On this episode of Advances in Care , host Erin Welsh and Dr. Craig Smith, Chair of the Department of Surgery and Surgeon-in-Chief at NewYork-Presbyterian and Columbia discuss the highlights of Dr. Smith’s 40+ year career as a cardiac surgeon and how the culture of Columbia has been a catalyst for innovation in cardiac care. Dr. Smith describes the excitement of helping to pioneer the institution’s heart transplant program in the 1980s, when it was just one of only three hospitals in the country practicing heart transplantation. Dr. Smith also explains how a unique collaboration with Columbia’s cardiology team led to the first of several groundbreaking trials, called PARTNER (Placement of AoRTic TraNscatheteR Valve), which paved the way for a monumental treatment for aortic stenosis — the most common heart valve disease that is lethal if left untreated. During the trial, Dr. Smith worked closely with Dr. Martin B. Leon, Professor of Medicine at Columbia University Irving Medical Center and Chief Innovation Officer and the Director of the Cardiovascular Data Science Center for the Division of Cardiology. Their findings elevated TAVR, or transcatheter aortic valve replacement, to eventually become the gold-standard for aortic stenosis patients at all levels of illness severity and surgical risk. Today, an experienced team of specialists at Columbia treat TAVR patients with a combination of advancements including advanced replacement valve materials, three-dimensional and ECG imaging, and a personalized approach to cardiac care. Finally, Dr. Smith shares his thoughts on new frontiers of cardiac surgery, like the challenge of repairing the mitral and tricuspid valves, and the promising application of robotic surgery for complex, high-risk operations. He reflects on life after he retires from operating, and shares his observations of how NewYork-Presbyterian and Columbia have evolved in the decades since he began his residency. For more information visit nyp.org/Advances…
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#138--UCD43 #20--Fever (in Children)--Dr. Alexis Toney
43:28
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43:28A fun and useful (hopefully!) discussion of common causes of fever in children and the general approach an experienced clinician makes as she assesses pediatrics patients with a chief complaint of fever.Kirjoittanut Mountainlion
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Episode 137-UCD43 #39-Vaginal Discharge:Vaginitis
40:41
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40:41A conversation with OB/GYN faculty member, Dr. Jocylen Glassberg, utilizing the "common things are common" approach to evaluating patients with the chief complaint of vaginal symptoms. We also briefly cover the less common causes of these symptoms and talk about "can't miss diagnoses."Kirjoittanut Mountainlion
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#136--UCD43 #32--Acute Pelvic Pain with Dr. Melody Hou
31:18
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31:18Dr. Melody Hou, UCD SOM OB/GYN Co-Clerkship Director and teaching star discusses a case of a patient presenting with acute pelvic pain--the approach to history, exam, labs and imaging.Kirjoittanut Mountainlion
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#135--Ear Pain--#16 in UCD43--w/ Eric Crossen, MD
59:48
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59:48This case based conversation is about the UCD43 #16--Ear Pain. Please see www.UCD43.com and go to the page "What is the UCD43" for the complete list of UCD43 chief complaints as well as podcasts that address many of them. More to come so stay tuned!Kirjoittanut Mountainlion
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#134--UCD43 #3--Altered Mental Status
54:10
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54:10Dr. Stephanie Rasmussen takes you and 2 excellent discussants on an exploration of a case of altered mental status. The UCD43 is a curricular list of 43 common chief complaints that all UCD medical students should be comfortable with by the time they graduate from medical school. We hope other medical schools and residency training programs will al…
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#133--A Tribute to Faith Fitzgerald MD MACP
31:03
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31:033 stories as told by F2 herself.Kirjoittanut Mountainlion
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#132--Oath to Self Care & Well Being-M.Panda,M.Lo, K. O'Brien
1:03:17
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1:03:17An interview with 3 APDIM/AAIM members who have raised the bar on self care and well being in an age of significant healthcare provider burnout.Kirjoittanut Mountainlion
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#131--Episode 8-Surviving Crisis--Surviving Covid--Scott Kaatz
57:18
57:18
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57:18Another remarkable story of surviving crisis.Kirjoittanut Mountainlion
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#130--Episode 7 Surviving Crisis--The Community of John John--Mark Henderson
1:11:28
1:11:28
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1:11:28Further discussion of grief, the challenge of surviving the loss of a child and the importance of community in that survival.Kirjoittanut Mountainlion
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#129--Episode #6 Surviving Crisis--Helen & John John--Helen Chew
1:01:28
1:01:28
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1:01:28Dr. Helen Chew talks about John, his loss and the ways in which she was able to survive devastating grief and to find some degree of solace.Kirjoittanut Mountainlion
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#128--Episode #5--Surviving Crisis--Surviving Wildfire--Cheryl McBride
53:34
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53:34An interview with Kaiser Santa Rosa Emergency Medicine physician, Dr. Cheryl McBride, about evacuating her family during the 2017 Tubbs Fire in Sonoma County, the loss of her family's home and all possessions and the long recovery from the aftermath of the fire in her town and Sonoma County.Kirjoittanut Mountainlion
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#127--Episode 4-Surviving Crisis: Suicide of a sibling
55:54
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55:54Episode explores the death of a close family member from suicide and some of its aftermath.Kirjoittanut Mountainlion
