NEJM Audio Perspectives

NEJM Audio Perspectives

Episodes

  • Screening for Prostate Cancer

    Jan 27, 2014 | 22 min
    Hosted by: No ReachMD Host In two large randomized trials, researchers examined the effect of annual prostate-specific antigen (PSA) screening on the rate of death from prostate cancer and found that it was small and was offset by false positive diagnoses. Since screening may have benefits in catching cancers early but may also carry risks including that of unnecessary treatment, professional societies have split on the question of whether to recommend regular PSA screening. In a roundtable discussion moderated by Dr. Thomas Lee, oncologist Dr. Philip Kantoff and primary care physician Dr. Mary McNaughton-Collins debate the clinical implications of the new findings and the best way to advise...
  • Creating Accountable Care Organizations

    Jun 24, 2013 | 22 min
    Hosted by: No ReachMD Host Under the Affordable Care Act, Medicare will launch a Shared Savings Program for groups of health care providers that join forces, with or without hospitals or health plans, to form legal entities that agree to take responsibility for the quality, cost, and overall care of a population of patients. What will these accountable care organizations (ACOs) look like? Who will step forward to form them? What are the best pathways and likely hurdles to achieving ACO status? What are the risks of entering the arena, and what are the expected benefits for clinicians and patients? In a roundtable discussion moderated by Dr. Thomas Lee, experts Lawrence Casalino, Elliott Fish...
  • Redesigning Primary Care - Part 1

    Oct 29, 2012 | 22 min
    Hosted by: No ReachMD Host US primary care is in crisis. Primary care physicians must care for more and more patients, with more and more chronic conditions, in less and less time, for which they are compensated far less than subspecialists. They must absorb increasing volumes of medical information and complete more paperwork than ever, as they try to function in a poorly coordinated health care system. As a result, their ranks are thinning, with practicing physicians burning out and trainees shunning primary care fields. In a roundtable discussion moderated by Dr. Thomas Lee, four experts in primary care and related policy — Drs. Thomas Bodenheimer, Allan Goroll, Barbara Starfield, and Kat...
  • Redesigning Primary Care - Part 2

    Jun 18, 2012 | 22 min
    Hosted by: No ReachMD Host U.S. primary care is in crisis. Primary care physicians must care for more and more patients, with more and more chronic conditions, in less and less time, for which they are compensated far less than subspecialists. They must absorb increasing volumes of medical information and complete more paperwork than ever, as they try to function in a poorly coordinated health care system. As a result, their ranks are thinning, with practicing physicians burning out and trainees shunning primary care fields. In a continuing roundtable discussion moderated by Dr. Thomas Lee, four experts in primary care and related policy - Drs. Thomas Bodenheimer, Allan Goroll, Barbara Starf...
  • Organ Donation after Cardiac Death

    Jun 4, 2012 | 22 min
    Hosted by: No ReachMD Host In the August 14, 2008 issue of the Journal, Boucek et al. report on three cases of heart transplantation from infants who were pronounced dead on the basis of cardiac criteria. Moderator Atul Gawande, of Harvard Medical School; George Annas, of the Boston University School of Public Health; Arthur Caplan, of the University of Pennsylvania; and Robert Truog, of Harvard Medical School discuss key ethical aspects of organ donation after cardiac death.
  • NEJM Audio Summary for the Week of April 21, 2011

    Apr 25, 2011 | 22 min
    Hosted by: No ReachMD Host This summary covers the issue of April 21, 2011. Featured are articles on decompressive craniectomy in traumatic brain injury, a common polymorphism and pulmonary fibrosis, systemic PRO051 in Duchenne’s muscular dystrophy, febrile thrombocytopenia and a novel bunyavirus in China, dissemination of Neisseria meningitidis, and new directions in medical liability reform; a review article on ciliopathies; a case report of a boy with acute liver failure; and Perspective articles on litigation and the vaccine industry, on implementing health care reform in California, and on Medicaid and access to the courts.
  • Physicians and Execution - Part 2

    May 3, 2010 | 22 min
    Hosted by: No ReachMD Host In this continuing roundtable discussion, moderator Dr. Atul Gawande, surgeon and associate professor at Harvard Medical School and the Harvard School of Public Health, is joined by Deborah Denno, professor of law at Fordham University; Dr. Robert Truog, professor of medical ethics, anesthesiology, and pediatrics at Harvard Medical School; and Dr. David Waisel, associate professor of anesthesia at Harvard Medical School, in a conversation about lethal injection, the current protocol, possible alternatives, and the role of healthcare professionals in putting convicted criminals to death. This is the second of a two-part discussion. To listen to Part 1, click here.
  • Physicians and Execution - Part 1

    May 3, 2010 | 22 min
    Hosted by: No ReachMD Host In this roundtable discussion, moderator Dr. Atul Gawande, surgeon and associate professor at Harvard Medical School and the Harvard School of Public Health, is joined by Deborah Denno, professor of law at Fordham University; Dr. Robert Truog, professor of medical ethics, anesthesiology, and pediatrics at Harvard Medical School; and Dr. David Waisel, associate professor of anesthesia at Harvard Medical School, in a conversation about lethal injection, the current protocol, possible alternatives, and the role of healthcare professionals in putting convicted criminals to death. This is the first of a two-part discussion. To listen to Part 2, click here.
  • Health Care Reform in Perspective: Part 3

    Mar 15, 2010 | 17 min
    Hosted by: No ReachMD Host President Barack Obama has placed US healthcare reform at the top of his domestic agenda, and months of legislative work on the issue have resulted in five bills — three in the House of Representatives and two in the Senate — that proponents believe will move the country in the direction of universal coverage, a fairer insurance system, and slower escalation of health care costs. In part 3 of a symposium co-sponsored by the Journal and the Harvard School of Public Health, health policy expert Mark Pauly explores the promise and limitations of the bills and the outlook for reform. The discussion is moderated by Arnold Epstein of the Journal and the Department of Hea...
  • Health Care Reform in Perspective: Part 2

    Mar 8, 2010 | 22 min
    Hosted by: No ReachMD Host President Barack Obama has placed US healthcare reform at the top of his domestic agenda, and months of legislative work on the issue have resulted in five bills — three in the House of Representatives and two in the Senate — that proponents believe will move the country in the direction of universal coverage, a fairer insurance system, and slower escalation of health care costs. In part 2 of a symposium co-sponsored by the Journal and the Harvard School of Public Health, health policy experts Katherine Baicker and Jacob Hacker explore the promise and limitations of the bills and the outlook for reform. The discussion is moderated by Arnold Epstein of the Journal a...

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