Episodios

  • Ep. 90 Physician-Patient Trust in Modern Medicine
    Apr 8 2025
    How did your last patient-physician interaction go? Did you wish that the other person had understood your perspective better? In this episode of Backtable Industry, hosts Dr. Ruchika Talwar and Anish Parikh discuss the complexities of medicine, focusing on the importance of communication between doctors and patients. --- SYNPOSIS The episode begins with an exploration of how medical and surgical training influence physician behaviors and the impact of new economic pressures on modern physicians, including the increasing need to see more patients in less time. The conversation also delves into the national sentiment of declining trust towards doctors, highlighting the impacts of disjointed care and the rise of patients turning to the internet for medical advice. The hosts emphasize the need for transparency, shared decision-making, and the benefits of using reliable information sources. --- TIMESTAMPS 00:00 - Introduction 04:42 - Declining Trust in Physicians 11:21 - The Doctor-Patient Relationship 15:09 - Taking Charge of Your Health 25:00 - The Role of Patient Advocacy and Education 28:55 - Shared Decision-Making 38:39 - Adapting to Better Informed Patients --- RESOURCES Wall St Journal Article- “Why We Don’t Trust Doctors Like We Used To”: https://www.wsj.com/health/wellness/why-we-dont-trust-doctors-like-we-used-to-79784b56?mod=googlenewsfeed&st=xP8KUR “Outlive” by Dr. Peter Attia: https://peterattiamd.com/outlive/
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    41 m
  • Ep. 89 Radiology Private Equity Update with Dr. Ben White
    Mar 18 2025
    Teleradiology, artificial intelligence, and private equity takeovers—how do we navigate these rapid changes in the radiology landscape? In this episode, our co-hosts Dr. Ally Baheti and Dr. Mike Barraza bring Dr. Ben White back to the show to provide an update on the current radiology job market and share his insights on reclaiming value for the profession. Dr. White begins by reflecting on the changes since his last appearance with us in 2022, focusing primarily on the ongoing shortage of radiologists, which has lasted longer than anticipated during the pandemic, and the explosion of teleradiology. --- SYNPOSIS Today’s radiologists are more mobile than ever, with remote work options and the appeal of sensationalized job postings. Dr. White also discusses the instability of more established practices, particularly when legacy partners depart after fulfilling their contractual obligations. In response, many practices are refinancing their debt, which has led to a decrease in practice acquisitions. Dr. White believes that large-scale healthcare operations often result in increased inefficiency and reduced agility. The downstream effects include the commoditization of teleradiologists, concerns about decreased quality of reads, a limited scope of practice for procedures, reduced access to imaging for smaller hospitals, longer wait times, and more unstable locum staffing. The doctors also speculate about the future division of radiology into different service tiers, depending on the level of access each hospital has to radiologists. Finally, Dr. White highlights his Independent Radiology job board, which lists open positions from physician-owned practices. His goal in creating the website is to address the pain points of other job advertisement sites, where misleading postings are common. He wants radiologists to consider joining a team of physicians, rather than simply accepting a job. His advice to all radiologists is to expect uncertainty in the job market and to remain flexible. --- TIMESTAMPS 00:00 - Current Radiology Job Market 07:43 - Updates on Private Equity in Radiology 16:26 - Role of Artificial Intelligence 22:46 - Growing Imaging Volume and Efficiency 26:51 - Challenges in Radiology Staffing 36:49 - Independent Radiology Job Board 50:07 - Future of Radiology and Final Thoughts --- RESOURCES BackTable VI Ep. 277- Private Equity and the Radiology Job Environment with Dr. Ben White: https://www.backtable.com/shows/vi/podcasts/277/private-equity-the-radiology-job-environment Independent Radiology Job Board: https://www.independentradiology.com/
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    1 h y 7 m
  • Ep. 88 Why Docs Need to Pay Attention to How They Are Getting Paid with Dr. Ruchika Talwar and Anish Parikh
    Mar 4 2025
