Interviews with leading researchers and thinkers in health care about practice-changing research, innovations, and the most pressing issues facing medicine and health care today from JAMA, the Journal of the American Medical Association.
Advanced Birth Centers Raise Safety Concerns for Obstetric Care
In the US, childbirth typically occurs in hospitals or accredited birth centers. President of the American College of Obstetricians and Gynecologists Stella Marie Dantas, MD, speaks with JAMA Deputy Editor Linda Brubaker, MD, MS, about newly proposed advanced birth centers that would permit higher-risk births, with concerns for patient safety and rural obstetric care access. Related Content: Advanced Birth Centers and the Effect on Maternity Care
10/21/2024 • 10 minutes, 12 seconds
Declaration of Helsinki Addresses New Ethical Challenges
The Declaration of Helsinki originated in 1964, developed by the World Medical Association (WMA). Process Chair Jack S. Resneck Jr, MD, discusses the 2024 updates to the Declaration of Helsinki with JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS. Related Content: Revisions to the Declaration of Helsinki on Its 60th Anniversary World Medical Association Declaration of Helsinki Making the Ethical Oversight of All Clinical Trials Fit for Purpose The Revised Declaration of Helsinki—Considerations for the Future of Artificial Intelligence in Health and Medical Research Revisiting the Declaration of Helsinki—A Patient-Centered Perspective Future-Proofing Research Ethics—Key Revisions of the Declaration of Helsinki 2024 The Revision of the Declaration of Helsinki Viewed From the Americas—Paving the Way to Better Research Declaration of Helsinki—Revisions for the 21st Century Facilitating Efficient and Ethical Trials at the Intersection of Research and Clinical Care The 2024 Revision to the Declaration of Helsinki
10/19/2024 • 15 minutes, 8 seconds
JAMA Critical Care Research at ESICM Congress 2024
Transfusion strategy for patients with acute brain injury, telehealth care, acute kidney injury after cardiac surgery, and weaning ventilatory support are the topics of 4 trials published in JAMA and presented at the 2024 European Society of Intensive Care Medicine meeting. JAMA Associate Editor Christopher Seymour, MD, MSc, joins Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, to discuss. Related Content: Shifting Balance of the Risk-Benefit of Restrictive Transfusion Strategies in Neurocritically Ill Patients—Is Less Still More? Evaluating Complex Technological Innovations in Critical Care—Current Challenges and Future Directions Impact of Adsorptive Blood Purification on Kidney Outcomes Ventilator Weaning Strategies—Managing Interaction Between Randomized Treatments Restrictive vs Liberal Transfusion Strategy in Patients With Acute Brain Injury Effect of Tele-ICU on Clinical Outcomes of Critically Ill Patients Extracorporeal Blood Purification and Acute Kidney Injury in Cardiac Surgery Frequency of Screening and Spontaneous Breathing Trial Techniques
10/9/2024 • 15 minutes, 37 seconds
Fecal Immunochemical Test (FIT) and Helicobacter pylori Stool Antigen Co-Testing for Gastric Cancer
Gastric cancer is a leading cause of cancer death globally. Chronic H pylori infection is the primary cause of gastric cancer, responsible for at least 80% of the new cases. Constanza Camargo, PhD, of the National Cancer Institute joins JAMA Associate Editor John M. Inadomi, MD, to discuss co-testing with FIT and H pylori stool antigen to help prevent gastric cancer. Related Content: Fecal Immunochemical Test and Helicobacter pylori Stool Antigen Co-Testing Screening for Helicobacter pylori to Prevent Gastric Cancer
9/30/2024 • 11 minutes, 35 seconds
Preventing Fever in Patients With Acute Vascular Brain Injury
Fever is associated with worse outcomes in patients with stroke, but whether preventing fever improves outcomes is unclear. David M. Greer, MD, MA, speaks with JAMA Associate Editor Jeffrey L. Saver, MD, about fever prevention in patients with acute stroke and its impact on functional outcomes. Related Content: Fever Prevention in Patients With Acute Vascular Brain Injury Feasibility of Fever Prevention in Vascular Brain Injury
9/25/2024 • 10 minutes, 37 seconds
The Discovery of Glucagon-Like Peptide 1 (GLP-1)
The 2024 Lasker–DeBakey Clinical Medical Research Award has been presented for the discovery of GLP-1 and its application to the treatment of obesity. Lasker winner Svetlana Mojsov, PhD, discusses her role in this innovative discovery and more with JAMA Senior Editor Anne Rentoumis Cappola, MD, ScM. Related Content: Chemistry Matters—From a Putative Peptide to Effective Treatments for Diabetes and Obesity Discovery of cGAS as a DNA-Sensing Enzyme That Triggers Inflammation GLP-1 for Treating Obesity—Origin, History, and Evolution AIDS in Africa—Impact of Research
9/19/2024 • 11 minutes, 45 seconds
Improving Access to Palliative Care for Patients With Cancer
Palliative care is an essential component to high-quality care for patients with cancer. How can access to palliative care be expanded? Eduardo Bruera, MD, from MD Anderson Cancer Center speaks with JAMA Editor in Chief Kirsten Bibbins-Domingo about 2 new trials in JAMA that address access to care and what more it will take for executives, insurers, and regulators to support palliative care programs. Related Content: Improving Palliative Care Access for Patients With Cancer Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer
9/11/2024 • 11 minutes, 53 seconds
Balloon Angioplasty for Intracranial Atherosclerotic Stenosis
A new trial assessed whether balloon angioplasty plus aggressive medical management was superior to aggressive medical management alone for patients with symptomatic intracranial atherosclerotic stenosis. Author Zhongrong Miao, MD, PhD, from Beijing Tiantan Hospital, discusses the BASIS randomized clinical trial with JAMA Deputy Editor Christopher C. Muth, MD. Related Content: Balloon Angioplasty vs Medical Management for Intracranial Artery Stenosis Is Balloon Angioplasty the Future for Intracranial Stenosis? Read Transcript
9/5/2024 • 14 minutes, 1 second
Concerning Mortality Rate Trends in the US
The abating COVID-19 pandemic brings attention to rising mortality rates from non-COVID causes in the US, a trend that predates the COVID-19 pandemic. Viewpoint author Steven H. Woolf, MD, MPH, discusses this and more with JAMA Executive Editor Gregory Curfman, MD. Related Content: Increasing Mortality Rates in the US, but Not From COVID-19
8/29/2024 • 10 minutes, 24 seconds
Menopause-Associated Vasomotor Symptom Treatment With Elinzentant
Nonhormonal treatments for menopausal vasomotor symptoms may benefit symptomatic patients who cannot take or prefer to avoid systemic hormones. Author JoAnn V. Pinkerton, MD, MSCP, discusses the efficacy and safety of elinzanetant for the treatment of moderate to severe vasomotor symptoms associated with menopause with JAMA Deputy Editor Linda Brubaker, MD, MS. Related Content: Elinzanetant for the Treatment of Vasomotor Symptoms Associated With Menopause A New Era in Menopause Management?
8/22/2024 • 11 minutes, 25 seconds
Menopause-Associated Vasomotor Symptom Treatment With Elinzanetant
Nonhormonal treatments for menopausal vasomotor symptoms may benefit symptomatic patients who cannot take or prefer to avoid systemic hormones. Author JoAnn V. Pinkerton, MD, MSCP, discusses the efficacy and safety of elinzanetant for the treatment of moderate to severe vasomotor symptoms associated with menopause with JAMA Deputy Editor Linda Brubaker, MD, MS. Related Content: Elinzanetant for the Treatment of Vasomotor Symptoms Associated With Menopause A New Era in Menopause Management?
8/22/2024 • 11 minutes, 25 seconds
Long COVID in Children
To address the need to characterize long COVID in children and adolescents, the National Institutes of Health funded a pediatric program in the Researching COVID to Enhance Recovery (RECOVER) Initiative. Editorialist Suchitra Rao, MBBS, MSCS, University of Colorado School of Medicine and Children’s Hospital Colorado, Aurora, discusses this and more with JAMA Senior Editor Tracy A. Lieu, MD, MPH. Related Content: Uncovering Long COVID in Children Characterizing Long COVID in Children and Adolescents
8/21/2024 • 11 minutes, 1 second
Uterus Transplant: Innovation and Considerations
A new study looks at uterus transplant to determine if it is safe, feasible, and results in births of healthy infants. Editorialist Emily Jungheim, MD, MSCI, Northwestern University, discusses this innovative treatment with JAMA Deputy Editor Linda Brubaker, MD, MS. Related Content: Uterus Transplant—The Frontier of Innovative Fertility Treatment Uterus Transplant in Women With Absolute Uterine-Factor Infertility
8/15/2024 • 8 minutes, 49 seconds
A Vaping Cessation Text Message Program for Adolescents
Ten percent of US adolescents use e-cigarettes, and many want to quit. However, evidence on the effectiveness of vaping cessation interventions is lacking. Amanda L. Graham, PhD, of the Truth Initiative discusses with JAMA Senior Editor Tracy Lieu, MD, MPH, how a tailored, interactive text message intervention increased vaping cessation among adolescents recruited via social media channels. Related Content: A Vaping Cessation Text Message Program for Adolescent E-Cigarette Users Supporting Adolescents’ Desire to Quit E-Cigarettes What Are E-Cigarettes? Variability in Constituents of E-Cigarette Products Containing Nicotine Analogues E-Cigarette Use in Adults Controversial FDA Decision Authorizes Menthol-Flavored E-Cigarettes Despite Risks to Youth Vaping in Youth E-Cigarette Use in Adolescents and Adults—A JAMA Collection
8/7/2024 • 11 minutes, 8 seconds
Diagnostic Accuracy of an Integrated AI Ultrasound Tool for Gestational Age Estimation
Gestational age estimation is foundational for obstetric care. In resource-limited settings, an integrated AI tool allows novice users to improve gestational age estimates. Author Jeffrey Stringer, MD, University of North Carolina, joins JAMA Deputy Editor Linda Brubaker, MD, MS, to discuss Diagnostic Accuracy of an Integrated AI Tool to Estimate Gestational Age From Blind Ultrasound Sweeps. Related Content: Diagnostic Accuracy of an Integrated AI Tool to Estimate Gestational Age From Blind Ultrasound Sweeps Enhancing Obstetric Ultrasonography With Artificial Intelligence in Resource-Limited Settings
8/1/2024 • 9 minutes, 46 seconds
Alzheimer Disease Blood Biomarkers
Biomarkers for Alzheimer disease (AD) provide insight into disease processes and may aid clinical diagnosis for individuals with cognitive impairment. Author Stephen Salloway, MD, MS, of Brown University joins JAMA Deputy Editor Christopher Muth, MD, to discuss 2 articles and an accompanying editorial about blood biomarkers for AD and potential implications for clinical practice. Related Content: Are Blood Tests for Alzheimer Disease Ready for Prime Time? Blood Biomarkers to Detect Alzheimer Disease in Primary Care and Secondary Care Changes in Alzheimer Disease Blood Biomarkers and Associations With Incident All-Cause Dementia
7/28/2024 • 15 minutes, 2 seconds
Risankizumab for Ulcerative Colitis
Ulcerative colitis can significantly decrease quality of life. A third of patients have persistent symptoms with tumor necrosis factor inhibitors and nearly 1 in 5 patients will be hospitalized within 5 years of diagnosis. Author Gilaad G. Kaplan, MD, MPH, of the University of Calgary joins JAMA Associate Editor John M. Inadomi, MD, to discuss Risankizumab for Ulcerative Colitis. Related Content: Monoclonal Antibody Risankizumab for Ulcerative Colitis Risankizumab for Ulcerative Colitis
7/22/2024 • 15 minutes, 49 seconds
Influence of Endometriosis Typology on Ovarian Cancer Risk
What are the ovarian cancer risks associated with endometriosis subtypes? Author Karen C. Schliep, PhD, MSPH, of the University of Utah joins JAMA Deputy Editor Linda Brubaker, MD, MS, to discuss Endometriosis Typology and Ovarian Cancer Risk. Related Content: Endometriosis Typology and Ovarian Cancer Risk New Insights in Endometriosis Subtypes and Ovarian Cancer Risk
7/17/2024 • 9 minutes, 26 seconds
Nicotine Pouch Use in the US
Oral nicotine pouches are becoming more popular in the US, based on a survey performed in 2022. Hongying Daisy Dai, PhD, from Nebraska Medical Center, Omaha, discusses nicotine pouches and more with JAMA Deputy Editor Kristin L. Walter, MD, MS. Related Content: Prevalence of Nicotine Pouch Use Among US Adults
7/10/2024 • 10 minutes, 36 seconds
The Future of Pediatrics in the US
Availability of pediatric care is decreasing, despite the growing complexity of pediatric care needs. Match rates for pediatric residency continue to decline. The US risks a serious shortage of pediatricians. Julie Byerley, MD, MPH, executive vice president & chief academic officer, Geisinger, Pennsylvania, discusses this and more with JAMA Deputy Editor Linda Brubaker, MD, MS. Related Content: Where Are All the Pediatricians?
7/3/2024 • 9 minutes, 6 seconds
Telehealth Abortion Safety and Effectiveness
Facilitating safe and timely health care for individuals planning medication abortion is a reproductive health care priority. Lauren J. Ralph, PhD, MPH, and Daniel Grossman, MD, of University of California San Francisco join JAMA Deputy Editor Linda Brubaker, MD, MS, to discuss Comparison of Effectiveness of No-Test Telehealth and In-Person Medication Abortion. Related Content: Comparison of No-Test Telehealth and In-Person Medication Abortion
6/24/2024 • 10 minutes, 59 seconds
Sudden Death, Calcium Release Deficiency Syndrome, and a New ECG Finding
Can a new ECG finding identify individuals at risk for dying suddenly? Jason D. Roberts, MD, of McMaster University joins JAMA Associate Editor Gregory M. Marcus, MD, MAS, to discuss A Clinical Diagnostic Test for Calcium Release Deficiency Syndrome (CRDS). CRDS is a recently described cause of sudden arrhythmic death. Until now, no clinical test has existed to identify those with the disease. Related Content: A Clinical Diagnostic Test for Calcium Release Deficiency Syndrome The First Clinical Test for Calcium Release Deficiency Syndrome?
6/20/2024 • 12 minutes, 40 seconds
Continuous vs Intermittent β-Lactam Antibiotic Infusions in Patients With Sepsis
Joel M. Dulhunty, MD, PhD, Royal Brisbane and Women’s Hospital, and Jason A. Roberts, BPharm, PhD, University of Queensland Centre for Clinical Research, join JAMA Deputy Editor Preeti Malani, MD, MSJ, to discuss the BLING trial that assessed continuous vs intermittent β-lactam antibiotic infusions in patients with sepsis or septic shock. Related Content: Continuous vs Intermittent β-Lactam Antibiotic Infusions in Critically Ill Patients With Sepsis Prolonged vs Intermittent Infusions of β-Lactam Antibiotics in Adults With Sepsis or Septic Shock
6/12/2024 • 9 minutes, 57 seconds
Integrating Clinical Trials With the Practice of Medicine
Randomized clinical trials (RCTs) frequently fail to generate knowledge relevant to practice, while practice patterns are frequently unsupported by RCT evidence. Derek C. Angus, MD, MPH, of the University of Pittsburgh, joins JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, to discuss The Integration of Clinical Trials With the Practice of Medicine: Repairing a House Divided. Related Content: The Integration of Clinical Trials With the Practice of Medicine
6/3/2024 • 18 minutes, 38 seconds
Evidence Against Nitrogen’s Use for the Death Penalty
Forced nitrogen inhalation was used by the state of Alabama to execute Kenneth Smith on January 25, 2024. Some politicians, attorneys general, and health care practitioners support its use for capital punishment in the US. Philip E. Bickler, MD, PhD, and Michael S. Lipnick, MD, discuss the evidence indicating that forced nitrogen inhalation is inhumane with JAMA Executive Editor Gregory Curfman, MD. Related Content: Evidence Against Use of Nitrogen for the Death Penalty
5/29/2024 • 12 minutes, 51 seconds
Outcomes After Living Kidney Donation
Guidelines call for better evidence on the health outcomes after living kidney donation. Author Amit X. Garg, MD, PhD, London Health Sciences Centre, and editorialist Elizabeth C. Lorenz, MD, Baylor College of Medicine, discuss a new study that compares the risks of hypertension and other health outcomes in living kidney donors, with JAMA Associate Editor Wolfgang Winkelmayer, MD, ScD. Related Content: Hypertension and Kidney Function After Living Kidney Donation Prospectively Examining Outcomes After Living Kidney Donation Kidney Transplant Outcomes From Deceased Donors Who Received Dialysis Expanding the Overton Window in Deceased Kidney Donor Eligibility—Enough to Make a Difference?
5/23/2024 • 11 minutes, 53 seconds
Cardiac Amyloidosis and the V142I Transthyretin Variant
What is the natural history and cardiovascular burden of the V142I transthyretin variant among US Black individuals who carry this variant? Senthil Selvaraj, MD, MS, MA, from Duke University, and Scott D. Solomon, MD, from Brigham and Women’s Hospital, discuss this and more with JAMA Executive Editor Gregory Curfman, MD. Related Content: Cardiovascular Burden of the V142I Transthyretin Variant Addressing Health Disparities—The Case for Variant Transthyretin Cardiac Amyloidosis Grows Stronger Heart Failure in African American Individuals, Version 2.0 Cardiac Amyloidosis Due to Transthyretin Protein
5/12/2024 • 13 minutes, 24 seconds
Racial and Ethnic Disparities in All-Cause and Cause-Specific Mortality Among US Youth
Between 2019 and 2021, pediatric mortality rates had the largest increases in at least half a century. Steven H. Woolf, MD, MPH, of Virginia Commonwealth University Center on Society and Health, joins JAMA Associate Editor Tracy A. Lieu, MD, MPH, to discuss how racial and ethnic disparities and specific causes have factored into these increases and what this means for policymakers and clinicians. Related Content: Racial and Ethnic Disparities in All-Cause and Cause-Specific Mortality Among US Youth Injury Prevention Science and Firearm Injury in Pediatric Health
5/4/2024 • 11 minutes, 58 seconds
Smoking Cessation After Initial Treatment Failure With Varenicline or Nicotine Replacement
When initial treatment with varenicline or nicotine replacement doesn't work, does increasing dosage improve smoking cessation rates? Paul Cinciripini, PhD, of MD Anderson Cancer Center's Department of Behavioral Science, joins JAMA Executive Editor Gregory Curfman, MD, to discuss guidance on the best strategies for smoking cessation following an initial quit attempt. Related Content: Smoking Cessation After Initial Treatment Failure With Varenicline or Nicotine Replacement
5/2/2024 • 11 minutes, 19 seconds
Examining Mortality Disparities by Sexual Orientation Among Female Nurses
Extensive evidence documents health disparities for lesbian, gay, and bisexual (LGB) women, including worse physical, mental, and behavioral health than heterosexual women. Sarah McKetta, ScM, MD, PhD, discusses these factors and their link to premature mortality with JAMA Deputy Editor Linda Brubaker, MD, MS. Related Content: Disparities in Mortality by Sexual Orientation in a Large, Prospective Cohort of Female Nurses
4/25/2024 • 7 minutes, 54 seconds
Stewardship Prompts to Improve Antibiotic Selection for Pneumonia and Urinary Tract Infection
Can real-time EHR–generated recommendations safely reduce antibiotic use in hospitalized patients with pneumonia or UTI? Shruti K. Gohil, MD, MPH, of the University of California-Irvine, joins JAMA Deputy Editor Preeti Malani, MD, MSJ, to discuss the INSPIRE randomized clinical trial. Related Content: Stewardship Prompts to Improve Antibiotic Selection for Pneumonia Stewardship Prompts to Improve Antibiotic Selection for Urinary Tract Infection Harnessing the Electronic Health Record to Improve Empiric Antibiotic Prescribing
4/19/2024 • 9 minutes, 12 seconds
Advancing Climate Action Through Academic Health Systems
Climate action is an urgent public health imperative. Climate change is causing excess morbidity and mortality and posing an increasing threat to mental health and well-being. The US health care sector is a significant contributor to this problem. A. Eugene Washington, MD, of Duke University, discusses accelerating climate action with JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS. Related Content: Accelerating Climate Action Through Academic Health Systems
4/17/2024 • 10 minutes, 49 seconds
The Evolution of Screening Tools for Prostate Cancer
The utility of prostate-specific antigen (PSA) screening for prostate cancer detection is impacted by detection of cancers with low risk of mortality. Editorialist Jeffrey J. Tosoian, MD, MPH, discusses a pragmatic approach to prostate cancer screening with JAMA Deputy Editor Mary L. (Nora) Disis, MD. Related Content: A Pragmatic Approach to Prostate Cancer Screening Prostate Cancer Screening With PSA, Kallikrein Panel, and MRI Prostate-Specific Antigen Screening and 15-Year Prostate Cancer Mortality
4/6/2024 • 12 minutes, 15 seconds
Regional Interventions to Prevent Multidrug-Resistant Organisms
Infections due to multidrug-resistant organisms (MDROs) are difficult to treat with increased morbidity, mortality, length of hospitalization, and health care costs. Author Susan S. Huang, MD, MPH, from the University of California Irvine School of Medicine, joins JAMA Deputy Editor Preeti Malani, MD, MSJ, to discuss a new study that used a regional intervention to prevent MDROs. Related Content: Reducing Hospitalizations and Multidrug-Resistant Organisms via Regional Decolonization in Hospitals and Nursing Homes
4/1/2024 • 9 minutes, 44 seconds
Mifepristone–Science, Abortion Care, and Politics
The US Supreme Court will soon decide a case challenging the US Food and Drug Administration’s (FDA’s) approval of mifepristone. Author Holly Fernandez Lynch, JD, MBE, University of Pennsylvania, joins JAMA Executive Editor Gregory Curfman, MD, to discuss the science and politics surrounding this significant case. Related Content: The FDA in the Crosshairs—Science, Politics, and Abortion Provision of Medications for Self-Managed Abortion Before and After the Dobbs v Jackson Women’s Health Organization Decision Understanding the Impacts of the Supreme Court Case FDA v Alliance for Hippocratic Medicine
3/25/2024 • 19 minutes, 15 seconds
How Do Multimodal Large Language Models Perform on Clinical Vignette Questions?
How did GPT-4 Vision, a model that can work with images and text as input, perform when answering clinical challenge questions from medical journals? Daniel Truhn, MD, MSc, of the University Hospital Aachen in Germany, joins JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, to discuss this topic. Related Content: Comparative Analysis of Multimodal Large Language Model Performance on Clinical Vignette Questions
3/18/2024 • 9 minutes, 11 seconds
Does Treating Attention-Deficit/Hyperactivity Disorder Reduce Mortality?
