Focused Shockwave Therapy for Musculoskeletal Disorders

Host: Darryl S. Chutka, M.D.  Guest: Joshua M. Romero, M.D.  Tendon disorders can be difficult to manage, and patients often suffer with chronic symptoms. Traditional treatments such as physical therapy, braces, and steroid injections have shown to be of limited benefit. There’s another treatment option for chronic tendon disorders; focused shockwave therapy. It’s non-invasive and uses acoustic pressure waves to stimulate healing in injured musculoskeletal tissue. So, how effective is it? Which conditions tend to respond best? Does it just relieve pain, or does it actually accelerate healing, and how does the success rate compare to other traditional treatment options?  I’ll get answers to these questions from my guest, Dr. Joshua Romero, a sports medicine physician in the Department of Physical Medicine and Rehabilitation at the Mayo Clinic. The topic for this podcast is “Focused Shockwave Therapy for Musculoskeletal Disorders”.  Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development 

Host: Andy Herber, P.A.-C. Guests: Jennifer Bold, D.N.P., APRN, C.N.P.; Michelle Booth-Kowalczyk, APRN, C.N.P.; John Weimer, PA-C; Alec Williams, APRN, C.N.P., D.N.P.; As healthcare grows increasingly complex, the success of newly hired nurse practitioners and physician assistants depends not only on their preparation, but also on the systems that support their integration, development, and long-term success. While orientation may last weeks or months, the journey to confidence, competence, and professional identity often extends through the first two years of practice. Organizations increasingly recognize that onboarding, mentorship, structured development, and transition-to-practice programs play a critical role in clinician retention, engagement, productivity, and patient care. In this episode, Mayo Clinic NP and PA leaders discuss what distinguishes onboarding from orientation, explore evidence-informed approaches to supporting new clinicians, and share lessons learned from developing successful transition-to-practice programs. Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development 

Host: Darryl S. Chukta, M.D.  Guest: Robert D. McBane, M.D.  At times, pulmonary embolism can be very challenging to diagnose. While some patients have a very dramatic presentation, others may have very subtle, non-specific symptoms. Establishing a diagnosis quickly is important as a delayed or missed diagnosis can lead to excessive morbidity and mortality. What clues might a patient have that should alert us to the possibility of a PE? What are the best tests to order when we suspect one? Do all patients with a PE need to be hospitalized, and what are the current recommendations for management? My guest is vascular medicine specialist, Dr. Robert McBane, M.D., from the Department of Cardiovascular Medicine at the Mayo Clinic. We’ll cover these questions and more as we discuss “Pulmonary Embolism”.  Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development 

Host: Darryl S. Chutka, M.D.  Guest: Ruti Sella Svetlit, M.D. Cataracts are one of the leading causes of vision impairment, especially among older adults. While cataract surgery has been available for many decades, it has evolved significantly over the last several years. Patients now have multiple lens options which can give them a variety of benefits. How has cataract surgery changed over time? What are some of the new, current lens options available? What can patients expect from them and are all individuals with cataracts candidates for these new options? In today’s podcast, we’ll explore how cataract surgery has changed, and which patients may benefit the most from this newer technology as we discuss “Innovations and New Options for Cataract Surgery” with my guest, Dr. Ruti Sella Svetlit, M.D., an ophthalmology surgeon from the Mayo Clinic.  Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development 

Host: Darryl S. Chutka, M.D.  Guest: Stephanie L. Grach, M.D., M.S.  Chronic fatigue syndrome is now known as myalgic encephalomyelitis. Despite this change in terminology, there’s still a great deal that’s not known regarding this health problem. Clinical manifestations can include severe, persistent fatigue, often with a worsening of symptoms following physical exertion. Impaired sleep, potential cognitive impairment, and possible orthostatic intolerance is also commonly seen. The exact cause remains unknown, although several proposed mechanisms have come forward. The diagnosis is based on clinical presentation. Patient management, while less than optimal, is usually limited to symptom control. This condition poses a major challenge to primary care clinicians with both establishing a diagnosis and management. To help sort out this frustrating health problem is my guest, Dr. Stephanie Grach, an internist in the Division of General Internal Medicine at the Mayo Clinic. The topic for today’s podcast is Myalgic Encephalomyelitis/Chronic Fatigue Syndrome.  Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development 

