BackTable Vascular & Interventional

Dr. Richard Finn, a medical oncologist at UCLA with expertise in liver cancer clinical trials, and Dr. Julius Chapiro, an interventional radiologist at Yale, delve into groundbreaking treatments for hepatocellular carcinoma. They discuss the synergy between transarterial chemoembolization (TACE) and immunotherapy, revealing how recent studies shift treatment paradigms. The duo emphasizes the need for a multidisciplinary approach, highlights advancements in biopsy techniques, and the importance of robust data in guiding treatment decisions.

What is the key to running an efficient OBL? Dr. Mary Costantino, medical director of Advanced Vascular Centers, joins host Dr. Ally Baheti to share some of the key ingredients in keeping it lean in OBL.---SYNPOSISThe doctors delve into strategies in running a cost-effective OBL while upholding clinical excellence. Dr. Costantino shares her personal insights and experiences in minimizing unnecessary costs while maintaining regulatory compliance, high-performing team, and outstanding patient care. She also underscores the importance of having a clear leadership vision and remaining at the forefront of patient care to proactively identify challenges and develop effective solutions to address them. Lastly, she shares her thoughts on navigating the challenges of balancing personal and professional responsibilities in the growing field of outpatient vascular care.---TIMESTAMPS00:00 - Introduction01:46 - Expanding Practices and Partnerships06:24 - Navigating Regulatory Requirements12:26 - Building a Lean and Valuable Team35:01 - Leadership39:54 - Opportunity Cost in Practice Management44:32 - Employee Growth and Retention Strategies46:49 - Building and Maintaining a Successful Practice01:06:54 - The Financial Wheel and Its Impact on Small Businesses

Join Dr. Louis Hinshaw, a specialist in image-guided procedures for renal tumors, and Dr. Jason Abel, an expert in urologic oncology, as they explore innovative approaches to kidney cancer care. They discuss the evolution from cryoablation to microwave ablation and the role of multidisciplinary teamwork in improving patient outcomes. Their insights on patient selection, the significance of collaboration between urologists and radiologists, and the future of renal cancer treatment are both enlightening and inspiring.

Who is the ultimate candidate for GAE, which technical approach is best, and how do you set your patients up for success? Tune into this week’s episode of BackTable to hear from interventional radiologists Dr. Osman Ahmed (University of Chicago Medicine) and Dr. Siddharth Padia (UCLA Health) as they discuss everything from patient selection to follow-up care, covering pre-procedure imaging, access, embolics, technical challenges, clinical data, and the future of genicular artery embolization.---SYNPOSISDr. Ahmed and Dr. Padia debate their approaches to patient selection criteria, the use of MRI and cone beam CT, permanent vs. resorbable embolic materials, how many arteries to embolize, and the relevance of pain metrics post GAE. They also delve into follow-up considerations and the potential for GAE as a long term treatment.---TIMESTAMPS00:00 Introduction01:08 MRI for Patient Selection in GAE08:53 Access Techniques: Femoral vs. Pedal17:07 Cone Beam CT in GAE Procedures27:20 Embolization Strategies39:30 Challenges and Complications in Embolization44:50 Follow-Up and Pain Metrics in Clinical Practice and Research01:06:30 Repeat GAE Procedures: When and Why?01:11:13 Post-Total Knee Replacement and GAE01:21:01 Advice for IRs Looking to do GAE01:24:32 Conclusion and Final Thoughts---RESOURCESGENESIS Trial: https://pubmed.ncbi.nlm.nih.gov/33474601/Landers et al Trial: https://pubmed.ncbi.nlm.nih.gov/37051829/

Dr. Ned Holman, a Neuroradiologist at Alaska Imaging, and Dr. Mike Romeo, President of West Reading Radiology, dive into the intricacies of the diagnostic radiology job market. They discuss diverse employment models and the importance of job transparency. Tips on compensation structures, contract negotiation, and critical interview questions are shared. They also warn about red flags to look out for and discuss the pros and cons of private equity positions in radiology, making this an essential listen for anyone navigating their career path.

Dr. Jim Dahle, a practicing emergency physician and founder of the White Coat Investor, discusses crucial financial strategies tailored for high-income earners. He emphasizes the importance of early financial literacy, effective saving practices, and smart retirement goals. The conversation covers innovative investment tactics like the Mega Backdoor Roth IRA and incorporating real estate into portfolios. Additionally, Dr. Dahle shares advice for new graduates and highlights common financial pitfalls to avoid, ensuring a roadmap towards lasting financial success.

Dr. Bret Wiechmann and Dr. Jerry Niedzwiecki, both interventional radiologists in Florida, tackle the complexities of physician reimbursement in outpatient settings. They expose the lag in payments for advanced procedures and advocate for an office-based facility concept to stabilize compensation. The conversation dives into the Medicare Physician Fee Schedule and emphasizes the urgent need for interventionalists to engage in advocacy and legislative efforts. Together, they call for collective action in seeking reform for fairer reimbursement practices.

Dr. Maureen Kohi, Chair of Radiology at UNC Chapel Hill, dives into her ten rules for female interventional radiologists. She emphasizes the importance of mentorship and navigating gender bias in a male-dominated field. Kohi discusses how to balance parenting and career, advocating for professional growth while prioritizing personal well-being. She shares insights on building strong relationships in the industry and encourages women to lead with confidence. This conversation is packed with pearls of wisdom applicable to all aspiring interventional radiologists!

Dr. Barry Katzen, a pioneering figure in interventional radiology, shares his remarkable journey from training during the field's inception to founding the Miami Cardiac and Vascular Institute. He discusses the early challenges and skepticism surrounding IR, highlighting the importance of innovation over complacency. Dr. Katzen emphasizes the value of patient-centered care and mentorship, urging future interventional radiologists to remain dedicated to evolving practices for better outcomes. His insights encapsulate the transformative spirit that continues to shape the field.

Is social media an effective patient acquisition tool for interventional radiologists? In a word: absolutely. Learn how to reach more patients in this week’s BackTable Podcast, where Dr. Gustavo Elias joins Dr. Ally Baheti to discuss the benefits he has seen with social media, and the content strategies that he uses in his medical practice.---SYNPOSISThe episode begins with Dr. Elias sharing his journey of overcoming initial reservations around posting content. The doctors emphasize the importance of individuality and passion in showing what IR can offer to the public in easily-digestible ways. Dr. Elias then discusses the impact of social media on patient engagement, and shares practical tips for physicians who are looking to enhance their online presence. Dr. Elias also touches on optimal posting schedules, collaboration tips, and balancing professionalism with approachability.---TIMESTAMPS00:00 - Introduction04:02 - Social Media for Interventional Radiologists08:56 - Building a Social Media Presence19:24 - Optimal Posting Strategies21:58 - Collaborations and Platforms25:27 - Conclusion