An observational study by Lin Li, PhD, and colleagues, published in JAMA, found that pharmacotherapy was associated with reduced mortality in individuals with ADHD. Frances R. Levin, MD, of the Columbia Vagelos College of Physicians and Surgeons, who wrote an accompanying editorial, joins JAMA Associate Editor Donald C. Goff, MD, to discuss the results of this article. Related Content: Treating Attention-Deficit/Hyperactivity Disorder Matters
3/12/2024 • 13 minutes, 35 seconds
Delivering Effective Messages in the Patient-Clinician Encounter
Introducing JAMA's new Communicating Medicine series, JAMA Associate Editor Anne Cappola, MD, ScM, discusses strategies for delivering effective messages in the patient encounter with authors Joseph Cappella, PhD, of the University of Pennsylvania, and Richard Street, PhD, of Texas A&M University and Baylor College of Medicine. Related Content: Delivering Effective Messages in the Patient-Clinician Encounter
3/5/2024 • 13 minutes, 6 seconds
Why Does PrEP Use Lag in Cisgender Women?
How will new study results inform HIV prevention in the US and globally? JAMA Deputy Editor Preeti Malani, MD, MSJ, and author Jeanne Marrazzo, MD, MPH, director of NIAID, discuss these study findings and more. Related Content: HIV Preexposure Prophylaxis With Emtricitabine and Tenofovir Disoproxil Fumarate Among Cisgender Women
3/1/2024 • 11 minutes, 20 seconds
Updated Pediatric Sepsis Criteria—Transitioning From SIRS to Phoenix
JAMA Associate Editor Romain Pirracchio, MD, MPH, discusses context and implications of the new pediatric sepsis criteria with authors Hallie Prescott, MD, MSc, of the University of Michigan and Ann Arbor VA Hospital, and Roberto Jabornisky, MD, of Northeastern National Medical School in Argentina. Related Content: Context and Implications of the New Pediatric Sepsis Criteria Transitioning From SIRS to Phoenix With the Updated Pediatric Sepsis Criteria—The Difficult Task of Simplifying the Complex
2/27/2024 • 14 minutes, 14 seconds
Renter Eviction, Excess Mortality, and COVID-19
Renters who received eviction filings experienced excess mortality associated with the COVID-19 pandemic. JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, discusses a recent study that underscores the importance of studying health outcomes among marginalized populations with author Nick Graetz, PhD, from Princeton University. Related Content: Examining Excess Mortality Associated With the COVID-19 Pandemic for Renters Threatened With Eviction
2/20/2024 • 12 minutes, 25 seconds
Azithromycin to Prevent Childhood Mortality in Sub-Saharan Africa
Childhood death rates remain high in some areas of sub-Saharan Africa, despite global reductions in childhood mortality. JAMA Deputy Editor Preeti Malani, MD, MSJ, and author Thomas Lietman, MD, University of California, San Francisco, discuss twice-yearly azithromycin to reduce childhood mortality. Related Content: Mass Azithromycin Distribution to Prevent Child Mortality in Burkina Faso
2/13/2024 • 10 minutes, 31 seconds
Evaluating the Effectiveness of Bivalent COVID-19 Vaccines in Children and Adolescents
Bivalent mRNA COVID-19 vaccines were recommended for children and adolescents aged 5 to 17 years in the US, but were they effective? JAMA Associate Editor Tracy A. Lieu, MD, MPH, spoke with author Leora R. Feldstein, PhD, US Centers for Disease Control and Prevention, about the effectiveness of bivalent COVID-19 vaccines in children and adolescents. Related Content: Effectiveness of Bivalent mRNA COVID-19 Vaccines in Preventing SARS-CoV-2 Infection in Children and Adolescents Aged 5 to 17 Years
2/6/2024 • 12 minutes, 13 seconds
Anxiety and Depression Symptoms After the Dobbs Abortion Rights Decision
Following the Dobbs decision, females aged 18-45 years living in states with “trigger laws” that restricted access to abortion reported a greater increase in symptoms of anxiety and depression than those in states without trigger laws. JAMA Associate Editor Donald Goff, MD, speaks with editorialist Julia Steinberg, PhD, associate professor at the School of Public Health at the University of Maryland, about this topic. Related Content: Mental Health Symptoms When Abortion Access Is Restricted Anxiety and Depression Symptoms After the Dobbs Abortion Decision
1/23/2024 • 14 minutes, 26 seconds
Patient-Centered Palliative Care
JAMA Deputy Editor Preeti Malani, MD, MSJ, and author Alexander K. Smith, MD, MS, MPH, University of California, San Francisco, discuss the importance of 2 new palliative care trials that were recently published in JAMA. Related Content: A Tale of 2 Palliative Care Trials Association of Receipt of Palliative Care Interventions With Health Care Use, Quality of Life, and Symptom Burden Among Adults With Chronic Noncancer Illness
1/16/2024 • 14 minutes, 58 seconds
Dialysis Facility Performance and Social Risk in the First Year of the ESRD Treatment Choices Model
Dialysis facilities in the US are financially rewarded for higher rates of home dialysis and kidney transplant, but facilities that serve patients with high social risk might have a harder time meeting these goals. JAMA Associate Editor Karen E. Joynt Maddox, MD, MPH, speaks with Amal N. Trivedi, MD, MPH, of Brown University, about how this plays out under the ESRD Treatment Choices Model. Related Content: Social Risk and Dialysis Facility Performance in the First Year of the ESRD Treatment Choices Model
1/9/2024 • 14 minutes, 14 seconds
Alpha-Gal Syndrome
Alpha-gal syndrome is a food allergy to red meat products that develops after affected individuals are bitten by a tick. JAMA Deputy Editor Kristin Walter, MD, MS, discusses alpha-gal syndrome with author Mariel R. Benjamin, MD, assistant professor in the Division of Allergy and Clinical Immunology at Michigan Medicine. Related Content: What Is Alpha-Gal Syndrome?
1/2/2024 • 8 minutes, 56 seconds
Private Equity Acquisition and Hospital-Acquired Adverse Events in the US
The effects of private equity acquisition of US hospitals on the quality of inpatient care and patient outcomes remain largely unknown. JAMA Associate Editor Karen E. Joynt Maddox, MD, MPH, spoke with author Zirui Song, MD, PHD, of Boston General Hospital, about a recent study showing that private equity acquisition was associated with increased hospital-acquired adverse events. Related Content: Changes in Hospital Adverse Events and Patient Outcomes Associated With Private Equity Acquisition
12/26/2023 • 13 minutes, 6 seconds
Effect of Dietary Sodium on Blood Pressure
Does reducing dietary sodium benefit patients already taking antihypertensive medication? JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, speaks with author Norrina Allen, PhD, MPH, from Northwestern University, about the effect of dietary sodium on blood pressure. Related Content: Effect of Dietary Sodium on Blood Pressure
12/19/2023 • 14 minutes, 3 seconds
Risks Associated With Cannabis Exposure During Pregnancy
Cannabis use is increasing among reproductive-age individuals. JAMA Deputy Editor Linda Brubaker, MD, MS, discusses the associated risks of cannabis exposure during pregnancy with Torri D. Metz, MD, MS, University of Utah Health. Related Content: Cannabis Exposure and Adverse Pregnancy Outcomes Related to Placental Function
12/12/2023 • 10 minutes, 2 seconds
Neonatal Outcomes Following Serial Amnioinfusions for Bilateral Renal Agenesis
Bilateral renal agenesis results in lethal neonatal pulmonary hypoplasia. New evidence from an amnioinfusion trial is available. JAMA Deputy Editor Linda Brubaker, MD, MS, discusses the results from the Renal Anhydramnios Fetal Therapy Trial with Meredith A. Atkinson, MD, MHS, Johns Hopkins University, and Johnathan M. Davis, MD, Tufts University. Related Content: Neonatal Survival After Serial Amnioinfusions for Bilateral Renal Agenesis
12/5/2023 • 13 minutes, 24 seconds
Increasing Cervical Cancer Screening With Self-Sampling HPV Kits at Home
Cervical cancer screening is effective when done as recommended. JAMA Deputy Editor Linda Brubaker, MD, speaks with Rachel L. Winer, PhD, MPH, of the University of Washington, about a recent trial in JAMA that compared cervical cancer screening strategies, including direct-mail and opt-in approaches for human papillomavirus (HPV) self-sampling. Related Content: Strategies to Increase Cervical Cancer Screening With Mailed Human Papillomavirus Self-Sampling Kits
11/28/2023 • 10 minutes, 26 seconds
Small-Volume Blood Collection Tubes May Reduce Transfusions in Intensive Care
Small-volume blood collection tubes may decrease red blood cell transfusions in intensive care units without affecting laboratory analysis. JAMA Associate Editor Christopher W. Seymour, MD, MSc, discusses the results and implications of the STRATUS trial with Deborah M. Siegal, MD, MSc, of Ottawa Hospital Research Institute. Related Content: Small-Volume Blood Collection Tubes to Reduce Transfusions in Intensive Care
11/21/2023 • 16 minutes, 33 seconds
Fitness Trackers to Guide Advice on Activity Prescription
Fitness trackers are a group of devices including watches, phones, and rings that track physical activity. JAMA Executive Editor Gregory Curfman, MD, speaks with I-Min Lee, MBBS, ScD, professor of medicine at Harvard Medical School and professor of epidemiology at Harvard T.H. Chan School of Public Health, about using fitness trackers to guide advice on activity prescription. Related Content: Fitness Trackers to Guide Advice on Activity Prescription
11/14/2023 • 15 minutes, 27 seconds
Medicare’s Historic Prescription Drug Price Negotiations
JAMA Senior Editor Kristin Walter, MD, MS, and Lawrence O. Gostin, JD, JAMA Legal and Global Health Correspondent and Faculty Director of the O’Neill Institute for National and Global Health Law at Georgetown University, discuss the Inflation Reduction Act, which for the first time allows the Centers for Medicare & Medicaid Services to negotiate prescription drug prices with drug manufacturers. Related Content: Medicare’s Historic Prescription Drug Price Negotiations
11/7/2023 • 15 minutes, 1 second
Traditional Chinese Medicine Meets Evidence-Based Medicine in the Acutely Infarcted Heart
JAMA Executive Editor Gregory Curfman, MD, speaks with Richard G. Bach, MD, professor of medicine and medical director of the cardiac intensive care unit at the Washington University School of Medicine in St Louis, about the use of traditional Chinese medicine to treat patients with acute ST-segment elevation myocardial infarction. Related Content: Traditional Chinese Medicine Meets Evidence-Based Medicine in the Acutely Infarcted Heart
10/24/2023 • 19 minutes, 24 seconds
Optical Coherence Tomography (OCT): Imaging Modalities in Clinical Practice
Optical coherence tomography (OCT) is a powerful imaging tool used across multiple clinical disciplines. JAMA Executive Editor Gregory Curfman, MD, speaks with 2023 Lasker Award recipient James G. Fujimoto, PhD, professor of electrical engineering at MIT, about his role in developing OCT and OCT’s advancements in clinical practice. Related Content: Optical Coherence Tomography—History, Evolution, and Future Prospects
10/17/2023 • 11 minutes, 42 seconds
Nasal Iodophor vs Nasal Mupirocin With Chlorhexidine Baths to Prevent Infections in Adult ICUs
Nasal mupirocin plus chlorhexidine baths in ICUs prevents methicillin-resistant Staphylococcus aureus (MRSA) infections but raises concern about antibiotic resistance. JAMA Senior Editor Kristin Walter, MD, speaks with Susan Huang, MD, of University of California, Irvine, about a study comparing iodophor vs mupirocin with chlorhexidine bathing for ICU-attributable S aureus clinical cultures. Related Content: Nasal Iodophor Antiseptic vs Nasal Mupirocin Antibiotic in the Setting of Chlorhexidine Bathing to Prevent Infections in Adult ICUs
10/10/2023 • 13 minutes, 31 seconds
Is Remote Ischemic Conditioning (RIC) an Effective Treatment for Acute Stroke?
It’s been unclear whether remote ischemic conditioning (RIC) with transient cycles of limb ischemia and reperfusion is an effective treatment for acute stroke. JAMA Deputy Editor Chris Muth, MD, speaks with author Rolf Blauenfeldt, MD, Aarhus University Hospital, Denmark, about the RESIST randomized clinical trial, which looks at the effect of RIC when initiated in the prehospital setting. Related Content: Remote Ischemic Conditioning for Acute Stroke
10/3/2023 • 11 minutes, 7 seconds
The Connection Between SARS-CoV-2 and Type 1 Diabetes Risk in Young Children
During the COVID-19 pandemic, the incidence of diabetes in childhood increased. JAMA Associate Editor Anne R. Cappola, MD, ScM, and Ezio Bonifacio, PhD, from the Center for Regenerative Therapies at the Dresden University of Technology, discuss SARS-CoV-2 infection and its association with islet autoimmunity in early childhood. Related Content: SARS-CoV-2 Infection and Development of Islet Autoimmunity in Early Childhood
9/26/2023 • 14 minutes, 45 seconds
Two-Year Outcomes After Minimally Invasive Surfactant Therapy
Many premature infants with respiratory distress are now supported with continuous positive airway pressure, or CPAP, rather than intubation and ventilation, and those with CPAP can receive surfactant via a minimally invasive approach. JAMA Associate Editor Tracy Lieu, MD, speaks with author Peter Dargaville, MD, from the Menzies Institute for Medical Research in Tasmania, Australia, about Two-Year Outcomes After Minimally Invasive Surfactant Therapy in Preterm Infants: Follow-Up of the OPTIMIST-A Randomized Clinical Trial. Related Content: Two-Year Outcomes After Minimally Invasive Surfactant Therapy in Preterm Infants
9/19/2023 • 15 minutes, 27 seconds
Sedentary Behavior and Dementia
There is an established link between sedentary behavior and cardiovascular disease, but the association between sedentary behavior and dementia is unclear. JAMA Deputy Editor Christopher C. Muth, MD, speaks with David A. Raichlen, PhD, University of Southern California, about a new study that investigates the relationship between sedentary behavior and dementia in older adults. Related Content: Sedentary Behavior and Incident Dementia Among Older Adults
9/12/2023 • 10 minutes, 53 seconds
Psilocybin for Major Depressive Disorder
In a new study, psilocybin showed promise as a treatment for major depressive disorder (MDD). JAMA Associate Editor Donald C. Goff, MD, speaks with author Charles L. Raison, MD, from the Usona Institute, about the study, as well as Rachel Yehuda, PhD, Mount Sinai School of Medicine, who wrote an accompanying editorial about the potential benefits of psychedelic therapies. Related Content: Single-Dose Psilocybin Treatment for Major Depressive Disorder Psychedelic Therapy—A New Paradigm of Care for Mental Health
8/31/2023 • 28 minutes, 37 seconds
Neurodevelopmental Effects of Antenatal IV Magnesium Sulfate Between 30-34 Weeks' Gestation
Magnesium sulfate is widely recommended for neuroprotection in pregnancies at risk of preterm delivery. However, the optimal gestational age for use is unclear. JAMA Associate Editor Melissa Simon, MD, MPH, and Caroline Crowther, MD, Liggins Institute, University of Auckland, discuss the use of magnesium sulfate at different gestational ages and potential benefit vs harms as reflected in the MAGENTA Trial. Related Content: Prenatal Intravenous Magnesium at 30-34 Weeks’ Gestation and Neurodevelopmental Outcomes in Offspring
8/15/2023 • 13 minutes, 31 seconds
Atorvastatin to Reduce Risk of Anthracycline-Associated Cardiac Dysfunction
Anthracyclines are used to treat a variety of cancers, but treatment may be limited by cardiac toxicity. JAMA Executive Editor Gregory Curfman, MD, discusses a new clinical trial on the use of atorvastatin to prevent anthracycline-induced cardiac toxicity with authors Tomas Neilan, MD, MPH, and Marielle Scherrer-Crosbie, MD, PhD. Related Content: Atorvastatin for Anthracycline-Associated Cardiac Dysfunction
8/8/2023 • 18 minutes, 31 seconds
Cardiovascular Health Counseling in Pregnant and Postpartum Individuals
Cardiovascular health is essential to everyone, but especially important to address in individuals who can become or who are pregnant or postpartum. JAMA Associate Editor Melissa Simon, MD, MPH, and Sadiya S. Khan, MD, MSc, Northwestern University, discuss the importance of cardiovascular health in pregnancy-capable, pregnant, and postpartum persons, how to counsel such individuals, issues of access to care and health equity, and their impact on cardiovascular health. Related Content: Trends in Cardiovascular Health Counseling Among Postpartum Individuals
7/25/2023 • 18 minutes, 16 seconds
Bempedoic Acid in Statin-Intolerant Patients
Bempedoic acid is an effective option for some statin-intolerant patients with an elevated predicted risk of cardiovascular events. However, as JAMA Executive Editor Gregory Curfman, MD, discusses with editorialist Dhruv S. Kazi, MD, MSc, MS, bempedoic acid should not be considered a substitute for statins, which remain the first-line therapy for primary prevention. Related Content: Bempedoic Acid for Primary Prevention of Cardiovascular Events in Statin-Intolerant Patients Bempedoic Acid for High-Risk Primary Prevention of Cardiovascular Disease
7/11/2023 • 16 minutes, 14 seconds
Genomic Sequencing for Ill Newborns
The performance of whole-genome sequencing in comparison with targeted genomic testing methods is not well understood. In this podcast, JAMA Associate Editor W. Gregory Feero, MD, PHD, interviews author Jill L. Maron, MD, MPH, of the Women and Infants Hospital of Rhode Island about a study of whole-genome sequencing vs a commercially available targeted genetic testing platform for diagnosing ill neonates with suspected genetic conditions. Related Content: Rapid Whole-Genomic Sequencing and a Targeted Neonatal Gene Panel in Infants With a Suspected Genetic Disorder
7/11/2023 • 19 minutes, 31 seconds
Letermovir vs Valganciclovir for Prophylaxis of Cytomegalovirus Disease in High-Risk Kidney Transplant Recipients
Valganciclovir is standard cytomegalovirus (CMV) prophylaxis in high-risk kidney transplant recipients, but its use is limited by myelosuppression. JAMA Deputy Editor Preeti Malani, MD, MSJ, interviews Ajit Limaye, MD, from the University of Washington, about a multinational randomized trial of letermovir vs valganciclovir for CMV prevention in CMV-negative patients receiving a kidney from a CMV-positive donor. Related Content: Letermovir vs Valganciclovir for Prophylaxis of Cytomegalovirus in High-Risk Kidney Transplant Recipients
7/3/2023 • 17 minutes, 57 seconds
The Costs of Quality Reporting
US hospitals report data on numerous quality metrics to government and independent rating organizations, but the cost of doing so is not well known. JAMA Associate Editor Karen E. Joynt Maddox, MD, discusses a new study that examines just how many quality metrics hospitals have to report, and attempts to quantify how much data collection and reporting costs in hours and dollars, with corresponding author Stephen A. Berry MD, PhD, Johns Hopkins University, Baltimore, Maryland. Related Content: The Volume and Cost of Quality Metric Reporting
6/27/2023 • 23 minutes, 36 seconds
USPSTF Recommendations: Screening for Depression and Suicide Risk in Adults, and Screening for Anxiety Disorders in Adults
Interview with Michael Silverstein, MD, MPH, USPSTF chair and coauthor of Screening for Depression and Suicide Risk in Adults, and Screening for Anxiety Disorders in Adults: US Preventive Services Task Force Recommendation Statements. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS. Related Content: Anxiety Screening Depression and Suicide Risk Screening Screening for Depression and Suicide Risk in Adults Screening for Anxiety Disorders in Adults Screening for Depression and Suicide Risk in Adults Screening for Anxiety Disorders in Adults Are There Reasons to Fear Anxiety Screening? Reframing the Key Questions Regarding Screening for Suicide Risk
6/23/2023 • 24 minutes, 22 seconds
Mortality and Years of Potential Life Lost in the US Black Population
The US Black population experienced more than 80 million excess years of life lost compared with the White population over a recent 22-year period. JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, discusses the research that quantified this disparity with authors César Caraballo, MD, Harlan M. Krumholz, MD, SM, and Clyde W. Yancy, MD, MSc. Related Content: Excess Mortality and Years of Potential Life Lost Among the Black Population in the US, 1999-2020
6/22/2023 • 23 minutes, 9 seconds
Legal Risks of Abortion Miscoding
Intentional miscoding of abortion services may put clinicians and hospital systems at legal risk. JAMA Senior Editor Linda Brubaker, MD, MS, and Carmel Shachar, JD, MPH, from the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics, Harvard Law School, discuss the risks of intentional miscoding practices and possible penalties. Related Content: Abortion Miscoding—Legal Risks for Clinicians and Hospital Systems
6/13/2023 • 20 minutes, 24 seconds
Physician as Writer: Abraham Verghese Reflects on the Art of the Craft of Writing Fiction
The Covenant of Water, Stanford University professor Dr Abraham Verghese’s long-awaited follow-up to his 2009 novel Cutting for Stone, traces the lives of a family in southern India negotiating forces of history, fate, and a genetic condition that takes the life of a member in each generation by drowning. In part 2, JAMA Arts and Medicine Section Editor Michael Berkwits, MD, MSCE, talks with Dr Verghese about the craft of writing fiction, the role of the humanities in medicine, of artificial intelligence in literature, and more. Related Content: “The Art of the Craft,” From The Covenant of Water The Covenant of Water – Reflections on Fiction, the Humanities, and Medicine (Part 1 of this interview)
5/26/2023 • 19 minutes, 58 seconds
The Continued Legal Battle to Undercut the ACA
The ACA’s preventive services mandate requires insurers to cover, without charge, nearly 200 basic primary care services. But now, a federal judge has issued a nationwide injunction preventing the Biden administration from enforcing this cost-free care for a significant number of these services. JAMA Executive Editor Gregory Curfman, MD, discusses this and more with Abbe R. Gluck, JD, Solomon Center for Health Law & Policy, Yale Law School. Related Content: Cost-Free Preventive Care Under the ACA Faces Legal Challenge
5/23/2023 • 17 minutes, 49 seconds
Global Trends in Heart Failure Etiology, Management, and Outcomes
Most epidemiological studies of heart failure have been conducted in high-income countries. JAMA Senior Editor Kristin L. Walter, MD, MS, interviews Philip George Joseph, MD, from the Population Health Research Institute, Ontario, Canada, about a study of more than 23 000 patients with heart failure in 40 countries. Related Content: Global Variations in Heart Failure Etiology, Management, and Outcomes
5/16/2023 • 17 minutes, 8 seconds
USPSTF Recommendation: Screening for Latent Tuberculosis Infection in Adults
Interview with Gbenga Ogedegbe, MD, MPH, USPSTF member and coauthor of Screening for Latent Tuberculosis Infection in Adults: US Preventive Services Task Force Recommendation Statement. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS. Related Content: Screening for Latent Tuberculosis Infection in Adults Screening for Latent Tuberculosis Infection Among Non–US-Born Adults in the US Screening for Latent Tuberculosis Infection in Adults Screening for Latent Tuberculosis
5/5/2023 • 13 minutes, 47 seconds
Trends in Mental Health–Related Emergency Department Visits Among Children, Adolescents, and Young Adults in the US, 2011-2020
The mental health of young people in the US has been an issue of increased concern in recent years. In this podcast, author Tanner Bommersbach, MD, MPH, assistant professor in the Department of Psychiatry and Psychology at the Mayo Clinic in Rochester, Minnesota, and Greg Rhee, PhD, a health services researcher and pharmacoepidemiologist at the University of Connecticut, join JAMA Senior Editor Kristin Walter, MD, MS, in a discussion about mental health-related emergency department visits in the US among children, adolescents, and young adults from 2011-2020. Related Content: National Trends in Mental Health–Related Emergency Department Visits Among Youth, 2011-2020
5/2/2023 • 12 minutes, 55 seconds
The Covenant of Water – Reflections on Fiction, the Humanities, and Medicine
The Covenant of Water, Stanford University professor Dr Abraham Verghese’s long-awaited follow-up to his 2009 novel Cutting for Stone, traces the lives of a family in southern India negotiating forces of history, fate, and a genetic condition that takes the life of a member in each generation by drowning. JAMA Arts and Medicine Section Editor Michael Berkwits, MD, MSCE, talks with Dr Verghese about the novel’s clinical insights, the craft of writing fiction, the role of the humanities in medicine, of artificial intelligence in literature, and more. Related Content: “The Art of the Craft,” From The Covenant of Water
5/2/2023 • 28 minutes, 35 seconds
Medical Education: Is Medical School Ranking the Best Assessment of Quality?
