Welcome to Recovery Month! In celebration of primary care’s role in addiction care, we are featuring a show about caring for patients with addiction. Our guests this week are Adele Ojeda, the office based opioid treatment (or OBOT) nurse for Barre Family Health Center and Dr. Stephen Martin. Dr. Martin is Associate Professor of Family Medicine and …

This week, we are joined by Russ Phillips! Dr. Russell Phillips is Director of the Center for Primary Care and the William Applebaum Professor of Medicine and Professor of Global Health and Social Medicine at Harvard Medical School. He is a devoted primary care general internist at Beth Israel Deaconess Medical Center (BIDMC) where he manages a pan…

Our guest this week is Dr. Margot Kushel, a Professor of Medicine at UCSF and Director of the UCSF Center for Vulnerable Populations, as well as the Director of the UCSF Benioff Homelessness and Housing Initiative. Dr. Kushel’s research focuses on homelessness among older adults and the adverse health effects associated with homelessness. She devel…

Our guest this week is Dr. Steven Woolf. He is the C. Kenneth and Dianne Wright Distinguished Chair in Population health and Health Equity at VCU as well as Director Emeritus and Senior Advisor to the VCU Center on Society and Health. He joins us this week to talk about his work improving our understanding of the increasing death rates among mid-li…

Christopher Morley joins us this week to talk about prior authorizations, or PAs – a bureaucratic headache well known to anyone in primary care in which a physician’s office must complete additional paperwork or phone calls to a patient’s insurance company in order to get a medication or procedure covered by the insurance. This used to be a fairly …

Our guest this week is Stacey Chang. He is the executive Director of the Design Institute for Health at Dell Medical School. He joins us today to talk about design in medicine and how we can use design thinking as a tool to improve healthcare, and in particular how he and colleagues went about designing a series of clinics at Dell Medical School wi…

What happens when a medical complex young person turns 18, and then, suddenly, they make their own medical decisions rather than their parents? How does one navigate the sometimes very thorny issues of sexual health and fertility? What about insurance issues? This week, we have a very special show for you featuring a number of guests on this topic …

In this reprise episode, Michelle Kondo and Eugenia South join us to talk about their research looking at how neighborhood contexts impact health and safety in urban environments, and their recent publication in JAMA Network Open looking at the relationship between neighborhood greening and mental health. Dr. South and Dr. Kondo collaborate from tw…

This week, we are joined by Allison Hess, VP of Health for the Steele Institute for Innovation at Geisinger to talk about Geisinger’s Fresh Food Farmacy, a program that provides food insecure patients with poorly controlled diabetes access to fresh healthy foods as part of a comprehensive diabetes care plan. Read more about the Fresh Food Farmacy a…

This week, we are joined by Russ Phillips! Dr. Russell Phillips is Director of the Center for Primary Care and the William Applebaum Professor of Medicine and Professor of Global Health and Social Medicine at Harvard Medical School. He is a devoted primary care general internist at Beth Israel Deaconess Medical Center (BIDMC) where he manages a pan…

This week, we have two amazing guests, Cheryl Pritlove and Elizabeth Metraux. They are joining us to talk about gender disparities in medicine. Cheryl Pritlove is a Research Scientist at the Applied Health Research Centre at the Li Ka Shing Knowledge Institute of St. Michael’s Hospital in Ontario, Canada. She is a qualitative methodologist and heal…

Why is change so difficult? So often, we know what needs to be done – but actually making change is where we get stuck. Kate Hilton, our guest last week and this week for a 2-part series, is on the Faculty of the Institute for Healthcare Improvement and is the lead author of a new white paper entitled The IHI Psychology of Change Framework. Kate Hi…

Why is change so difficult? So often, we know what needs to be done – but actually making change is where we get stuck. Kate Hilton, our guest this week and next for a 2-part series, is on the Faculty of the Institute for Healthcare Improvement and is the lead author of a new white paper entitled The IHI Psychology of Change Framework. Kate Hilton …

Utibe Essien, a Health Equity researcher, primary care physician in the VA Pittsburgh Health System, and Assistant Professor of Medicine at University of Pittsburgh School of Medicine joins us this week. Dr. Essien studies racial disparities in healthcare, and recently published a major study in JAMA Cardiology, demonstrating significant racial dis…

This week, we have a very special collaborative show with the Harvard T.H. Chan School of Public Health’s podcast, This Week in Health. We are featuring perspectives on gun violence from the trauma bay of the emergency room with Megan Ranney, and from public health, with David Hemenway. Megan Ranney, MD MPH is currently an Associate Professor in th…

This week, Thomas Kim, David Rosenthal, and Audrey Provenzano bring you a journal club episode. Audrey talks about: Effect of Peer Comparison Letters for High-Volume Primary Care Prescribers of Quetiapine in Older and Disabled Adults: A Randomized Clinical Trial by Adam Sacarny, PhD, Michael L. Barnett, MD, MS, Jackson Le, PharmD, Frank Tetkoski, R…

