I'm Dr. Joseph Kumka, Gastroenterology Fellow, educator, and creator of this podcasts. Whether you're a resident gearing up for the boards, a fellow diving deep into subspecialty topics, or a practicing clinician hungry for high-yield updates—you’re in the right place. Subscribe, engage, and let's raise the bar together. Please not that that these are AI generated podcasts curated from most up to date resources.
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Joseph Kumka Podcasts
Healthcare podcast covering hospital systems, medical education, physician employment, healthcare policy, and the future of academic medicine. Exploring corporate healthcare, nonprofit hospital governance, medical school funding, and patient care quality. Real cases, expert analysis, systemic change.
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Diarrhea Podcast Episode Introduction Welcome back to GI Insights, the podcast dedicated to bringing clarity to complex clinical topics in gastroenterology. Today, we're tackling one of the most universal challenges in all of medicine: the patient with diarrhea. It’s a chief complaint that can signify anything from a benign, self-limited illness to…
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Medicare Advantage Explained: Why Your "Medicare" Might Not Actually Be Medicare
39:53
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Medicare Advantage vs Original Medicare: What seniors need to know before choosing coverage. In this comprehensive episode, we break down the critical differences between Medicare Advantage (Part C) and Original Medicare, exposing the hidden costs, network restrictions, and prior authorization requirements that affect over 31 million Americans. Dis…
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The Accidental Architecture of American Healthcare
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29:12
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How American Healthcare Became an Accidental System: The Untold History of HMOs, PPOs, and Academic Medicine Ever wondered why healthcare in America feels so complicated? This episode reveals the surprising truth: nobody actually designed our current system. We trace the fascinating origins of health insurance back to the Great Depression, when des…
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The Billion-Dollar Knot: How Minnesota's Academic Medicine Became an Unsolvable Puzzle
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The Minnesota Medical Center Puzzle: A Billion-Dollar Governance Knot No One Can Untie How did three nonprofits, a state university, a hospital system, and a physician group, become so financially entangled that none can survive without the others, yet none can agree on who should lead? This deep-dive investigation unpacks the 28-year saga of Minne…
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Power, Money, and the Fight for Academic Medicine
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The Hidden Hospital: Power, Money, and the Fight for Academic Medicine When you see "University of Minnesota Medical Center" above a hospital entrance, you assume it's where the state's brightest medical minds teach, research, and heal. But what if that prestigious name is just branding, and the reality underneath is far more complicated? In this e…
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A Gastroenterologist's Guide to UC Management
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Ulcerative Colitis: The Modern Therapy Ladder from First-Line to Rescue Introduction: A Practical Framework for UC Management Welcome to our deep dive into the management of Ulcerative Colitis. In today's episode, we're going to build a clear, step-by-step, and evidence-based guide for managing UC across the full spectrum of disease, from mild proc…
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A Gastroenterologist's Guide to Crohn's Management
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Treat-to-Target Approach to Crohn's Disease Management 1.0 Introduction: The Treat-to-Target Paradigm in Crohn's Disease The management of Crohn's disease has undergone a fundamental transformation. We have moved beyond the limited goal of simple symptom control and embraced a more ambitious objective: achieving deep, durable, and steroid-free remi…
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A Gastroenterologist's Guide to IBD Diagnosis and Surveillance
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17:09
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Podcast Show Notes: Decoding IBD - A Gastroenterologist's Guide to Diagnosis, Management, and Surveillance Introduction: Navigating the Overlap Between Crohn's and Ulcerative Colitis The clinical overlap between Ulcerative Colitis (UC) and Crohn's Disease (CD) can be significant, often making diagnosis based on symptoms alone a formidable challenge…
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Clostridioides difficile Infection (CDI) Treatment Protocol 1.0 Purpose and Scope This protocol establishes a standardized, evidence-based framework for the diagnosis and management of Clostridioides difficile infection (CDI). Its strategic importance lies in unifying our clinical approach to improve patient outcomes, reduce the incidence of recurr…