Major medical schools are no longer contributing data to the US News & World Report (USNWR) including more than half the schools that are currently ranked in the top 10 medical schools by the survey. In this podcast, JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, speaks with author Holly J. Humphrey, MD, from the Josiah Macy Jr Foundation in New York, about the recently published Viewpoint "Medical School Rankings—Bad for the Health of the Profession and the Public." Related Content: Medical School Rankings—Bad for the Health of the Profession and the Public
4/25/2023 • 15 minutes, 29 seconds
Income-Based Disparities for Patients With Acute Myocardial Infarction Across 6 Countries
Differences among countries in how health care is organized could have implications for health equity. JAMA Associate Editor Karen Joynt Maddox, MD, MPH, and Bruce E. Landon, MD, MBA, MSc, professor of health care policy, Harvard Medical School, discuss whether treatment patterns and outcomes for patients presenting with acute myocardial infarction differ for patients with higher vs lower incomes across 6 countries. Related Content: Differences in Treatment Patterns and Outcomes of Acute Myocardial Infarction for Low- and High-Income Patients in 6 Countries
4/4/2023 • 23 minutes, 9 seconds
The Uncertain Future of the Determination of Brain Death
JAMA Executive Editor Greg Curfman, MD, speaks with Robert D. Truog, MD, MA, director of the Harvard Center for Bioethics, who describes the 2 approaches to the determination of death (cardiovascular death and brain death) and discusses the possibility that the determination of brain death may soon undergo substantial change, with important implications for organ transplantation. Related Content: The Uncertain Future of the Determination of Brain Death
3/29/2023 • 22 minutes, 40 seconds
Trends in Pediatric Mental Health Hospitalizations
Mary Arakelyan, MPH, and JoAnna Leyenaar, MD, PhD, MPH, vice chair of Research in Pediatrics at Dartmouth, discuss increases in pediatric mental health hospitalizations and suicide-related diagnoses over the past decade. Hosted by JAMA Associate Editor Tracy Lieu, MD, MPH. Related Content: Pediatric Mental Health Hospitalizations at Acute Care Hospitals in the US, 2009-2019. Related Content: Pediatric Mental Health Hospitalizations at Acute Care Hospitals in the US, 2009-2019
3/28/2023 • 16 minutes, 41 seconds
Limiting Acetaminophen in Prescription Combination Opioid Products
In 2011, the US Food and Drug Administration (FDA) announced a mandate to limit acetaminophen (paracetamol) to 325 mg/tablet in combination acetaminophen and opioid medications, with manufacturer compliance required by early 2014. In this podcast, JAMA Deputy Editor Mary M. McDermott, MD, interviews Jayme E. Locke, MD, MPH, and Babak J. Orandi, MD, PhD, about their JAMA study describing results of the FDA announcement on subsequent rates of hospitalizations for acute liver failure due to toxicity from acetaminophen-containing opioid drugs. Related Content: Association of FDA Mandate Limiting Acetaminophen (Paracetamol) in Prescription Combination Opioid Products and Subsequent Hospitalizations and Acute Liver Failure Moving the Needle to Reduce Acetaminophen (Paracetamol) Hepatotoxicity Acetaminophen (Paracetamol) and Acute Liver Failure
3/7/2023 • 18 minutes, 1 second
Diagnostic Errors in the Emergency Department: A System Solution Is Needed
In this JAMA author interview, Peter J. Pronovost, MD, PhD, Chief Quality & Clinical Transformation Officer, University Hospitals, Cleveland, and an internationally recognized expert in patient safety, discusses his recent article in JAMA on “Misdiagnosis in the Emergency Department.” A new report from AHRQ underscores the seriousness of this problem. Related Content: Misdiagnosis in the Emergency Department
2/28/2023 • 20 minutes, 36 seconds
USPSTF Recommendation: Serologic Screening for Genital Herpes Infection
Interview with James Stevermer, MD, MSPH, USPSTF member and coauthor of Serologic Screening for Genital Herpes Infection: US Preventive Services Task Force Reaffirmation Recommendation Statement. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS. Related Content: Serologic Screening for Genital Herpes Infection: US Preventive Services Task Force Reaffirmation Recommendation Statement Reducing HSV-2 Morbidity and Mortality Reaffirmed USPSTF Recommendation Against Serologic Screening for Genital Herpes: Empowering Clinicians and Reducing Potential Harm Serologic Screening for Genital Herpes: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Screening for Genital Herpes (Patient Page)
2/14/2023 • 14 minutes, 10 seconds
Fluvoxamine vs Placebo and Time to Sustained Recovery From Mild or Moderate COVID-19
Susanna Naggie, MD, vice dean for research at Duke University's School of Medicine, discusses the ACTIV-6 trial of fluvoxamine for outpatient treatment of COVID-19 and outlines the role of platform trials during the pandemic. Hosted by JAMA Deputy Editor and Editorial Director for Equity Preeti Malani, MD, MSJ. Related Content: Effect of Fluvoxamine vs Placebo on Time to Sustained Recovery in Outpatients With Mild to Moderate COVID-19
1/12/2023 • 15 minutes, 1 second
Challenges to Racial and Ethnic Diversity Policies in Undergraduate and Medical School Admissions
In the wake of new legal challenges to race-conscious admission policies, JAMA Interim Executive Editor Gregory Curfman, MD, discusses racial and ethnic diversity in undergraduate and medical school admission policies with Roy H. Hamilton, MD, MS, from the Perelman School of Medicine, University of Pennsylvania. Related Content: Defending Racial and Ethnic Diversity in Undergraduate and Medical School Admission Policies
1/10/2023 • 19 minutes, 39 seconds
Urgent Need for Next-Generation COVID-19 Vaccines
JAMA Deputy Editor Preeti Malani, MD, MSJ, discusses potential next-generation COVID-19 vaccines with Peter Marks, MD, PhD, director of the Center for Biologics Evaluation and Research at the US Food and Drug Administration. Related Content: Urgent Need for Next-Generation COVID-19 Vaccines
1/3/2023 • 13 minutes, 58 seconds
Over-the-Counter Hearing Aids
In this JAMA author interview, we speak with Robert M. Califf, MD, Commissioner of the FDA, about a remarkable advance in the technology of hearing aids. Dr Califf has done important work to secure the entry of over-the-counter hearing aids into the market, providing a less expensive alternative to traditional hearing aids. In this interview, Dr Califf tells the story of how this technology has finally been made available to the public. Related Content: Over-the-counter Hearing Aids: From Research to Policy to Practice
12/20/2022 • 15 minutes, 7 seconds
COP27 Climate Change Conference—Urgent Action Needed for Africa and the World
Interview with Chris Zielinski, Visiting Research Fellow and Faculty of Health and Wellbeing at the University of Winchester, UK, James Kigera, Editor-in-Chief, Annals of African Surgery, and James Tumwine, Editor-in-Chief, African Health Sciences, authors of COP27 Climate Change Conference—Urgent Action Needed for Africa and the World. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD. Related Content: COP27 Climate Change Conference—Urgent Action Needed for Africa and the World Conflict and Climate Collide to Create an Acute Hunger Crisis for an Unprecedented 345 Million People Climate Justice and Health Children, Climate Justice, and Lessons From Puerto Rico
11/16/2022 • 24 minutes, 11 seconds
USPSTF Recommendation: Screening for Obstructive Sleep Apnea in Adults
Interview with Gbenga Ogedegbe, MD, MPH, USPSTF member and coauthor of Screening for Obstructive Sleep Apnea in Adults: US Preventive Services Task Force Recommendation Statement. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS. Related Content: Screening for Obstructive Sleep Apnea in Adults Screening for Obstructive Sleep Apnea in Adults Screening for Obstructive Sleep Apnea in Adults Screening for Obstructive Sleep Apnea USPSTF Updates Recommendation for Obstructive Sleep Apnea Screening in Adults
11/15/2022 • 20 minutes, 41 seconds
USPSTF Recommendation: Hormone Therapy for Prevention of Postmenopausal Chronic Conditions
Interview with Carol Mangione, MD, MSPH, USPSTF chair and coauthor of Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Persons: US Preventive Services Task Force Recommendation Statement. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS. Related Content: Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Persons Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Persons Menopausal Hormone Therapy for Prevention of Chronic Conditions
11/1/2022 • 21 minutes, 6 seconds
USPSTF Recommendations: Screening for Anxiety in Children and Adolescents, and Depression and Suicide Risk Screening in Children and Adolescents
Interview with Martha Kubik, PhD, RN, USPSTF member and coauthor of Screening for Anxiety in Children and Adolescents: US Preventive Services Task Force Recommendation Statement, and Screening for Depression and Suicide Risk in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS. Related Content: Screening for Anxiety in Children and Adolescents Screening for Anxiety in Children and Adolescents Screening for Depression and Suicide Risk in Children and Adolescents Screening for Depression and Suicide Risk in Children and Adolescents Screening for Anxiety in Children and Adolescents Screening for Pediatric Anxiety Disorders
10/11/2022 • 20 minutes, 21 seconds
Treatment of Peripheral Artery Disease
In this JAMA Author Interview, JAMA Interim Executive Editor Greg Curfman, MD, speaks with Mary M. McDermott, MD, professor of medicine at Northwestern University Feinberg School of Medicine, on current therapies for peripheral artery disease and a new clinical trial she directed on the use of telmisartan, an angiotensin receptor blocker, for patients with peripheral artery disease. Related Content: Effect of Telmisartan on Walking Performance in Patients With Lower Extremity Peripheral Artery Disease
10/4/2022 • 15 minutes, 22 seconds
USPSTF Recommendation: Syphilis Screening in Nonpregnant Adolescents and Adults
Interview with Katrina E. Donahue, MD, MPH, USPSTF member and coauthor of Screening for Syphilis Infection in Nonpregnant Adolescents and Adults: US Preventive Services Task Force Reaffirmation Recommendation Statement. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS. Related Content: The Critical Need to Modernize Syphilis Screening Screening for Syphilis Infection in Nonpregnant Adolescents and Adults Screening for Syphilis Infection in Nonpregnant Adults and Adolescents Screening for Syphilis
9/27/2022 • 10 minutes, 48 seconds
Approaches to Reducing Firearm Violence
JAMA Network Open Editor Frederick Rivara, MD, MPH, discusses approaches to reducing firearm violence with several JAMA Viewpoint authors: Sandro Galea, MD, DrPH (Boston University), Elinore J. Kaufman, MD, MSHP (University of Pennsylvania), and Roger A. Mitchell Jr, MD (Howard University). Topics include the state-level response to firearm-related harms, the paucity of data on firearm violence, and the pervasive health effects of firearm violence on neighborhoods and in the carceral system. Related Content: The Epidemiology of Firearm Injuries in the US: The Need for Comprehensive, Real-time, Actionable Data Violence and the Carceral State: A Public Health Continuum State Firearm Laws and Firearm-Related Mortality and Morbidity Examining the Impact of Firearm Safety Laws on Suicides Physicians and EMS Who Responded to Mass Shootings Develop Consensus Recommendations for Improving Care Approaches to Reducing Firearm Violence
9/27/2022 • 21 minutes, 40 seconds
CRISPR, Genome Editing, and Human Health
CRISPR genome editing is a revolutionary technology that can be used to make highly targeted changes in DNA in living cells. JAMA Associate Editor W. Gregory Feero, MD, PhD, Maine Dartmouth Family Medicine Residency, and Matthew J. Kan, MD, PhD, University of California San Francisco, discuss how CRISPR works and how CRISPR-based technologies are being used in ongoing trials to treat a wide variety of medical conditions. Related Content: Treatment of Genetic Diseases With CRISPR Genome Editing With First CRISPR Trials, Gene Editing Moves Toward the Clinic
9/20/2022 • 23 minutes, 23 seconds
Achieving Diagnostic Excellence
Arguably, a clinician’s most important role is providing an accurate and actionable diagnosis for patients. But challenges stand in the way, including tool limitations, inequitable access, and discontinuity of care. In this roundtable Q&A discussion, Urmimala Sarkar, MD, MPH (Zuckerberg San Francisco General Hospital and Trauma Center, UCSF), Jonathan H. Chen, MD, PhD (Stanford Center for Biomedical Informatics Research, Stanford University), and Harvey V. Fineberg, MD, PhD (Gordon and Betty Moore Foundation), discuss issues affecting diagnostic excellence, the emergence of artificial intelligence–driven tools, and ways to make the diagnostic process patient-focused. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, MD, PhD. Related Content: Decoding Artificial Intelligence to Achieve Diagnostic Excellence Diagnostic Excellence Achieving Diagnostic Equity in Cardiovascular Disease Achieving Diagnostic Excellence in the 21st Century Achieving Diagnostic Excellence
9/20/2022 • 29 minutes, 18 seconds
USPSTF Recommendation: Screening for Prediabetes and Diabetes in Children and Adolescents
Interview with Michael D. Cabana, MD, MA, MPH, USPSTF member and coauthor of Screening for Prediabetes and Type 2 Diabetes in Children and Adolescents: US Preventive Services Task Force Recommendation Statement. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS. Related Content: Screening for Prediabetes and Type 2 Diabetes in Children and Adolescents Screening for Prediabetes and Type 2 Diabetes in Children and Adolescents Screening for Type 2 Diabetes in Children and Adolescents
9/13/2022 • 16 minutes, 17 seconds
Dr Anthony Fauci—Communicating Science in a Polarized Era
Over a nearly 40-year career at the head of the National Institute of Allergy and Infectious Diseases, Anthony Fauci, MD, has seen a seismic shift in the way that science is communicated to and received by the public. In conversation with JAMA Network Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, Fauci reflects on his career at NIAID, the joys and challenges of advising 7 presidents, and shares his strategies for communicating scientific information in an ever-changing environment. Related Content: Dr Fauci and the Art of Science Communication Dr Anthony Fauci—Communicating Science in a Polarized Era
9/9/2022 • 23 minutes, 16 seconds
USPSTF Recommendation: Statin Use for the Primary Prevention of Cardiovascular Disease in Adults
Interview with John B. Wong, MD, USPSTF member and coauthor of Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: US Preventive Services Task Force Recommendation Statement. Hosted by JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS. Related Content: Statin Use for the Primary Prevention of Cardiovascular Disease in Adults Statin Use for the Primary Prevention of Cardiovascular Disease in Adults Statins for the Prevention of Cardiovascular Disease Statin Usage in Primary Prevention—Comparing the USPSTF Recommendations With the AHA/ACC/Multisociety Guidelines Statins for Primary Cardiovascular Disease Prevention Statins and Primary Atherosclerotic Cardiovascular Disease Prevention—What We Know, Where We Need to Go, and Why Are We Not There Already?
8/23/2022 • 25 minutes, 31 seconds
Prescription Drug Cost Provisions of the Inflation Reduction Act
President Biden has signed into law the Inflation Reduction Act containing important provisions related to prescription drug costs. JAMA Health Forum Editor John Z. Ayanian, MD, MPP, and Deputy Editor Melinda B. Buntin, PhD, discuss the effects of these provisions on patients with Aaron S. Kesselheim, MD, JD, MPH, of Harvard Medical School and Brigham and Women’s Hospital. Related Content: New Reforms to Prescription Drug Pricing in the US Estimating Rebates and Other Discounts Received by Medicare Part D Estimation of the Share of Net Expenditures on Insulin Captured by US Manufacturers, Wholesalers, Pharmacy Benefit Managers, Pharmacies, and Health Plans From 2014 to 2018 Spending by the Centers for Medicare & Medicaid Services Before and After Confirmation of Benefit for Drugs Granted US Food and Drug Administration Accelerated Approval, 2012 to 2017 Improving Prescription Drug Affordability Through Regulatory Action
8/19/2022 • 15 minutes, 31 seconds
Making Electronic Health Records More Supportive for Clinicians
Electronic health records (EHRs) hold great promise to assist clinicians, but current versions are less user-friendly than ideal. JAMA Associate Editor Tracy Lieu, MD, MPH, spoke with Kevin B. Johnson, MD, MS, University of Pennsylvania, and William W. Stead, MD, Vanderbilt University Medical Center, about how to improve EHRs to protect cognitive attention and optimize their potential to provide cognitive support to health care professionals. Related Content: Making Electronic Health Records Both SAFER and SMARTER
8/9/2022 • 20 minutes, 4 seconds
Coronary Artery Bypass Surgery in 2022
In this Author Interview, JAMA Deputy Editor Gregory Curfman, MD, discusses the state of coronary artery bypass surgery in 2022 with E. Magnus Ohman, MD, from Duke University. The conversation emphasizes methods to preserve patency of saphenous vein bypass grafts, the subject of an article in the August 9, 2022, issue of JAMA. Dr Ohman wrote the accompanying Editorial. Related Content: Association of Dual Antiplatelet Therapy With Ticagrelor With Vein Graft Failure After Coronary Artery Bypass Graft Surgery Balancing the Risks and Benefits of Antiplatelet Therapy After Coronary Artery Bypass Graft Surgery
8/9/2022 • 19 minutes, 17 seconds
Long COVID: The US Federal Response
On August 3, 2022, the US Department of Health and Human Services released 2 major reports in response to a presidential memo calling for a whole-of-government response to the SARS-CoV-2 sequelae known as “Long COVID." JAMA Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, discusses these new reports and the research and support needed to address this pervasive health concern with HHS Assistant Secretary for Health Rachel Levine, MD. Recorded July 29, 2022. Related Content: Addressing the Long-term Effects of COVID-19 Association Between BNT162b2 Vaccination and Long COVID After Infections Not Requiring Hospitalization in Health Care Workers Long COVID: The US Federal Response (Video)
8/3/2022 • 16 minutes, 38 seconds
USPSTF Recommendation: Behavioral Counseling Interventions to Promote Healthy Behaviors for CVD Prevention
Interview with Lori Pbert, PhD, USPSTF member and coauthor of Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Disease Risk Factors: US Preventive Services Task Force Recommendation Statement. Hosted by JAMA Senior Editor Kristin L. Walter, MD, MS. Related Content: Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Known Cardiovascular Disease Risk Factors Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Disease Risk Factors Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity to Prevent CVD in Adults Without Risk Factors Implications of the New Recommendation on Behavioral Counseling Interventions to Promote Healthy Eating and Physical Activity Improving Behavioral Counseling for Primary Cardiovascular Disease Prevention Updated USPSTF Recommendations for Behavioral Counseling Interventions
7/26/2022 • 19 minutes, 55 seconds
Can Omecamtiv Mecarbil Improve Peak Exercise Capacity in Patients With Heart Failure With Reduced Ejection Fraction (HFrEF)?
Exercise limitation is a cardinal manifestation of heart failure with reduced ejection fraction (HFrEF), but it is not consistently improved by any of the current guideline-directed medical therapies. JAMA Deputy Editor Gregory Curfman, MD, discusses whether omecamtiv mecarbil can improve peak exercise capacity in patients with HFrEF with Gregory D. Lewis, MD, from Massachusetts General Hospital, and Mark H. Drazner, MD, MSc, from University of Texas Southwestern Medical Center. Related Content: Effect of Omecamtiv Mecarbil on Exercise Capacity in Chronic Heart Failure With Reduced Ejection Fraction: The METEORIC-HF Randomized Clinical Trial Omecamtiv Mecarbil as a Therapy for Heart Failure With Low Ejection Fraction
7/19/2022 • 20 minutes, 38 seconds
Diagnosis, Prevention, and Treatment of Monkeypox
JAMA Associate Editor Preeti Malani, MD, MSJ, discusses the transmission, diagnosis, and treatment of monkeypox and the 2022 outbreak with Jeannette Guarner, MD, and Carlos del Rio, MD, both of the Division of Infectious Diseases at Emory University’s School of Medicine. Read Transcript Related Content: Monkeypox in 2022—What Clinicians Need to Know What Is Monkeypox? What to Know About Monkeypox Global Monkeypox Outbreaks Spur Drug Research for the Neglected Disease
7/15/2022 • 17 minutes, 49 seconds
Progress in Adverse Event Rates in US Hospitalized Patients
Patient safety is a national priority, but adverse events during hospitalization are hard to track and whether progress has been made over the past decade is unknown. JAMA Associate Editor Karen E. Joynt Maddox, MD, MPH, Washington University School of Medicine, discusses recent findings demonstrating decreases in hospital chart-abstracted adverse events and what’s next in patient safety in the wake of COVID-19, with Mark Metersky, MD, University of Connecticut Health Center, and Peter Pronovost, MD, PhD, University Hospitals, Shaker Heights, Ohio. Related Content: Trends in Adverse Event Rates in Hospitalized Patients, 2010-2019 Improvements in Hospital Adverse Event Rates: Achieving Statistically Significant and Clinically Meaningful Results
7/12/2022 • 15 minutes, 37 seconds
A Conversation With Dr Kirsten Bibbins-Domingo, JAMA’s New Editor in Chief
In July 2022, Kirsten Bibbins-Domingo, PhD, MD, MAS, took on a new role as the 17th editor in chief of JAMA and the JAMA Network. In conversation with Nobel laureate Harold Varmus, MD, Bibbins-Domingo discusses her research background, approaches to leadership in health care, and the critical role that journals play in communication about public health and science. Related Content: The Urgency of Now and the Responsibility to Do More—My Commitment for JAMA and the JAMA Network A Conversation With Dr Kirsten Bibbins-Domingo, JAMA’s New Editor in Chief (video) A Conversation With Dr Kirsten Bibbins-Domingo, JAMA’s New Editor in Chief (audio)
7/5/2022 • 22 minutes, 7 seconds
The Association of Bariatric Surgery With Risk of Cancer in Adults With Obesity
Observational data suggest that the risk of certain types of cancer may be increased in individuals with obesity and that this risk may be lower after bariatric surgery. JAMA Deputy Editor Gregory Curfman, MD, explores this in detail with Steven Nissen, MD, an author of a JAMA study on this topic, and Anita Courcoulas, MD, MPH, author of an accompanying editorial. Related Content: Association of Bariatric Surgery With Cancer Risk and Mortality in Adults With Obesity Bariatric Surgery and Cancer Risk
6/28/2022 • 19 minutes, 51 seconds
USPSTF Recommendation: Vitamin and Mineral Supplementation to Prevent CVD and Cancer
Interview with John B Wong, MD, USPSTF member and coauthor of Vitamin, Mineral, and Multivitamin Supplementation to Prevent Cardiovascular Disease and Cancer: US Preventive Services Task Force Recommendation Statement. Hosted by JAMA Deputy Editor Mary M. McDermott, MD. Related Content: Multivitamins and Supplements—Benign Prevention or Potentially Harmful Distraction? Patient Information: Vitamins and Minerals to Prevent Cardiovascular Disease and Cancer
6/21/2022 • 10 minutes, 25 seconds
Occupational Well-being Among Clinicians
Interview with Lisa Rotenstein, MD, MBA, author of A Learning Health System Agenda for Organizational Approaches to Enhancing Occupational Well-being Among Clinicians, and Clyde W. Yancy, MD, author of Resident Physician Wellness Postpandemic: How Does Healing Occur?. Hosted by JAMA Associate Editor Anne Cappola, MD.
