Healthcare Unfiltered

Join Chadi in a thought-provoking discussion with Bryan Carmody, aka the “Sheriff of Sodium” and a pediatric nephrologist, as they tackle the challenges of the American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) program. Bryan shares his visionary solutions to simplify and improve the MOC process, shedding light on the potential benefits for physicians and patients alike. Whether you're a physician, healthcare professional, or just curious about the future of medical certification, this episode offers insights into a critical issue in modern medicine. View Dr. Carmody’s YouTube discussions on the matter. https://www.youtube.com/watch?v=aNgf6oYZlcg https://www.youtube.com/watch?v=2SsU2Y40XwY View “The Sheriff of Sodium” blog. https://thesheriffofsodium.com/page/6/ Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Current FDA commissioner, Robert Califf, joins the show to cover his story – from his career path to his crucial role today. Join Chadi in this eye-opening episode as they uncover the complexities of drug shortages in the United States, especially in the realm of cancer treatment. Learn about the intricate web of factors contributing to drug shortages, how cancer drug scarcities emerged, and the FDA's pivotal role in addressing them. Dr. Califf shares strategies to mitigate these issues, emphasizing the importance of supply chain nuances and more. Tune in to gain unique insights into the FDA's commitment to patients and the future of cancer care. Read more about the cancer drug shortage. https://www.theatlantic.com/health/archive/2023/06/cancer-drug-market-dysfunction-supply-shortage/674512/ https://www.axios.com/2023/06/14/cancer-drug-shortages-supply-chain-vulnerabilities https://ascopubs.org/doi/full/10.1200/OP.21.00883 Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Making their return to the show are Drs. Jack West and Nathan Pennell, of City of Hope Comprehensive Cancer Center and Cleveland Clinic, respectively, this time to use the ADAURA trial as a springboard to discussing pitfalls and shortcomings of modern clinical trial designs. The trio go back and forth on control arms keeping pace with standards of care, studies mandating the ability for crossovers, and appropriate endpoints for adjuvant studies. Then, they highlight underwhelming clinical trial data that have led to FDA approvals, whether ADAURA featured a “known inferior agent” and an “inferior crossover design,” and whether ADAURA proved to be an “unethical” trial, among many other points of contention. Listen to Drs. West and Pennell’s previous episode on the ADAURA trial from 20121. https://on.soundcloud.com/VQ4vb Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Join Chadi as he engages in a dynamic and informative conversation with two distinguished guests, Drs. Neeraj Agarwal and Rana McKay. In this illuminating episode, they delve into the groundbreaking research and pivotal developments in genitourinary oncology unveiled at the 2023 ASCO Annual Meeting. Dr. Neeraj Agarwal, renowned for his extensive contributions to urologic oncology, and Dr. Rana McKay, a trailblazer in advanced kidney cancer treatments, bring their wealth of knowledge and expertise to the forefront. Together, the trio meticulously dissect the most impactful findings that emerged from the conference, providing listeners with a comprehensive understanding of the latest advancements in genitourinary cancer research. Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

