Ever wonder what it’s like to practice interventional radiology down under? Dr. Chris Rogan joins us on the BackTable Podcast this week to tell us about his IR practice in Australia, with special emphasis on healthcare system and interventional practice model differences between our two countries.---SYNPOSISWe cover a wide range of topics, including the differences in IR training pathways between Australia and the U.S., the impact of healthcare models on IR practice, and the cooperation between public and private healthcare. We also highlight the urgent need for more IR specialists in Australia. Additionally, the doctors explore the challenges of public awareness, interdisciplinary and global collaboration, and the ongoing efforts by the Interventional Radiology Society of Australasia (IRSA) to promote IR through public outreach and educational strategies.---TIMESTAMPS00:00 - Introduction04:08 - Australia vs. US Healthcare Systems08:21 - Compensation and Career Mobility16:52 - IR Public Awareness and Marketing25:56 - Global Collaboration and Conferences30:53 - Travel Tips for Australia---RESOURCESDr. Chris Rogan’s practice:https://drrogan.com/Interventional Radiology Society of Australasia (IRSA):https://irsa.com.au/IRSA 2024 Annual Meeting:https://irsa.com.au/education-events/irsa-annual-scientific-meeting-2024/

Dr. Ali Golshan discusses treating superficial venous disease, SOLVEIN device, FDA approval, and advice for medical entrepreneurs. Topics include diagnostic techniques, treatment options, and insights into the entrepreneurial journey.

Dr. Venkatesh Krishnasamy, an interventional radiologist and Director of Interventional Oncology, shares techniques for challenging lung biopsies, emphasizes the importance of multidisciplinary tumor boards, mentorship, and continued learning. Topics include handling complications, needle position verification, blood patching vs. plug technique, post-procedure protocols, advanced techniques, and encouragement for trainees.

Dr. Alexander Vezeridis discusses advanced biliary interventions, including stone retrieval procedures using Spyglass cholangioscopy and laser lithotripsy. He emphasizes the importance of continuous learning, collaboration with other specialties, and optimizing patient outcomes. The podcast covers innovative techniques like endobiliary ablation, laser treatment for biliary obstructions, and future innovations in managing benign and malignant biliary diseases.

Dr. Noor Ahmad, an interventional radiologist, shares insights on complex IVC filter retrievals. He discusses preoperative evaluation, retrieval techniques using devices like CloverSnare and ClavaClear laser sheath, and the importance of collaboration for challenging cases. The episode emphasizes patient monitoring, preparation, and post-retrieval care in handling complex IVC filter retrieval procedures.

Dr. Sameh Sayfo, interventional cardiologist, shares insights on R2P interventions, benefits of radial access over femoral, advancements in laser atherectomy, and post-op care. Tips on procedure planning, device selection, and adopting flexible approaches for better outcomes.

Dr. Steven Smith discusses venous orthostatic flow dysfunction connecting to multisystem disorders. Topics include POTS physiology, pelvic vein treatment, symptom constellations, patient selection, and advocating for patients. Emphasis on interdisciplinary collaboration and the need for research in vascular interventions.

Dr. Jafar Golzarian shares insights on transitioning from academia to private OBL practice, emphasizing independence, patient-centric approach, embolization procedures, and collaborating with industry partners. He provides practical advice on marketing, finding business partners, staffing, and offers guidance for new practitioners.

Elie Toubiana, CEO of ScribeMD.ai, discusses AI scribes in healthcare with Dr. Aditya Bagrodia. They cover benefits like reducing physician burnout, enhancing patient interactions, and AI's adaptability. Also, they talk about legal, cost, and ethical considerations of AI in medical documentation.

In this episode of the Back Table MSK podcast, Dr. Jacob Fleming and Dr. Douglas Beall dive into the intricacies of sacroplasty, including considerations for selecting cement volume, efficacy of small versus large needles, and biomechanics of the pelvis.---CHECK OUT OUR SPONSORStryker Interventional Spinehttps://www.strykerivs.com---SYNPOSISThe doctors review evidence from the SAKOS trial on pain relief and highlight the complexities of billing. They also emphasize proactive treatments for aging populations suffering from fractures and the need for more training and propagation of sacroplasty techniques. Listeners are encouraged to stay informed about new educational opportunities and advancements in sacroplasty through ongoing updates and courses.---TIMESTAMPS00:00 - Introduction02:33 - Expanding Sacroplasty Training and Curriculum04:50 - Walkthrough of Sacroplasty Technique10:36 - Mechanical Stabilization and Cement Volume21:41 - Choosing Hardware and Needle Size27:37 - Industry-Sponsored Trials and Bias32:47 - Navigating Billing and Reimbursement38:05 - Closing Thoughts on Sacroplasty and Osteoporotic Fractures---RESOURCESBackTable VI Ep. 51- Sacroplasty: Principles & New Data in the Treatment of Sacral Insufficiency Fractures:https://www.backtable.com/shows/msk/podcasts/51/sacroplasty-i-principles-new-data-in-the-treatment-of-sacral-insufficiency-fracturesSeattle Science Foundation Annual Image Guided Interventional Spine Procedures Course:https://ssf.cloud-cme.com/course/courseoverview?P=5&EID=1149Dr. Doug Beall’s Twitter: @dougbeallVertebral Augmentation: The Comprehensive Guide to Vertebroplasty, Kyphoplasty, and Implant Augmentation:https://www.amazon.com/Vertebral-Augmentation-Comprehensive-Vertebroplasty-Kyphoplasty/dp/1684200156An Interim Analysis of the First 102 Patients Treated in the Prospective Vertebral Augmentation Sacroplasty Fracture Registry (Beall, 2023):https://www.jvir.org/article/S1051-0443(23)00356-1/fulltext