6/7/2022 • 29 minutes, 15 seconds
USPSTF Recommendations: Screening for Primary Open-Angle Glaucoma and Screening for Impaired Visual Acuity in Older Adults
Interview with Katrina Erika Donahue, MD, MPH, coauthor of Screening for Primary Open-Angle Glaucoma: US Preventive Services Task Force Recommendation Statement, and Screening for Impaired Visual Acuity in Older Adults: US Preventive Services Task Force Recommendation Statement. Hosted by JAMA Deputy Editor Mary M. McDermott, MD. Related Content: USPSTF Review: Screening for Glaucoma in Adults USPSTF Review: Screening for Impaired Visual Acuity in Older Adults Patient Information: Screening for Primary Open-Angle Glaucoma Screening for Impaired Visual Acuity in Older Adults Patient Information: Screening for Impaired Visual Acuity in Older Adults Screening for Glaucoma
5/24/2022 • 11 minutes, 24 seconds
Q&A With White House COVID-19 Response Coordinator Ashish Jha
As the White House’s COVID-19 Response Coordinator, Ashish Jha, MD, MPH, plays a critical role in the federal government’s continued response to the pandemic. In this Q&A with JAMA Associate Editor Preeti Malani, MD, Jha details current thinking and federal planning around additional boosters, testing trends, and treatment for COVID-19. Related Content: New White House COVID-19 Leader on What’s Next Q&A With White House COVID-19 Response Coordinator Ashish Jha
5/18/2022 • 23 minutes, 42 seconds
USPSTF Recommendation: Screening for Chronic Obstructive Pulmonary Disease
Interview with Katrina E. Donahue, MD, MPH, USPSTF member and coauthor of Screening for Chronic Obstructive Pulmonary Disease: US Preventive Services Task Force Reaffirmation Recommendation Statement. Hosted by JAMA Senior Editor Kristin Walter, MD. Related Content: USPSTF Review: Screening for Chronic Obstructive Pulmonary Disease Screening for Chronic Obstructive Pulmonary Disease: Challenges and Opportunities USPSTF Recommendation: Screening for Chronic Obstructive Pulmonary Disease Patient Information: Screening for Chronic Obstructive Pulmonary Disease
5/10/2022 • 9 minutes, 1 second
Q&A With FDA Commissioner Robert Califf
After serving as commissioner of the US Food and Drug Administration (FDA) under President Obama, Robert M. Califf, MD, recently returned to the role, overseeing a critical federal agency that regulates food, drugs, therapeutics, and medical devices in the US. In a wide-ranging discussion with JAMA Deputy Editor Gregory Curfman, MD, Califf discusses COVID-19 vaccine modifications, the FDA’s approach to evaluating evidence, and efforts to combat health misinformation. Recorded April 26, 2022. Related Content: “Unfinished Business” Brings Robert Califf, MD, Back for a Second Stint as FDA Commissioner Q&A With FDA Commissioner Robert Califf
5/4/2022 • 23 minutes, 29 seconds
USPSTF Recommendation: Aspirin Use for Cardiovascular Disease
Interview with John B. Wong, MD, USPSTF member and coauthor of Aspirin Use for Cardiovascular Disease: US Preventive Services Task Force Recommendation Statement. Hosted by JAMA Deputy Editor Gregory Curfman, MD. Related Content: Aspirin Use to Prevent Cardiovascular Disease: US Preventive Services Task Force Recommendation Statement Should Patients Take Aspirin for Primary Cardiovascular Prevention? USPSTF Review: Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer: Updated Modeling Study for the US Preventive Services Task Force Patient Information: Use of Aspirin to Prevent Cardiovascular Disease Whom to Treat for Primary Prevention of Atherosclerotic Cardiovascular Disease
4/26/2022 • 14 minutes, 17 seconds
Reducing “COVID-19 Misinformation” While Preserving Free Speech
Misinformation about COVID-19 (such as around vaccines, masks, and ineffective drugs) has circulated widely during the pandemic, and much of this misinformation is protected by the Free Speech Clause of the First Amendment. Professor of Surgery and Perioperative Care and Professor of Law William M. Sage, MD, JD, from the University of Texas at Austin, is interviewed in this JAMA podcast. Related Content: Reducing “COVID-19 Misinformation” While Preserving Free Speech
4/19/2022 • 24 minutes, 45 seconds
Examining the Association of Left Atrial Function and Size With Incident Dementia
Electrocardiographic markers of atrial myopathy are associated with dementia, but it is unclear whether 2-dimensional echocardiographic––defined LA function and size are associated with dementia. JAMA Senior Editor Philip Greenland, MD, discusses study findings with Wendy Wang, MPH, and Lin Yee Chen, MD, authors of Association of Echocardiographic Measures of Left Atrial Function and Size With Incident Dementia
3/22/2022 • 12 minutes, 57 seconds
Leading Medicare: Q&A With Medicare Director Meena Seshamani
As the largest public insurance program in the US, Medicare has an outsize influence in how many people in the US access and receive health care. Recently appointed Director of Center for Medicare Meena Seshamani, MD, PhD, joins JAMA Associate Editor Karen Joynt Maddox, MD, for a discussion of equitable, patient-centered approaches to health care delivery, and how her own experiences as a physician have illuminated how she leads the program. Related Content: Center for Medicare Director Envisions Holistic Approach to Health Care Leading Medicare: Q&A With Medicare Director Meena Seshamani Health System Factors Related to Overuse of Health Services in Medicare Leveraging Medicare to Advance Health Equity
3/16/2022 • 26 minutes, 39 seconds
USPSTF Recommendation: Screening for Eating Disorders in Adolescents and Adults
Interview with Lori Pbert, PhD, USPSTF member and coauthor of Screening for Eating Disorders in Adolescents and Adults: US Preventive Services Task Force Recommendation Statement
3/15/2022 • 12 minutes, 23 seconds
USPSTF Recommendation: Screening for Atrial Fibrillation
Interview with Gbenga Ogedegbe, MD, MPH, USPSTF member and coauthor of Screening for Atrial Fibrillation: US Preventive Services Task Force Recommendation Statement. Hosted by Gregory Curfman, MD.
1/25/2022 • 16 minutes, 41 seconds
Public Health in an Era of Endemic COVID-19
Three members of President Biden’s former COVID-19 Advisory Board—Luciana Borio, MD, Ezekiel Emanuel, MD, PhD, and Mike Osterholm, PhD—discuss their recent JAMA Viewpoints, providing their ideas on strategies for public health as COVID-19 transitions from pandemic to endemic. Hosted by JAMA Associate Editor Preeti Malani, MD. Related Content: A National Strategy for the “New Normal” of Life With COVID A National Strategy for COVID-19—Testing, Surveillance, and Mitigation Strategies A National Strategy for COVID-19 Medical Countermeasures Former Biden-Harris Transition Advisors Propose a New National Strategy for COVID-19 Public Health in an Era of Endemic COVID-19 (video)
1/18/2022 • 32 minutes, 4 seconds
COVID-19 CDC Update – Early January 2022
Former CDC Executive Secretariat of the Advisory Committee on Immunization Practices Amanda Cohn, MD, joins JAMA Associate Editor Preeti Malani, MD, for the latest on the need for vaccination and boosters, vaccine misinformation, and tackling the pandemic from a global perspective. Recorded January 6, 2022. Related Content: One Year of COVID-19 Vaccines: A Shot of Hope, a Dose of Reality COVID-19 Vaccines Have Been Available in the US for More Than a Year—What’s Been Learned and What’s Next? COVID-19 CDC Update – Early January 2022
1/11/2022 • 32 minutes, 11 seconds
USPSTF Recommendation: Screening and Interventions to Prevent Dental Caries in Children
Interview with Michael Cabana, MD, USPSTF member and coauthor of Screening and Interventions to Prevent Dental Caries in Children Younger Than 5 Years: US Preventive Services Task Force Recommendation Statement. Related Content: Screening and Interventions to Prevent Dental Caries in Children Younger Than 5 Years
12/7/2021 • 14 minutes, 14 seconds
COVID-19 Update: Omicron Variant
Infectious disease experts Adam Lauring, MD, PhD, and Carlos del Rio, MD, join JAMA Associate Editor Preeti Malani, MD, MSJ, for a discussion of the newly emerged Omicron variant, the potential for a 2021-2022 "twindemic" with flu, and the latest COVID-19 clinical updates. Recorded December 1, 2021. Related content: Omicron Has Reached the US—Here’s What Infectious Disease Experts Know About the Variant COVID-19 Update: Omicron Variant
12/6/2021 • 38 minutes, 4 seconds
Achieving Diagnostic Excellence in the 21st Century
Phil Fontanarosa, MD, MBA, interim editor in chief of JAMA, interviews Harvey V. Fineberg, MD, PhD, from the Gordon and Betty Moore Foundation, and Abraham Verghese, MD, from Stanford University School of Medicine, about diagnostic excellence and a new series on this topic in JAMA. Related Content: Diagnostic Excellence Diagnosis and the Illness Experience: Ways of Knowing
10/28/2021 • 20 minutes, 34 seconds
A Continued Focus on Equity Through Pharmacoequity and Digital Health Equity: Two Current Viewpoints
Individuals who experience systemic, structural, institutional, and social barriers within society deserve better and more convenient health care access. This idea should be central when advancing efforts to achieve health equity. JAMA Editorial Board member Raina M. Merchant, MD, speaks with Courtney R. Lyles, PhD, and Urmimala Sarkar, MD, about approaches toward improving digital health equity and with Utibe R. Essien, MD, about enhancing targeted efforts toward realizing pharmacoequity. Related Content: A Policy Prescription for Reducing Health Disparities—Achieving Pharmacoequity Focusing on Digital Health Equity
10/22/2021 • 23 minutes, 53 seconds
Administrative Costs in US Health Care: A Quarter-Trillion-Dollar Opportunity
Health care expenses that arise from largely nonclinical functions, such as coding and billing and administration, cost the US health care system almost $1 trillion annually. Michael Chernew, PhD, from Harvard Medical School Department of Health Care Policy, and David Cutler, PhD, from Harvard University Department of Economics, join JAMA Associate Editor Karen Joynt Maddox, MD, MPH, from Washington University School of Medicine to discuss some basic fixes and simplifications that could reduce administrative spending by an estimated $265 billion. Related Content: Waste in the US Health Care System: Estimated Costs and Potential for Savings Administrative Expenses in the US Health Care System: Why So High? Administrative Simplification and the Potential for Saving a Quarter-Trillion Dollars in Health Care Economic Incentives for Administrative Simplification Waste in the US Health Care System Waste in the US Health Care System
10/20/2021 • 22 minutes, 15 seconds
Effect of Carbon Dioxide Laser vs Sham Therapy on Women With Postmenopausal Vaginal Symptoms
Interview with Jason A. Abbott, and Fiona G Li, authors of Effect of Fractional Carbon Dioxide Laser vs Sham Treatment on Symptom Severity in Women With Postmenopausal Vaginal Symptoms: A Randomized Clinical Trial
10/12/2021 • 20 minutes, 36 seconds
Scopolamine Butylbromide for Preventing End-of-Life Death Rattle
Death rattle, defined as noisy breathing caused by the presence of mucus in the respiratory tract, is common among dying patients. Harriette van Esch, MD, from the Erasmus Medical Center, the Netherlands, and Jared R. Lowe, MD, from the University of North Carolina, join JAMA Associate Editor Ethan Basch, MD, to discuss evidence about use of prophylactic scopolamine butylbromide to reduce the death rattle. Related Content: Effect of Prophylactic Subcutaneous Scopolamine Butylbromide on Death Rattle Preventing Death Rattle With Prophylactic Subcutaneous Scopolamine Butylbromide
10/5/2021 • 15 minutes, 16 seconds
COVID-19 in Canada—Experience and Response to Waves 2 and 3
Canadian law gives the country’s individual provinces and territories primary responsibility for coronavirus containment and mitigation. JAMA Associate Editor Preeti Malani, MD, MSJ, from the University of Michigan and Allan S. Detsky, MD, PhD, from the University of Toronto, Ontario, Canada, discuss the national pandemic experience, including public health responses to infection and vaccine allocation, from fall 2020 through summer 2021. Related Content: COVID-19 in Canada: Experience and Response to Waves 2 and 3
9/28/2021 • 23 minutes, 35 seconds
USPSTF Recommendation: Aspirin Use to Prevent Preeclampsia and Related Morbidity and Mortality
Interview with Aaron B. Caughey, MD, USPSTF member and coauthor of Aspirin Use to Prevent Preeclampsia and Related Morbidity and Mortality: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Related Content: Low-Dose Aspirin for the Prevention of Preeclampsia USPSTF Recommendation: Aspirin Use to Prevent Preeclampsia Patient Information: Use of Aspirin During Pregnancy to Prevent Preeclampsia
9/28/2021 • 16 minutes, 22 seconds
USPSTF Recommendation: Screening for Chlamydia and Gonorrhea
Interview with Martha Kubik, PhD, RN, USPSTF member and coauthor of Screening for Chlamydia and Gonorrhea: US Preventive Services Task Force Recommendation Statement
9/14/2021 • 14 minutes, 45 seconds
Addressing Diversity, Equity, and Inclusion in Health Care and Medicine
While health disparities have gained growing attention in recent years, much work is still needed, as inequities continue to have a direct and measurable negative influence on patients in historically disadvantaged communities. David Satcher, MD, PhD, Francisco Cigarroa, MD, and Howard Koh, MD, MPH, join moderator Ebony Boulware, MD, MPH, to discuss the vital importance of the visibility of all races and ethnicities in research, medical schools, and health care. They propose potential solutions, including the recruitment of and support for more physicians who look like their patients, who care enough, know enough, have the courage to make a difference, and who will persevere until changes are made. Related Content: Healing and Health Equity for Asian American, Native Hawaiian, and Pacific Islander Populations Uplifting the Latino Population From Obscurity to the Forefront of Health Care Does Race Interfere With the Doctor-Patient Relationship? (published 1973) Race and the Patient-Physician Relationship in 2021
8/17/2021 • 43 minutes, 5 seconds
Noninvasive Ventilation of COVID-19 Patients
Noninvasive ventilation (NIV) may help COVID-19 patients in respiratory failure avoid invasive mechanical ventilation but may also lead to delays in intubation with potential for worse clinical outcomes. Domenico L. Grieco, MD, of Fondazione Policlinico Agostino Gemelli IRCCS in Rome, Jesse B. Hall, MD, of the University of Chicago, and Laveena Munshi, MD, MSc, of Sinai Health System/University Health Network of the University of Toronto join JAMA's live Q&A series to discuss helmet NIV, high-flow nasal oxygen, and other NIV modalities in the management of hypoxic coronavirus patients. Recorded March 25, 2021. Related Content: Effect of Helmet Noninvasive Ventilation vs High-Flow Nasal Oxygen on Days Free of Respiratory Support in Patients With COVID-19 and Moderate to Severe Hypoxemic Respiratory Failure Respiratory Support During the COVID-19 Pandemic: Is It Time to Consider Using a Helmet? Noninvasive Ventilation of COVID-19 Patients
3/29/2021 • 32 minutes, 15 seconds
Precision Dosing—A Clinical and Public Health Imperative
Interview with Kimberly Maxfield, PhD, author of Precision Dosing—A Clinical and Public Health Imperative
3/24/2021 • 16 minutes, 47 seconds
USPSTF Recommendation: Screening for Hearing Loss in Older Adults
Interview with Chien-Wen W. Tseng, MD, USPSTF member and coauthor of USPSTF Recommendation: Screening for Hearing Loss in Older Adults
3/23/2021 • 19 minutes, 39 seconds
Coronavirus Update With Carlos del Rio and Preeti Malani
Coronavirus trends, variants, vaccines, treatment, and more. JAMA Associate Editor Preeti Malani, MD, MSJ, also from the University of Michigan, and Emory University School of Medicine's Carlos del Rio, MD, return to JAMA's Q&A series to discuss the latest in COVID-19 medicine and public health. Recorded March 15, 2021. Related Content: COVID-19 in 2021—Continuing Uncertainty Coronavirus Update With Carlos del Rio and Preeti Malani Frequently Asked COVID Vaccine Questions
3/18/2021 • 32 minutes, 46 seconds
A Conversation About Structural Racism in Medicine and Health Care
Lisa A. Cooper, MD, MPH, of Johns Hopkins University School of Medicine; Clyde W. Yancy, MD, MSc, of Northwestern University, and David R. Williams, PhD, MPH, of Harvard T.H. Chan School of Public Health, join JAMA Editor in Chief Howard Bauchner, MD, to discuss racism and structural racism in health care and medicine. Recorded March 16, 2021.
3/18/2021 • 36 minutes, 36 seconds
National Initiatives to Prevent Myocardial Infarction and Stroke
Interview with Thomas R. Frieden, MD, MPH, author of National Initiatives to Prevent Myocardial Infarction and Stroke
3/12/2021 • 20 minutes, 47 seconds
USPSTF Recommendation—Screening for Lung Cancer
Interview with Michael J. Barry, MD, author of USPSTF Recommendation—Screening for Lung Cancer
3/11/2021 • 28 minutes, 17 seconds
Coronavirus Variants With John P. Moore
Genetic variants of the SARS-CoV-2 virus are emerging but so far do not seem to have caused breakthrough infections in people with previous infection or in those who have been vaccinated. John P. Moore, PhD, of Weill Medical College of Cornell University in New York, joins JAMA's Q&A series for an update on the latest variants and what you need to know. Recorded March 4, 2021. Related Article: Approaches for Optimal Use of Different COVID-19 Vaccines
3/8/2021 • 33 minutes, 49 seconds
Will COVID-19 Become a Recurrent Seasonal Disease?
Interview with Christopher J.L. Murray, MD, DPhil, author of The Potential Future of the COVID-19 Pandemic: Will SARS-CoV-2 Become a Recurrent Seasonal Infection?
3/3/2021 • 28 minutes, 38 seconds
Coronavirus Vaccine Update From the CDC With Nancy E. Messonnier, MD
Nancy E. Messonnier, MD is director of the National Center for Immunization and Respiratory Diseases (NCIRD) at the Centers for Disease Control and Prevention (CDC) and leads the CDC’s efforts on COVID-19 vaccination. She joins JAMA's Q&A series to discuss the agency's response to emerging coronavirus variants, the FDA advisory hearings on the new Johnson & Johnson vaccine, and other agency activities and priorities related to COVID-19 control. Recorded February 26, 2021. Related Content: Genetic Variants of SARS-CoV-2—What Do They Mean? Coronavirus Vaccine Update From the CDC With Nancy E. Messonnier, MD SARS-CoV-2 Vaccines and the Growing Threat of Viral Variants Experts Discuss COVID-19—Vaccine Doses, Virus Variants, and More Emergence of a Novel SARS-CoV-2 Variant in Southern California SARS-CoV-2 Variants of Concern in the United States Pregnant People Getting Mixed Messages About COVID-19 Vaccines The Johnson & Johnson Vaccine for COVID-19 SARS-CoV-2 Viral Variants—Tackling a Moving Target Vaccine Distribution—Equity Left Behind? Taking Vaccine to Where the Virus Is—Equity and Effectiveness in Coronavirus Vaccinations?
3/2/2021 • 33 minutes, 49 seconds
Funding of Pharmaceutical Innovation During and After the COVID-19 Pandemic
Interview with James C. Robinson, PhD, author of Funding of Pharmaceutical Innovation During and After the COVID-19 Pandemic
3/2/2021 • 21 minutes, 41 seconds
Removing One Barrier to Opioid Use Disorder Treatment—Is It Enough?
