Lab Medicine Rounds – Details, episodes & analysis

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,” 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. 

Time Stamps

00:00 Podcast Intro

00:40 Why is it important for a laboratory to detect or quantify opioids?

02:00 What are the challenges you have had to navigate in the laboratory specific to opioids?

04:47 Is it like a pregnancy test or is it important to quantify as well?

05:19 Can you help us understand how you collaborate with other health care professionals? 

07:07 In terms of new or illicit street drugs, are you having to constantly design new tests to detect these things?

07:53 Can you elaborate a little about that collaboration with law enforcement?

09:07 Are you also periodically going to testify in court on cases?

09:35 What do you think the future of opioid testing looks like?

12:25 Outro 

Timestamps
00:00 Podcast Intro

00:45 Why is it important for laboratory medicine and pathology to be deliberate about diversity and inclusion? 

03:11 How do you recommend we transform the question “will they fit?” or “do I fit?” so that it invites diversity?

05:33 So, it’s not so much of transforming the question but putting it ahead of the interview and thinking about what you are trying to recruit for? 

06:22 What information have we recently learned about diversity and inclusion in the newer findings? 

10:35 How is it easier and/or harder to move the needle on diversity and inclusion in the laboratory?

13:35 In 5 years, where will Laboratory Medicine and Pathology be with respect to diversity and inclusion?

16:05 Outro 

Time Stamps

00:00 Podcast Intro

00:50 Why does this landscape of COVID testing seem so dynamic? 

03:47 So it sounds like we have two sort of rapid tests that are on the market now. Can we dive into that so that we can appreciate a little bit of the compare and contrast between those two rapid assays?

07:17 What are these unique challenges with regards to sensitivity and specificity when it comes to these rapidly evolving tests?

11:08 Highlighting the connection between laboratory medicine and the clinical practice as it applies to COVID-19 testing.

12:49 What new struggles have emerged when it comes to testing for COVID?

15:15 What’s a thought process that you recommend for folks to think about when people are trying to think about what should I offer in my lab, or how should I offer COVID testing? 

17:25 Dr. Binnicker, if you were king for a day, what would you make happen for COVID testing?

19:09 Outro 

Resources:

Centers for Disease Control and Prevention (CDC)

U.S. Food and Drug Administration (FDA)

Time Stamps

00:00 Podcast Intro

00:51 This is a nice time of year for the academic calendar with new trainees starting residency, and new faculty starting their jobs, and people still in their first couple of years of being an academic pathologist. Why is it important for these individuals to be deliberate about how they begin their career?

04:18 When somebody is in training, there is a lot that is decided for them and things are predetermined. In residency that opens up quite a bit. Can you give us some insight into these goals you are talking about? On a smaller scale, how do you set yourself up so you can be consistent in making progress?

07:55 Are you pretty deliberate about revisiting where you are with your goals? How do you check yourself?

10:30 Your success as a resident and as an attending, what advice works in both roles and what advice is good for a resident versus the attending?

13:53 When evaluating trainees there is a component regarding delegating work. The skill is critical to have when coming on staff either in an academic or nonacademic setting. Is there a way that you prepare trainees to develop their skills in delegating?

17:05 Sometimes things take you by surprise, which is a great learning opportunity. You have really navigated the system quiet well. I’m curious, what has been easy about this process and what has really been a challenge?

19:55 If you could do it all over again, what would you do differently this time?

25:22 Getting feedback and developing relationship the way you can be, is that a lost opportunity?

Time Stamps

00:00 Podcast Intro

01:05 Why is it important to explain the laboratory to patients? How important it is to have open/honest communication with patients?

07:05 With your experience in talking with children and their families is your focus on the child and the parents picks up on your efforts? Or are you addressing the child separately from their parents?  

11:10 What tips would you have for pathologists as they approach certain situations (approaching the bedside, engaging with patients, answering questions regarding lab tests or biopsies, etc.)

16:26 What are your tips for clinicians on explaining the laboratory to patients?

 20:22 For our student listeners, what has been your most impactful lesson learned?

23:17 You started to create a video to show kids and their families what is happening in the lab behind the scenes, where does their samples go, etc. How are you approaching this? 

27:00 Do you envision that material will be geared towards grades K-5 and then different content for teenagers? How differentiated does the education get?

00:00 Podcast Intro

00:53 There seems to be a lot of buzz around the need for interprofessional education and interprofessional collaboration. Can you kind of take us through these concepts? How are they the same, or how are they different?

02:37 What’s the why here? Why should health care institutions, us as individuals, why should we prioritize this interprofessional education or collaboration in practice?

05:34 I imagine there are a lot of people listening who have meetings…for example we have medical technologists that are involved in a meeting and pathology residents, pathologists, and so you have people together. Does that mean that intercollaboration is happening, or happening well? Is there some way to understand that? 

11:03 What do you think that the challenges are that get in the way of developing this skill of interprofessional collaboration?

16:17 Critical reflection

19:20 What has surprised you most about interprofessional collaboration?

20:42 Underscoring the importance of laboratorians and clinicians having a strong collaboration during the COVID pandemic

21:44 Outro

Resources:

• WHO IPE framework: https://www.who.int/hrh/resources/framework_action/en/  
• University of Toronto Center for IPE: https://ipe.utoronto.ca/  
• D’Amour, D. & Oandasan, I. (2005). Interprofessionality as the field of interprofessional practice and interprofessional education: An emerging concept. Journal of Interprofessional Care , 19 (Suppl 1): 8-20.

Time Stamps

00:00 Podcast Intro 

03:19 How did you choose forensic pathology as a career?

04:30 Where did you train and where were you prior to Mayo?

05:08 Can you discuss in general the practice of forensic pathology, and the difference between hospital and medicolegal autopsies?

06:37 How often do forensic pathology and microbiology intersect?

07:57 What are the challenges of performing microbiology studies in your practice?

08:54 What types of interesting microbiology cases have you seen so far?

13:13 You practiced in Dallas for almost 15 years.  Can you tell us about the Ebola scare in 2014? Were you involved in the one fatality?

21:26 Given the information you now have learned regarding the Ebola outbreak in 2014 and the COVID outbreak now, to what level are we prepared for what comes next?

Resources:

https://www.mayoclinic.org/diseases-conditions/coronavirus/symptoms-causes/syc-20479963?_ga=2.125131913.207068228.1583341931-1731071377.1580216385

https://www.cdc.gov/coronavirus/2019-ncov/cases-in-us.html