BackTable Urology

In this episode, Clint Davis, Senior Vice President & General Counsel at HealthTronics joins Dr. Silva to discuss the nuances of physician-industry partnerships in urology, focusing on mobile equipment services like shockwave lithotripsy and ureteroscopy.First, they delve into the Stark Law restrictions on physician referrals and the unique legal status of lithotripsy services. The conversation also covers partnership benefits, compliance strategies for different services, the importance of due diligence, and considerations for physicians looking to invest in or maintain ancillary income through such partnerships. Additionally, they explore the impact of the Federal Sunshine Act on partnership reporting obligations, as well as advice for navigating hospital policies and ensuring legal and financial protections when engaging in these partnerships.---SHOW NOTES00:00 - Introduction06:38 - Exploring Physician Partnerships and Investment Models10:28 - Navigating Legal and Regulatory Aspects of Urology Partnerships12:43 - Investment Strategies and Compliance for Urologists21:42 - Addressing Common Concerns and Opportunities in Urology Partnerships34:53 - Advice on Urology Partnerships---RESOURCESHealthTronicshttps://www.healthtronics.com/

In this episode of the BackTable Urology, Dr. Lindsay Hampson (UCSF), Dr. Gina Badalato (Columbia), and Dr. Max Bowman (UCSF) delve into leadership development during urology residency.First, Dr. Bowman shares his journey towards leadership, starting from his junior residency years and leading up to his current chief resident role and soon-to-be faculty position at UCSF. Max discusses the importance of setting clear expectations, direct communication, and maintaining friendships despite hierarchical differences in residency. The conversation also highlights the benefits of proactive mentorship, the persistent pursuit of leadership opportunities, and the value of leading by example. The urologists then summarize intentional leadership development in medical training and offer advice for residents and early career faculty aiming to enhance their leadership skills.---SHOW NOTES00:00 - Introduction07:37 - Intentional Leadership Development17:51 - Balancing Friendship and Authority20:42 - Crafting a Culture of Leadership32:44 - Seeking and Embracing Leadership Opportunities---RESOURCESEpisode 145 - Urology Training: From Intern to Expert with Dr. Gina Badalato and Dr. Lindsay Hampsonhttps://www.backtable.com/shows/urology/podcasts/145/urology-training-from-intern-to-expert

This week on BackTable Urology, Dr. Suzette Sutherland (University of Washington) and Dr. Drew Peterson (Duke University) explore the psychological and clinical challenges faced by genitourinary cancer survivors dealing with the urological consequences of cystectomy and urinary diversion.First, they delve into the “Terrible Urological Five”, a set of criteria indicating when it might be necessary to consider cystectomy and urinary diversion. Dr. Peterson shares his insights on patient care, emphasizing how long-term follow-up and comprehensive care can transform survivors’ quality of life. He also addresses the psychological aspects of major urological surgery, highlighting the importance of acceptance and adjustment for patients and their families. Alongside specific medical considerations, the surgeons underscore surgical advancements that enhance safety and outcomes, reaffirming the potential for patients to regain a fulfilling life post-surgery.---EARN CMEReflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs: https://earnc.me/wEWNiy---SHOW NOTES00:00 - Introduction to Cancer Survivorship08:06 - The Terrible Urological Five: When to Consider Cystectomy23:09 - The Journey to Accepting a Cystectomy and Urinary Diversion35:03 - Support Networks and Postoperative Quality of Life38:53 - Concluding Thoughts and the Importance of Moving Forward

This week on BackTable Urology, Dr. Seth Lerner (Baylor College of Medicine) discusses the intricacies of lymph node dissection in bladder cancer management, including an overview of patterns of metastasis, genomic classifiers, and recent clinical trials.The discussion highlights the evolution of bladder cancer treatment, from the use of cytotoxic chemotherapy to the current practice of neoadjuvant chemotherapy and radical cystectomy. Dr. Lerner and Dr. Bagrodia further explore diagnostic and treatment strategies, including the role of Decipher Prostate Genomic Classifier in tailoring patient treatment plans. The podcast delves into the necessity of a multidisciplinary approach to bladder cancer, the benefits of multimodal therapy, and the integration of circulating tumor DNA in management plans. Dr. Lerner then discusses clinical trials assessing the impact of extended lymph node dissection during cystectomies and emphasizes the importance of surgical quality and adherence to established protocols in bladder cancer treatment.---CHECK OUT OUR SPONSORVeracytehttps://www.veracyte.com/decipher---SHOW NOTES00:00 - Introduction06:17 - The Role of Imaging in Bladder Cancer Staging08:00 - Exploring the Potential of Genomic Classifiers16:55 - Debating the Efficacy of Extended Lymph Node Dissection27:47 - Update on Bladder Cancer Clinical Trials48:54 - Final Thoughts and the Future of Bladder Cancer Treatment

This week on BackTable Urology, Dr. Aditya Bagrodia speaks with Dr. Ganesh Palapattu, Chair of Urology at the University of Michigan about the evolving role of a surgeon scientist, the balance between clinical work and research, and the importance of mentorship and positivity.Dr. Palapattu shares his personal journey from being inspired by mentors like Dr. Don Coffey to becoming Chief of Urologic Oncologist at Houston Methodist and his focus on fostering the next generation of medical professionals. The episode emphasizes the need for self-reflection, understanding one’s motivations, and the importance of maintaining relationships outside of the professional sphere. Additionally, the doctors discuss financial pressures on surgeon scientists and the importance of a supportive environment, along with the unique position of urologists in driving significant scientific and clinical advancements.---SHOW NOTES00:00 - Introduction07:30 - The Challenges and Importance of Being a Surgeon Scientist13:36 - The Impact of Clinical Practice on Scientific Research18:40 - Structuring Success in Academic Medicine25:41 - Reflecting on the Culture of Collaboration and Support27:24 - The Importance of Time and Resources in Academic Medicine43:40 - Advice for Aspiring Surgeon Scientists---RESOURCESDr. Ganesh Palapattu’s Faculty Profilehttps://medicine.umich.edu/dept/urology/ganesh-s-palapattu-md-facs