Interview with Richard Saitz, MD, author of Removing One Barrier to Opioid Use Disorder Treatment: Is It Enough and with Yngvild Olsen, MD, author of Overcoming Barriers to Treatment of Opioid Use Disorder
2/25/2021 • 29 minutes, 33 seconds
New Insights Into Plaque Erosion as a Mechanism of Acute Coronary Syndromes
Interview with Ik-Kyung Jang, MD, PhD, author of New Insights Into Plaque Erosion as a Mechanism of Acute Coronary Syndromes
2/22/2021 • 19 minutes, 21 seconds
Coronavirus Update With CDC Director Rochelle Walensky - February 17, 2021
CDC Director Rochelle P. Walensky, MD, MPH, returns to JAMA's Q&A series to discuss the agency's response to emerging SARS-CoV-2 variants, implications for the planned vaccine mobilization strategy, the upcoming Johnson & Johnson vaccine FDA advisory hearings, strategies for reopening K-12 schools, and other agency activities and priorities related to COVID-19 control. Recorded February 17, 2021. Related Article(s): Coronavirus Update With CDC Director Rochelle Walensky - February 17, 2021 SARS-CoV-2 Variants of Concern in the United States—Challenges and Opportunities SARS-CoV-2 Viral Variants—Tackling a Moving Target
2/19/2021 • 30 minutes, 23 seconds
Coronavirus Vaccine Update With Paul Offit – February 11, 2021
Paul A. Offit, MD, of The Children's Hospital of Philadelphia returns to JAMA's Q&A series to provide an update on the emergence of COVID-19 variants and their implications for vaccine development, including the Johnson & Johnson vaccine, scheduled for a US Food and Drug Administration VRBPAC hearing on February 26, 2021. Recorded February 11, 2021. Related Article: SARS-CoV-2 Vaccines and the Growing Threat of Viral Variants
2/15/2021 • 32 minutes, 35 seconds
Coronavirus Vaccination in Pregnant and Breastfeeding Individuals
As US vaccine distribution expands to include younger healthier populations, questions about vaccine safety in women of childbearing age have become more urgent. University of Texas Southwestern Medical Center's Catherine Y. Spong, MD, and Emory University School of Medicine's Denise J. Jamieson, MD, MPH, both eminent obstetrician/gynecologists, join JAMA's Q&A series to discuss the safety of the Pfizer-BioNTech and Moderna vaccines in pregnant and nursing mothers, and in individuals trying to get pregnant. Recorded February 8, 2021. Related Article(s): Pregnancy, Postpartum Care, and COVID-19 Vaccination in 2021 COVID-19 Vaccination in Pregnant and Lactating Women Involving Pregnant Individuals in Clinical Research on COVID-19 Vaccines
2/10/2021 • 34 minutes, 5 seconds
Mandating COVID-19 Vaccines—Ethical and Legal Considerations
Interview with Lawrence O. Gostin, JD, author of Mandating COVID-19 Vaccines
2/9/2021 • 23 minutes, 35 seconds
The Triple Aim Applied to Correctional Health Systems
Interview with Donald Berwick, MD, author of The Triple Aim Applied to Correctional Health Systems
2/8/2021 • 15 minutes, 51 seconds
Coronavirus Variants - What They Mean
2021 has brought news of emerging SARS-CoV-2 genetic variants that increase transmissibility. Will they diminish vaccine efficacy and lead us to lose pandemic control? University of Michigan's Adam Lauring, MD, PhD, a molecular virologist who uses evolutionary theory to study viral transmission and pathogenesis, joins JAMA's Q&A series to explain the variants and what they mean for public health. Recorded February 4, 2021. Related Article(s): Genetic Variants of SARS-CoV-2—What Do They Mean?
2/8/2021 • 27 minutes, 42 seconds
Coronavirus Update With Anthony Fauci – February 3, 2021
NIAID Director Anthony S. Fauci, MD, returns to JAMA's Q&A series to discuss Shifts in the US pandemic response under the Biden administration Emerging genetic variants and implications for vaccine efficacy Prospects for new vaccine approvals and more. Related Article: Preventing the Spread of SARS-CoV-2 With Masks and Other “Low-tech” Interventions
2/5/2021 • 23 minutes, 19 seconds
When Physicians Engage in Practices That Threaten the Nation’s Health
Interview with Philip A. Pizzo, MD, author of When Physicians Engage in Practices That Threaten the Nation’s Health
2/4/2021 • 23 minutes, 43 seconds
Ensuring Quality in the Era of Virtual Care
Interview with Peter Pronovost, MD, PhD, author of Ensuring Quality in the Era of Virtual Care and Abraham Verghese, MD, author of Virtual Care and Real Connection in the Era of COVID-19
2/2/2021 • 25 minutes, 36 seconds
USPSTF Recommendation: Carotid Artery Stenosis
Interview with Michael J. Barry, MD, USPSTF member and coauthor of USPSTF Recommendation: Carotid Artery Stenosis
2/2/2021 • 21 minutes, 8 seconds
Coronavirus Update With Peter Piot, MD, PhD
Peter Piot, MD, PhD, director of The London School of Hygiene and Tropical Medicine, is a legend in global health, having been involved in identification of HIV and Ebola virus in Africa. He was founding executive director of UNAIDS and Under Secretary-General of the United Nations from 1995 to 2008. He joins JAMA's Q&A series to discuss the global public health response to COVID-19 past, present, and future. Recorded January 28, 2021. Related Article(s): The Challenges Ahead With Monoclonal Antibodies
2/1/2021 • 38 minutes, 26 seconds
Three Interventions to Address the US Pandemic of Firearm Injury and Death
Interview with Frederick P. Rivara, MD, author of Three Interventions to Address the Other Pandemic—Firearm Injury and Death
1/26/2021 • 19 minutes, 59 seconds
Recalibrating the Use of Race in Medical Research
Interview with John P A Ioannidis, MD, DSC, author of Recalibrating the Use of Race in Medical Research
1/25/2021 • 20 minutes, 3 seconds
Health Care Reform in the Biden Era
President Biden has released a health care plan that proposes reducing the age of eligibility for Medicare to 60 years and introducing a public option. Larry Levitt, MPP, Executive Vice President for Health Policy at the Kaiser Family Foundation, JAMA Associate Editor Karen Joynt Maddox, MD, MPH, Co-Director of the Center for Health Economics and Policy (CHEP) at Washington University School of Medicine, and Lawrence O. Gostin, JD, from the O’Neill Institute for National and Global Health Law at Georgetown University discuss prospects for health care reform under the new administration. Recorded January 21, 2021. Related Article(s): Moving Patient Care Forward in the Biden Era
1/25/2021 • 36 minutes, 45 seconds
Coronavirus Update With CDC Director Rochelle Walensky
Incoming Centers for Disease Control and Prevention (CDC) Director Rochelle P. Walensky, MD, MPH, returns to JAMA's Q&A series to discuss her vision and priorities for the agency and changes in its pandemic response strategies, when she takes the reins on January 20. Recorded January 19, 2021. Related Article(s): All-Cause Excess Mortality and COVID-19–Related Mortality Among US Adults Aged 25-44 Years, March-July 2020
1/21/2021 • 21 minutes, 26 seconds
Coronavirus Vaccine Update with Paul Offit and Robert Wachter
To get more vaccine to more people more efficiently, UCSF School of Medicine's Robert M. Wachter, MD, recently urged giving a single dose now and deferring the second dose until more vaccine is available. Paul A. Offit, MD, of The Children's Hospital of Philadelphia, disagrees. The two discuss the pros and the cons of the plan and alternative responses to road bumps in the US vaccine rollout, on JAMA's live Q&A series. Recorded January 19, 2021. Related Article: Developing a SARS-CoV-2 Vaccine at Warp Speed
1/21/2021 • 43 minutes
Thrombolysis Before Thrombectomy for Stroke
Intravenous thrombolysis (IVT) and endovascular thrombectomy (EVT) both improve outcomes for patients with acute ischemic stroke. Jeffrey L. Saver, MD, director of UCLA’s Comprehensive Stroke and Vascular Neurology Program and a JAMA Associate Editor, discusses 2 randomized trials comparing outcomes for stroke patients treated with IVT prior to EVT vs EVT alone. Related Article: Intravenous Thrombolysis Before Endovascular Thrombectomy for Acute Ischemic Stroke
1/19/2021 • 21 minutes, 48 seconds
Public Health Messaging in an Era of Social Media
Interview with Raina M. Merchant, MD, author of Public Health Messaging in an Era of Social Media
1/19/2021 • 23 minutes, 52 seconds
USPSTF Recommendation: Tobacco Cessation in Adults
Interview with Michael Silverstein, MD, MPH, USPSTF member and coauthor of USPSTF Recommendation: Tobacco Cessation in Adults
1/19/2021 • 17 minutes, 6 seconds
Coronavirus Critical Care Update With Lennie Derde and Christopher Seymour
The COVID-19 pandemic has prompted scientists to use adaptive research designs to evaluate potential treatments simultaneously and efficiently, increasing the likelihood that patients will receive treatments most likely to be effective for them. Lennie Derde, MD, of University Medical Center Utrecht in the Netherlands and JAMA Associate Editor Christopher W. Seymour, MD, of University of Pittsburgh Medical Center join JAMA's Q&A series to discuss the latest in critical care management of COVID-19 patients and emerging treatment strategies and therapies. Recorded January 13, 2021. Related Article(s): Sensible Medicine-Optimizing the Trade-off Between Learning and Doing in a Pandemic
1/15/2021 • 32 minutes, 43 seconds
Coronavirus Vaccine Update With Arnold S. Monto, MD
Arnold S. Monto, MD, chaired the US Food and Drug Administration's Vaccines and Related Biological Products Advisory Committee (VRBPAC) meetings in December that led to Emergency Use Authorization (EUA) of the Pfizer/BioNTech and Moderna vaccines. He joins JAMA's Q&A series from the University of Michigan School of Public Health to discuss experience to date with the 2 products and what's next in vaccine development. Recorded January 11, 2021. Related Article(s): Experts Discuss COVID-19: Vaccine Allocation, Placebo Groups, and More
1/13/2021 • 30 minutes, 29 seconds
Diversifying Medical Education
Increasing the number of physicians who are Black, Hispanic/Latinx, and Indigenous benefits everyone in the US, but it cannot be the sole responsibility of historically Black colleges and universities (HBCUs). Valerie Montgomery Rice, MD, president and dean of Morehouse School of Medicine (MSM), and Clyde W. Yancy, MD, of Northwestern Medicine, join JAMA Editor in Chief Howard Bauchner, MD, to discuss options for developing training pipelines of underrepresented minority health science students, and how academic medicine can make racial justice a part of its work and mission. Recorded January 5, 2021. Related Article: Academic Medicine and Black Lives Matter
1/8/2021 • 39 minutes, 30 seconds
To Err Is Human: 20 Years of Health Care Quality
The National Academy of Medicine's 2000 report "To Err Is Human" launched the health care quality movement in the US. Victor Dzau, MD, president of the National Academy of Medicine, and Don Berwick, MD, MPP, from the Institute for Healthcare Improvement, discuss progress to date in advancing quality and prospects for improving outcomes and reducing harms, errors, and cost in the next 20 years. Recorded December 22, 2020. Related Article(s): Two Decades Since To Err Is Human
12/31/2020 • 29 minutes, 17 seconds
Digital Health—The Need to Assess Benefits, Risks, and Value
Interview with Geoffrey S. Ginsburg, MD, PhD, author of Digital Health—The Need to Assess Benefits, Risks, and Value
12/28/2020 • 20 minutes, 8 seconds
COVID-19 Vaccines and Herd Immunity
With coronavirus vaccines now available, what are the timeline and prospects for "herd immunity" and return to a new normal? Marc Lipsitch, DPhil, of Harvard T.H. Chan School of Public Health returns to JAMA's Q&A series with Paul D. Biddinger, MD, director of Massachusetts General Hospital's Center for Disaster Medicine, to discuss. Recorded December 17, 2020. Related Article(s): COVID-19 Vaccines and Herd Immunity The Ethics of Continuing Placebo in SARS-CoV-2 Vaccine Trials Evaluating SARS-CoV-2 Vaccines After Emergency Use Authorization or Licensing of Initial Candidate Vaccines Herd Immunity and Implications for SARS-CoV-2 Control Herd Immunity as a Coronavirus Pandemic Strategy
12/21/2020 • 48 minutes, 17 seconds
Coronavirus Vaccine FDA Update
Peter W. Marks, MD, PhD, and Stephen M. Hahn, MD, return to JAMA's Q&A series to discuss the Pfizer/BioNTech and Moderna vaccines: the data, the weekend's EUA designation (Pfizer/BioNTech), and the process for future full licensure and postmarketing safety surveillance. Dr Marks directs the US FDA's Center for Biologics Evaluation and Research (CBER). Dr Hahn is commissioner of the US Food and Drug Administration. Recorded December 14, 2020. Related Article(s): Behaviorally Informed Strategies for a National COVID-19 Vaccine Promotion Program
12/16/2020 • 25 minutes, 33 seconds
Trust in Health Care in the Time of COVID-19
Interview with David W. Baker, MD, MPH, author of Trust in Health Care in the Time of COVID-19
12/15/2020 • 21 minutes, 20 seconds
USPSTF Recommendation: Screening for Hepatitis B Virus Infection in Adolescents and Adults
Interview with Chyke A. Doubeni, MD, MPH, USPSTF member and coauthor of USPSTF Recommendation: Screening for Hepatitis B Virus Infection in Adolescents and Adults
12/15/2020 • 16 minutes, 49 seconds
Coronavirus Vaccine Update With Anthony Fauci
Anthony S. Fauci, MD, returns to JAMA's Q&A series to discuss the Pfizer/BioNTech and Moderna vaccines: the public data, deliberations at Thursday's FDA Advisory Committee meeting, and prospects for an agency Emergency Use Authorization designation, licensure, and rollout. Recorded December 11, 2020. Related Article(s): Coronavirus Infections—More Than Just the Common Cold
12/15/2020 • 30 minutes, 50 seconds
The COVID Tracking Project
The COVID Tracking Project, launched by The Atlantic, collects and publishes data required to understand the COVID-19 outbreak in the US, including data on race and ethnicity needed to understand health inequities in the outbreak. Atlantic Monthly journalists Alexis C. Madrigal and Erin Kissane join JAMA's Q&A series to describe the project and their experience developing a database for fact-based health reporting on the pandemic. Recorded December 10, 2020.
12/11/2020 • 33 minutes, 16 seconds
Asthma Guidelines Update 2020 - Diagnosis and Management
The National Asthma Education and Prevention Program (NAEPP) of the NIH has updated its guideline recommendations for diagnosis and treatment of asthma patients. Michelle M. Cloutier, MD, from UConn Health, Stephanie Lovinsky-Desir, MD, of Columbia University Irving Medical Center, and JAMA Associate Editor George O'Connor, MD, MS, from Boston Medical Center join JAMA's Q&A series to discuss what's new, including revised advice about • Use of intermittent inhaled corticosteroids (ICSs) • Use of add-on long-acting muscarinic antagonists (LAMAs) • Use of fractional exhaled nitric oxide (FeNO) measurement as a diagnostic biomarker • Monitoring response to therapy • Indoor allergen mitigation strategies • Safety and efficacy of subcutaneous and sublingual immunotherapy • Use of bronchial thermoplasty Recorded December 8, 2020 Related Article(s): Managing Asthma in Adolescents and Adults
12/10/2020 • 40 minutes, 56 seconds
Coronavirus Vaccine Update With Paul Offit
With the Pfizer and Moderna coronavirus vaccines reportedly under review at the US FDA for Emergency Use Authorization (EUA), Paul A. Offit, MD, of the Children's Hospital of Philadelphia, returns to JAMA's Q&A series to provide an update on what to expect, prospects for vaccine rollout and distribution in the coming months, and ongoing safety surveillance. Recorded December 2, 2020. Related Article: Developing a SARS-CoV-2 Vaccine at Warp Speed
12/4/2020 • 29 minutes, 44 seconds
Health Policy in the Supreme Court and a New Conservative Majority
Interview with Lawrence O. Gostin, JD, author of Health Policy in the Supreme Court and a New Conservative Majority
12/1/2020 • 31 minutes, 18 seconds
Coronavirus Update with Nicholas Christakis
Yale Sterling Professor Nicholas A. Christakis, MD, PhD, MPH, returns to JAMA's Q&A series to discuss the surge in US cases and other recent pandemic developments. Dr Christakis is author of the recently published book "Apollo's Arrow: The Profound and Enduring Impact of Coronavirus on the Way We Live." Recorded November 23, 2020.
11/25/2020 • 45 minutes, 40 seconds
Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors
Interview with Martha Y. Kubik, PhD, RN, USPSTF member and coauthor of Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors
11/24/2020 • 14 minutes, 50 seconds
COVID-19 Update—Critical Care and Pandemic Response
In the midst of rising COVID-19 case rates globally, Derek C. Angus, MD, MPH, and Rochelle P. Walensky, MD, MPH, return to JAMA's Q&A series to update viewers on developments in the pandemic and the critical care management of COVID-19 patients. Dr Angus is Chief Health Care Innovation Officer at the University of Pittsburgh Medical Center, professor and chair of Critical Care Medicine, and a senior JAMA editor. Dr Walensky is Chief of Infectious Diseases at Massachusetts General Hospital and a professor at Harvard Medical School. Recorded November 19, 2020. Related Article(s): Optimizing the Trade-off Between Learning and Doing in a Pandemic
11/23/2020 • 34 minutes, 24 seconds
Older Adults and the Mental Health Effects of COVID-19
Interview with Ipsit V. Vahia, MD, author of Older Adults and the Mental Health Effects of COVID-19 Related Article(s): Older Adults and the Mental Health Effects of COVID-19
11/20/2020 • 22 minutes, 42 seconds
Heritable Human Genome Editing (HHGE)—The International Commission Report
Interview with Eli Y. Adashi, MD, MS, author of Heritable Human Genome Editing: The International Commission Report
11/17/2020 • 22 minutes, 27 seconds
Coronavirus and US State Departments of Health
Ngozi O. Ezike, MD, director of the Illinois Department of Public Health, discusses state and regional management of the COVID-19 pandemic. Recorded November 9, 2020. Related Article(s): Universal Masking in the United States
11/11/2020 • 28 minutes, 30 seconds
Herd Immunity as a Coronavirus Pandemic Strategy
Would letting coronavirus infect the broad US and global population be a safe and effective means of ending the COVID-19 pandemic? Jay Bhattacharya, MD, PhD, of Stanford University's Center for Primary Care and Outcomes Research is a signatory of the "Great Barrington Declaration," which proposes to "allow those at minimal risk of death to live their lives normally to build up immunity to the virus through natural infection, while better protecting those who are at highest risk." Marc Lipsitch, PhD, of the Harvard T.H. Chan School of Public Health, a signatory of the "John Snow Memorandum," which refutes the argument, responds. Related Article: Herd Immunity and Implications for SARS-CoV-2 Control
11/11/2020 • 52 minutes, 51 seconds
USPSTF Recommendation: Screening for Hypertension in Children and Adolescents
Interview with Michael Silverstein, MD, USPSTF member and coauthor of Screening for Hypertension in Children and Adolescents
11/10/2020 • 19 minutes, 49 seconds
Long-term Health Consequences of COVID-19
Interview with Carlos del Rio, MD, author of Long-term Health Consequences of COVID-19 Related Article: Long-term Health Consequences of COVID-19
11/3/2020 • 25 minutes, 46 seconds
Coronavirus Update With Anthony Fauci - October 28, 2020
Anthony S. Fauci, MD, returns to JAMA's Q&A series to discuss the latest developments in the COVID-19 pandemic, including the continued importance of nonpharmaceutical interventions (masking, handwashing, physical distancing) for managing rising case numbers in the US and globally. Recorded October 28, 2020. Related Article(s): Preventing the Spread of SARS-CoV-2 With Masks and Other “Low-tech” Interventions
10/30/2020 • 28 minutes, 5 seconds
Coronavirus Vaccine Update With Paul A. Offit, MD
Paul A. Offit, MD, of the Children's Hospital of Philadelphia, returns to JAMA's Q&A series to provide an update on progress in COVID-19 vaccine development. Recorded October 27, 2020. Related Article(s): Developing a SARS-CoV-2 Vaccine at Warp Speed
10/29/2020 • 25 minutes, 59 seconds
Clinical Genome Sequencing—The Importance of Implementation Data
Interview with Kathryn A. Phillips, PhD, author of Expanding Use of Clinical Genome Sequencing and the Need for More Data on Implementation Related content: Functional Neurological Disorder Society
10/26/2020 • 18 minutes, 36 seconds
Coronavirus Update With Rochelle Walensky, MD, MPH
Rochelle P. Walensky, MD, MPH, of Harvard Medical School and Massachusetts General Hospital returns to JAMA's COVID-19 Q&A to provide an update on developments in the pandemic. She is a signatory of the recent John Snow Memorandum emphasizing the importance of public health interventions to manage the spread of COVID-19. Recorded October 22, 2020. Related Article(s): Preventing the Spread of SARS-CoV-2 With Masks and Other “Low-tech” Interventions
10/26/2020 • 32 minutes, 58 seconds
The Costs of Coronavirus
The costs of the coronavirus pandemic are unprecedented in their dimensions: David M. Cutler, PhD, of Harvard University discusses financial costs: the $16 trillion virus. Lisa Cooper, MD, MPH, of Johns Hopkins University discusses the costs to communities of color in excess deaths and bereavement. Charles R. Marmar, MD, of NYU Grossman School of Medicine discusses the mental health costs. Recorded October 20, 2020. Related Article(s): The COVID-19 Pandemic and the $16 Trillion Virus
10/22/2020 • 34 minutes, 5 seconds
Coronavirus Q&A With Andy Slavitt, MBA
Andy Slavitt, MBA, discusses recent developments in the COVID-19 pandemic and the US response. Slavitt is former Acting CMS Administrator in the Obama administration, board director at the United States of Care in Washington, DC, and a Distinguished Health Policy Fellow at the Leonard Davis Institute of Health Economics at the University of Pennsylvania in Philadelphia. Recorded October 16, 2020. Related Article: The COVID-19 Pandemic Underscores the Need to Address Structural Challenges of the US Health Care System
10/21/2020 • 45 minutes, 37 seconds
Prioritizing Racial and Ethnic Minority Populations for Coronavirus Vaccination
The National Academy of Medicine has recommended that racial minority populations receive priority for vaccination because they have been hard hit by the pandemic and are "worse off" socioeconomically. US law is inconsistent on whether race/ethnicity can be an explicit criterion for achieving equity and diversity. Lawrence O. Gostin, JD, of Georgetown University and Michelle A. Williams, ScD, of Harvard T.H. Chan School of Public Health discuss ways to achieve the public health objective of protecting vulnerable communities while adhering to law and ethics. Recorded October 14, 2020. Related Article(s): Is It Lawful and Ethical to Prioritize Racial Minorities for COVID-19 Vaccines?
10/16/2020 • 31 minutes, 20 seconds
Sensible Medicine—Balancing Intervention and Inaction During the COVID-19 Pandemic
Interview with Christopher W. Seymour, MD, MSc, author of Sensible Medicine—Balancing Intervention and Inaction During the COVID-19 Pandemic
10/15/2020 • 21 minutes, 17 seconds
The Surgeon General's Call to Action to Control Hypertension
The US Surgeon General’s office has released a report emphasizing the importance of making hypertension control a national public health priority. Vice Admiral Jerome Adams, MD, MPH, the 20th US Surgeon General, discusses the report's background and recommendations. Recorded October 7, 2020. Related Article(s): A National Commitment to Improve the Care of Patients With Hypertension in the US
10/9/2020 • 23 minutes, 31 seconds
Who Gets Coronavirus Vaccine First?
