Clinician's Roundtable

Host: Larry Kaskel, MD Guest: S. Allan Adelman, JD Malpractice risk is a reality in clinical practice, but you can take precautions to minimize your risk. In this segment, Dr. Larry Kaskel talks with medical malpractice attorney S. Allan Adelman about the many reasons outside of medical error that patients bring legal actions against physicians. Find out what you should know to protect yourself.

Host: Bill Rutenberg, MD Guest: Laurence Udoff, MD Can acupuncture improve the outcomes of women undergoing IVF? This is the question of a recently published BJM paper and the subject of our interview with Dr. Lawrence Udoff, Assistant Professor in the Division of Reproductive Endocrinology and Infertility University of Maryland School of Medicine. In this segment Dr. Rutenberg examines the criteria of the studies selected for the meta analysis, how the outcomes were measured and what the research indicated. Join us.

Host: Bill Rutenberg, MD Guest: Brian Berman, MD In this segment, our guest Dr. Brian Berman, Professor of Family Medicine and the founder and director of the University of Maryland Center for Integrative Medicine, talks with host, Dr. Bill Rutenberg about how can we develop evidence based complementary medicine and integrate it into mainstream medicine. He also provides the 5 key ingredients he believes should be included in a complementary medicine program and he discusses the outcomes of the most recent Society for Acupuncture Research meeting.

Host: Bill Rutenberg, MD Guest: Brian Berman, MD Complementary and Alternative Medicine (CAM) practices including acupuncture and relaxation therapy used more traditionally to prevent and treat chronic disease are new to the ICU. In this segment, our guest Dr. Brian Berman, Professor of Family Medicine and the founder and director of the University Of Maryland Center for Integrative Medicine talks about the CAM treatments and studies currently in progress at the Shock Trauma Center at the University of Maryland. He and his research team are working with the ICU team to determine if they can make a difference in patient outcomes using markers such as decreased inflammation, pain reduction, lesser need for narcotics and stress reduction. Join host Dr. Bill Rutenberg to learn more about this interesting work.

Host: Bill Rutenberg, MD Guest: Brian Berman, MD What benefit does acupuncture offer in the treatment of osteoarthritis? Our guest Dr. Brian Berman, Professor of Family Medicine and the founder and director of the University of Maryland Center for Integrative Medicine shares his research supporting the hypothesis that patients with osteoarthritis benefit significantly from acupuncture treatments. In this segment, Dr. Berman talks with host Dr. Bill Rutenberg about the initial experiments which led to NIH funded trial. Learn of the outcomes of this trial including how many treatments are required to have an impact on the patient and what researchers have learned from following the patients after the trial.

Host: Mark Nolan Hill, MD Guest: Michael Sayre, MD In cases of out-of-hospital sudden cardiac arrest, bystanders are now formally encouraged to bypass full cardiopulmonary resuscitation (CPR), in favor of continuous chest compressions. This instruction comes following a March 2008 scientific advisory published in the journal Circulation. Given that many bystanders are hesitant to intervene in these situations, citing fear that they will do more harm than good, wariness of infection risk, or other personal considerations, how can medical professionals motivate bystander participation? Dr. Michael Sayre, associate professor of emergency medicine at the Ohio State University College of Medicine and lead author of this advisory, considers our best strategies for increasing bystander participation, in accordance with the newest CPR guidelines. Dr. Mark Nolan Hill hosts.

Host: Mark Nolan Hill, MD Guest: Michael Sayre, MD Following a March 2008 scientific advisory published in the journal Circulation, bystanders are now formally encouraged to immediately perform continuous chest compressions as cardiopulmonary resuscitation (CPR) in some cases of out-of-hospital sudden cardiac arrest. Dr. Michael Sayre, associate professor of emergency medicine at the Ohio State University College of Medicine and lead author of this advisory, shares his insight on the newest CPR guidelines. What are the current survival rates after an out-of-hospital sudden cardiac arrest, and how might they improve with this advisory? With the next review of the CPR guidelines scheduled for 2010, what can we expect from the CPR discussion until then?

Host: Mark Nolan Hill, MD Guest: Michael Sayre, MD Following a March 2008 scientific advisory published in the journal Circulation, bystanders are formally encouraged to immediately perform continuous chest compressions as cardiopulmonary resuscitation (CPR) in some cases of out-of-hospital sudden cardiac arrest. Some medical professionals have been making this recommendation for years; Dr. Michael Sayre, associate professor of emergency medicine at the Ohio State University College of Medicine and lead author of this advisory, updates us on the CPR discussion. For what cases of cardiac arrest should we instruct the general public to avoid assisted ventilation? Find out more with host Dr. Mark Nolan Hill.

Host: Susan Dolan, RN, JD Guest: Mary Mancini, RN, PhD Dr. Mary Elizabeth Mancini is the co-founder of the National Registry of Cardiopulmonary Resuscitation (NRCPR) which has become the world's largest registry for in-hospital cardiac resuscitation events. Hear Dr. Mancini as she discusses why it's important to start questioning the status-quo in hospitals regarding resuscitation.

Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Theo Zaoutis, MD Guest: Talene Metjian, PharmD Antimicrobial stewardship programs (ASP) are recognized as apt measures for effective antimicrobial use and for promoting patient safety in adult care settings. Recent research indicates these programs may be applicable in pediatrics. Theo Zaoutis, MD, and Talene Metjian, PharmD, leaders of the ASP at the Children’s Hospital of Philadelphia, join host Dr. Charles Turck. Can ASPs optimize clinical outcomes related to antimicrobial use?