This week on BackTable Urology, Dr. Ramon Virasoro, a reconstructive urologist in Eastern Colorado, interviews his mentor, Dr. Gerald Jordan, Professor Emeritus of Urology at Eastern Virginia Medical School.First, they explore Dr. Jordan’s multifaceted career, starting from his upbringing in El Paso and his military career, which eventually led him to medicine and urology. Dr. Jordan shares anecdotes from his time as a Navy fighter pilot and how his service influenced his medical path. He eventually chose to focus on reconstructive urology and played a pivotal role in the formation of the Society of Genitourinary Reconstructive Surgeons (GURS). Significant emphasis is placed on global surgical education and Dr. Jordan’s involvement in establishing and contributing to key nonprofits aimed at improving urological care worldwide. The podcast also delves into Dr. Jordan’s tenure at the American Board of Urology, and the urologists also discuss the evolving landscape of urology education and certification. Finally, Dr. Jordan reflects on the importance of mentorship, the joy of lifelong learning, and the future of urology as a fulfilling specialty.---SHOW NOTES00:00 - From Fighter Pilot to Urologist07:32 - Transitioning from the Military to a Medical Career14:21 - The Evolution of Reconstructive Urology and Global Surgical Education22:01 - Dr. Jordan’s Role in the American Board of Urology26:31 - Reflecting on a Distinguished Career and Looking Ahead---RESOURCESSociety of Genitourinary Reconstructive Surgeonshttps://societygurs.org/BackTable Urology Episode 52- Legends in Urology: Dr. Jack McAninchhttps://open.spotify.com/episode/46wrxyhB2XCwERp4Z2ySc0?si=fe62e35cff934e74

Disclaimer: This podcast episode contains occasional profanity. While we strive to maintain a respectful and professional tone in our content, there may be instances where language is used to emphasize points or express strong emotions. Listener discretion is advised.This week on BackTable Urology, Dr. Ruchika Talwar interviews Emmy nominated writer and comedian, Nimesh Patel, about his personal experience with testicular cancer.Sharing about his diagnosis, treatment, and recovery, Nimesh describes how he processed his cancer and used it as a source of comedic material for his 2023 comedy special, “Lucky Lefty”. His story has contributed to testicular cancer awareness by encouraging men to do self-checks and seek medical attention. Nimesh also underlines the importance of swift medical attention, open communication with medical professionals, and finding a healthy outlet for processing the fear and stress that can accompany a cancer diagnosis. Finally, he emphasizes the importance of the patient-physician relationship, as his anxiety about his diagnosis was eased his physician’s calm demeanor and reassurance.---SHOW NOTES00:00 - Introduction02:06 - The Testicular Cancer Diagnosis and Personal Reflections11:39 - Sharing His Cancer Journey through Comedy19:56 - Advice for Physicians and Physicians25:11 - Advice for Men Facing Testicular Cancer27:36 - The Importance of Not Making Cancer Your Personality---RESOURCESNimesh Patel’s “Lucky Lefty” Comedy Specialhttps://www.youtube.com/watch?v=A2Rdh82XGrYEpisode 91- When Providers Become Patients: Testicular Cancer and Beyond with Dr. William Flanary aka. Dr. Glaucomfleckenhttps://open.spotify.com/episode/4JSXDRJ8BwzFhBBpCymCU3?si=8c58881f9b274cd0

Dr. James Eastham discusses evolving approaches in prostate cancer treatment, emphasizing patient preparation, personalized treatment options, advancements in testing and imaging, and the importance of consistent monitoring and communication with patients.

In this episode of BackTable Urology, Dr. Aditya Begrodia interviews Dr. Mara Holton, a urologist and healthcare policy expert, on the recent healthcare policy changes that have affected the field of urology.First, Dr. Holton shares her educational journey, which included healthcare policy lobbying even before she started medical school. She eventually became involved in leadership positions within the Maryland Patient Care and Access Coalition and the Large Urology Group Practice Association (LUGPA). The discussion then turns to challenges surrounding health policies, such as the persistent use of fee-for-service reimbursement guidelines despite the benefits of value-based care. Dr. Holton also highlights the critical issue of workforce shortages, particularly the need for urologists within rural areas and the impact of healthcare policy on patient access. She ends the episode by emphasizing the necessity for urologists to participate in policy advocacy efforts.---SHOW NOTES00:00 - Introduction04:58 - The Impact and Complexities of Healthcare Policies07:27 - Success Stories in Healthcare Policy Advocacy12:37 - The Impact of Prior Authorization Rules14:27 - The Role of Pharmacy Benefit Managers in Healthcare21:18 - The Challenges of Value-Based Care32:48 - The Importance of Patient Access in Healthcare41:24 - The Importance of Advocacy in Health Policy---RESOURCESLUGPA websitehttps://www.lugpa.org/Episode 82: Advocacy Basics for the Urologist: From Your Clinic to Capitol Hill with Dr. Ruchika Talwarhttps://open.spotify.com/episode/0hcLrKuf5QU7TZCHSErs4Z?si=f4d06ffe6cff4cc4