    What is the true role of the physician in today's rapidly changing healthcare landscape, and how do payment structures affect physician incentives? In this episode of Backtable Industry, urologist Dr. Ruchi Talwar and entrepreneur Anish Parikh discuss the state of the current healthcare system, including the frustrating aspects of payment models and incentives that lead to high costs and poor outcomes. --- SYNPOSIS Parikh and Dr. Talwar explore the complexities of healthcare insurance, Medicare, and the shift towards value-based care models. Dr. Talwar highlights examples of how employers and healthcare providers can work directly to offer more streamlined, quality-focused care at lower costs, and emphasizes the critical importance of physician involvement in shaping the future of healthcare. --- TIMESTAMPS 00:00 - Introduction 04:27 - The Complexity of Healthcare Access and Insurance 13:43 - Changes in Physician Compensation 18:27 - Value-Based Care Models 27:33 - Challenges and Misconceptions in Value-Based Care 30:51 - Physician-Led Programs and Their Benefits 36:13 - The Changing Landscape of Physician Autonomy 46:54 - Conclusion and Future Discussions
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    49 m
  • Introducing Backtable Industry
    2 m
  • Ep. 87 Innovating on Point of Care Access to Device Information with Dr. Raj Khalsa
    Feb 18 2025
    What makes a new technology “sticky?” Returning guest Dr. Raj Khalsa offers his insights on building a user-friendly application interface that will attract and retain interest. In this episode of Backtable Innovation, Dr. Khalsa discusses the inception and development of QuickTouch Clinical, a new application aimed at improving instant access to medical device information for endovascular specialists. --- SYNPOSIS Dr. Khalsa shares how his background in interventional radiology and engineering inspired his entrepreneurial journey, leading to the formation of the Omnigence and the subsequent creation of QuickTouch Clinical. Highlighting the challenges and lessons learned along the way, Dr. Khalsa emphasizes the importance of user experience, data accuracy, and iterative development. The episode also touches on the anticipated launch of the app, its features, and future scalability to other medical specialties. --- TIMESTAMPS 00:00 - Introduction 07:28 - Founding Omnigence 16:16 - Building the QuickTouch App 24:46 - User Experience and Future Plans 30:28 - Balancing Feedback and Development 31:07 - Targeting Beta Users and Expansion Plans 36:44 - Engagement Tools and App Features 40:32 - Preparing for Launch 48:52 - Balancing Clinical Practice and Entrepreneurship 56:10 - Final Thoughts and Advice --- RESOURCES BackTable INN Ep. 84- Unlocking Business Skills: Physician MBA Experiences with Drs. Raj Khalsa and Roger Tomihama: https://www.backtable.com/shows/innovation/podcasts/84/unlocking-business-skills-physician-emba-experiences Omnigence: https://omnigence.ai/ QuickTouch by Random Order AI: https://www.randomorder.ai/
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    59 m
  • Ep. 86 Exploring Advancements in Interventional MRI with Dr. David Woodrum and Joshua Krieger
    Feb 4 2025
    Have you heard of interventional magnetic resonance imaging (iMRI)? In this episode of the BackTable Podcast, we dive into the exciting world of interventional MRI and its promising benefits for accessing previously difficult-to-reach biopsy and treatment areas. Host and interventional radiologist Dr. Kavi Krishnasamy is joined by Dr. David Woodrum, Director of the Interventional MRI Program at the Mayo Clinic, and Joshua Krieger, Director of Product Management at Cook Medical. --- SYNPOSIS The physician-industry trio discusses the history, current state, and future potential of interventional MRI, focusing on the advantages of low-field MRI in expanding access to imaging tools for patients—especially those with implants, hard-to-reach lesions, or concerns about radiation exposure. The group also explores how MRI is used for precise targeting and real-time monitoring in various medical procedures, including biopsy and ablation of liver and prostate lesions. Dr. Woodrum and Joshua share their experiences of integrating and streamlining interventional MRI into their department’s workflow. Throughout the conversation, Dr. Woodrum and Joshua emphasize the importance of collaboration between clinicians, interventional radiologists, and the industry in advancing this innovative field. They also speculate on future developments, such as the potential integration of angiography with low-field MRI technologies. --- TIMESTAMPS 00:00 - Introduction 02:10 - History and Evolution of Interventional MRI 09:08 - Current State of Interventional MRI 12:59 - Developments in Low Field MRI 21:31 - Availability of MRI-Compatible Devices 27:50 - Benefits of MRI Over Other Modalities 34:52 - Real-Time Imaging in MR vs. CT 40:48 - Clinical Confidence in MR-Guided Biopsies 42:44 - Future of MRI in Interventional Radiology 47:14 - Starting an Interventional MRI Service Line 57:05 - Potential of MR in Vascular Interventions --- RESOURCES Interventional MRI Symposium: https://imri2024.org/