So much has happened since the petition against the ABIM MOC started on 7/21/2023, which is nearing 20,000 signatures. Physicians have called upon their societies and organizations to offer statements on their behalf, but only The Society for Cardiovascular Angiography & Interventions (SCAI) so far has done so. Drs. Srihari Naidu and Allison Dupont, both members and leaders of SCAI, come on the show to explain why they came up with the statement and what it means to the membership. Is there a path forward and why have other societies stayed silent thus far? Drs. Naidu and Allison Dupont offer refreshing opinions as to what might get done and what is to come after the praise that SCAI received. Learn more about the SCAI. https://scai.org/ Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Making her triumphant return to the show is Urvi Shah, MD, hem/onc and multiple myeloma expert at Memorial Sloan Kettering Cancer Center, this time to shed light on how dietary considerations present a low-risk way to modify the microbiome and help prevent cancer. She opines on whether her findings on the association between diet and cancer in myeloma will be scalable in other malignancies, offers a few of her findings related to dietary habits and cancer diagnoses, describes the double standard in the ways drug vs dietary clinical trials are considered, and shares a recent publication she published on the planetary impact of dietary choices, among other discussion points. Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Dr. Wes Fisher joins the show to continue highlighting ABIM recertification and the MOC program following a petition that has gathered over 12,000 signatures to end this program. Dr. Fisher is a clinical cardiac electrophysiologist at NorthShore University HealthSystem in Evanston, IL; he is also a clinical Associate Professor at the University of Chicago Pritzker School of Medicine. Dr. Fisher is triple board-certified in Internal Medicine (Grandfathered per the ABIM), cardiology, and cardiac electrophysiology. He is due for his FOURTH re-certification in cardiology after 12/31/2023 and FOURTH re-certification in EP after 12/31/2023. The process of re-certification and MOC became a core center in Dr. Fisher’s advocacy on behalf of the physicians. He co-founded Practicing Physicians of America to advocate and educate and has done significant investigative work on the ABIM; you can see much of his writing on his blog as well as many other outlets. Why does a respected EP physician, with over 3 decades of experience and thousands of patients seen, need to do this re-certification again and pay yearly dues? Please listen to this exclusive revealing podcast and share with your colleagues. This is another ABIM-related MUST LISTEN podcast. Read more about Practicing Physicians of America. https://practicingphysician.org/join/ View Dr. Fisher’s blog. https://drwes.blogspot.com/ Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

A lot has been stated about the Maintenance of Certification (MOC) implemented by the American Board of Internal Medicine (ABIM,) and many physicians, regardless of specialty, have been opposed to the MOC as it adds cost, burden, and takes away from patient care. This led Dr. Aaron Goodman from UCSD to start a petition to end the MOC, which gathered unwavering support with over 10,000 signatures in 2 weeks. In response, Dr. Richard Baron, the president and CEO of ABIM, has agreed to come on the show to address the concerns raised by physicians and to answer questions that have flooded all social media channels since the petition started. What is the history of certification, recertification, and MOC? What is the “Grandfather” rule? What about data? COI? Cost? Burnout? Does the MOC really lead to better patient care? Why not stick to state-regulated CME courses? These issues are top-of-mind for a large number of physicians who are certified by the ABIM. You will not want to miss this heated, yet respectful and civil, discussion. In the podcast, there is a mention of COIs. The ABIM has provided links to their COI. https://www.abim.org/about/boards-and-committees/board-policies/financial-conflict-of-interest/ and https://www.abim.org/about/boards-and-committees/board-policies/academic-conflict-of-interest/ Dr. Baron's specific COI are also listed. https://www.abim.org/about/leadership/#baron The ABIM Board of Directors page lists all of their COIs as well. https://www.abim.org/about/boards-and-committees/governance/board-of-directors/ Here is the page for all the Specialty Boards. https://www.abim.org/about/boards-and-committees/ View the petition. https://www.change.org/p/eliminate-abims-moc-requirement Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Kuljit Kapur, DO, MBA, hospice and palliative medicine specialist, is today’s guest of honor to bring about new perspectives and clarify some misconceptions regarding palliative and hospice care. Dr. Kapur shares her inspiration to go into palliative care and to pursue her MBA, reflects on her regular routine of home visits and how it affected her personal life, offers a way in which we can change the negative stigma around palliative care, opines on an appropriate timeline to begin palliative care in patients, explains how to manage family expectations against what is needed for patients, describes how palliative care and hospice care teams as well as reimbursements differ, and a whole lot more. Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA

Ilana Yurkiewicz, MD, medical oncologist and primary care physician with a focus on cancer patients, and esteemed author of the book “Fragmented: A Doctor's Quest to Piece Together American Health Care,” joins the show as today’s guest of honor. Chadi and Dr. Yurkiewicz discuss her unorthodox career path and inspiration to write the book, where the fragmentation within the healthcare system can be pinpointed (layers upon layers), the many narratives and original research she adds to the book to make the story relatable and compelling, and the low-hanging fruit that can change the system for the better, among many other things. Read more about “Fragmented: A Doctor's Quest to Piece Together American Health Care.” https://www.amazon.com/Fragmented-Doctors-Together-American-Health/dp/0393881199 Check out Chadi’s website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA