Lab Medicine Rounds

Timestamps: 0:00 Intro00:42 What does the tick season look like this year? Is it true that is has been predicted to be a severe tick season?01:20 What are the different things that influence the tick season?03:49 What does “severe tick summer” mean for all of us working and learning in the hospital?05:08 Have you been getting invitations to talk to some of our clinical colleagues about that differential diagnosis?05:53 There has been a lot of concern over “superbugs”, are tick-borne diseases evolving as well?07:30 Going forward, is it going to get worse? What are the experts in the community saying?09:11 You do a lot of research in the field. I was curious if you have a favorite story about those experiences of leading some students and colleagues into the field to do this tick-based research?11:48 OutroResources:The Essentials of Ticks and Tick-Borne Diseases

Timestamps:0:00 Intro00:46 Why is 3D imaging and printing important for patient care?03:18 Can you help our audience understand when should we be using this? When is it not so good? 09:38 How does that conversation go now differently? Now that somebody can hold this, how has that transformed the questions and the understanding that the patient has?13:05 Can you help us get our arms around what is the value in the scan, what is the print value?14:01 Technologies for scanning are improving and that’s resulting in better models for you to look at. Is printing of materials being used improving in such a way you can get the same textures?15:22 How do you see this field really developing? 17:55 Outro

Timestamps:0:00 Intro00:53 Why is the medical field interested in saliva?02:00 What sorts of information could be gleaned from saliva?03:17 Are there certain limitations of what could come out of saliva testing?04:56 Can you elaborate what you mean when you say “matrix?”06:16 How do you approach navigating what could be interferences?08:16 Would that be considered part of the matrix? Or is the matrix just the specimen itself?9:29 Could you elaborate those preanalytic variables a clinician may have top of mind, or what might be in their sphere of control, influence, awareness?11:41 What’s your advice to laboratory professionals about how we can detect when these kinds of things are going awry, or how do you keep your finger on the pulse of how your colleagues on the clinical side are using your tests?13:34 What do you see as the future for saliva testing like?14:54 OutroResources: https://www.aacc.org/cln/articles/2022/janfeb/saliva-in-the-spotlight https://news.mayocliniclabs.com/2022/04/07/darci-block-ph-d-d

Timestamps:0:00 Intro00:51 Could you give us an update about what has been happening regarding convalescent plasma?03:46 What are some take-home points from this new AABB guidelines that are out?15:07 Were there challenges discussed or things that you see these guidelines either domestically or internationally? 18:20 Is there an aspect that you would like to see addressed with more robust data as we go forward?20:12 OutroResources:AABB Guidelineshttps://www.aabb.org/news-resources/news/article/2022/04/13/aabb-expert-panel-updates-guidelines-for-clinical-ccp-use

Timestamps:0:00 Intro01:15 What has your experience been seeing minorities in Biomedical leadership roles?03:56 At what points so far have you really been most engaged with leadership training, so that you’re set up for great things in the future? What have you found that really engages/resonates with you?08:07 Is there one or two insights for what is helpful to make it work, and is there a good first and second step for launching something similar (mentorship program) at their place? 10:10 Is there something I should do automatically when I have a mentee come in who comes from an underrepresented minority or from a disadvantaged background? Do you recommend that being part of an initial conversation of, “Would you like me to identify a mentor for you?” from a diversity perspective?12:27 What advice would you like to share with the underrepresented minority student trainee learners who are listening to this podcast? 14:40 Outro

Timestamps:0:00 Intro2:00 Coming off a relaxed 4th year, how do you recommend we get back into the study flow for training? 6:45 Once residency starts and we are working all day and studying in the evenings, do you have recommendations on how to ease back into that? 9:30 How do you recommend finding a mentor in residency training? How do you know if it’s a good fit or if you need to figure out how to find another mentor? 13:35 How would you maximize your time on AP rotations? How is this approach different than CP rotations? 21:22 How do you recommend getting involved in research and residency? If you do find a project you are interested in, how do you approach it if they are not doing a lot of research in that area at the time? 28:18 How do you mentor your residents on balancing step 3 studying, with pathology studying, and working? 29:15 What is the role of having research and research experiences and applying to fellowships (posters, etc.) Research Experiences and Fellowships33:07 Entering residency with a

