Clinic, to discuss nurturing our laboratories. 

03:38 Challenges to nurturing laboratory teams.

02:39 Takeaways from nurturing laboratory teams.

07:42 Creating programs to support laboratory staff.

14:21 Ways to improve our laboratories.

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Jansen Seheult, M.B., B.Ch., B.A.O., M.D., assistant professor of laboratory medicine and pathology in the Division of Hematopathology, to discuss heterophile antibodies and HIL, which are considered by some to be analytical errors and by others to reflect patient-related pre-analytical variables.

Timestamps:
00:00 Introduction
00:40 Role of pre-analytical variables for coagulation testing
03:25 Common pre-analytical variables to be aware of
07:49 Medical community collaboration to mitigate patient-related issues
11:51  Share about an intervention that was tried and how that worked out
14:10 Future of coagulation testing
16:34 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Timothy Wiltshire, Ph.D., assistant professor of laboratory medicine and pathology in the Division of Transfusion Medicine, to discuss what’s new with CAR-T cells.
 
Timestamps:
0:00 Introduction
0:49 Why is CAR-T important for healthcare folks to appreciate in 2023?
3:05 What should healthcare professionals understand about CAR-T?
4:55 Is it true to say that we’ve seen success specifically in the hematologic cancers like leukemias, but not necessarily like the solid tumors, like breast cancer or prostate cancer?
7:27 Are there a few things that you look for when you read an article that’s reporting about CAR-T cells?
10:24 Can you explain what off-target effects are? 
11:46 What are some of the new things that have come out recently?
13:24 What’s involved with creating your typical CAR-T?
14:58 What are your thoughts on the future for the field?
16:22 Is this a more equitable product or are there still some struggles with getting equity for different populations with CAR-T?
17:25 Is the promise of an off-the-shelf not just for an emergency, but could that be a cheaper option?
18:00 Outro 

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Robert Fazzio, M.D., Ph.D., assistant professor of radiology and chair of the Division of Breast Imaging at Mayo Clinic in Rochester, Minnesota.

Timestamps:
0:00 Introduction
1:05 The importance for pathologists to understand the fundamentals of breast imaging.
2:40 Reading the comments and the roles they play in the pathology report.
4:30 Aspects of breast imaging that pathologists should appreciate.
6:45 Interpreting the level of suspicion.
8:00 Modalities for imaging used (ex. Mammograms, ultrasound, MRI)
9:20 Interprofessional collaboration
13:00 Preparation for trainees and various workflows
15:20 Future of breast imaging
18:30 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Allan Jaffe, M.D., a consultant in the Department of Laboratory Medicine and Pathology at Mayo Clinic, about cardiac troponins and checkpoint inhibitors. Dr. Jaffe is also the Wayne and Kathryn Preisel Professor of Cardiovascular Disease Research, professor of laboratory medicine and pathology, and professor of medicine in the Mayo Clinic College of Medicine and Science.

 
Discussion includes:

00:47 Introductory background on checkpoint inhibitors and cardiac troponins.

15:12  Challenges with recognizing immune checkpoint inhibitor-associated myocarditis.
19:28  Key takeaways for how laboratory professionals can support these patients.

19:28 Considerations of questions that are top of mind when tackling these issues.

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Jeff Meeusen, Ph.D., assistant professor of laboratory medicine and pathology and clinical chemist in the Division of Clinical Core Laboratory Services for the Department of Laboratory Medicine and Pathology at Mayo Clinic, who discusses a forthcoming guidance document on lipid testing. 

Discussion includes:

00:59 Importance of guidance document for lipid testing.

03:30 Key takeaways for laboratory professionals utilizing the guidance document.

09:20 Challenges with implementing a guidance document.

12:50  Advice for others looking to join guidance committees.

In this episode of “Lab Medicine Rounds,” guest host Ann Moyer, M.D., Ph.D., speaks with Justin Kreuter, M.D., transfusion medicine pathologist and assistant professor of laboratory medicine and pathology at Mayo Clinic, about the importance of creating and practicing professional presentations.

Discussion Topics:

00:00 Introduction
01:03 Importance of practicing your presentation.

03:13 Common missteps in professional presentations.

07:52 Tips for putting together a strong presentation.

13:32 Tips for learners when presenting to experts in the field.

