In this podcast episode, Sophie M. Balzora, MD, FACG, discusses how she found an interest in gastroenterology, the importance of having a true diversity, equity and inclusion initiative in the health care field and more. Brought to you by Zeposia. Intro :02 The interview :22 Can you tell us a bit about your background? :51 Was your dad educated as an internist in the United States or in Haiti? 2:32 How did you decide to become a gastroenterologist? 3:41 Tell us about what you’re doing these days and what’s your day-to-day role at NYU? 5:13 Was this a calling? Was it something early on that you knew you wanted to pursue, or did it more call on you? 7:23 Do you think we’re more likely to make substantive changes by taking smaller, more incremental changes, or making more sweeping changes? 9:37 What do the words “diversity,” “equity” and “inclusion” mean to you? What do you want the listeners to know for the remainder of the conversation? 11:09 What motivates you to work on these issues? 14:30 We’ve known about these inequities for a long time … Why do you think this is the case and what are we starting to do to close this gap? 16:04 How do we start to tackle the “Minority Tax” and ensure we’re not putting the sole responsibility to fix this system at the feet of Black and female patients and other people of color? 20:55 You have key leadership roles in numerous organizations … What are some of the initiatives you’ve been focusing on recently and are there any key learnings that you can share about how organizations can improve diversity, equity and inclusion? 24:09 Have you experienced any of the backlash or discriminatory gaslighting when it comes to the DEI initiatives and what are your thoughts on it? 29:38 What are the key things that will really make a difference in terms of driving substantive change in the DEI space as opposed to paying lip service? 33:11 What initiatives do you know going on at NYU or at the college to help improve our training mechanisms to deal with these types of issues? 35:26 If you were to have any wish in terms of DEI that would happen through the course of your career and by the time you finish up, what would it be? What do you think is realistic as a goal? 40:07 I want to thank you for all the work you’re doing 43:20 Thanks for listening 44:57 Sophie M. Balzora, MD, FACG, is a clinical associate professor at the NYU Grossman School of Medicine. She is vice chair of ACG's Diversity, Equity, and Inclusion Committee, senior associate editor of the American Journal of Gastroenterology, and co-founder of ACG's “#DiversityinGI” social media campaign. Balzora serves on the Patient Education Sub-Committee of the Crohn's and Colitis Foundation's National Scientific Advisory Committee, the social media team of the CCF's Inflammatory Bowel Disease Journal, and as a member of Fight CRC’s Health Equity Committee. She was also accepted into the inaugural cohort of the Office of Diversity Affairs’ Faculty Leadership Development Program through the NYU Langone Academy. We’d love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc Disclosures: Balzora, Berry and Chey report no relevant financial disclosures.

Gut Talk

Diversity, Equity and Inclusion in GI with Sophie M. Balzora, MD

In this podcast episode, Brennan Spiegel, MD, MSHS, discusses virtual and augmented reality in gastroenterology from both a clinical and research perspective, as well as his thoughts on the future of the field. Intro :02 The interview :22 How did you decide to be a doctor? :23 What are your main takeaways from serving as editor of AJG over the last 6 years? 2:46 What was your journey that led to what you’re focusing on now? 5:47 Can you give us a sense of what these words mean when you say “virtual reality” and “augmented reality”? 7:29 As a professor of medicine, a gastroenterologist, a public health advocate and researcher, how did you come to think of this being your area of focus? 10:40 How does this work from a clinical perspective? 15:21 Can you tell us about how the clinical trials are run, what sham VR is and how are these high-quality trials designed? 19:53 Have we studied the biochemical response? 22:13 The discussion of virtual reality and its use in neuromodulation and nerve stimulation 25:07 Where do you think the biggest challenge is in this widespread implementation? 31:34 What about developing VR reimbursement strategies … Have you heard of virtual reality companies approaching things this way? 34:44 How do you think about intellectual property with VR? 37:38 Where do you think we stand in regard to regulatory hurdles? 39:52 Are there any risks? Are these things that are being studied? Are these valid concerns? 42:00 What do you want the listeners to take away from this? What’s the call to action? 44:31 Thank you, Dr. Spiegel 46:27 Brennan Spiegel, MD, MSHS, is the director of health services research for Cedars-Sinai and the director of the Cedars-Sinai Master's Degree Program in health delivery science. He directs the Cedars-Sinai Center for Outcomes Research and Education. We’d love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc Disclosures: Berry, Chey and Spiegel report no relevant financial disclosures.

