2024

Optimizing Physical Wellbeing for Providers

Optimizing Physical Wellbeing for Providers

Posted by | Jan 2025

Paul D. Maroni, MD, shares personal insights on maintaining health and well-being while balancing the demands of a medical career. This 20-minute discussion centers on ten key strategies to avoid burnout and improve overall wellness.

Maroni begins by categorizing health pillars into five main areas: sleep, nutrition, fitness, emotional and stress management, and the role of medications and supplements. He gives advice on maintaining a healthy work-life balance, adopting behavior changes, and seeking regular medical checkups. Dr. Maroni encourages colleagues to be proactive in their health, set small achievable goals, and approach wellness with the same dedication they apply to patient care.

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Utility of Micro-Ultrasound in Prostate Cancer Active Surveillance

Utility of Micro-Ultrasound in Prostate Cancer Active Surveillance

Posted by | Jan 2025

Adam Kinnaird, MD, PhD, FRCSC, discusses micro-ultrasound’s utility in active prostate cancer surveillance. In this 11-minute presentation, he outlines the evolution of prostate biopsy techniques and highlights micro-ultrasound’s ability to provide high-resolution imaging that detects prostate cancers invisible to conventional ultrasound. The Primus Scoring System, akin to the PI-RADS system for MRI, aids in classifying findings with promising accuracy in detecting clinically significant prostate cancer.

Dr. Kinnaird presents comparative studies showing micro-ultrasound as non-inferior to MRI in biopsy-naive patients. Preliminary data from trials reveal high concordance between micro-ultrasound and MRI. He highlights advancements in artificial intelligence, such as AI-driven heat maps for targeted biopsies, which show potential for improving diagnostic accuracy in both biopsy-naive and active surveillance settings.

The talk emphasizes the promise of micro-ultrasound in reducing overdiagnosis, improving patient outcomes, and potentially complementing or replacing MRI in specific clinical contexts.

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Bi Parametric Optimized 15 min Prostate MRI Protocol – Are we there yet?

Bi Parametric Optimized 15 min Prostate MRI Protocol – Are we there yet?

Posted by | Jan 2025

Mukesh Harisinghani, MD, Harvard University Medical School, presents a compelling talk on achieving an under-15-minute bi-parametric MRI protocol for prostate cancer imaging.

In this 11-minute presentation, Dr. Harisinghani highlights that multiparametric MRI, the standard for detecting clinically significant cancer, requires lengthy protocols. Transitioning to bi-parametric MRI eliminates the need for contrast enhancement, maintaining diagnostic accuracy while significantly reducing scan time.

Harisinghani emphasizes the role of deep learning algorithms in optimizing image quality without compromising timing. He cites studies, including the PRIME study, demonstrating that bi-parametric MRI detects clinically significant cancers.

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Anterior Urethroplasty – Bulbar (A Primer For Part-Time Plumbers)

Anterior Urethroplasty – Bulbar (A Primer For Part-Time Plumbers)

Posted by | Jan 2025

Ryan P. Terlecki, MD, FACS, emphasizes key elements for success in urethral surgery, focusing on preoperative planning, technical precision, and effective patient management.

A central message in this 11-minute presentation is to set realistic patient expectations while acknowledging that success is never guaranteed even with advanced surgical techniques. Terlecki compares conservative endoscopic management with surgical options, emphasizing that surgical planning requires careful consideration of anatomy, patient history, and the specifics of the stricture.

Dr. Terlecki stresses meticulous preparation, including the importance of standard protocols. Preoperative collaboration with anesthesia and other specialties is encouraged, along with video primers to prepare team members. Intraoperative decisions, such as when to transition from endoscopic to open surgery, are highlighted as critical moments requiring flexibility. He stresses that surgeons should stay calm under pressure and stick to their plan, even when faced with unexpected challenges.

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