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#126--Episode 3--Surviving Crisis--Surviving Racism--A Conversation with Elise Boykin Harris, MD
59:47
59:47
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59:47A conversation about racism in the second grade that transitioned to a frank discussion about racism in college and persevering to realize a dream that Dr. Harris had had since she was 5 years old.Kirjoittanut Mountainlion
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#125--Episode 2--Surviving Crisis--Deployment
33:20
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33:20#125--Episode 2--Surviving Crisis--Deployment by MountainlionKirjoittanut Mountainlion
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#124--Episode 1-Surviving Crisis--Surviving AML
1:00:34
1:00:34
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1:00:34It's been a hard year for everyone in so many ways. What have colleagues who have survived crises learned from their experiences? What do they have to teach us about survival and about life? Listen to this new Mountainlion series, hear their stories and find out.Kirjoittanut Mountainlion
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#123--Student Mistreatment--Interview with James Nixon MD
52:11
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52:11A conversation with Dr. James Nixon of University of Minnesota about the origin of the term, "mistreatment" as well as about the sources and types of this mistreatment in the medical training environment.Kirjoittanut Mountainlion
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#122--Death to Pimping! Long Live Artful Questioning!--PA
42:40
42:40
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42:40Brief background to why we use questions while teaching learners, the background to the word pimping and why we should stop calling it that...plus 10 tips for artful questioning in the med ed setting.Kirjoittanut Mountainlion
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#121--Three (Not So) Easy Pieces--An interview with Don Bordley, MD
30:42
30:42
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30:42A wonderful essay from the Annals "On Being a Doctor" Essay collection straight from the heart of a great educator in Internal Medicine. It juxtaposes learning a musical instrument with learning, for the first time, to present a patient at the bedside.Kirjoittanut Mountainlion
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#120--APDIM--Training Residents to deal c discrimination from patient--Eisenberg, Kieffer & Soriano
40:56
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40:56A very timely discussion of how one residency program trains its residents to deal with discrimination from patients.Kirjoittanut Mountainlion
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#119--AAIM Workshop--Round like a Champion--Marina Mutter
43:37
43:37
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43:37An interview with one of the presenters--Marina Mutter, MD--from a workshop presented at Denver APDIM in fall 2019 about tapping into Doug Lemov K-12 teaching techniques that, when applied to Medical Education, can be a hit.Kirjoittanut Mountainlion
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#118.5--Step Prep--StepOnIt Take 5--Immuno So Suppressed & Hip Cat
31:30
31:30
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31:30A reading of Hip Cat, some Stan Getz and Immunosuppressives Pharmacology Case vignette review--all to keep your brain blooming and fresh in these uncertain times.Kirjoittanut Mountainlion
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#118--Step Prep--StepOnIt Take 4--Gram Rod, Ur So Negative
24:37
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24:375 short scenarios from the Lange Micro/ID Flash Cards for your listening and neuron stimulating wonder and a little bit of some Woody Guthrie classics to keep your right brain happy.Kirjoittanut Mountainlion
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#117--Step Prep--StepOnIt Take 3- Step In Flamed For Step 1
29:39
29:39
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29:39Pharmacology flash cards from the 4th Edition Lange Flash card series plus a tribute to Sam Clayton, Jr., sound engineer for Toots & The Maytals as well producer and sound engineer for other Reggae greats--who died of the novel coronavirus.Kirjoittanut Mountainlion
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#116--Step Prep--StepOnIt Take 2--Postively Cocci & Bucky Pizzarelli
30:27
30:27
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30:275! The number 5 clinical vignettes for you to review for Step Prep and for the practice of medicine. As well a brief tribute to Bucky Pizzarelli, great jazz guitarist who died from the novel coronavirus a few weeks ago at 84 years of age.Kirjoittanut Mountainlion
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#115--Step Prep--StepOn-it Take 1--Rod d' Gram Pos
26:15
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26:15A tribute to Lee Konitz, another victim of the novel coronavirus, followed by some Gr + Rod vignettes followed by a tribute to Disney movie animator, Ann Sullivan.Kirjoittanut Mountainlion
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#114--Morning Report Mystery Case #3--& John Murray, MD
34:43
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34:43Another challenging case to keep you thinkingKirjoittanut Mountainlion
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#113--Morning Report Mystery Case 2--& Wallace Roney
53:26
53:26
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53:26Morning Report style case brought to you by....well, you'll have to listen to find out where this case came from because it's a secret revealed at the end. And 2 songs in memory of Wallace Roney, Jazz great, who recently died at age 59 from complications of novel coronavirus infection. We will miss him.…
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#112--Morning Report Mystery Case-- John Prine Memorial
35:36
35:36
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35:36Take a break from IM Essentials questions and try and figure out the diagnosis in a sick hemodialysis patient being admitted overnight to the hospital.Kirjoittanut Mountainlion
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#111--Bolus 8 ID questions & Ellis Marsalis