Resources:
https://pubmed.ncbi.nlm.nih.gov/15980086/

In this episode of “Lab Medicine Rounds,” guest host Ann Moyer, M.D., Ph.D., speaks with Justin Kreuter, M.D., transfusion medicine pathologist and assistant professor of pathology and laboratory medicine at Mayo Clinic, about common misunderstandings and practical ways to teach the basics of coagulation.
 

Timestamps:
0:00 Intro
00:48 Why is it important for physicians to understand the fundamentals of coagulation?
02:27 In your experience, what are a few of the common misunderstandings that people might have?
08:15 Do you have any thoughts on what we can do better to teach a complicated topic like coagulation?
13:57 Are there any sessions at the upcoming Bleeding and Thrombosing Diseases conference that you are looking forward to in particular?
15:31 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., speaks with Laura Tafe, M.D., associate professor of pathology and laboratory medicine at Dartmouth-Hitchcock Medical Center and president of the Association of Molecular Pathology, to discuss practicing art and medicine.

Timestamps:
0:00 Intro
01:30 What is your artist origin story?
03:40 What does that relationship of your art practice and medical practice look like?
07:18 How do you navigate the challenge of not having enough time?
08:52 What advice do you have for healthcare professionals, new residents, who have interests in addition to medicine?
12:37 What are your thoughts? Where does your art practice go in the coming months and years? 
15:40 What is your interest in Graphic Medicine? (question from Dr. Tafe to Dr. Kreuter)
20:04 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Bradley Erickson, M.D., Ph.D., Director of the Mayo Clinic Artificial Intelligence Lab and professor of radiology at Mayo Clinic, to talk about working with artificial intelligence and how to train on it.

0:00 Intro
00:45 Why are computer-aided diagnoses, artificial intelligence, important for our healthcare?
02:45 Is there one way or maybe one facet of AI that’s the next generation of a checklist?
03:46 What’s important for physicians to understand about working with artificial intelligence?
06:01 As they are getting developed, is there a standard way the community is talking about this confidence in probability? Is that going to be universal for the different tools that are being developed? Or is it each to their own the way they try to convey that?
08:10 Is the thought then that will help us get away from some of the biases in our clinical practices?
09:25 How are you thinking about how we train our trainees, our residents and fellows, how to use artificial intelligence well? What can you share with our audience?
11:20 If I wanted to get my residents and fellows exposed to AI now, is there a recommended textbook on it, or any online tools to get exposure to and appreciate these points you are highlighting for us?
14:09 Have you started to have program directors approach you and your laboratory to facilitate education around AI in their department/division?
15:48 What do you think the future of AI in medical practice looks like?
20:38 Outro

Resources:
Medical Image Deep Learning (MIDeL)

National Imaging Informatics Course - Radiology (NIIC-RAD)

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Clarissa Jordan, M.D., chief resident in anatomic and clinical pathology for the Department of Laboratory Medicine and Pathology at Mayo Clinic, to discuss online pathology resources. 

Resources:

1. AACC  Learning Lab: https://www.aacc.org/education/learning-lab 
2. Kurt’s Notes: https://schaberg.faculty.ucdavis.edu/
3. Surgical Pathology Reimagined (textbooks): https://www.acemypath.com/books
4. https://www.pathcejmd.com

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Isabella Holmes, D.O., a first-year pathology resident at the University of Michigan, to discuss her residency training experience. 

0:00 Intro

01:01 Let’s start by telling our audience your story – why did you decide to become a pathologist?

03:03 What has this first year been for you, what’s that rotation look like? How has your experience been?

04:49 Do you have any advice for listeners who might be going into pathology residency, as far as how they can set themselves up for success during that, and try to take ownership for things?

07:37 What does your process look like for capturing the learning?

08:53 I want to applaud and highlight this skill you just articulated. You started one thing, writing things down you need to look up. But then you discovered for yourself that you’re writing this stuff down but not capitalizing on it the way you intended? How did you catch yourself?

11:00 How has navigating residency been going? What has the community been like? 

14:55 Do you have any advice for people for speaking up or those who are nervous about making mistakes while training?

17:35 What for you has been the biggest surprise of residency training? 

19:40 What do you think is going to be your biggest challenge for the year ahead, how are you thinking about being successful? What kind of tactic/approach are you thinking about for that challenge?

21:30 If you find that you struggle with something, speaking up and talking to colleagues, having a support network in your residency I would say is a great piece of advice, does that seem to resonate with you?

