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PEER-TO-PEER CLINICAL CONVERSATIONS |
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| Addressing Burnout in Urology: Strategies for a Sustainable Career and Personal Well-Being |
| Phillip Pierorazio, MD |
| Ruchika Talwar and Phil Pierorazio discuss the challenges of burnout and retention within the urology workforce. Dr. Pierorazio underscores the persistence of high burnout rates despite growing awareness and targeted efforts to mitigate them. |
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| The Future is Female: Urology Workforce Projection from 2020 to 2057 |
| Catherine Nam, MD |
| Andrea Miyahira speaks with Catherine Nam about her paper, "The Future is Female: Urology Workforce Projection from 2020 to 2057," published in Urologic Clinics of North America. Dr. Nam addresses the critical issue of the urologic workforce shortage, driven by factors like aging practitioners and limited residency slots due to the Balanced Budget Act of 1997. |
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Exploring Burnout in Healthcare "Fist Pumps: The Prescription for Provider Burnout"
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Scott MacDiarmid, MD, FRCPSC
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| Scott MacDiarmid joins Diane Newman in a conversation about his book, "Fist Pumps", which discusses burnout in healthcare. Dr. MacDiarmid believes that the commoditization of medicine is the root of the problem, causing the devaluation and gutting of the profession of medicine and record numbers of burnout among healthcare providers.
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| Generative Artificial Intelligence in Healthcare "Presentation" |
| Inderbir Singh Gill, MD |
| Inderbir Gill presents on the growing importance and applications of artificial intelligence (AI) in urology. He emphasizes AI's transformative role in academic publishing and clinical practice, noting its potential to mitigate physician burnout by automating routine tasks. |
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| AMA Advocacy Priorities Update |
| Todd Askew |
| Todd Askew, Senior Vice President for AMA Advocacy, details the AMA’s advocacy priorities amidst a highly partisan political environment. He highlighted recent legislative successes, such as efforts to lower prescription drug costs and address Pharmacy Benefit Managers' roles in high drug prices. Key priorities include Medicare payment reform, reducing prior authorization burdens, addressing physician wellness, expanding telehealth coverage, and preserving reproductive and gender-affirming care. |
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| A Dynamic Practice and Passion Projects to Avoid Burnout
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| Aditya Bagrodia, MD
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| Aditya Bagrodia, a urologic oncologist and associate professor, shares his journey of becoming a podcast host for BackTable Urology, a platform aimed at providing practical information for urologists. Highlighting the high prevalence of burnout among urologists, Dr. Bagrodia discusses how his podcast has become a fulfilling passion project that allows him to educate peers and patients while maintaining his enthusiasm for his profession.
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| Retention Strategies for Faculty
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| Christopher Gonzalez, MD, MBA, FACS
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| Christopher Gonzalez emphasizes the importance of retention strategies for academic faculty. Highlighting the projected physician workforce shortage, particularly in urology, he noted the high attrition rates among first-time assistant professors, which can be costly for health systems. Dr. Gonzalez identified key factors for faculty dissatisfaction, including lack of communication, inadequate compensation, and insufficient promotion opportunities.
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| New AMA Policy on Medical Education |
| Ruchika Talwar, MD |
| The AMA emphasized the importance of using race in admissions decisions to create a diverse workforce and improve health equity, and passed a policy opposing the ban on affirmative action. The House of Delegates (HOD) also called for a study on alternatives to the restrictive residency and fellowship Match process, and supported strategies to reduce medical education costs and student debt, such as the Specialty Physicians Advancing Rural Care Act (SPARC Act). |
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| Addressing Gender Disparities in Urology and Genitourinary Cancer Research |
| Andrea Miyahira, Ph.D. |
| Gender disparities continue to exist in urology, GU oncology, and prostate cancer research, traditionally male-dominated fields. Although there has been progress in increasing the representation of women in medical schools and biomedical sciences, they remain underrepresented in advanced career positions such as clinical faculty, full professors, department chairs, and deans. Women from underrepresented minority groups experience even greater disparities in these fields. |
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| Championing Change: The AMA's Vital Advocacy Initiatives for Physicians |
| Ruchika Talwar, MD |
| At the 2024 American Medical Association (AMA) annual meeting, the AMA leadership reviewed key advocacy priorities aimed at improving healthcare delivery, alleviating physician burnout, and addressing systemic issues. Significant achievements include securing a CMS final rule to streamline prior authorization processes, advocating for H.R. 4968, the GOLD CARD Act of 2023, and enacting prior authorization reform in multiple states. |
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