Timestamps:00:00 Intro01:04 Why is molecular information important for you in your practice to integrate into anatomic pathology? 06:22 How did you recognize that molecular information was really a critical competency for you to develop as an anatomic pathologist? 09:51 Do you find yourself going to different sessions when you go to conferences, or are you specifically paying attention to ones that have a molecular thread through them?11:23 How do you recommend that we all continue to embrace new opportunities in clinical practice? 13:01 We are talking about how molecular has come down the pike and been something new that’s been added on to your practice. Is this importance of channels of communication, how has it changed in recent years?14:45 Outro

Timestamps:00:00 Intro01:30 Why is it important for us to look at our past when planning for our future?05:37 Sometimes people struggle with celebrating and I think also, maybe some people get nervous about that--taking time to celebrate accomplishments that have been. What’s your take on that? 07:01 What are one or two aspects of pathology and lab medicine’s past that you are thinking about celebrating this year? 11:56 How do you see these aspects that you’re celebrating in forming kind of the future projections of success in our field?14:18 Do you have thoughts for how we might approach this as a healthcare system--attracting bright students into medical laboratory science?17:22 Is there something that we’ve done that we shouldn’t continue, that we need to change and discontinue--a certain process or way that our laboratory works? 20:57 Outro

Timestamps:0:00 Introduction1:00 Why is it important to look at the past when planning for the future?4:30 Keeping in mind our audience, we've got laboratorians, we've got pathologists, we have other physicians from the health care team listening, what might be a good resource, or what would you recommend to be aware of these larger trends?6:50 What are one or two aspects of pathology and laboratory medicines past that you are interested in celebrating this lab week? 8:58 How do we use this professional past, and maybe these experiences with the pandemic you've been talking about knowing where we've been to inform where we're going and, learning from this, how do you see this informing this future success?11:34 Is there a favorite example in history you can think of in laboratory medicine, pathology, our community we've been successful at crossing these silos, some example that might give us inspiration for the future as we kind of go towards more of this coordination among each other? 14:31 From your vantage

00:00 Intro01:02 How did you get started in magic?03:57 How does this roll into your practice as an Anatomic Pathologist? How do you see this skill translate? 06:29 What is a mentalist? 11:05 How do you approach teaching our residents and fellows about how they might think about and use magic in their practice?14:20 How can we get better at suspending that belief for our residents without getting caught up in the nitty gritty? 16:15 What would an ACGME milestone on magic in pathology look like? 26:54 OutroInterested in attending this year's Forensic Science Symposium?Click here to register: https://news.mayocliniclabs.com/edu-conferences/7th-annual-forensic-science-symposium/ 

00:00 Intro00:58 Why are wellness efforts a need-to-have, rather than a want-to-have?04:18 What are we learning about wellness that is important for our audience to understand?07:44 What are those first steps that our listeners can take and initiate for their own local practice, what would their initial support look like?14:23 Are there classic struggles with improving wellness that you can help our listeners navigate if there are some pearls to share in that regard?22:01 What do you think is in store for us in the future?23:52 Outro

Timestamps:00:00 Intro01:23 Why is health equity important for laboratory medicine and pathology?03:13 What are we learning about how as a laboratory we may better advocate for health equity? 05:27 What’s the nuance there that we need to grapple with, not just more testing but better testing?08:30 Are there examples of how we can do this better from other professions that we can learn from? 09:59 Is that something that you feel with your previous experience as a hematopathologist has prepared you for or are these additional skills you’ve picked up along the way?12:10 What are two or three ways that we are trying to navigate this for increasing health care equity?14:36 What kind of feedback can a pathologist provide that helps them build a better test?20:20 What does the future of health equity look like, what does that laboratory support of health equity look like in the coming years?21:27 OutroResources:The COVID pandemic: Testing and disparities: https://chs.asu.edu/diagnostics-commons/blog/covid-pandemic-t