40:06
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40:06Reflections on working in the hospital during the first "skirmishes" with Covid-19, remembering Ellis Marsalis and a few last 5 questions for I.D. from IM Essentials.Kirjoittanut Mountainlion
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#110--Bolus 7--Infectious Diseases IM Essentials
31:11
31:11
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31:11Another bolus of spellbinding Infectious disease questions to keep you on the edge of your seat....and poem to lead off the set, of course.Kirjoittanut Mountainlion
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#109--Bedside Rounding Series--A Resident's Perspective on Bedside Presentations--Ashley Mills
27:02
27:02
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27:02An R3 reflects on her love of being at the bedside with her teams and what is gained by being there and what is lost by not being at the bedside.Kirjoittanut Mountainlion
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#108-- Bolus 6 ID Questions
40:52
40:52
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40:525 more mundane but important questions in Infectious Diseases from IM Essentials produced by ACP and CDIM.Kirjoittanut Mountainlion
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#107--Bolus 5 Infectious Diseases IM Essential Q 27-31
35:51
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35:51Items 27 through 31 in the I.D. section of IM Essentials. And a poem at the end to reward you for sticking it out and listening to this podcast!Kirjoittanut Mountainlion
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#106--Advice from 2 Medical Students in Lockdown--& A Poem to Calm You
21:34
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21:34Brief interviews with 2 medical students pulled from their third year Internal Medicine rotation due to concerns about Covid-19. AND a short poem to calm your frazzled nerves.Kirjoittanut Mountainlion
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#105--Bedside Rounding Series--Exam Room Presentations--with Dr. Jenny Wright
35:48
35:48
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35:48Dr. Jenny Wright from University of Washington discusses how to successfully carry out exam room presentations with medical students.Kirjoittanut Mountainlion
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#104--Bolus #4--Infectious Disease IM Essentials
29:38
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29:38James Wright leads this one off with a reading of "A Blessing".Kirjoittanut Mountainlion
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#103--Infectious diseses IM Essential Set #3
29:31
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29:31Random ID questions to sharpen your neurons into well honed spears of knowledgeKirjoittanut Mountainlion
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#102--IM Essentials---Inf Dis-- Q 6-10 & What does 1 student think about the Lockdown?
42:31
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42:31Hear what a 3rd student thinks about being pulled from her IM Clerkship due to the novel coronavirus pandemic and then settle in for some exciting IM Essentials questions to train your brain and expand your fund of knowledge.Kirjoittanut Mountainlion
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#101--Bedside Rounding Series--The Art of Bedside Rounds-with Dr. Jed Gonazlo
45:44
45:44
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45:44Dr. Jed Gonzalo talks to us about the art of bedside rounds based on his publication and experience in this area.Kirjoittanut Mountainlion
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#100--IM Essentials-- Inf Dz-- Items 1 thru 5
46:02
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46:02Items 1-5 from the I.D. section of IM Essentials: A Medical Knowledge Self-Assessment Program for StudentsKirjoittanut Mountainlion
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A brief story about what's lost when there isn't shared decision making with patients....and why this IM Program Director insists on bedside rounds rather than hallway or conference room rounds.Kirjoittanut Mountainlion
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#98--Bedside Rounding Series--Improving the patient experience--with B Monash, MD
47:49
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47:49Kirjoittanut Mountainlion
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#97--The Highest Bar-Patient Centered Bedside Rounds with Eric Warm, MD
28:36
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28:36Kirjoittanut Mountainlion
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#96--Culture Changers 2--Bedside Rounds with Peter Lichstein--Wake Forest School of Medicine
44:21
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44:21Kirjoittanut Mountainlion
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#95--Bedside Rounding Series--Culture Changers Part 1 - Emily Leasure, MD
43:22
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43:22Kirjoittanut Mountainlion
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#94--Bedside Rounding Series--Nuts&Bolts of Bedside Presentations--James Nixon
34:37
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34:37Kirjoittanut Mountainlion
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#93--RIME--A Chat with Lou Pangaro
1:01:31
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1:01:31#93--RIME--A Chat with Lou Pangaro by MountainlionKirjoittanut Mountainlion
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#92--In Pursuit of Honors--Justin Bullock, MD
48:14
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48:14#92--In Pursuit of Honors--Justin Bullock, MD by MountainlionKirjoittanut Mountainlion
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#91--Ultra Brief Teaching--Alan Hall, MD
16:56
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16:56#91--Ultra Brief Teaching--Alan Hall, MD by MountainlionKirjoittanut Mountainlion
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#90--Step Prep Vol. 2-A Phoenix From the Ashes--Elise Boykin-Harris
35:56
35:56
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35:56A doctor who turned failure(s) into success and used that success to help others who came after her to succeed, as well.Kirjoittanut Mountainlion
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