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November 17, 2025 5 mins

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Dr. Michael Koren joins Kevin Geddings to discuss some of the pitfalls of traditional healthcare in America and how clinical research can bridge those gaps. The doctor and clinical researcher talks about a family member recieving care in a world-class medical facility, and that even in this setting there is confusion about who is coordinating the patient's care. He contrasts this experience with clinical research, where there are fewer patients and protocol-specified individuals who are required to keep the patient front-of-mind and take charge of medical care.

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Have a question for Dr. Koren? Email him at askDrKoren@MedEvidence.com

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Announcer (00:00):
Welcome to the MedEvidence! Monday Minute
radio show. Hosted by Kevin Geddings of WSOS St. AugustineRadio and
powered by ENCORE Research Group. Each Monday morning Dr. Michael Koren calls in to bring you the latest medical updates with insightful discussionsMedEvidence is where we help you navigate The
real truth behind medicalresearch with both clinical and
research perspective.

(00:21):
So sit back, relax, and getready to learn about the truth
behind the data in medicine andhealthcare.
This is MedEvidence!

Kevin Geddings (00:30):
We're privileged to have Dr.
Michael Koren join us, medicaldoctor, cardiologist, research
scientist, big part of ourfamily here.
And of course, one of the keyitems that people should
consider when getting involvedwith clinical research is how
they will benefit from acoordinated approach to their
health care, right, Doctor?

Dr. Michael Koren (00:47):
Yeah, absolutely.
Good morning, Kevin.

Kevin Geddings (00:49):
Good morning.

Dr. Michael Koren (00:50):
Yeah, it's uh it's been a topic of interest,
and yeah, I still practicecardiology, and I still hear
from my patients, and I hear alot that they're finding that
the healthcare system just justdoesn't coordinate care well.
And we had a family member whohad a recent incident in a in a
wonderful medical institution.
I won't mention the name exceptto say that it's a it's named

(01:13):
after a condiment that goestogether with lettuce and
tomatoes.
But we we went to thisinstitution and there was a lot
a lot of good things about it,but the coordination of care
after the hospital discharge wasreally completely disjointed.
And they couldn't decide if itwas the surgeons or the
gastroenterologist or theinternist or primary care doctor

(01:34):
who was going to run the show.
And I'm getting that feedbackmore and more from my patients
is that our healthcare systemdoesn't have the quarterback.
Back in the old days, uh when Iwas doing my internal medicine
training, we were taught to bethe quarterback.
But for whatever reasons,that's not happening anymore.
And I think people miss it.
But the beauty is is that youget that type of coordinated

(01:57):
care in the research setting.
And there's a simple reason forthat is that everything that we
do is based on a protocol.
Doesn't mean that we can't everdeviate from the protocol for
the safety or welfare of ourpatients, but when you start a
program, you have a pretty goodidea how it's gonna be laid out.
So you know, for example, whenyou're gonna get your imaging
tests and where they're wherethey're going to be and at what

(02:18):
times they're going to be.
You know when you're gonna getyour blood draws, you know when
you're gonna have visits in theoffice and when you're gonna
have visits on uh by phone athome.
And all this stuff is reallywell laid out, and we have a
coordinator.
We actually call themcoordinators that coordinate all
this care.
So it's really a nice advantageof getting involved in clinical

(02:38):
research.

Kevin Geddings (02:38):
Yeah, no, absolutely.
In my experience uh withENCORE Research Group, that
coordinator is somebody that youcan call or email with any
questions that you might have.
That's the person that, youknow, if you need to even make a
change in appointment, youmight start with that person, or
you might even just go to thefront desk.
But there's somebody you cancount on, somebody who has all
the answers, I mean, or at leastcan get you the answers, right,
Doctor?

Dr. Michael Koren (02:59):
Yeah, absolutely.
And one of the things, this issomething that people wouldn't
necessarily understandcompletely, but in a in a busy
medical practice, you you haveyour medical systems and others,
and they're literally seeing um30, 40 patients a day.
And the number of patients foreach of these uh personnel runs

(03:21):
in the hundreds and thousands.
But a research coordinator isbasically responsible for
between twenty and fifty peopletotal.
So you can imagine with a muchsmaller census, they're much
more able to truly coordinatecare and truly answer questions
and truly connect you to thescience and connect you to what
we're accomplishing on aday-to-day basis with research.

(03:44):
So I I feel very proud of ourcoordinators.
We have wonderful, wonderfulpeople that serve this role.
And I think it's something thatpeople truly value from their
research experience.

Kevin Geddings (03:54):
Yeah.
No, it makes all the differenceto have that kind of personal
contact.
You know, you're always alittle anxious about anything
that's dealing with our health,so it really helps to have
someone like that, a centralpoint of contact.
That's what you'll experience.
There are a lot of folks outthere that are concerned about
all sorts of different healthissues, Dr.
Koren, everything ranging frommeasles outbreaks to COVID to
the flu.
There's a good resource,though, a place where they can

(04:14):
check out and get some goodhealthcare, reliable healthcare
information, correct?

Dr. Michael Koren (04:19):
Absolutely.
Uh, we have our MedEvidenceplatform, which we call the
Truth Behind the Data.
And um, you know, I'm justsuper pleased with the response
I'm getting.
Um I actually had aconversation over the weekend
with a very famous entertainmentcritic who called me and said
he was incredibly impressed byMed Evidence! and that it keeps

(04:40):
on getting better and better.
So uh that made me feel really,really good.
So um I mentioned that andinvite people to check it out
that um you might find some ofthese podcasts that we're doing
to be super interesting, andthen there's very specific
information about multiplediseases.
Uh one that I uh one of thepodcasts that I did uh this week

(05:02):
is about the treatment ofschizophrenia and PTSD.
So I I actually learned a lotfrom that, and um I think our
listeners will learn a lot aboutthat.
Uh we've had some reallysuperbly uh performed podcasts
on cholesterol issues, on skinissues, on orthopedic issues,
etc.
So check it out.
See what you think and and letus know.

Kevin Geddings (05:23):
It's a great resource and and reliable.
Dr.
Koren, thank you very much foryour time.
We appreciate you as always.
Have a great week, Kevin.

Announcer (05:29):
Thanks for joining the MedEvidence Podcast.
To learn more, head over toMedevidence.com or subscribe to
our podcast on your favoritepodcast platform.
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