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Episode 148: Antiracism in Medicine Series Episode 4 – Dismantling Race-Based Medicine Part 2: Clinical Perspectives

The Clinical Problem Solvers

Nwamaka Eneanya and Jennifer Tsai to discuss the limitations and harms of race-based medicine in clinical practice. Our guests explain how we can incorporate race-conscious medicine in clinical settings, medical education, and biomedical/epidemiological research to responsibly recognize and address the harms of racial inequality.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Watchful waiting refers to clinical observation only.

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Working Out – Dan Minter

The Clinical Problem Solvers

Dr.’s Vivek Murthy, Bridget O’Brien, and Gurpreet Dhaliwal sought to answer this question in a 2018 study. From these conversations, they identified four general “themes”: (1) consistent learning efforts, (2) rigorous skills development, (3) developing “habits of the mind,” and (4) seeking out clinically rich working environments.

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The Future Of Vision And Eye Care

The Medical Futurist

Their research showed promising results for lab rats, and they plan to carry out the first human trials in the second half of 2017 and gather preliminary results during 2018. Experts even say the eye is an ideal place to start for the first clinical use of CRISPR. The Stanford Artificial Retina Project shows great promises.

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PEMPix 2024 Online Case #2: Flight of Passage

PEMBlog

Bronchopulmonary sequestration Our patient was diagnosed with bronchopulmonary sequestration (BPS). Most patients are afebrile by the third day of treatment and clinically improved within two weeks. 2018 Jul;48(3):247-250. Epub 2018 Apr 6. Bronchopulmonary sequestration C. Lymphoma D. of all CLMs. PMID: 29621946.

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FDA Issues Safety Warning Regarding Non-Invasive Prenatal Testing Raising Questions About the Future of FDA Regulation of LDTs

FDA Law Blog

The tests are not intended to diagnose any genetic conditions – that must be done through subsequent invasive testing. However, even with a low PPV, a test can provide clinically useful information to providers and patients. NIPT are intended to screen for genetic abnormalities in a fetus.

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Disparities in Post-COVID Conditions among Persons with Disabilities: Findings from Primary Care Patients, 2019-2022 [COVID-19]

Annals of Family Medicine

Objective: Compare the incidence of post-COVID conditions (PCC) by pre-pandemic diagnosed by the type of disability. Population Studied: Patients with ≥1 visit between January 2018 and December 2019 and who remained in the cohort until at least May 2020. Measurements. 95% CI 0.51, 0.7)