23:43 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with John Mills, Ph.D., associate professor and vice chair of test implementation for the Department of Laboratory Medicine and Pathology at Mayo Clinic in Rochester, Minnesota, to discuss navigating implementation challenges in the laboratory. 

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Matthew Binnicker, Ph.D., Director of Clinical Virology and Vice Chair of Practice in the Department of Laboratory Medicine and Pathology a Mayo Clinic, to talk about working and leading through uncertainty.

Timestamps:
0:00 Intro
01:22 Why is working with uncertainty an important skill for us to cultivate?
03:13 What are ways to keep grounded when navigating uncertainty?
06:17 When you are not in a crisis moment, when it’s not an ambiguous time, how do you behave in a way that further cultivates this idea that you are a leader?
08:22 How could we help our colleagues who are struggling with uncertainty?
10:12 How can we help people with a fixed mindset as opposed to a growth mindset move from seeing negative feedback as uncomfortable, how can we help them see the growth and opportunity in front of them?
12:09 I’m curious if you could share with our listeners a story of how uncertainty has surprised you most?
15:35 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Bobbi Pritt, M.D., professor and interim chair for the Department of Laboratory Medicine and Pathology at Mayo Clinic in Rochester, Minnesota, to discuss the modern parasitology laboratory. 

Parasitology
0:00 Intro
01:03 Why did you decide to pursue parasitology?
02:19 What does the modern-day parasitology lab look like?
03:02 How are conventional and molecular techniques integrated to support the clinical practice?
05:04 Is this something that is easy to train up into using and integrating, or has this been an easy lift to get people used to working in this way?
06:45 Can you elaborate a little bit about the molecular aspects of how that might be integrated? Is this also a newer aspect for parasitology? 
08:57 How has this impacted your training for clinical fellows if maybe some things might be controversial right now? How do you prepare them to navigate the future ahead?
10:23 Have you heard feedback from ordering providers about the ability to have the syndromic panel and then the laboratory can chase it, has that been positively received? Are there challenges that come up with that style of ordering?
12:04 I’m curious if you can elaborate and share, what are a couple of the hot topics in the field for parasitology in 2023?
14:10 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Emily Shaffer, D.O., a resident physician in pathology and laboratory medicine for Northwell Health in Roslyn, New York, to talk about her experience participating on a laboratory inspection team.

Timestamps:

0:00 Intro

00:53 What is your origin story for becoming a pathologist?

02:06 What was your experience like participating in a laboratory inspection?

03:18 Was there any kind of prep beforehand that you did, or what was the actual inspection day(s) like? How did that unfold?

05:34 Were there people at your home laboratory that were taking you through what that might look like, or questions you might ask?

07:03 Was the lab you inspected a bit similar to your home laboratory? What was that like?

08:20 Was this a one-day inspection, or did it lead into two days?

09:12 I’m kind of curious about that mentorship that happened; was that something the site leader discussed with you ahead of time?

10:56 What is your reflection on what you took away from this experience? 

12:54 Do you have any reflections on having gone through this experience now, is there one or two ways you think the listeners who are educators might think about improving the way we teach quality and regulatory in our programs?

14:17 Can you mention the steps on approaching the College of American Pathologists (CAP) to do an inspection for those who are interested?

15:24 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Shane Ferraro, M.H.S., PA(ASCP), an assistant supervisor of pathologists’ assistants in the Division of Anatomic Pathology at Mayo Clinic in Rochester, Minnesota, to talk about the important innovation of 3D scanning in pathology.

Timestamps:
0:00 Intro

00:54 Why is 3D scanning an important innovation in pathology?

02:51 Are there certain activities you can do with the audience that you weren’t able to do before? Are there certain insights you are hearing from the learners when you are doing that kind of approach?

03:40 What do you think is important for our audience to understand about 3D scanning?

06:12 What are some of the practicalities for implementing 3D scanning in a pathology practice?

08:23 Are there different teams that you are interacting with outside of pathology that is helping to make some bridges between pathology and other clinical departments?

09:22 In pathology, it sounds like it got started with forensic pathologists, and now it’s being brought out to the surgical practice?

10:12 How long does it take to scan some tissue? Is it relatively quick or like a day-long process?

11:40 Is this thought to replace surgical pathology photography in the next 5-10 years?

12:29 Where do you see this innovation going over these next 5-10 years?

14:46 Outro