Host: Darryl S. Chutka, M.D.  Guest: Josh P. Wiedermann, M.D. Neck masses in children are commonly seen in a primary care practice. Fortunately, most are benign, although serious causes, including malignancy, always remain a possibility. Based on medical history, physical examination, and occasionally imaging studies, the cause is usually able to be identified. What are some key elements consistent with a benign neck mass? When does the management consist of watchful waiting and which ones are concerning and should warrant a prompt referral? These are questions I’ll be asking my guest, Dr. Josh Wiedermann, Division Chair of Pediatric Otorhinolaryngology at the Mayo Clinic as we discuss “Pediatric Neck Masses”.  Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development 

Host: Darryl S. Chutka, M.D.  Guest: Karthik Ravi, M.D.  Eosinophilic Esophagitis is often misdiagnosed or undiagnosed in primary care settings, yet it’s a common cause of esophageal symptoms. It’s commonly mistaken for the more common gastroesophageal reflux disease as it can present with symptoms of reflux and dysphagia. How can we differentiate eosinophilic esophagitis from reflux esophagitis? What’s needed to establish a diagnosis? What are the management options and what’s the long-term outlook for those with the condition? These are some of the questions I’ll be asking my guest Dr. Karthik Ravi, a gastroenterologist at the Mayo Clinic as we discuss “Eosinophilic Esophagitis”.  Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development 

Host: Darryl S. Chutka, M.D.  Guest: Dawn Davis, M.D.  Psoriasis is a health condition commonly seen in primary care but one which has evolved significantly in both how we understand the disease as well as how it’s managed. At one time, psoriasis was considered primarily a skin disorder; however, we now know it’s part of a systemic inflammatory disease with potential involvement of multiple organ systems. What do we know about the pathophysiology of psoriasis? How does it change our management when we think of it as a systemic disease? What are some of the new treatment options we now have available?  I’ll ask these questions and more of my guest as we discuss “Psoriasis”.  My guest for this podcast is Dr. Dawn Davis, Chair of Clinical and Pediatric Dermatology at the Mayo Clinic in Rochester, Minnesota.  Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development 

Host: Darryl S. Chutka, M.D.  Guest: Dawn Davis, M.D.  Acne and rosacea are two very common skin conditions seen in primary care, yet at times both the diagnosis and management can be challenging. While acne most commonly develops in adolescence, it can present in adulthood. Rosacea is often misdiagnosed or at times completely unrecognized. What are the common presenting symptoms of these two conditions? What are the treatment options? What are the latest advances in management and when should a primary care clinician consider referral to dermatology? These are questions I’ll be asking my guest, Dr. Dawn Davis, Chair of Clinical and Pediatric Dermatology at the Mayo Clinic, as we discuss “Acne and Rosacea”.   Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development 

Host: Darryl S. Chutka, M.D.  Guests: Jake Eide, M.D. & Rijul Kshirsagar, M.D.  Skull base tumors are not commonly seen in a primary care practice, yet it’s important for us to recognize them when they do present. These tumors can be either benign or malignant, however because of their proximity to important structures in the brain, even benign tumors can cause serious complications. Their presentation can be subtle, and they are frequently mistaken for other more commonly seen health problems. Which presenting symptoms should give us concern? What are some common physical exam findings associated with these tumors, and what’s the best initial imaging study to order? These are some of the questions I’ll be asking my guests, Dr. Jake Eide and Dr. Rijul Kshirsagar, both surgeons in the Department of Otorhinolaryngology at the Mayo Clinic as we tackle “Skull Base Tumors.”  Connect with us! Mayo Clinic Talks Podcast Season 6 | Mayo Clinic School of Continuous Professional Development