On October 2 the US National Academies of Science, Engineering, and Medicine issued its consensus Framework for Equitable Allocation of a COVID-19 Vaccine. William H. Foege, MD, MPH, emeritus distinguished professor of International Health at the Rollins School of Public Health at Emory University, cochaired the committee that authored the report and discusses its recommendations. Recorded October 2, 2020. Related Article: Fairly Prioritizing Groups for Access to COVID-19 Vaccines
10/7/2020 • 35 minutes, 32 seconds
Coronavirus Vaccine Update From the FDA
Peter Marks, MD, PhD, directs the US FDA's Center for Biologics Evaluation and Research (CBER) and will "call the balls and strikes" on any COVID-19 vaccine, according to FDA Commissioner Stephen Hahn. He joins JAMA Editor Howard Bauchner, MD, for an update on vaccine progress to date and prospects for pre-election political interference in the FDA approval process. Recorded October 5, 2020. Related Article(s): Unwavering Regulatory Safeguards for COVID-19 Vaccines
10/7/2020 • 32 minutes, 26 seconds
De-Adopting Low-Value Care—Evidence, Eminence, and Economics
Interview with William H. Shrank, MD, author of De-adopting Low-Value Care: Evidence, Eminence, and Economics Related Article(s): De-adopting Low-Value Care
10/2/2020 • 25 minutes, 17 seconds
Coronavirus Q&A With Anthony Fauci, MD – September 25, 2020
Anthony S. Fauci, MD, returns to JAMA's Q&A series to discuss the latest developments in the COVID-19 pandemic. Recorded September 25, 2020. Related Article(s): Reassuring the Public and Clinical Community About the Scientific Review and Approval of a COVID-19 Vaccine
9/29/2020 • 37 minutes, 15 seconds
Coronavirus Update With Michael T. Osterholm, PhD, MPH
Michael T. Osterholm, PhD, MPH, returns to JAMA's Coronavirus Q&A series to discuss the latest developments in the COVID-19 pandemic. He is director of the Center for Infectious Disease Research and Policy (CIDRAP) at University of Minnesota and a veteran of pandemic planning. Recorded September 23, 2020. Related Article(s): Fairly Prioritizing Groups for Access to COVID-19 Vaccines
9/25/2020 • 30 minutes, 1 second
COVID-19 Vaccine Approval and the FDA
Hydroxychloroquine and convalescent plasma approvals by the FDA under Emergency Use Authorization (EUA) protocols have raised concerns the agency is under withering political pressure to fast-track a COVID-19 vaccine before it is proven safe and effective. Joshua Sharfstein, MD, Johns Hopkins Bloomberg School of Public Health, and JAMA Associate Editor Preeti Malani, MD, University of Michigan, discuss implications for public health and policy responses to ensure vaccine safety. Recorded September 18, 2020. Related Article: Reassuring the Public and Clinical Community About the Scientific Review and Approval of a COVID-19 Vaccine
9/23/2020 • 35 minutes, 55 seconds
Regulatory Decision-making on COVID-19 Vaccines During a Public Health Emergency
Interview with Aaron S. Kesselheim, MD, author of Regulatory Decision-making on COVID-19 Vaccines During a Public Health Emergency Related Article(s): Regulatory Decision-making on COVID-19 Vaccines During a Public Health Emergency
9/15/2020 • 21 minutes, 33 seconds
Algorithmic Stewardship for Artificial Intelligence and Machine Learning Technologies
Interview with Atul J Butte, MD, PhD, author of The Case for Algorithmic Stewardship for Artificial Intelligence and Machine Learning Technologies Related Article: The Case for Algorithmic Stewardship for Artificial Intelligence and Machine Learning Technologies
9/14/2020 • 22 minutes, 16 seconds
Hypertension, Obesity, and COVID-19
New data show unfavorable US trends in hypertension and obesity, with communities of color doing worse. National Institute of Diabetes and Digestive and Kidney Diseases Director Griffin P. Rodgers, MD, and National Heart, Lung, and Blood Institute Director Gary H. Gibbons, MD, discuss the implications for COVID-19 outcomes and public health. Recorded September 10, 2020. Related Article(s): Trends in Blood Pressure Control Among US Adults With Hypertension, 1999-2000 to 2017-2018
9/14/2020 • 33 minutes, 28 seconds
Changing Language to Improve Physician Communication About Treatment Decisions
Interview with Deborah Korenstein, MD, and Daniel J. Morgan, MD, author of Improving Physician Communication About Treatment Decisions: Reconsideration of “Risks vs Benefits” Related Article(s): Improving Physician Communication About Treatment Decisions
9/8/2020 • 23 minutes, 55 seconds
Corticosteroids for COVID-19: New Evidence of Benefit
A conversation with Jonathan A. C. Sterne, MA, MSc, PhD, of the University of Bristol, Todd W. Rice, MD, MSc, of Vanderbilt University, and Janet V. Diaz, MD, of the World Health Organization (WHO) on the latest research supporting the use of hydrocortisone and dexamethasone for treatment of COVID-19 ARDS. Recorded September 2, 2020. Related Article(s): Effect of Hydrocortisone on 21-Day Mortality or Respiratory Support Among Critically Ill Patients With COVID-19
9/4/2020 • 31 minutes, 25 seconds
The Transformational Effects of COVID-19 on Medical Education
Interview with Catherine Lucey, MD, FACP, author of The Transformational Effects of COVID-19 on Medical Education
8/26/2020 • 33 minutes, 48 seconds
Coronavirus Vaccine Update
Paul A. Offit, MD, of the Children's Hospital of Philadelphia provides an update on COVID-19 vaccine development. Recorded August 24, 2020. Related Article: Developing a SARS-CoV-2 Vaccine at Warp Speed
8/26/2020 • 39 minutes, 7 seconds
Coronavirus Update From the CDC – August 20, 2020
CDC Director Robert Redfield, MD, discusses recent developments in the COVID-19 pandemic and US response, including prospects for dual outbreaks of COVID-19 and influenza in the fall and winter. Related Article(s): Addressing Influenza Vaccination Disparities During the COVID-19 Pandemic
8/24/2020 • 30 minutes, 47 seconds
Coronavirus Update With Ezekiel J. Emanuel, MD, PhD
Ezekiel Emanuel, MD, PhD, of the University of Pennsylvania's Perelman School of Medicine, Department of Medical Ethics and Health Policy, discusses recent developments in the COVID-19 pandemic. Recorded August 19, 2020. Related Article(s): The Ethics of COVID-19 Immunity-Based Licenses (“Immunity Passports”)
8/21/2020 • 36 minutes, 33 seconds
USPSTF Recommendation: Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections
Interview with Melissa A Simon, MD, USPSTF member and coauthor of Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections: US Preventive Services Task Force Recommendation Statement Related Article(s): Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections
8/18/2020 • 14 minutes, 7 seconds
The Convergence of Neurology and Psychiatry
Interview with Matcheri S. Keshavan, MD, author of The Convergence of Neurology and Psychiatry: The Importance of Cross-Disciplinary Education
8/11/2020 • 28 minutes, 39 seconds
Coronavirus Update From the WHO
Soumya Swaminathan, MD, DNB, chief scientist at the World Health Organization (WHO), discusses the global coronavirus pandemic and the WHO response. Recorded August 5, 2020. Related Article: COVID-19 Reveals Urgent Need to Strengthen the World Health Organization
8/7/2020 • 42 minutes, 20 seconds
Coronavirus Q&A With Anthony Fauci, MD – August 3, 2020
Anthony Fauci, MD, White House Coronavirus Task Force member and director of the National Institute of Allergy and Infectious Diseases, discusses latest developments in the COVID-19 pandemic. Recorded August 3, 2020. Related Article(s): Anthony Fauci, MD, on COVID-19 Vaccines, Larry Kramer, and Dealing With Criticism
8/5/2020 • 29 minutes, 4 seconds
COVID-19 and the FDA
US Food and Drug Administration (FDA) Commissioner Stephen Hahn, MD, discusses the agency's role in responding to the COVID-19 pandemic. Recorded July 30, 2020. Related Article: Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV)
8/3/2020 • 38 minutes, 53 seconds
Determination of Brain Death/Death by Neurologic Criteria–The World Brain Death Project
The World Brain Death Project was undertaken to establish minimum standards for diagnosing brain death/death by neurologic criteria (BD/DNC) in children and adults across a broad range of settings and clinical circumstances. In this Q&A, senior authors of the 2020 report join an editorialist and bioethicist to discuss the project. Featuring interviews with Gene Sung, MD, of the University of Southern California; Ariane Lewis, MD, of NYU Langone Medical Center; Robert Tasker, MD, of the University of Cambridge; and Robert D. Truog, MD, of Harvard University. Related Article(s): Brain Death—Moving Beyond Consistency in the Diagnostic Criteria
8/3/2020 • 32 minutes, 11 seconds
COVID-19 and School Reopenings
Katherine Auger, MD, MSc, of Cincinnati Children's Hospital and Julie Donohue, PhD, of University of Pittsburgh's Graduate School of Public Health discuss K-12 school reopening policy options and the way forward for the 2020-21 school year. Recorded July 29, 2020. Related Article: Association Between Statewide School Closure and COVID-19 Incidence and Mortality in the US
7/31/2020 • 30 minutes, 38 seconds
Exome Sequencing and Clinical Diagnosis
Interview with Jan M. Friedman, MD, PhD, author of Exome Sequencing and Clinical Diagnosis Related Article(s): Exome Sequencing and Clinical Diagnosis
7/31/2020 • 27 minutes, 59 seconds
COVID-19 and Health Justice
Ford Foundation President Darren Walker discusses the role of philanthropic organizations in responding to the COVID-19 pandemic and to health inequities. Recorded July 28, 2020. Related Article(s): The Work of Philanthropy in Responding to COVID-19 and Addressing Inequality
7/30/2020 • 28 minutes, 32 seconds
Black Kidney Function Matters: Use or Misuse of Race?
Interview with Neil R. Powe, MD, author of Black Kidney Function Matters: Use or Misuse of Race?
7/29/2020 • 24 minutes, 42 seconds
Coronavirus Update With Eric Topol, MD
Eric Topol, MD, Scripps Research EVP and omnivorous science health care and tech commentator, discusses the evolving COVID-19 pandemic. Recorded July 23, 2020. Related Article: Association Between Universal Masking in a Health Care System and SARS-CoV-2 Positivity Among Health Care Workers
7/27/2020 • 39 minutes, 7 seconds
Improving the Value of Information in Hospital Rating Systems
Interview with Adrian F. Hernandez, MD, author of National Hospital Quality Rankings: Improving the Value of Information in Hospital Rating Systems
7/27/2020 • 18 minutes, 25 seconds
Coronavirus Update With CDC Director Robert R. Redfield, MD
CDC Director Robert R. Redfield, MD, discusses the ongoing COVID-19 pandemic and the agency’s latest recommendations. Recorded July 14, 2020. Related Article: Universal Masking to Prevent SARS-CoV-2 Transmission—The Time Is Now
7/16/2020 • 35 minutes, 3 seconds
Assessing Quantitative Comparisons of Health and Social Care Between Countries
Interview with Michelle D. Carlson, MD, author of Assessing Quantitative Comparisons of Health and Social Care Between Countries Related Article(s): Assessing Quantitative Comparisons of Health and Social Care Between Countries
7/15/2020 • 15 minutes, 9 seconds
Coronavirus in Houston — Report From the Front Lines
Kalpalatha K. Guntupalli, MD, of Baylor College of Medicine discusses the surge and ICU management of COVID-19 patients in Houston, Texas. Recorded July 10, 2020. Related Article(s): Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area
7/14/2020 • 27 minutes, 6 seconds
Coronavirus Update – July 2020
Infectious disease physician Rochelle P. Walensky, MD, MPH, of Harvard University discusses the ongoing COVID-19 pandemic. Recorded July 8, 2020. Related Article: Airborne Spread of SARS-CoV-2 and a Potential Role for Air Disinfection
7/10/2020 • 35 minutes, 47 seconds
Coronavirus Q&A With Anthony Fauci, MD – July 2, 2020
Anthony Fauci, MD, White House Coronavirus Task Force member and Director of the National Institutes of Allergy and Infectious Diseases, discusses latest developments in the COVID-19 pandemic. Recorded on July 2, 2020. Watch the interview
7/3/2020 • 32 minutes, 12 seconds
Limited Evidence for the Health Effects and Safety of Intermittent Fasting in Type 2 Diabetes
Interview with Benjamin D. Horne, PhD, author of Limited Evidence for the Health Effects and Safety of Intermittent Fasting Among Patients With Type 2 Diabetes Related Article: Limited Evidence for the Health Effects and Safety of Intermittent Fasting Among Patients With Type 2 Diabetes
7/2/2020 • 17 minutes, 1 second
Update From the CDC With Anne Schuchat, MD
Anne Schuchat, MD, Principal Deputy Director of the Centers for Disease Control and Prevention (CDC), discusses latest developments in the COVID-19 pandemic. Recorded on June 29, 2020. Related Article(s): Interpreting Diagnostic Tests for SARS-CoV-2
7/1/2020 • 32 minutes, 8 seconds
Coronavirus in Brazil: Report From the Front Lines
Intensivists Flavia R. Machado, MD, PhD, of the Federal University of São Paulo, and Jorge Salluh, MD, PhD, of the D’OR Institute for Research and Education in Rio de Janeiro, discuss the surge of COVID-19 cases and ICU management of patients in Brazil. Recorded June 26, 2020. Related Article(s): Latin America and Its Global Partners Toil to Procure Medical Supplies as COVID-19 Pushes the Region to Its Limit
6/30/2020 • 42 minutes, 42 seconds
The Next COVID-19 Phase
Michael Osterholm, PhD, MPH, of UMN’s Center for Infectious Disease Research and Policy, discusses the summer rise in US COVID-19 cases, prospects for school reopening, a "second wave" in the fall, and more. Recorded June 24, 2020. Related Article(s): Vulnerability to Pandemic Flu Could Be Greater Today Than a Century Ago
6/26/2020 • 36 minutes, 46 seconds
Coronavirus Q&A: Clinical Update With Carlos del Rio, MD
Infectious disease and global health expert Carlos del Rio, MD, of Emory University provides an update on the status of the #COVID19 pandemic in summer 2020, prospects for effective treatment and prevention, communicating the ongoing risk to the public, and more. Recorded June 15, 2020. Related Article: Translating Science on COVID-19 to Improve Clinical Care and Support the Public Health Response
6/17/2020 • 34 minutes
Sustainability, Business, and Health
Interview with Howard K. Koh, MD, author of Sustainability, Business, and Health Related Article(s): Sustainability, Business, and Health
6/17/2020 • 26 minutes, 1 second
Hospice Carve-In—Aligning Benefits With Patient and Family Needs
Interview with William H. Shrank, MD, author of Hospice Carve-In—Aligning Benefits With Patient and Family Needs Related Article: Hospice Carve-In—Aligning Benefits With Patient and Family Needs
6/15/2020 • 22 minutes, 45 seconds
COVID-19 Q&A: Critical Care Update
COVID-19 critical care update with Maurizio Cecconi, MD, of Humanitas University in Milan, Italy, and JAMA Associate Editor Derek C. Angus, MD, MPH, of the University of Pittsburgh. Recorded June 8, 2020. Related: Management of COVID-19 Respiratory Distress
6/10/2020 • 50 minutes, 42 seconds
USPSTF Recommendation: Screening for Unhealthy Drug Use
Interview with Karina W. Davidson, PhD, USPSTF member and coauthor of Screening for Unhealthy Drug Use: US Preventive Services Task Force Recommendation Statement
6/9/2020 • 15 minutes, 38 seconds
Can Infections Cause Alzheimer Disease?
Interview with Anthony L. Komaroff, MD, author of Can Infections Cause Alzheimer Disease?
6/8/2020 • 21 minutes, 8 seconds
Coronavirus Q&A: Opening School in the Fall
Joshua M. Sharfstein, MD, and Christopher Morphew, PhD, of Johns Hopkins University discuss options for opening primary, middle, and high schools in fall 2020. Recorded June 3, 2020. Related Article: The Urgency and Challenge of Opening K-12 Schools in the Fall of 2020
6/5/2020 • 34 minutes
Coronavirus Q&A With Anthony Fauci, MD
NIAID Director Anthony Fauci, MD, discusses recent developments in the global COVID-19 pandemic with JAMA Editor in Chief Howard Bauchner, MD. Recorded June 2, 2020. Related Article: Anthony Fauci, MD, on COVID-19 Vaccines, Larry Kramer, and Dealing With Criticism
6/4/2020 • 26 minutes, 46 seconds
Coronavirus Vaccine Development
Paul Offit, MD, of the Children's Hospital of Philadelphia, discusses principles and progress to date in COVID-19 vaccine development. Recorded June 1, 2020. Related: Adverse Consequences of Rushing a SARS-CoV-2 Vaccine: Implications for Public Trust
6/3/2020 • 36 minutes, 27 seconds
Coronavirus Q&A: Managing the Pandemic
Paul Starr, PhD, Professor of Sociology and Public Affairs at Princeton University, discusses policy options for achieving a new normal in the COVID-19 pandemic. Recorded Thursday, May 28, 2020. Related Article: Using Controlled Trials to Resolve Key Unknowns About Policy During the COVID-19 Pandemic
6/1/2020 • 31 minutes, 23 seconds
Potential Implications of Lowering the Medicare Eligibility Age to 60
Interview with Zirui Song, M.D., Ph.D., author of Potential Implications of Lowering the Medicare Eligibility Age to 60
5/29/2020 • 29 minutes, 19 seconds
Reporting USMLE Step 1 Scores as Pass/Fail: An Opportunity for Medical Education and Training
Interview with Humayun J. Chaudhry, DO, author of The USMLE Step 1 Decision: An Opportunity for Medical Education and Training
5/26/2020 • 34 minutes, 19 seconds
USPSTF Recommendation: Primary Care–Based Interventions to Prevent Illicit Drug Use in Children, Adolescents, and Young Adults
Interview with Michael Silverstein, MD, MPH, USPSTF member and coauthor of Primary Care–Based Interventions to Prevent Illicit Drug Use in Children, Adolescents, and Young Adults: US Preventive Services Task Force Recommendation Statement
5/26/2020 • 14 minutes, 26 seconds
The NIH Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV) Initiative
US National Institutes of Health (NIH) Director Francis S. Collins, MD, PhD, discusses the agency's new initiative to collaborate with other agencies and industry to accelerate development and testing of COVID-19 treatments and vaccines. Recorded May 19, 2020. Related: Accelerating COVID-19 Therapeutic Interventions and Vaccines (ACTIV): An Unprecedented Partnership for Unprecedented Times
5/21/2020 • 37 minutes, 56 seconds
Immunity Passports in the Time of COVID-19
Ezekiel Emanuel, MD, PhD, of the Perelman School of Medicine's Department of Medical Ethics and Health Policy, discusses the use of immunity licensing (immunity passports) as a means to restore public travel, activity, and the economy following the first wave of the COVID-19 pandemic. Recorded May 11, 2020. Related: The Ethics of COVID-19 Immunity-Based Licenses (“Immunity Passports”)
5/13/2020 • 40 minutes, 29 seconds
When Should Physicians Act on Non–Statistically Significant Results From Clinical Trials?
Interview with Paul J. Young, PhD, author of When Should Clinicians Act on Non–Statistically Significant Results From Clinical Trials?
5/8/2020 • 29 minutes, 49 seconds
COVID-19 and Health Care's New Normal
Don Berwick, MD, MPP, of the Institute for Healthcare Improvement, discusses choices societies and the medical profession can make to improve health care and reduce inequities as we move out of the acute phase of the coronavirus pandemic. Related Article(s): Choices for the “New Normal”
5/6/2020 • 33 minutes, 56 seconds
Coronavirus Q&A: Update From the CDC
Anne Schuchat, MD, Principal Deputy Director of the Centers for Disease Control and Prevention (CDC), discusses evolution of CDC guidance and latest developments in the COVID-19 pandemic. Recorded Friday May 1, 2020.
5/5/2020 • 35 minutes, 3 seconds
Understanding Brain Death
Interview with Robert D. Truog, MD, MA, author of Understanding Brain Death
5/1/2020 • 22 minutes, 54 seconds
COVID-19 and US Health Care Spending
The US spends more on health care as a proportion of its GDP than any other nation. Will the COVID-19 pandemic reduce or accelerate that spending? Sherry Glied, PhD, Dean and Professor of Public Service at New York University, explains. Recorded Monday, April 27, 2020. Read the article The Potential Effects of Coronavirus on National Health Expenditures
4/29/2020 • 32 minutes, 27 seconds
USPSTF Recommendation: Tobacco Use Prevention and Cessation in Children and Adolescents
Interview with Michael Silverstein, MD, MPH, USPSTF member and coauthor of Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents: US Preventive Services Task Force Recommendation Statement
4/28/2020 • 18 minutes, 49 seconds
Predicting the COVID-19 Pandemic
Marc Lipsitch, DPhil, an infectious diseases epidemiologist developing biological and modeling approaches to pathogen transmission and outbreaks, discusses evolution of the COVID-19 pandemic in summer and fall 2020. Originally recorded April 22, 2020.
4/24/2020 • 35 minutes, 57 seconds
Irregularities and Misconduct in Clinical Trials: Increasing Access to FDA Inspection Reports
Interview with Aaron S. Kesselheim, MD, JD, MPH, author of Increasing Access to FDA Inspection Reports on Irregularities and Misconduct in Clinical Trials
4/23/2020 • 18 minutes, 35 seconds
COVID-19: From Mitigation to Containment
Rochelle Walensky, MD, MPH, of Harvard University discusses public health strategies and policies for lifting shelter-in-place and quarantine and for returning the US to a new post-first-wave normal. Recorded Monday April 20, 2020.
4/22/2020 • 38 minutes, 25 seconds
The Need to Improve the Clinical Utility of Direct-to-Consumer Genetic Tests: Either Too Narrow or Too Broad
Interview with Madison Kilbride, PhD, author of The Need to Improve the Clinical Utility of Direct-to-Consumer Genetic Tests: Either Too Narrow or Too Broad
4/21/2020 • 17 minutes, 27 seconds
Coronavirus and Health Policy
JAMA Health Forum editors John Ayanian, MD, MPP, and Melinda Buntin, PhD, discuss changes in US health care and health policy driven by the coronavirus pandemic. Recorded April 16, 2020.
4/20/2020 • 27 minutes, 7 seconds
Delayed Antibiotic Prescriptions in Ambulatory Care—Reconsidering a Problematic Practice
Interview with Jeffrey A. Linder, MD, author of Delayed Antibiotic Prescriptions in Ambulatory Care: Reconsidering a Problematic Practice
4/16/2020 • 17 minutes, 20 seconds
New York City Coronavirus (COVID-19) Update
New York City coronavirus update from Mitchell Katz, MD, President and CEO of NYC Health + Hospitals, the largest municipal public health system in the United States. Recorded April 13, 2020.
4/15/2020 • 30 minutes, 19 seconds
Q&A With Anthony Fauci, MD
NIAID Director and Presidential Coronavirus Task Force Advisor Anthony Fauci, MD, discusses recent developments in the global COVID-19 pandemic with JAMA Editor Howard Bauchner, MD. Recorded April 8, 2020.