How long have we all, collectively in healthcare, spent on hold with medical records departments, listening to mind-numbing muzac or assembled around the fax machine, waiting for your patient’s crucial imaging reports or culture results from another hospital to come through? Way too long. Difficulty accessing medical records can be extremely diffic…

In this reprise episode, our guests are Sarah Dauber, Ph.D & Lindsey Vuolo JD, MPH of Center on Addiction, a science-based non-profit, non-partisan organization dedicated to finding and promoting solutions to end addiction. They join us to discuss policies that affect how pregnant women with substance use disorders may or may not access care and ho…

Our guest this week is Dr. Mark Friedberg. Mark is a senior physician policy researcher at the RAND corporation and a practicing primary care physician at Brigham and Women’s Hospital, where he trained in primary care after attending medical school at Harvard. RAND is a non-profit, non-partisan research organization that develops solutions to publi…

In this reprise series on the care of pregnant women with substance use disorders, Landrey Fagan and Pat Lee join us to talk about their experience forming their team called the Sunflower team at Lynn Community Health Center, which provides full-spectrum care for women suffering from SUDs during and after pregnancy in an effort to reduce stigma, re…

In this reprise series on the care of pregnant women with substance use disorders, Landrey Fagan and Pat Lee join us to talk about their experience forming their team called the Sunflower team at Lynn Community Health Center, which provides full-spectrum care for women suffering from SUDs during and after pregnancy in an effort to reduce stigma, re…

As everyone in primary care knows, oral health care in the US can be very difficult to access. Tien Jiang, DMD MEd, an instructor of oral health policy and epidemiology at Harvard School of Dental Medicine and Christine Riedy, PhD MPH a researcher with the Center for the Integration of Primary Care and Oral Health, or CIPCOH, and the Delta Dental A…

These days, primary care is all about teamwork. We are all asking ourselves – how can we make our teams function better? And – a question we should ask, but often don’t: should this task be done by the team? Or is this task actually better understood as sequential interdependence or pooled interdependence? Our guests this week and last, Ann O’Malle…

These days, primary care is all about teamwork. We are all asking ourselves – how can we make our teams function better? And – a question we should ask, but often don’t: should this task be done by the team? Or is this task actually better understood as sequential interdependence or pooled interdependence? Our guests this week and next, Ann O’Malle…

Dr. Nicolas Nguyen is our guest this week. Dr. Nguyen is a practicing Family Physician and the Director of Physician Experience and Provider Development at Beth Israel Deaconess HealthCare. He has created a model for clinician community building, which was highlighted and published in NEJM Catalyst, and he joins us to talk about his initiative. If …

This week, Thomas, Audrey, and David bring you a journal club featuring discussion of three recent papers: Fatal and Nonfatal Overdose Among Pregnant and Postpartum Women in Massachusetts by Davida M Shiff, Timothy Nielsen, Mishka Terplan, Malena Hood, Dana Bernson, Hafsato Diop, Monica Bharel, Timothy Wilens, Marc LaRochelle, Alexander Walley, and…

For the second show in our series about gun violence, we are joined by Dr. Mark Rosenberg. Dr. Rosenberg worked for many years at the CDC, and helped to found the National Center for Injury Prevention and Control, or the NCIPC, and was it’s first permanent director in 1994. He oversaw the agency during the now-notorious hearings about findings of f…

This week, our guests are Sarah Dauber, Ph.D & Lindsey Vuolo JD, MPH of Center on Addiction, a science-based non-profit, non-partisan organization dedicated to finding and promoting solutions to end addiction. They join us to discuss policies that affect how pregnant women with substance use disorders may or may not access care and how we can bette…

In the second of our series on the care of pregnant women with substance use disorders, Landrey Fagan and Pat Lee join us to talk about the hard work that went into forming the Sunflower team at Lynn Community Health Center. The Sunflower Team provides full-spectrum care for women suffering from SUDs during and after pregnancy in an effort to reduc…

In the first of our series on the care of pregnant women with substance use disorders, Landrey Fagan and Pat Lee join us to talk about their experience forming their team called the Sunflower team at Lynn Community Health Center, which provides full-spectrum care for women suffering from SUDs during and after pregnancy in an effort to reduce stigma…

Shari Erickson, MPH is our guest this week. She with us about the proposed rules recently released by CMS that would drastically change how physicians bill, especially in primary care, how these proposed changes could help decrease administrative burdens on physicians, and where ACP, the largest physician advocacy organization in the US, landed on …

Asaf Bitton MD, MPH is our guest this week. Asaf talks with us about what he sees as crucial steps in improving primary care in the US and what we can learn from primary care systems globally, particularly drawing on a recent healthcare system reform in Costa Rica which he wrote about last year in Health Affairs. We also talk about a noteworthy edi…

