Clinician's Roundtable

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Phillip Begg, PhD The physician assistant program began in the United Kingdom in 2004 with five students. Today, four universities have a PA program, with more than 200 students expected to graduate by 2012. Dr. Phillip Begg, associate dean at the University of Wolverhampton in Wolverhampton, England, talks with host Lisa Dandrea Lenell about the s...

Host: Bruce Japsen Guest: Bob Nease, PhD Why do Americans choose healthcare options that cost more but may not even do more or be in the best interest of their own health? Dr. Bob Nease, chief scientist at Express Scripts, tells host Bruce Japsen about what appears to be a troubling phenomena researchers are calling the behavioral economics of healthcare.

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Ruth Ballweg, PA-C The rate of dental disease in Alaska is the highest in the United States. In order to combat the problem, Medex has started a dental therapy program in the area called DENTEX. Ruth Ballweg, director of the MEDEX Northwest program, discusses with host Lisa Dandrea Lenell how Medex became involved with dental care, the progress of...

Host: Bruce Japsen Guest: Kenneth Thorpe, PhD The medical home is a concept that it moving from the theoretical and becoming a reality. How has this model of team-based care been piloted in the United States, and how might it change patient care, as well as physician payment? Dr. Kenneth Thorpe, the Woodruff Professor and Chair of Health Policy and Management at Emory University's Rollins School o...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Kevin Chung, MD Guest: Charles Thompson, PA-C, RN The U.S. Army Burn Center at Brooke Army Medical Center, Ft. Sam Houston Texas, is one of the five busiest burn units in the country. These patients are out of the ordinary. They are military men and women who have been burned over at least 20 percent of their body while serving in Iraq and Afghanis...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Kevin Chung, MD Guest: Charles Thompson, PA-C, RN It takes a team of specialists, social workers, PAs, nurses and therapists to care for the burn patients at the US Army Burn Unit in Brooke Army Medical Center, Fort Sam Houston, Texas. Every day more than 30 medical professionals make rounds checking on the critically injured at the unit. Dr. Kevin...

Host: Mary Leuchars, MD Guest: Barry Marshall, MBBS Nobel Prize winners are among the most honored individuals on Earth. Yet in the case of medicine or physiology, it's said that prize winners find more success cultivating quiet careers in basic science research composing solid litanies of publications than assuming roles of "celebrity experts." Dr. Barry J. Marshall, Australian physician and prof...

Host: Mary Leuchars, MD Guest: Barry Marshall, MBBS After failed attempts to infect piglets with H.pylori in 1984, Dr. Barry Marshall decided to use himself as an animal model and drank from a petri dish cultured with the bacteria. His resultant development of gastritis, and the subsequent discovery of H.pylori's role in gastric ulcer disease pathogenesis, led to a Nobel Prize in Physiology or Med...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Randy Danielsen, PhD, PA-C The National Commission on Certification of Physician Assistants (NCCPA) will launch their specialty certification program, beginning with five specialties, in 2011. What does a PA who may want to get certifiedneed to know? Dr. Randy Danielsen, dean of Arizona School of Health Sciences at A.T. Still University in Mesa, Ar...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Ruth Ballweg, PA-C When PAs meet other PAs from across the country, they often ask each other, Are you a Duke-trained PA or a MEDEX PA? This question comes from the early days of the profession when a difference in training depended on whether you lived on the east coast or the west coast of the United States. Ruth Ballweg, director of the MEDEX No...

Host: Lee Freedman, MD Guest: Lawrence Hurst, MD Dupuytren's disease can cause severe joint contracture in the hands, and surgery is often recommended for these patients most affected by the condition. But Dr. Lawrence Hurst, professor, chairman and chief of the division of hand surgery in the department of orthopaedics at Stony Brook School of Medicine Health Sciences Center, tells us about anoth...

Host: Bruce Japsen Guest: Jenni Hunter The field of temporary workers has become commonplace to satisfy shortages of nurses and fill gaps to ensure health care delivery. Doctors too — and particularly primary care physicians — are increasingly going locum tenens. The numbers may surprise you. Jenni Hunter, divisional vice president of Staff Care, tells host Bruce Japsen about how physician staffin...

