#189 Medical Overuse: Common Cases of Overtesting, Overdiagnosis, Overtreatment

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 23 December 2019

⏱️ 64 minutes

🔗️ Recording | iTunes | RSS

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Summary

Team up with the authors of the JAMA Medicine series on Medical Overuse, Dr. Dan Morgan @dr_dmorgan (University of Maryland) and Dr. Deborah Korenstein @DKorenstein (Memorial Sloan Kettering). We discuss procalcitonin (again!), the dangers of incidentalomas, risks of chest CT for lung cancer screening, the easiest place to get antibiotics for a viral infection, and why not to treat subclinical hypothyroidism despite guidelines. Trying to find ways to shed the fat off of some common medical practices? Look no further.

ACP members can claim CME-MOC credit at https://www.acponline.org/curbsiders (CME goes live at 0900 ET on the episode’s release date).

Credits

Written and Produced by: Justin Berk, MD MPH MBA
Infographic: Justin Berk, MD MPH MBA
Cover Art: Matthew Watto MD, FACP
Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP
Editor: Molly Heublein MD, Matthew Watto MD, FACP, Emi Okamoto MD (written materials); Clair Morgan of Nodderly.com (audio)
Guest: Daniel Morgan MD, Deborah Korenstein MD, FACP

Time Stamps

00:00 Intro, disclaimer, guest bios
04:45 Guest one-liners
Picks of the Week*: The Fifth Season is part of

Transcript

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0:00.0	The Curbsiders podcast is for entertainment, education, and information purposes only,
0:06.8	and the topics discussed should not be used solely at Diagnostry, or prevent any diseases
0:09.6	or conditions.
0:10.6	For the more of the views and statements expressed on the podcast are solely those of those,
0:12.1	and should not be interpreted to reflect official policy or position of any entity
0:14.3	that's eye-brown possible, cash-like more hospital, and affiliate outreach programs.
0:16.7	If indeed, there are any, in fact, there are none.
0:18.6	Pretty much we aren't sponsored if you screw up, you should always do your own homework
0:20.4	and let's know when we're wrong.
0:30.0	Hi, I'm Matt.
0:36.3	How you doing?
0:37.3	Doing very well.
0:38.8	Audience, if you will skip about an hour and one hour forward, you will hear a fascinating
0:45.3	conversation about Stuart's knee pain.
0:49.2	But this is the Curbsiders, and on the show tonight we're going to be talking about
0:53.2	five different articles highlighting medical overuse, which is these are things that we
0:59.2	should not be doing.
1:00.2	We'll just introduce what we do first.
1:03.0	We'll define it more, but I want Paul to tell people in general, Paul, what do we do
1:08.1	on this show?
1:10.3	Happy to, as always, Matt.
1:11.3	We are the Intro and Medicine Podcasts, we use expert interviews to renew clinical
	...

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