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Inpatient Management of Inflammatory Bowel Disease Flares with Bloody Stools 1.0 Purpose and Scope This protocol provides a standardized, evidence-based framework for the systematic management of hospitalized patients presenting with inflammatory bowel disease (IBD) flares accompanied by bloody stools. Its strategic importance lies in ensuring time…
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Neuroendocrine Tumors (NETs) and Gastrointestinal Stromal Tumors (GISTs) 1.0 Foundational Principles of Neuroendocrine and Mesenchymal Tumors 1.1 Introduction The diagnosis of a gastrointestinal mass prompts a critical evaluation to determine its cellular origin and biological drivers. While neuroendocrine neoplasms (NENs) and gastrointestinal stro…
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Clinical Pathway for Upper GI Malignancies: A Guide for Gastroenterology Fellows Introduction This document provides a comprehensive, evidence-based clinical pathway for the diagnosis, staging, treatment, and surveillance of the three primary upper GI malignancies encountered in our practice: esophageal cancer, gastric adenocarcinoma, and gastric l…
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Gastric Polyps and Metaplasia, and Hypersecretory Disorders
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Gastric Metaplasia, Hypertrophic and Hypersecretory Disorders 1.0 Hypertrophic & Hypersecretory Gastropathies Disorders of gastric mucosal growth and acid secretion, while individually rare, present unique diagnostic and management challenges in clinical gastroenterology. A strategic approach is crucial for differentiating between these conditions,…
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Diagnosis and Management of Key Gastrointestinal Infections 1.0 Helicobacter pylori Infection: A Comprehensive Protocol The effective management of Helicobacter pylori infection represents a critical competency for gastroenterologists in training. A systematic approach, from accurate diagnosis through confirmed eradication, is essential for prevent…
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Diagnostic and Management Pathways for Gastric Motility and Vomiting Disorders 1.0 Initial Patient Assessment: Symptom-Based Triage 1.1. Introduction to Symptom-Directed Diagnosis A meticulous clinical history is the cornerstone of an accurate diagnosis for upper gastrointestinal disorders. While imaging and physiological tests are essential, the p…
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Diagnosis and Management of Esophageal Motility Disorders Introduction This protocol provides a standardized, evidence-based framework for the diagnosis and management of esophageal motility disorders, grounded in the Chicago Classification v4.0. Its purpose is to equip gastroenterology fellows with a systematic approach to patient care, beginning …
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Diagnosis and Management of Esophagogastric Functional Disorders 1.0 Introduction to Esophagogastric Disorders of Gut-Brain Interaction (DGBI) Patients presenting with upper gastrointestinal symptoms such as heartburn, chest pain, and dyspepsia represent a common and complex clinical challenge. This protocol provides a structured, evidence-based pa…
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Diagnosis and Management of Common Esophageal Disorders 1.0 Initial Patient Assessment and Triage The initial triage of a patient presenting with esophageal symptoms is a critical determinant of clinical outcomes. A systematic approach, predicated on recognizing distinct symptom patterns and alarm features, is essential for directing the urgency an…
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Diagnosis and Management of Gastroesophageal Reflux Disease (GERD) 1.0 Initial Patient Assessment and Triage The initial patient encounter is a critical triage point for determining the urgency and direction of the diagnostic workup. The primary objective is to stratify patients based on the presence or absence of "alarm features." These features m…
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Management of Peptic Ulcer Disease (PUD) and Ulcer Bleeding 1.0 Introduction and Scope 1.1 Purpose and Definition of PUD The strategic management of Peptic Ulcer Disease (PUD) is critical to ensuring optimal patient outcomes and efficient resource utilization. This protocol establishes a standardized, evidence-based framework for the diagnosis, ris…
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Clinical Practice Guideline: Diagnosis and Management of Dyspepsia and Peptic Ulcer Disease 1.0 Introduction and Scope Dyspepsia represents one of the most common and complex symptom presentations encountered in both primary care and gastroenterology. Its management requires a nuanced understanding of a broad differential diagnosis, ranging from be…
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