Host: Bruce Japsen Guest: Jeff Belkora, PhD Informed decision-making involves helping patients arrive at the questions that can ultimately help their doctors deliver the best possible medical care. Jeff Belkora, director of Decision Services at the University of California San Francisco Breast Care Center, a demonstration program of the Foundation for Informed Medical Decision Making, tells host B...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Tom Zampieri, PhD, PA-C The Department of Veterans Affairs is the single largest employer of PAs in the United States. With 1,600 PAs in the VA workforce, the PA leadership is only a part time field position. Dr. Tom Zampieri, director of government relations for the Blinded Veterans Association, joins host Lisa D'Andrea Lenell to talk about the po...

Host: Bruce Japsen Guest: Wendell Potter Once an insider in the health insurance industry crafting messages in a battle against health reform, he's now telling secrets in hopes of affecting change. Wendell Potter, a former public relations executive for health insurance giants Humana and Cigna, warns about industry practices he says short-changed doctors and their patients and boosted health plan...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Ian Jones, PA-C, MPAS Physician assistants have been practicing in Manitoba, Canada, for only the past 10 years. With a shortage of physicians across the country, the need for PAs is more crucial than ever. Ian Jones, president of the Canadian Association of Physician Assistants, joins host Lisa D'Andrea Lenell to discuss the success of PAs within...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Reginald Carter, PhD, PA-C Where is the beginning of the physician assistant profession? Is it in the 1960's, in response to a growing a shortage of physicians? Or does it go back even earlier than that? Dr. Reginald Carter, founder of the PA History Center in Raleigh-Durham, North Carolina, joins host Lisa Dandrea Lenell to talk about the pioneers...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Reginald Carter, PhD, PA-C Guest: Leila Ledbetter The physician assistant profession is rich in history. The PA History Center at the Duke University Medical Center in Raleigh-Durham, North Carolina, houses everything from oral histories of early PAs to photographs, personal papers and artifacts at the museum. Dr. Reggie Carter, founder of the PA H...

Host: Bruce Japsen Guest: Vergil Slee, MD From the noise on talk shows about death panels that don't exist to acronyms like HMOs or PPOs, the healthcare industry often does not speak to consumers in plain language. How can doctors and other health professionals help the consumer, and should this be a part of health reform? Dr. Vergil Slee, emeritus fellow of the Estes Park Institute, founder of th...

Host: Bruce Japsen Guest: Linda Blumberg An integral part of covering the nation's more than 46 million uninsured that has been discussed by President Barack Obama and key members of Congress in Washington is the so-called insurance exchange. So what is an insurance exchange, and exactly how would it work? Linda Blumberg, an economist and senior fellow in the Urban Institute's Health Policy Center...

Host: Bruce Japsen Guest: Tom Dilenge There appears to be movement in the US to bring less expensive versions of biotech drugs to market. But the brand name drug industry wants these so-called biosimilars to adhere to rigorous safety and efficacy standards currently not built into US laws. Tom DiLenge, vice president and general counsel for the Biotechnology Industry Organization, tells host Bruce...

Host: Bruce Japsen Guest: Sunil Hattangady, MBA, PhD The wireless movement is a part of more and more consumers' daily lives, from smart phones to laptops. Will this kind of technology soon be ubiquitous in the healthcare field as well? Sunil Hattangady, president of Emblaze Consulting, tells host Bruce Japsen about the coming wireless trends and applications in the healthcare.

Host: Bruce Japsen Guest: Sumant Ramachandra, MD While drug makers and consumer groups lobby Congress and the Obama administration on the best way to bring cheaper versions of biotech drugs to market, a U.S. company is already doing so overseas. How does this work and what are the prospects for biogenerics in the U.S. Dr. Sumant Ramachandra, Chief Scientific Officer at Hospira Inc. tells host Bruc...

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Laurie Benton, PhD, PA-C, RN Guest: Charles Foulks, MD Sometimes two heads are better than one. That's the case when it comes to the PA/Physician team of Dr. Laurie Benton PA-C and her supervisor Dr. Charles Foulks. The two working together over the years have been able to slow the progression of kidney disease and keep their patients off dialysis....

Host: Lisa Dandrea Lenell, PA-C, MPAS, MBA Guest: Stephen Hanson, PA-C The debate over healthcare reform is on the minds of all medical professsionals these days. What could be different for PAs if new legislation is enacted? How is the American Academy of Physician Assistants assuring that PAs are an essential part of the debate? How can you get involved to make sure your representatives in Congr...