4/10/2020 • 31 minutes, 11 seconds
Coronavirus Q&A: Former Utah Governor and HHS Secretary Mike Leavitt
US states are taking the lead in managing the COVID-19 pandemic. What can state governors expect from the federal government and from the US Department of Health and Human Services? Governor Mike Leavitt from Leavitt Partners joins JAMA Editor Howard Bauchner, MD, in this live Q&A. Recorded April 8, 2020.
4/10/2020 • 30 minutes, 7 seconds
Coronavirus (COVID-19) Update: Clinical Review
Questions about testing, chloroquine toxicity, duration of immunity and reinfection, and what to expect next are gripping the US as the novel coronavirus spreads. JAMA Associate Editor Preeti Malani, MD, professor of medicine and Chief Health Officer at the University of Michigan, discusses recent developments in a live conversation with JAMA Editor in Chief Howard Bauchner. Recorded on April 6, 2020.
4/8/2020 • 36 minutes, 24 seconds
USPSTF Recommendation: Screening for Bacterial Vaginosis to Prevent Preterm Delivery
Interview with Chien-Wen W Tseng, MD, MPH, USPSTF member and coauthor of Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: US Preventive Services Task Force Recommendation Statement
4/7/2020 • 13 minutes, 59 seconds
Coronavirus Disease 2019 (COVID-19) Update: Epidemics in History
Infectious epidemics have always driven change and triggered discrimination in human societies. Frank Snowden, DPhil, Professor Emeritus of History and History of Medicine at Yale University and author of Epidemics and Society: From the Black Death to the Present (Yale University Press, 2019), puts the COVID-19 pandemic in historical context.
4/6/2020 • 32 minutes, 52 seconds
The Role of Physicians in Addressing Social Determinants of Health
Interview with Sandro Galea, MD, author of The Role of Physicians in Addressing Social Determinants of Health
4/3/2020 • 16 minutes, 36 seconds
Coronavirus (COVID-19) Update: Critical Care Management
Noninvasive ventilation (NIV), working with dying patients’ families, use of experimental therapies, and more. JAMA Associate Editor Derek Angus, MD, MPH, Distinguished Professor and Chair of Critical Care Medicine at the University of Pittsburgh, provides a COVID-19 ICU management update. Watch the recording of this livestream
4/2/2020 • 46 minutes, 6 seconds
Coronavirus (COVID-19) Update: The Near Future
How does the current pandemic compare to historical infectious outbreaks and what can we expect in summer and fall of 2020? Nicholas Christakis, MD, PhD, MPH, director of the Human Nature Lab, Co-director of the Institute of Network Science, and Sterling Professor of Social and Natural Science at Yale University, discusses the epidemiology of COVID-19.
4/1/2020 • 35 minutes, 48 seconds
Coronavirus (COVID-19) Update: Fairly Rationing ICU Care
Hospitals need ways to make rational, fair decisions about who gets ICU beds and ventilators if COVID-19 patients overwhelm capacity. Douglas B. White, MD, MAS, Director of the Program on Ethics and Decision Making in Critical Illness at the University of Pittsburgh, discusses a framework for those decisions and a guideline he helped develop for allocation of scarce resources in public health emergencies.
3/30/2020 • 34 minutes, 16 seconds
Coronavirus (COVID-19) Update: Vaccines and Immunity
As COVID-19 spreads globally, populations who survive their illness will become immune. Mayo Vaccine Research Group Director Gregory Poland, MD, discusses antibody responses, duration of immunity, vaccine safety, and the prospects for using convalescent serum to passively immunize people unexposed to SARS-CoV-2.
3/26/2020 • 28 minutes, 18 seconds
Coronavirus in New York - Report From the Front Lines
The ARDS in COVID-19 patients appears more responsive to PEEP and prone ventilation, but seems to require prolonged ventilation and may be associated with myocardial injury. Michelle N. Gong, MD, MS, Chief of Critical Care Medicine at Montefiore Medical Center in the Bronx, discusses her department's experience managing critically ill coronavirus patients, procuring diagnostic tests and personal protective equipment (PPE) for her staff, and more.
3/24/2020 • 32 minutes, 25 seconds
Coronavirus Disease 2019 (COVID-19) Mitigation: Preparing Hospitals and Health Systems
The strategy for managing the COVID-19 pandemic has shifted from containment to mitigation. What does that mean for US hospitals and health systems? Kaiser Permanente Executive Vice President Stephen M. Parodi, MD, discusses telemedicine, protecting health care workers, equipment allocation planning, and more.
3/20/2020 • 30 minutes, 21 seconds
COVID-19 Update with NIAID’s Anthony Fauci, MD; March 18, 2020
Diagnostic testing, NSAIDs, ACE Inhibitors, antivirals, and more. Anthony Fauci, MD from NIAID discusses latest developments in the spread and clinical management of COVID-19 and the SARS-CoV-2 virus with JAMA Editor Howard Bauchner, MD. JAMA Coronavirus Resource Center
3/19/2020 • 28 minutes, 48 seconds
Coronavirus Testing – March 16 Q&A with the CDC’s Jay Butler, MD
Coronavirus testing will help countries manage coronavirus disease 2019 (COVID-19) but will raise questions about how to counsel patients about their test results. The CDC's Deputy Director for Infectious Diseases Jay C. Butler, MD, talks with JAMA Editor Howard Bauchner about what to advise healthy patients with positive PCR results, sick patients with negative test results, exposed health care workers, and more.
3/17/2020 • 32 minutes, 44 seconds
Coronavirus in Italy—Report From the Front Lines
Physicians in Lombardy, Italy, have been overwhelmed by COVID-19 patients requiring critical care. Based on an existing ECMO center network they developed an ICU network to rapidly identify, triage, and manage patients infected with SARS-2-CoV. Maurizio Cecconi, MD, of Humanitas University in Milan discusses the region’s approach to the surge, including clinical and supply management, health care worker training and protection, and ventilation strategies, with JAMA Editor Howard Bauchner. Read the article: Critical Care Utilization for the COVID-19 Outbreak in Lombardy, Italy: Early Experience and Forecast During an Emergency Response
3/13/2020 • 36 minutes
When Guidelines Recommend Shared Decision-Making
Interview with Victor M. Montori, MD, MSC, author of When Guidelines Recommend Shared Decision-making
3/13/2020 • 28 minutes
COVID-19 Update With NIAID's Anthony Fauci, MD; March 6, 2020
Coronavirus testing, mortality, vaccine development, containment vs mitigation, and more. JAMA Editor Howard Bauchner, MD, interviews US NIAID Director Anthony Fauci, MD, about the latest developments in SARS-CoV-2 science and global spread of infection. JAMA Coronavirus Resource Page
3/7/2020 • 32 minutes, 2 seconds
USPSTF Recommendation: Screening for Hepatitis C Virus Infection in Adolescents and Adults
Interview with Michael J. Barry, MD, Task Force member and coauthor of Screening for Hepatitis C Virus Infection in Adolescents and Adults: US Preventive Services Task Force Recommendation Statement
3/2/2020 • 22 minutes, 36 seconds
A Low-Carbon Future Could Improve Global Health and Save Money
Interview with Jonathan A. Patz, MD, MPH, author of A Low-Carbon Future Could Improve Global Health and Achieve Economic Benefits
2/28/2020 • 17 minutes, 40 seconds
The Inevitable Reimagining of Medical Education
Interview with Ezekiel J. Emanuel, M.D., Ph.D., author of The Inevitable Reimagining of Medical Education
2/27/2020 • 24 minutes, 43 seconds
USPSTF Recommendation: Screening for Cognitive Impairment
Interview with Chyke A Doubeni, MD, MPH, author of Screening for Cognitive Impairment in Older Adults: US Preventive Services Task Force Recommendation Statement
2/25/2020 • 21 minutes, 39 seconds
The Evolution of Schools of Thought in Medicine: Healthy Tensions
Interview with David Naylor, MD DPhil, author of The Evolution of Schools of Thought in Medicine: Healthy Tensions
2/24/2020 • 36 minutes, 54 seconds
JAMA Author Interviews Becomes “Conversations with Dr Bauchner”
JAMA Author Interviews is taking on a new look! Be sure to subscribe to Conversations with Dr Bauchner, a podcast that features the same insightful interviews with leading researchers and thinkers in health care. Covering a broad range of practice-changing research and important innovations, Conversations with Dr Bauchner is a convenient way to stay current with the most pressing issues facing medicine and healthcare. Listen and subscribe at jamanetworkaudio.com.
2/14/2020 • 51 seconds
COVID-19 Update From China
By mid-February 2020 there were 60,000 confirmed cases of COVID-19, the vast majority diagnosed in Hubei Province (including Wuhan city) in mainland China. China CDC Chief Epidemiologist Zunyou Wu, MD, PhD discusses the latest COVID-19 developments in the country with JAMA Editor in Chief Howard Bauchner, MD.
2/14/2020 • 25 minutes, 53 seconds
The 2019 Novel Coronavirus Outbreak – Update From NIAID’s Anthony Fauci, MD
In February 2020 the nature of the 2019-nCoV outbreak is still slowly coming into focus but it appears to be acting more like bad pandemic influenza (efficient spread, overall lower mortality) than like SARS (less efficient spread, overall higher mortality). Anthony Fauci, MD, of the US National Institute of Allergy and Infectious Diseases (NIAID) discusses the latest developments with JAMA Editor in Chief Howard Bauchner. Coronavirus Resource Center
2/7/2020 • 35 minutes, 48 seconds
Potential Consequences of Changing Disease Classifications
Interview with Jenny A. Doust, BMBS, author of Potential Consequences of Changing Disease Classifications
2/7/2020 • 15 minutes, 41 seconds
Billing Quality Is Medical Quality
Interview with Martin A. Makary, MD, MPH, author of Billing Quality Is Medical Quality
2/4/2020 • 25 minutes, 9 seconds
Refocusing Medication Prior Authorization on Its Intended Purpose
Interview with Jack Resneck, MD, author of Refocusing Medication Prior Authorization on Its Intended Purpose
2/3/2020 • 25 minutes, 52 seconds
Coronavirus Infections—More Than Just the Common Cold
Interview with Anthony S. Fauci, MD, author of Coronavirus Infections—More Than Just the Common Cold
1/28/2020 • 25 minutes, 41 seconds
Ethical and Legal Aspects of Ambient Intelligence in Hospitals
Interview with I Glenn. Cohen, JD, author of Ethical and Legal Aspects of Ambient Intelligence in Hospitals
1/24/2020 • 17 minutes, 56 seconds
Improving the Residency Application and Selection Process
Interview with Maya M. Hammoud, MD, MBA, author of Improving the Residency Application and Selection Process: An Optional Early Result Acceptance Program
1/23/2020 • 23 minutes, 12 seconds
Practices to Foster Physician Presence and Connection With Patients in the Clinical Encounter
Interview with Donna Michelle Zulman, MD, and Abraham Verghese, MD, authors of Practices to Foster Physician Presence and Connection With Patients in the Clinical Encounter
1/7/2020 • 24 minutes, 45 seconds
Treatment Decisions for a Future Self
Interview with Claire J. Creutzfeldt, MD, author of Treatment Decisions for a Future Self: Ethical Obligations to Guide Truly Informed Choices
1/2/2020 • 18 minutes, 16 seconds
The Potential of Manipulating the Human Microbiome to Manage Disease
Interview with Julia A. Segre, Ph.D., author of Manipulating the Human Microbiome to Manage Disease
12/26/2019 • 20 minutes, 57 seconds
Disparities Research, Disparities Researchers, and Health Equity
Interview with Mercedes R. Carnethon, PhD, author of Disparities Research, Disparities Researchers, and Health Equity
12/16/2019 • 24 minutes, 13 seconds
Comorbidities in Persons With HIV
Interview with Anthony S. Fauci, MD, author of Comorbidities in Persons With HIV: The Lingering Challenge
12/11/2019 • 24 minutes, 15 seconds
USPSTF Recommendation: Screening for Abdominal Aortic Aneurysm
Interview with Michael J. Barry, MD, USPSTF member and coauthor of Screening for Abdominal Aortic Aneurysm: US Preventive Services Task Force Recommendation Statement
12/10/2019 • 27 minutes, 25 seconds
Implementation Strategies for Cardiovascular Polypills
Interview with Mark D. Huffman, MD, MPH, author of Implementation Strategies for Cardiovascular Polypills
11/25/2019 • 20 minutes, 36 seconds
Addressing Bias in Artificial Intelligence in Health Care
Interview with Amol S. Navathe, MD, PhD, author of Addressing Bias in Artificial Intelligence in Health Care
11/22/2019 • 23 minutes, 12 seconds
Vaping—Seeking Clarity in a Time of Uncertainty
Interview with Stephen Baldassarri, author of Vaping—Seeking Clarity in a Time of Uncertainty
11/7/2019 • 27 minutes, 55 seconds
Improving the System to Support Clinician Well-being and Provide Better Patient Care
Interview with Pascale Carayon, PhD, author of Improving the System to Support Clinician Well-being and Provide Better Patient Care
10/23/2019 • 29 minutes, 11 seconds
Lifestyle Science and Health News: Neglecting Major Health Problems in Favor of Minor Uncertain Exposures
Interview with John P. A. Ioannidis, MD, DSc, author of Neglecting Major Health Problems and Broadcasting Minor, Uncertain Issues in Lifestyle Science
10/18/2019 • 22 minutes, 48 seconds
The HHS Guide to Patient-Centered Dose Reduction or Discontinuation of Long-term Opioids
Interview with Deborah Dowell, M.D., M.P.H., author of Patient-Centered Reduction or Discontinuation of Long-term Opioid Analgesics: The HHS Guide for Clinicians
10/10/2019 • 22 minutes, 51 seconds
Waste in the US Health Care System: Estimated Costs and Potential for Savings
Interview with William H. Shrank, MD, MSHS, author of Waste in the US Health Care System: Estimated Costs and Potential for Savings
10/7/2019 • 25 minutes, 57 seconds
The Risk and Cost of Limited Clinician and Patient Accountability in Health Care
Interview with S Claiborne Johnston, MD, PhD, author of The Risk and Cost of Limited Clinician and Patient Accountability in Health Care
9/30/2019 • 27 minutes, 55 seconds
USPSTF Recommendation: Screening for Asymptomatic Bacteriuria in Adults
Interview with Melissa A. Simon, MD, MPH, Task Force member and coauthor of Screening for Asymptomatic Bacteriuria in Adults: US Preventive Services Task Force Recommendation Statement
9/24/2019 • 13 minutes, 5 seconds
The Advancing American Kidney Health Executive Order
Interview with Francisco G. Cigarroa, MD, author of The Advancing American Kidney Health Executive Order: An Opportunity to Enhance Organ Donation
9/20/2019 • 23 minutes, 35 seconds
Can Plant-Based Meat Alternatives Be Part of a Healthy and Sustainable Diet?
Interview with Frank B. Hu, MD, PhD, author of Can Plant-Based Meat Alternatives Be Part of a Healthy and Sustainable Diet?
9/9/2019 • 19 minutes, 37 seconds
Medicaid Expansion and Health: Assessing the Evidence After Five Years
Interview with Benjamin Daniel Sommers, MD, PhD, author of Medicaid Expansion and Health: Assessing the Evidence After Five Years
9/6/2019 • 29 minutes, 44 seconds
What Is the Value of Market-Wide Health Care Price Transparency?
Interview with Anna D. Sinaiko, Ph. D., author of What Is the Value of Market-Wide Health Care Price Transparency?
9/5/2019 • 25 minutes, 2 seconds
USPSTF Recommendation: Medication Use to Reduce Risk of Breast Cancer
Interview with Michael J. Barry, MD, USPSTF member and coauthor of Medication Use to Reduce Risk of Breast Cancer: US Preventive Services Task Force Recommendation Statement
9/3/2019 • 27 minutes, 23 seconds
The Lessons of the Opioid Epidemic
Interview with Yngvild Olsen, M.D., M.P.H., author of Lessons Learned From the Opioid Epidemic
9/3/2019 • 23 minutes, 11 seconds
Screening for Social Determinants of Health
Interview with Karina W. Davidson, PhD, MASc, author of Screening for Social Determinants of Health: The Known and Unknown
8/29/2019 • 18 minutes, 26 seconds
Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer
Interview with Carol M Mangione, MD MSPH, USPSTF member and coauthor of Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: US Preventive Services Task Force Recommendation Statement Audio at 5:55 was changed to reflect a revised risk increase statement.
8/20/2019 • 32 minutes, 38 seconds
Communication Strategies for Sharing Prognostic Information With Patients: Beyond Survival Statistics
Interview with Joanna Paladino, MD, author of Communication Strategies for Sharing Prognostic Information With Patients: Beyond Survival Statistics
8/15/2019 • 23 minutes, 37 seconds
Extracorporeal Life Support for Adults With Respiratory Failure and Related Indications
Interview with Daniel Brodie, MD, author of Extracorporeal Life Support for Adults With Respiratory Failure and Related Indications: A Review
8/13/2019 • 37 minutes
Success of Opt-In Organ Donation Policy in the United States
Interview with Alexandra K. Glazier, JD, MPH, author of Success of Opt-In Organ Donation Policy in the United States
8/8/2019 • 25 minutes, 32 seconds
Accelerating the Science of Sickle Cell Disease Therapies—Is a Cure Possible?
Interview with Gary H. Gibbons, M.D., author of Accelerating the Science of SCD Therapies—Is a Cure Possible?
8/8/2019 • 22 minutes, 54 seconds
USPSTF Recommendation: Screening for Pancreatic Cancer
Interview with Chyke A Doubeni, MD, MPH, USPSTF member and coauthor of Screening for Pancreatic Cancer: US Preventive Services Task Force Reaffirmation Recommendation Statement
8/6/2019 • 17 minutes, 6 seconds
Relative Value Units and the Measurement of Physician Performance
Interview with Michael Nurok, MBChB, PhD, author of Relative Value Units and the Measurement of Physician Performance
8/5/2019 • 21 minutes, 30 seconds
Reimagining Specialty Consultation in the Digital Age
Interview with Robert M. Wachter, MD, author of Reimagining Specialty Consultation in the Digital Age: The Potential Role of Targeted Automatic Electronic Consultations
7/26/2019 • 29 minutes, 11 seconds
Implications of the United States Medical Licensing Examination (USMLE) Score Reporting Structure
Interview with Jennifer L. Swails, MD, author of The Conundrum of the United States Medical Licensing Examination Score Reporting Structure
7/23/2019 • 27 minutes, 30 seconds
Screening for Hepatitis B Virus Infection in Pregnant Women
Interview with Melissa A Simon, MD MPH, USPSTF member and coauthor of Screening for Hepatitis B Virus Infection in Pregnant Women: US Preventive Services Task Force Reaffirmation Recommendation Statement
7/23/2019 • 14 minutes, 13 seconds
A Practical Approach to Low-Dose Aspirin for Primary Prevention
Interview with Randall S. Stafford, MD, PhD, MHS, author of A Practical Approach to Low-Dose Aspirin for Primary Prevention
6/28/2019 • 22 minutes, 26 seconds
Academic Medical Centers—Too Large for Their Own Good?
Interview with S. Claiborne Johnston, MD, PhD, author of Academic Medical Centers: Too Large for Their Own Health?
6/17/2019 • 29 minutes, 21 seconds
Screening for HIV infection and Use of Preexposure Prophylaxis for Prevention of HIV Infection: US Preventive Services Task Force Recommendation Statements
Interview with John W Epling, MD, MSEd, Task Force member and co-author of Preexposure Prophylaxis for the Prevention of HIV Infection: US Preventive Services Task Force Recommendation Statement
6/11/2019 • 25 minutes, 40 seconds
HIV Screening and Preexposure Prophylaxis Guidelines
Interview with Paul A. Volberding, MD, and Hyman Scott, MD MPH, authors of HIV Screening and Preexposure Prophylaxis Guidelines: Following the Evidence
6/11/2019 • 27 minutes, 24 seconds
The Review of Systems, the Electronic Health Record, and Billing
Interview with Marissa A. Hendrickson, MD, author of The Review of Systems, the Electronic Health Record, and Billing
6/7/2019 • 17 minutes, 14 seconds
Durable Control of HIV Infection in the Absence of Antiretroviral Therapy
Interview with Anthony S. Fauci, MD, author of Durable Control of HIV Infection in the Absence of Antiretroviral Therapy: Opportunities and Obstacles
6/6/2019 • 27 minutes, 46 seconds
Medication-Based Treatment for Opioid Use Disorder
Interview with Alan Leshner, PhD, author of Medication-Based Treatment to Address Opioid Use Disorder
6/4/2019 • 22 minutes, 30 seconds
New Approaches to Management of Depression
Interview with Andrew A. Nierenberg, MD, author of Evolving Issues in the Treatment of Depression
5/24/2019 • 19 minutes, 39 seconds
Restricting the Number of Open Patient Records in the Electronic Health Record
Interview with Robert M. Wachter, MD, author of Restricting the Number of Open Patient Records in the Electronic Health Record: Is the Record Half Open or Half Closed?
5/14/2019 • 24 minutes, 28 seconds
Life and Death in Norway and the US
Interview with David M. Cutler, PhD, author of Life and Death in Norway and the United States
5/13/2019 • 23 minutes, 57 seconds
Federal Requirements to Inform Patients About Breast Density
Interview with Nancy L. Keating, MD, MPH, author of New Federal Requirements to Inform Patients About Breast Density: Will They Help Patients?