Timestamps:00:00 Intro01:32 From your points of view, why do you think it’s important to start a pathology interest group?07:24 What are some important elements that you think are important for a successful interest group in your experience?11:24 Is there one or two activities that really stands out that’s been perceived as the most valuable and best experiences so far?13:18 Has there been any challenge with some faculty being able to explain or demonstrate their work, or is there any way to coach faculty during a session so they can truly show what is the work that they’re doing?19:25 Has the pandemic had an impact on how you approached the pathology interest group?23:07 What are your thoughts for how are you planning to be iterative and try next year, things that you didn’t try this year? What are ways that you’re interested in moving this forward?26:20 Outro

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Timestamps:00:00 Intro01:05 From your perspective, why is interprofessional education an important for us clinicians, lab medicine colleagues, and students?04:18 What are a few of those key lessons that you’ve learned about how to do this interprofessional education?07:15 How do you think we make it a meaningful experience for the students? 10:37 What sort of approach do you take to feedback, to get that feedback that’s really going to help you meaningfully iterate in a positive way?13:47 Do you have any advice for people out there who have difficulty with the less frequent, yet important things, how can we still keep forward movement on those?15:52 Do you have any broad thoughts about how social media may, or may not, have a role in interprofessional education?19:28 What would be a good call to action, next step for listeners to look at in the next couple of weeks?23:03 Outro

Timestamps:00:00 Intro02:00 Why is it important to respond with grace while we’re under pressure?03:36 How do you think you develop this ability to project poise when in stressful situations?05:33 Was there a mentor, situation, or experience where it gave you pause and made you think, “Wow, that’s somebody that really showed grace under pressure and leadership abilities.” Is there anybody in your life who comes to mind? 07:15 Did you find yourself having some of these mental conversations? How did that go for you?  08:36 Are those two questions (1. Does this make sense? 2. What could possibly go wrong?) that you’ve been using for a number of years, or is this something that has been more recent for you?10:57 I’m curious about how do you recognize in your own self, how do you notice when you’re getting challenged and keep it on the rails?14:28 What’s your feedback to the young professionals in our community to collect themselves in their thoughts?15:45 How do you continue to grow in your professionalism in you

Timestamps:00:00 Intro01:05 How did you first get interested in supporting organ transplantation? 04:53 What are the organs that we can transplant?06:00 When we are at the Department of Motor Vehicles, we can register as a donor and make our wishes known to our family, is that right?07:03 If people are interesting in donating a kidney, for example, do they reach out to their local hospital and let them know they are interested in being a donor?08:50 How does your work in the Histocompatability laboratory, how does it support transplantation? 10:57 Can you give our audience kind of a flavor of how does this work to do this kind of dance to match donor and recipient and have a successful transplant? 13:11 What’s on the horizon for HLA and histocompatibility in the next couple of years?18:30 The ability for us to identify a patient, these patients who could not get a transplant are now able to get the transplant because of these improvements in the laboratory.20:01 OutroResources:  National Marrow Donor Program

Timestamps:00:00 Intro01:24 Why does clinical context matter for what test clinicians order?08:41 What determines what kind of test to order?13:07 How does the communication happen between the lab and the clinician? How should it happen to provide best care for the patient?18:21 What do you think about for the future of ordering laboratory tests? 21:59 Outro

Timestamps:00:00 Intro00:48 What’s your origin story? How did you get interested in medical school education?06:18 What are we learning about better ways to educate? 13:42 How can faculty make it a safe environment? How can we get students to give it a try?16:25 How do you bring about and navigate curricular change?20:15 Was there something that you did that prepared you for this role? Is there some advice for people who are interested in taking a leadership role in education at their institution? 24:04 Could you share what you think the future of medical education will look like?28:33 Outro

Timestamps:00:00 Intro01:07 Why is it so challenging to ask questions in an interview?03:19 Can you go over what are a few aspects that somebody can ask about?04:41 What was your process when you made your list, that cheat sheet, the actual how we’re doing of formulating a question. What was your approach there?05:54 Are there any interesting questions you’ve gotten from applicants over the years that really stood out to you? Conversely, what are some questions that you think applicants should avoid if they are going through this process?09:41 From your perspective as an interviewer, what do you think makes for a positive experience? 13:36 How do you think applicants can navigate “red flags” and what can the interviewer do to approach these subjects empathetically?17:13 Is there a tip you want to convey to all medical students interviewing for pathology residency?19:11 Outro