December 6th, 2019
Podcast 245: We revisit a 2018 episode on NPs’, PAs’, and MDs’ performance in the primary care of diabetes
In November 2018 we interviewed two authors of an Annals of Internal Medicine study comparing the quality of diabetes care afforded by three provider types: nurse-practitioners, PAs, and MDs. They reported that there were no clinically significant differences in the intermediate outcomes — glycated hemoglobin, systolic pressure, or low-density lipoprotein cholesterol — among the groups. We’re […]
November 28th, 2018
Podcast 225: Managing diabetes in primary care — are there quality differences among NPs, PAs, and MDs?
Does the diabetes care afforded by NPs and PAs match that of MDs? According to a careful analysis among Veterans Affairs patients there are no clinical differences in intermediate outcomes — hemoglobin A1c, systolic pressure, or LDL cholesterol. The principal and senior authors of that analysis are our guests this time. Links: Annals of Internal Medicine study (free […]
March 28th, 2018
Podcast 219: Digital rectal exams shouldn’t be routine in primary care
There simply isn’t enough evidence to sustain its continued use in asymptomatic men, argues our guest. Dr. Jason Profetto, senior author on an Annals of Family Medicine meta-analysis. Links: Annals of Family Medicine abstract Physician’s First Watch coverage
September 25th, 2013
Podcast 168: The Camden Coalition’s work on alleviating the discontinuity of medical care
Running time: 10 minutes The Camden Coalition of Healthcare Providers formed about 10 years ago as a quarterly breakfast club of primary-care providers who were frustrated in their attempts to bring care to comprehensive care to their patients in Camden, N.J. The Coalition’s found and executive director, Dr. Jeffrey Brenner (himself a family physician) has just been […]
February 17th, 2012
Podcast 146: Cognitive impairment in primary care — screen or not?
Current guidelines find no compelling therapeutic benefit to screening for cognitive impairment and dementia in primary care. The Journal of the American Geriatrics Society has published some research that, if not compelling, certainly suggests that clinical approaches should change. In actively screening some 8000 veterans over age 70 during routine primary care visits for cognitive impairment, […]
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