5/9/2019 • 21 minutes, 43 seconds
Treatment of Patients With Psychogenic Nonepileptic Attacks
Interview with Benjamin Tolchin, MD, MS, author of Treatment of Patients With Psychogenic Nonepileptic Attacks
4/26/2019 • 19 minutes, 51 seconds
Lowering Cost and Increasing Access to Drugs Without Hurting Innovation
Interview with Robert M. Califf, MD, author of Lowering Cost and Increasing Access to Drugs Without Jeopardizing Innovation
4/23/2019 • 29 minutes, 44 seconds
USPSTF Recommendation: Screening for Elevated Blood Lead Levels in Children and Pregnancy
Interview with Michael Silverstein, MD, MPH, USPSTF member and coauthor of Screening for Elevated Blood Lead Levels in Children and Pregnant Women: US Preventive Services Task Force Recommendation Statement
4/16/2019 • 21 minutes, 9 seconds
Insights From 2 New Trials on Vitamin D as Cancer Therapy
Interview with John A. Baron, M.D., author of Vitamin D as Cancer Therapy?: Insights From 2 New Trials
4/9/2019 • 18 minutes, 43 seconds
The Implications of “Medicare for All” for US Hospitals
Interview with Kevin A. Schulman, MD, author of The Implications of “Medicare for All” for US Hospitals
4/4/2019 • 22 minutes, 10 seconds
The Uncertain Effect of Financial Incentives to Improve Health Behaviors
Interview with David A. Asch, MD, MBA, author of The Uncertain Effect of Financial Incentives to Improve Health Behaviors
3/25/2019 • 20 minutes, 55 seconds
Recommendations for Treatment of Hypercholesterolemia in Older Adults
Interview with Neil Skolnik, M.D., author of Reexamining Recommendations for Treatment of Hypercholesterolemia in Older Adults
3/11/2019 • 21 minutes, 22 seconds
Next Phase in Effective Cost Control in Health Care
Interview with Ezekiel J. Emanuel, M.D., Ph.D., author of Next Phase in Effective Cost Control in Health Care
3/7/2019 • 28 minutes, 56 seconds
USPSTF Recommendation: Interventions to Prevent Perinatal Depression
Interview with Elizabeth O'Connor, PHD, author of Interventions to Prevent Perinatal Depression: Evidence Report and Systematic Review for the US Preventive Services Task Force
2/12/2019 • 20 minutes, 7 seconds
Humanizing Artificial Intelligence
Interview with Sonoo Thadaney-Israni, MBA, and Abraham Verghese, MD, MACP, authors of Humanizing Artificial Intelligence
12/10/2018 • 25 minutes, 24 seconds
USPSTF Recommendation: Screening for Child Maltreatment
Interview with Alex R Kemper, MD, MPH, MS, Task Force member and co-author of Interventions to Prevent Child Maltreatment: US Preventive Services Task Force Recommendation Statement
11/27/2018 • 13 minutes, 21 seconds
USPSTF Recommendation: Screening and Interventions for Unhealthy Alcohol Use
Interview with Susan J. Curry, PhD, author of Screening and Behavioral Counseling Interventions to Reduce Unhealthy Alcohol Use in Adolescents and Adults: US Preventive Services Task Force Recommendation Statement
11/13/2018 • 20 minutes, 12 seconds
USPSTF Recommendation: Screening for Intimate Partner Violence
Interview with John W Epling, MD, MSEd, Task Force member and co-author of Screening for Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults: US Preventive Services Task Force Final Recommendation Statement
10/23/2018 • 19 minutes, 7 seconds
USPSTF Recommendation: Behavioral Interventions to Prevent Adult Obesity-Related Outcomes
Interview with Chyke A Doubeni, M.D., F.R.C.S., M.P.H., Task Force member and co-author of Behavioral Weight Loss Interventions to Prevent Obesity-Related Morbidity and Mortality in Adults: US Preventive Services Task Force Recommendation Statement
9/18/2018 • 14 minutes, 37 seconds
USPSTF Recommendation: Screening for Cervical Cancer
Interview with Carol M Mangione, MD MSPH, Task Force member and co-author of Screening for Cervical Cancer: US Preventive Services Task Force Recommendation Statement
8/21/2018 • 22 minutes, 48 seconds
USPSTF Recommendation: Screening for Atrial Fibrillation With Electrocardiography
Interview with Seth Landefeld, MD, member of the US Preventative Services Task Force, on Screening for Atrial Fibrillation With Electrocardiography: US Preventive Services Task Force Recommendation Statement
8/7/2018 • 16 minutes, 50 seconds
USPSTF Recommendation: Nontraditional Risk Factors and Peripheral Artery Disease
Interview with Michael J. Barry, MD, Task Force member and co-author of Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment With the Ankle-Brachial Index: US Preventive Services Task Force Recommendation Statement
7/10/2018 • 21 minutes, 20 seconds
USPSTF Recommendation Statement: Screening for Osteoporosis to Prevent Fractures
Interview with Chien-Wen Tseng, MD, MPH, Task Force member and co-author of Screening for Osteoporosis to Prevent Fractures: US Preventive Services Task Force Recommendation Statement
6/26/2018 • 17 minutes, 22 seconds
USPSTF Recommendation: Screening for Cardiovascular Disease Risk With Electrocardiography
Interview with Seth Landefeld, MD, Task Force member and co-author of Screening for Cardiovascular Disease Risk With Electrocardiography: US Preventive Services Task Force Recommendation Statement
6/12/2018 • 16 minutes, 10 seconds
USPSTF Recommendation: Screening for Prostate Cancer
Interview with Alex H Krist, MD, MPH, Task Force member and co-author of Screening for Prostate Cancer: US Preventive Services Task Force Recommendation Statement
5/8/2018 • 36 minutes, 43 seconds
USPSTF Recommendation: Calcium and Vitamin D to Prevent Fractures and Interventions to Prevent Falls in Community-Dwelling Adults
Interview with Alex H Krist, MD, MPH, Task Force member and co-author of Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: US Preventive Services Task Force Recommendation Statement, and Interventions to Prevent Falls in Community-Dwelling Older Adults: US Preventive Services Task Force Recommendation Statement
4/17/2018 • 24 minutes, 21 seconds
US Burden of Diseases, Injuries, and Disease Risk Factors, 1990-2016
Interview with Christopher JL. Murray, MD, DPhil, author of The State of US Health, 1990-2016: Burden of Diseases, Injuries, and Risk Factors Among US States
4/10/2018 • 53 minutes, 27 seconds
USPSTF Recommendation: Behavioral Counseling to Prevent Skin Cancer
Interview with John W Epling, MD, MSEd, Task Force member and co-author of Behavioral Counseling to Prevent Skin Cancer: US Preventive Services Task Force Recommendation Statement
3/20/2018 • 21 minutes, 34 seconds
Health Care Spending in the United States and Other High-Income Countries
Interview with Dr. Ashish Jha, MD, MPH, about his study using Organization for Economic Cooperation and Development (OECD) data to compare health care infrastructure, outcomes, and prices in the US and other high-income countries to identify the sources of spending that make US health care so expensive.
3/13/2018 • 18 minutes, 22 seconds
USPSTF Recommendation: Screening for Ovarian Cancer
Interview with Michael J. Barry, MD, Task Force member and co-author of Screening for Ovarian Cancer: US Preventive Services Task Force Recommendation Statement
2/13/2018 • 19 minutes, 37 seconds
USPSTF Recommendation: Screening for Adolescent Idiopathic Scoliosis
Interview with Alex R Kemper, MD, MPH, MS, Task Force member and co-author of Screening for Adolescent Idiopathic Scoliosis: US Preventive Services Task Force Recommendation Statement
1/9/2018 • 23 minutes, 55 seconds
USPSTF Recommendation Statement: Hormone Therapy After Menopause
Interview with Maureen Phipps, MD, Task Force member and co-author of Hormone Therapy for the Primary Prevention of Chronic Conditions in Postmenopausal Women: US Preventive Services Task Force Recommendation Statement
12/12/2017 • 16 minutes, 19 seconds
Deep Learning Algorithms for Detection of Lymph Node Metastases From Breast Cancer
Interview with Jeffrey Alan. Golden, MD, author of Deep Learning Algorithms for Detection of Lymph Node Metastases From Breast Cancer: Helping Artificial Intelligence Be Seen
12/12/2017 • 4 minutes, 17 seconds
Menopausal Hormone Therapy and Long-term All-Cause and Cause-Specific Mortality
Interview with JoAnn E. Manson, MD, DrPH, author of Menopausal Hormone Therapy and Long-Term All-Cause and Cause-Specific Mortality: The Women’s Health Initiative Randomized Trials
9/12/2017 • 6 minutes, 26 seconds
USPSTF Recommendation: Vision Screening in Children
Interview with Alex R Kemper, MD, MPH, MS, Task Force member and co-author of Vision Screening in Children Aged 6 Months to 5 Years: US Preventive Services Task Force Recommendation Statement
9/5/2017 • 25 minutes, 6 seconds
State Flexibility for Medicaid: How Much and Who Decides?
Interview with Stuart M. Butler, PhD, MA, BSc, author of State Flexibility for Medicaid: How Much?
8/1/2017 • 25 minutes, 9 seconds
Evaluation of Chronic Traumatic Encephalopathy in Football Players
Interview with Ann C. McKee, M.D., author of Clinicopathological Evaluation of Chronic Traumatic Encephalopathy in Players of American Football
7/25/2017 • 5 minutes, 49 seconds
USPSTF Recommendation: Behavioral Counseling for CVD Prevention
Interview with Susan J. Curry, PhD, author of Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults Without Cardiovascular Risk Factors: US Preventive Services Task Force Recommendation Statement
7/11/2017 • 18 minutes, 33 seconds
USPSTF Recommendation: Screening for Obesity in Children and Adolescents
Interview with David C. Grossman, MD, MPH, author of Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement
6/20/2017 • 27 minutes, 37 seconds
Comparison of Intra-articular Triamcinolone vs Saline for Knee Osteoarthritis
Interview with Timothy E. McAlindon, MD,MPH, author of Effect of Intra-articular Triamcinolone vs Saline on Knee Cartilage Volume and Pain in Patients With Knee Osteoarthritis: A Randomized Clinical Trial
5/16/2017 • 3 minutes, 51 seconds
Genomics and Precision Health
Whole-genome sequencing is now easily done for very little cost. It is not known how to interpret the results of this testing. Healthy individuals should not have this performed. If someone has a reason to suspect a particular disease with a known genetic association, then whole-genome or targeted sequencing is reasonable to pursue.
5/9/2017 • 9 minutes, 17 seconds
Screening for Thyroid Cancer
Interview with Charles Landefeld, MD, author of Screening for Thyroid Cancer: US Preventive Services Task Force Recommendation Statement
5/9/2017 • 16 minutes, 38 seconds
Screening for Preeclampsia
Interview with Maureen G. Phipps, MD, MPH, Task Force member and co-author of Screening for Preeclampsia: US Preventive Services Task Force Recommendation Statement
4/25/2017 • 19 minutes, 38 seconds
Dexamethasone Without Antibiotics vs Placebo on Acute Sore Throat
Interview with Gail Hayward, MA (Oxon) D.Phil MRCP MRCGP, author of Effect of Oral Dexamethasone Without Immediate Antibiotics vs Placebo on Acute Sore Throat in Adults: A Randomized Clinical Trial
4/18/2017 • 3 minutes, 57 seconds
JAMA Medical News: The Nature of Lung Microbiome Research
This podcast discusses the latest research into the workings of the lung microbiome and how it will affect future diagnosis and treatment of respiratory diseases. Related article: The Lung Microbiome: Key to Respiratory Ills?
4/12/2017 • 25 minutes, 17 seconds
Barry Marshall, MD: H pylori 35 Years Later
This Medical News podcast features an interview with Barry Marshall, MD, who codiscovered the stomach bug H pylori in 1982.
4/11/2017 • 17 minutes, 14 seconds
Screening for Celiac Disease
Interview with Alex H Krist, MD, MPH, Task Force member and co-author of Screening for Celiac Disease: US Preventive Services Task Force Recommendation Statement
3/28/2017 • 25 minutes, 20 seconds
Patient-Reported Outcomes Following Treatment for Localized Prostate Cancer
Interview with Freddie C. Hamdy, MD, FRCSEd(Urol), and Jenny L Donovan, PhD, FMedSci, authors of Patient-Reported Outcomes Following Treatment for Localized Prostate Cancer: Helping Decision Making for Patients and Their Physicians
3/21/2017 • 29 minutes, 35 seconds
Why the New Sepsis Guideline Changed
Recent guidelines for how to best manage septic shock have changed. Gone are recommendations for central venous oxygen saturation monitoring and goal-directed therapy. In is the concept that septic shock be treated as an emergency with rapid administration of antibiotics and large amounts of fluids. Our discussants Derek C. Angus, MD, MPH, and Michael D. Howell, MD, MPH, discuss why these recommendations have changed. This is the second podcast in the Surviving Sepsis guideline series. The first podcast reviewed what recommendations are in the guideline itself. Article discussed in this episode: Management of Sepsis and Septic Shock Speakers: JAMA Associate Editor Derek C. Angus, MD, MPH, University of Pittsburgh, and Michael D. Howell, MD, MPH, University of Chicago.
3/7/2017 • 33 minutes, 32 seconds
USPSTF Recommendation: The Screening Pelvic Examination
Interview with Maureen G. Phipps, MD, MPH, Task Force member and co-author of Screening for Gynecologic Conditions With Pelvic Examination: US Preventive Services Task Force Recommendation Statement
3/7/2017 • 13 minutes, 39 seconds
Updated Guidelines for Sepsis Management
In 2017 the Society for Critical Care Medicine updated its guidelines for sepsis management. These new guidelines differ significantly from ones in the past in that they no longer recommend protocolized resuscitation and emphasize early and aggressive fluid resuscitation when patients present with septic shock. This is the first podcast in the Surviving Sepsis guideline series. The next episode discusses why the new sepsis guideline changed. Article discussed in this episode: Management of Sepsis and Septic Shock Speakers: Laura Evans, MD, MSc, of Bellevue Hospital and NYU Medical Center Andrew Rhodes, MBBS, MD, of St George’s University Hospitals NHS Trust and co-chair of the Surviving Sepsis guideline panel Mitchell M. Levy, MD, of the Alpert Medical School of Brown University and Rhode Island Hospital
2/28/2017 • 15 minutes, 36 seconds
The Effects of Testosterone Gel on Health Outcomes
Can testosterone gel improve memory, correct anemia, increase bone density or prevent the growth of coronary artery plaque in older men with low testosterone levels? Four new studies in JAMA and JAMA Internal Medicine found improvement in some of these measures. Articles discussed in this episode: • Testosterone Treatment and Coronary Artery Plaque Volume in Older Men With Low Testosterone • Testosterone Treatment and Cognitive Function in Older Men With Low Testosterone and Age-Associated Memory Impairment • Effect of Testosterone Treatment on Volumetric Bone Density and Strength in Older Men With Low Testosterone: A Controlled Clinical Trial • Association of Testosterone Levels With Anemia in Older Men: A Controlled Clinical Trial
2/21/2017 • 3 minutes, 10 seconds
Alzheimer Outlook Far From Bleak
Rudolph Tanzi, PhD, of Harvard University, and Berislav Zlokovic, MD, PhD, of the University of Southern California, discuss what the future holds for Alzheimer Disease research and treatment.
2/15/2017 • 36 minutes, 38 seconds
Effect of Scalp Cooling for Chemotherapy-Induced Alopecia in Women With Breast Cancer
Interview with Julie Rani Nangia, BA, MD, author of Effect of a Scalp Cooling Device on Alopecia in Women Undergoing Chemotherapy for Breast Cancer: The SCALP Randomized Clinical Trial, and Hope S. Rugo, MD, author of Association Between Use of a Scalp Cooling Device and Alopecia After Chemotherapy for Breast Cancer
2/14/2017 • 26 minutes, 52 seconds
Managing Violent Patients in Health Care Settings
Workplace violence–related injuries occur disproportionately in health care settings. In this podcast, we discuss how individual clinicians should manage violent patients who might attack them. Article discussed in this episode: Ensuring Staff Safety When Treating Potentially Violent Patients
1/30/2017 • 21 minutes, 55 seconds
Screening for Obstructive Sleep Apnea in Adults
Interview with Alex H. Krist, MD, MPH, Task Force member and co-author of Screening for Obstructive Sleep Apnea in Adults: US Preventive Services Task Force Recommendation Statement
1/24/2017 • 24 minutes, 8 seconds
USPSTF Recommendation: Folic Acid to Prevent Neural Tube Defects
Interview with Alex R. Kemper, MD, MPH, MS, Task Force member and co-author of Folic Acid Supplementation for the Prevention of Neural Tube Defects: US Preventive Services Task Force Recommendation Statement
1/10/2017 • 14 minutes, 3 seconds
JAMA Performance Improvement: Do No Harm — Ensuring Staff Safety Against Violent Patients
Violence against health care workers is increasing. With fewer mental health services available, health care workers have disproportionate exposure to potentially dangerous patients. This article reviews the experience of one nurse who was severely injured by a patient and the lessons learned by the hospital where the incident occurred regarding minimizing the risk of staff injury when providing care for potentially violent patients. We interview Robert P. Roca, MD, MPH, MBA; Antonio DePaolo, PhD; Ernestine Cosby, RN; and Bolarin Kehinde, RN, to shed light on this serious issue. Article discussed in this episode: Ensuring Staff Safety When Treating Potentially Violent Patients
12/27/2016 • 30 minutes, 51 seconds
Systematic Approach to a New Onset Seizure
Between 8% and 10% of the population will have a seizure at one point in life. It's important to distinguish seizures from other entities that can look like them and, once a diagnosis of a seizure is established, know how to treat them. In this JAMA Clinical Review podcast, we discuss seizures and epilepsy with Jay Gavvala, MD, author of New-Onset Seizure in Adults and Adolescents: A Review. Article discussed in this episode: New-Onset Seizure in Adults and Adolescents: A Review
12/27/2016 • 28 minutes, 14 seconds
Serologic Screening for Genital Herpes Infection
Interview with Ann E. Kurth, PhD, RN, MSN, MPH, author of Serologic Screening for Genital Herpes Infection: US Preventive Services Task Force Recommendation Statement
12/20/2016 • 13 minutes, 12 seconds
Early Physical Activity and Persistent and Postconcussive symptoms in Children and Adolescents
Interview with Roger L. Zemek, MD, author of Association Between Early Participation in Physical Activity Following Acute Concussion and Persistent Postconcussive Symptoms in Children and Adolescents
12/20/2016 • 2 minutes, 53 seconds
NIH Charts a Path for Nutrition Science
Interview with Jennifer Abbasi, author of NIH Charts a Path for Nutrition Science
12/14/2016 • 12 minutes, 53 seconds
US County-Level Trends in Mortality Rates for Major Causes of Death
Interview with Christopher JL. Murray, MD, DPhil, author of US County-Level Trends in Mortality Rates for Major Causes of Death, 1980-2014
12/13/2016 • 3 minutes, 52 seconds
What Should Students or Residents Do When Abused by Faculty
Approximately one-third of all medical school graduates report having been abused as students. Medical student and resident abuse has long been considered unacceptable behavior but still persists in the teaching environment. In this podcast we discuss how students and residents might respond to these events. We interview Geoffrey Young, MD, from the Association of American Medical Colleges and Thomas J. Nasca, MD, from the Accreditation Council for Graduate Medical Education, who discuss how they expect medical schools to respond to abusive behaviors and what resources are available to students and residents who have been abused to report those experiences without fearing retribution. Article discussed in this episode: Medical Student Mistreatment
12/6/2016 • 30 minutes, 41 seconds
Statin Use for Primary Prevention of Cardiovascular Disease in Adults
Interview with Douglas K. Owens, MD, MS, USPSTF Task Force member and coauthor of Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: US Preventive Services Task Force Recommendation Statement
11/13/2016 • 27 minutes, 56 seconds
Using Medicare Star Ratings to Select Hospitals
Medicare recently developed a star rating system to help consumers determine the quality of care delivered at various hospitals. This rating system was considered controversial by many. In this podcast we discuss the rating system with one of its critics, Karl Y. Bilimoria, MD, MS, and with Kate Goodrich, MD, the Director of the Center for Clinical Standards and Quality at Medicare. Article discussed in this episode: The New CMS Hospital Quality Star Ratings: The Stars Are Not Aligned
11/1/2016 • 26 minutes, 54 seconds
Pioneering Geneticist Explains Ambitious Plan to “Write” the Human Genome
This Medical News podcast discusses the Human Genome Project-write with Harvard geneticist, George Church, PhD.
10/26/2016 • 14 minutes, 23 seconds
USPSTF Recommendation: Interventions to Support Breastfeeding
Interview with Ann E. Kurth, PhD, RN, MSN, MPH, Task Force member and co-author of Primary Care Interventions to Support Breastfeeding: US Preventive Services Task Force Recommendation Statement
10/25/2016 • 12 minutes, 26 seconds
Professional Boundaries: What to Do When Clinicians Ask Other Clinicians to Prescribe Medications for Them
In this episode of JAMA Professionalism: Best Practice, Edward H. Livingston, MD looks at the case of a physician requesting prescription medication from a colleague to examine professional boundaries between physicians and options for managing those boundaries. Shiphra Ginsburg, MD and Wendy Levinson, MD, authors of the related article, join Dr Livingston to discuss the best options for handling this challenging situation. Arthur S. Hengerer, MD, chair of the Federation of State Medical Boards discusses the legal and licensure ramifications of physicians prescribing for other clinicians and Kate E. Engelhardt, MD, and D. Brock Hewitt, MD, MPH, practicing physicians, relate their experience with other clinicians asking them to prescribe medications.
10/25/2016 • 27 minutes, 29 seconds
On CDC’s 70th Anniversary, Director Tom Frieden, MD, Looks Ahead
This Medical News podcast features a Q&A with CDC Director Tom Frieden, MD, commemorating the agency’s historic 70th anniversary. The interview was recorded on August 8th, 2016.
10/13/2016 • 10 minutes, 49 seconds
The Supplement Paradox
Interview with Pieter A. Cohen, MD, author of The Supplement Paradox: Negligible Benefits, Robust Consumption
10/11/2016 • 4 minutes, 38 seconds
Treatments for Hyperemesis and Nausea and Vomiting in Pregnancy
Nearly all women experience some element of nausea and vomiting during their pregnancies. In this podcast we review the entire spectrum of disease all the way up to hyperemesis gravidarum and how to provide care for women experiencing these problems. Article discussed in this episode: Treatments for Hyperemesis Gravidarum and Nausea and Vomiting in Pregnancy
10/4/2016 • 18 minutes, 5 seconds
Fluid Resuscitation for Patients in Septic Shock
When managing septic shock, passive leg raising is the best test to determine if a patient is likely to respond to a fluid bolus, better than CVP lines or even bedside ultrasound. Dr Najib Ayas, Associate professor of Critical Care Medicine at the University of British Columbia, discusses shock management from the context of his Rational Clinical examination article in the September 27, 2016 issue of JAMA, entitled “Will This Hemodynamically Unstable Patient Respond to a Bolus of Intravenous Fluids?”
9/27/2016 • 30 minutes, 40 seconds
Endovascular Thrombectomy and Outcomes in Ischemic Stroke
Interview with Jeffrey L Saver, M.D., author of Time to Treatment With Endovascular Thrombectomy and Outcomes From Ischemic Stroke: A Meta-analysis
9/27/2016 • 3 minutes, 7 seconds
JAMA Performance Improvement: Do No Harm — Performing the Wrong Procedure
What to do when the wrong procedure is performed? In this first installment of JAMA Performance Improvement: Do No Harm we explore the options for dealing with this very difficult problem with Tami Minnier, RN, MSN, Paul Phrampus, MD, Linda Waddell, RN, MSN, and David Baker, MD, MPH, FACP. Air traffic audio courtesy of LiveATC.net, used with permission.
9/20/2016 • 19 minutes, 35 seconds
Monitoring and Feedback for Long-term Weight Loss
Interview with John M. Jakicic, PhD, author of Effect of Wearable Technology Combined With a Lifestyle Intervention on Long-term Weight Loss: The IDEA Randomized Clinical Trial