This week, Drs. Sonja Solomon, Krisda Chaiyachati, and John Moriarty join us to discuss a paper they published in JGIM in 2016 entitled Why Aren’t More Primary Care Residents Going into Primary Care? A Qualitative Study. They interviewed residents from three primary care internal medicine programs across the country to better understand what factor…

This week, Ted Long, the VP for Primary Care at NYC Health + Hospitals joins us to talk about how we can make primary care better for patients and for physicians at various levels of scale. He previously served as the Senior Medical Officer for the Quality Measurement and Value-Based Incentives Group at the Centers for Medicare and Medicaid Service…

This week, we have two very exciting guests: Shreya Kangovi, an internist/pediatrician and researcher who studies CHW interventions and developed a multi-stakeholder team-based CHW model called IMPaCT (Individualized Management towards Patient-Centered Targets), and went on to found the Penn Center for Community Health Workers. These organizations …

Dr. Scott Stonington is a medical and cultural anthropologist, and an internist. He studies decision-making at the end of life in Thailand and spent many years accompanying Thai patients at the end of life and in particular trying to understand pain, suffering, and the role of pain medications from these patient’s points of view. Dr. Stonington als…

Elisabeth Rosenthal is a physician and a noted writer and Editor In Chief of Kaiser Health News. She recently published An American Sickness, a book exploring how the business of medicine has gotten in the way of doctors delivering great care to patients and made the system increasingly complex and expensive for patients to navigate. She joins us t…

Our society is coming to a reckoning with how we treat women, and medicine has it’s own reckoning too. This week, we have two guests: Nwando Olayiwola, a family physician, corporate leader, researcher, and author; and Elisabeth Poorman, an internist, speaker, and writer. First, we’ll speak with Dr. Poorman about an article she published in The Guar…

Primary care practices across the US are starting to change the way we practice, incorporating more non-visit types of care such as e-visits or telephonic or even skype visits. Adding these modalities to a practice require investment: in technology, in training staff, in developing, testing, and implementing workflows – and at what point does all o…

This week, Review of Systems joins forces with Harvard Chan This Week in Health for a crossover podcast episode! We’re talking about food stamps, or SNAP, and how upcoming legislation in the Farm Bill will shape SNAP policy over the next five years. Changes in SNAP policy will have important public health implications and affect the food insecure p…

There is a growing recognition of the role of trauma, particularly childhood trauma or adverse childhood events on health and health outcomes. Family physician Audrey Stillerman joins Thomas Kim for a two-part series about ACEs and the effects they have on health, and what we as health professionals should know about them. Dr. Stillerman is the Ass…

There is a growing recognition of the role of trauma, particularly childhood trauma or adverse childhood events on health and health outcomes. Family physician Audrey Stillerman joins Thomas Kim for a two-part series about ACEs and the effects they have on health, and what we as health professionals should know about them. Dr. Stillerman is the Ass…

All of us like to think that we provide high-value care for our patients; but the truth is, just like the rest of the health care system, primary care provides a lot of low value care too – and we drive a lot of overuse. John Mafi joins us this week to talk about his leading research into these thorny, complex issues. We talk about the definitions …

Our guests this week and last, Ann O’Malley and Patricia Satterstrom, join us for the second of a two week series about teams and can help us start to answer some of those questions. If you missed last week’s show, go back in your feed and listen to the first. Patricia, who goes by Pat, is an Assistant Professor at the NYU Wagner Graduate School of…

Our guests this week and next, Ann O’Malley and Patricia Satterstrom, join us for a two week series about teams and can help us start to answer some of those questions. Patricia, who goes by Pat, is an Assistant Professor at the NYU Wagner Graduate School of Public Service and an affiliate of the Management and Organizations Department at the NYU S…

For the second show in our series about gun violence, we are joined by Dr. Mark Rosenberg. Dr. Rosenberg worked for many years at the CDC, and helped to found the National Center for Injury Prevention and Control, or the NCIPC, and was it’s first permanent director in 1994. He oversaw the agency during the now-notorious hearings about findings of f…

This week, we have several guests. Joining us now are members of the HMS center for primary care student leadership committee, Galina Gheihman, Megan Townsend, and Andreas Mitchell. With the recent national focus on gun violence, the leadership council decided to hold an op-ed contest on the issue of gun violence. They are joining us today to talk …

How many times have you treated a dental infection in your primary care office, or spent 10 minutes after a visit googling a dentist that takes your patient’s insurance? We’ve all done it too many times. There is an epidemic of dental disease in the United States – dental care is expensive and difficult to access. Mary Otto, a journalist, author, a…

We spend lots of our time in medicine communicating through research – standardized, peer-reviewed, and of course crucial! But medicine is full of compelling humanistic narratives. The great Marshall Ganz once wrote, in an article entitled “Why Stories Matter,” that “A story communicates fear, hope, and anxiety, and because we can feel it, we get t…