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    1 h y 6 m
  • Ep. 85 Dr. Kieran Murphy on Creativity in Medicine
    Jan 28 2025
    Many physicians are perfectly positioned to recognize areas of clinical need, so why are so few of them involved in medical innovation? In this episode of BackTable MSK, Dr. Kieran Murphy discusses the ideal circumstances and critical characteristics of physician innovators. Dr. Murphy is an interventional neuroradiologist, a professor at the University of Toronto, and a medical device innovator who has made significant contributions to the field, including the development of the Murphy needle for vertebral augmentation. --- SYNPOSIS Dr. Murphy talks about his recent book, “The Essence of Invention: Medicine and the Joy of Creativity,” which chronicles key innovations in interventional radiology. The book focuses specifically on the characteristics and circumstances of the innovators themselves. Dr. Murphy became interested in this topic after noticing patterns of innovation that clustered around certain institutions and leaders. He shares his insights on innovation, including the idea that innovation peaks during fellowship, the importance of uninterrupted reflective time for creativity, and how building long-term relationships can be essential for generating ideas and gaining support. He also discusses his work on ozone therapy, the development of the Murphy needle, and the significance of securing small-scale funding through patient donations for research. Additionally, Dr. Murphy touches on his upcoming books and explores the essential fusion of medicine and the liberal arts. --- TIMESTAMPS 00:00 - Introduction to the Podcast 02:05 - The Role of Creativity in Interventional Radiology 09:52 - Inspiration Behind The Book 14:51 - Environments for Inventors to Flourish 25:18 - Use of Honey in Biopsies 31:32 - Advice for Physician Innovators 45:02 - Balancing Career and Family 51:23 - Upcoming Book 56:31 - Innovations in Radiation Protection 59:45 - The Future of Medical Education --- RESOURCES The Essence of Invention: Medicine and the Joy of Creativity: https://www.amazon.com/Essence-Invention-Medicine-Joy-Creativity/dp/1459754034
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    1 h y 5 m
  • Ep. 84 Unlocking Business Skills: Physician EMBA Experiences with Dr. Raj Khalsa and Dr. Roger Tomihama
    Jan 7 2025
    For much of their education, physicians are encouraged to focus on developing clinical and procedural skills, with little formal training in business. For those who aspire to innovate and lead, is an MBA degree a worthwhile investment? In this episode of the Back Table Innovation podcast, Dr. Aaron Fritts explores the relevance and benefits of obtaining an MBA for physicians, joined by guests Dr. Roger Tomihama and Dr. Raj Khalsa. --- SYNPOSIS The discussion covers various MBA programs, including the Wharton Executive MBA and the Quantic Executive MBA, highlighting their strengths, particularly for mid-career physicians. Drs. Tomihama and Khalsa share their personal experiences with these programs, comparing in-person and online formats. They also explore the advantages of structured learning, networking opportunities, and how an MBA can empower physicians to bridge the gap between clinical expertise and administrative or entrepreneurial roles. This conversation underscores the importance of continuous learning in fostering a more impactful and fulfilling career in healthcare. --- TIMESTAMPS 00:00 - Introduction 01:34 - Dr. Tomihama’s Wharton MBA Experience 06:10 - Dr. Khalsa’s Quantic MBA Journey 09:39 - Comparing MBA Programs and Networking Opportunities 23:10 - Thoughts on MBA Learning Styles 26:10 - The Language of Business 26:50 - In-Person vs. Online Learning 27:21 - Foundational Knowledge for Startups 28:56 - Applying Business Skills in Healthcare 32:16 - Marketing and Behavioral Psychology 43:52 - Timing and Career Advancement 47:52 - Final Thoughts and Reflections --- RESOURCES BackTable VI Ep. 230: The Physician's MBA: Is It Worth It, and Where to Start: https://www.backtable.com/shows/vi/podcasts/230/the-physicians-mba-is-it-worth-it-where-to-start
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    54 m
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