Virtual Reality in GI with Brennan Spiegel, MD

In this episode, Brian E. Lacy, MD, PhD, joins us to discuss the American College of Gastroenterology’s newest guidelines for irritable bowel syndrome, options for patients with IBS-D and IBS-C, and much more. Brought to you by Red Hill Biopharma. Intro :02 Can you briefly review the process that led to the final document? 1:31 All recommendations are not created equal in this guideline or any guideline … do you think that is a fair statement? 3:56 Do you have some key takeaways for listeners in regards to the diagnostic evaluation of patients with IBS? 4:38 There’s always this debate about fecal calprotectin or fecal lactoferrin or CRP … what do you do in your own practice? 6:13 What do you want to tell the listeners in terms of testing to adequately screen for Celiac disease in their patients with IBS symptoms? 7:49 Does it matter how you biopsy? 9:57 What was your perspective on some of the new serologies for IBS? 11:51 Can you review pelvic floor testing in patients with IBS and what the listeners should be thinking about and what they should do? 15:00 Do you see potentially IBS-D and IBS-C-specific guidelines coming out in the future? 17:14 Several commonly used therapies for IBS have weak recommendations or recommendations against their use. Can you talk about this or whether you use these therapies in your practice? 20:29 What do you tell patients when they ask you about whether they should get their stool analyzed or provide you with a report from testing they’ve already done? 26:10 Stool samples: are they even the best thing we should be measuring? 29:07 What’s the proportion of patients that possibly or potentially mismanaged getting colonoscopies, being started on expensive medications, being started on probiotics and how do we shift from this guideline and really getting this spread out in practice? 30:44 The growing list of options for patients with IBS and constipation 37:57 Opinions on the available options for patients with IBS-D? 39:49 Thank you again, Dr. Lacy 41:15 Brian E. Lacy, MD, PhD, is a board certified gastroenterologist at the Mayo Clinic and the current co-editor in chief of the American Journal of Gastroenterology. He is the former editor in chief of Clinical and Translational Gastroenterology and was the co-chairman for the Rome IV Committee on Functional Bowel Disorders. Disclosures: Berry, Chey and Lacy report no relevant financial disclosures. We’d love to hear from you! Send your comments/questions to Dr. Berry and Dr. Chey at guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc

New ACG IBS Guidelines with Brian E. Lacy, MD, PhD

In this episode, Eamonn Quigley, MD, joins us to discuss his journey into gastroenterology, probiotics and pearls of wisdom to the next generation of physician investigators. Brought to you by Red Hill Biopharma. Intro :26 Who was the person or persons that got you interested in GI? 1:01 Was endoscopy available at the time that you started your GI training or did that come later? 3:39 What’s the story behind emigrating to the United States? 4:29 The legacy of Sid Phillips 6:54 Where did your travels take you after Mayo Clinic? 9:21 When did you start looking at the microbiome? 9:27 How did that partnership shape your thinking? 13:25 Tell us the story behind Bifidobacterium infantis 35624 17:56 What should patients and providers look for when they’re considering a probiotic to purchase? 23:10 How do you frame this to patients when they’re so motivated to try probiotics for a disease or a symptom for which there’s not strong data? 28:39 How durably can you really shift a healthy person’s microbiome? 30:18 Is there something that you wish GI doctors were doing differently with regards to probiotics from what they’re doing now? 34:53 What do you think we need to get to a point where we can prescribe probiotics in a precision medicine perspective? 35:59 Do you think it’s going to be more microbiome or more metabolome that will really be the place to look for biomarkers? 38:13 What are some of the big challenges that you think are unique to running clinical trials of probiotics? 40:26 What has your experience been with regards to collaborative approaches with investigators outside of GI? 41:54 Where do we move forward from here? What are the types of questions that young investigators should be thinking about in the near-term future? 43:31 What advice would you give to other physician investigators, perhaps younger ones, who want to follow in your footsteps? 45:50 Thank you, Dr. Quigley 51:05 Eamonn Quigley, MD, is the chief of the division of gastroenterology and hepatology at Weill Cornell Medical College at Houston Methodist Hospital, past president of the American College of Gastroenterology and past president of the World Gastroenterology Organization. Disclosures: Berry and Chey report no relevant financial disclosures. Quigley discovered Align Probiotic (Procter & Gamble). We’d love to hear from you! Send your comments/questions to Dr. Berry and Dr. Chey at guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc

Probiotics and Discovery with Eamonn Quigley, MD

In this episode, Douglas A. Drossman, MD, joins us to discuss his path into medicine, the history and influence of brain-gut interactions and what gastroenterologists can expect for Rome V criteria. Intro :22 Drossman’s experiences growing up in New York :33 Drossman’s experience performing in a rock and roll band 1:20 How did Drossman migrate from playing in a rock band to going to medical school and choosing a career in functional GI disorders? 2:14 The history of functional GI disorders and the brain 6:05 The influence of brain-gut interactions on motility and sensation and the evolution of opinions 9:29 The formation of Rome and its impact on the field of functional GI disorders 13:33 Were there other frameworks that were considered at these meetings early on before Rome criteria ever evolved or came out aside from symptom-based diagnosis? 20:15 In the various iterations of Rome, what are your proudest moments? 27:06 What can gastroenterologists expect for Rome V? 31:00 The transformative nature of behavioral therapy 33:13 Has there been research on how disorders of brain-gut interaction vary by different countries and different types of upbringings and culture? 37:12 Why is it important for providers to better communicate with patients? 42:19 Are you going to alter the way you do your notes given the fact patients will have free access to everything that you write? 47:41 What advice would you give to fellows, younger faculty to have the same sort of impact and really fight for what they believe in? 48:44 What can you tell us about Rome V? 50:17 Thank so much, Dr. Drossman 51:24 Douglas A. Drossman, MD, is professor emeritus of medicine and psychiatry at University of North Carolina, and president emeritus of Rome Foundation. Disclosures: Berry, Chey and Drossman report no relevant financial disclosures. To order Drossman’s new book Gut Feelings: Disorders of Gut-Brain Interaction and the Patient-Doctor Relationship A Guide for Patients and Doctors, visit https://romedross.video/GutFeelingsWebsite To learn more about the Rome Foundation, visit theromefoundation.org We’d love to hear from you! Send your comments/questions to Dr. Berry and Dr. Chey at guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc

Douglas Drossman, MD: The Rome Criteria and What’s Next for Rome V

In this episode, Gil Y. Melmed, MD, MS, joins us to discuss the available evidence regarding COVID-19 risk among patients with IBD, the pandemic’s effect on elective procedures, the future of telehealth for gastroenterologists and the importance of vaccination in these patients. Editor's Note: This episode was recorded in August 2020. Intro :22 Addressing questions about COVID-19 and the risk to IBD patients :35 Any insight to why patients with IBD aren’t at increased risk? 3:48 How are you dealing with deferral of elective procedures? 5:50 Is there any discussion about what the red lines will be in terms of closing down again? 9:32 How are you adjusting to telehealth? Do you think we’ll see an acceleration of remote care for our IBD patients? 11:53 Are there unique challenges to telemedicine for patients with IBD? 14:23 If we seize the moment, things may change for the better 15:51 Challenges may be different between tertiary care centers and community practices 18:22 Have you noticed an improvement in appointment compliance with telehealth? 19:05 How has the pandemic impacted your research? 21:03 Immunizations we should focus on for IBD patients 24:44 Differences in viability of the vaccination based upon the aggressiveness of immunosuppression 27:40 Do you check follow-up titers? 29:28 Are there other vaccines besides yellow fever we should avoid? 30:45 How will politicizing the pandemic effect our patients in terms of vaccination? 31:42 The threshold for an effective vaccine is 50%, according to the FDA 34:27 The prolonged nature of the pandemic may force payers to continue remunerating for virtual care 37:36 Of the various IBD treatment candidates, are there any that gastroenterologists in the trenches should pay attention to? 39:32 How are you addressing questions from IBD patients regarding travel, school and work? 41:45 We need to adapt and move quickly as information keeps coming 44:46 Are there formal mechanisms in place for sharing information as it pertains to the pandemic? 46:15 Thank you for your time, Dr. Melmed 48:24 Gil Y. Melmed, MD, MS, is co-director of the Inflammatory Bowel Disease Center and professor of medicine at Cedars-Sinai Medical Center. We’d love to hear from you! Send your comments/questions to Dr. Berry and Dr. Chey at guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc Disclosures: Berry, Chey and Melmed report no relevant financial disclosures.

Gil Y. Melmed, MD, MS: Practical Considerations for IBD Management, Telehealth and COVID Vaccination

In this podcast episode, we interview Barry Marshall, AC, FRACP, FRS, FAA, the legendary Nobel Laureate who discovered that peptic ulcer disease was caused by the bacteria Helicobacter pylori, not excess acid. Marshall fought for years against the notion that ulcers were caused by acid and finally infected himself with the bacteria and underwent endoscopy to prove his point. His research has saved countless lives, as untreated ulcer disease can lead to gastric cancer. We discuss numerous facets of his life and his pioneering work. Before antimicrobial therapy against Helicobacter, patients suffered for years without the right therapy.  Intro :35 About Dr. Marshall :37 The interview 3:30 Tell us about your upbringing. What was your childhood like? 3:38 How did you meet Robin Warren? 6:35 What was your ah-ha moment that made you want to follow it through? 13:11 Were you met with skepticism? 41:13 How did you interact with the naysayers at the time? 51:46 What drove you to infect yourself with H. pylori? 1:01:28 What was it like to win the Nobel prize? 1:10:14 What advice do you have for young faculty members or GI fellows embarking on an investigative career? 1:18:18 Thank you, Dr. Marshall 1:22:30 Barry Marshall, AC, FRACP, FRS, FAA, is an Australian physician, Nobel Prize Laureate in Physiology or Medicine, and professor of clinical microbiology at the University of Western Australia. We’d love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc Disclosures: Berry and Chey report no relevant financial disclosures. Healio was unable to confirm relevant financial disclosures for Marshall at the time of publication.

Dr. Barry Marshall: Curiosity and Persistence in the Discovery of H. pylori

In this episode, Peter Gibson, MD, discusses the advent of FODMAPs, the importance of integrated care and preventive medicine, and how his research led to the development of a widely popular medical app.    Intro :23 About Peter Gibson, MD :24 The interview 1:36 What part of Australia are you originally from? 1:42 How did you get interested in medicine and, in particular, GI? 2:12 At first you were mostly in IBD, is that right? 2:45 How did you end up being one of the foremost experts in functional bowel disease? 3:50 Was including dieticians accepted by the GI community at large? 6:57 How did the concept of FODMAPs come to be? 8:16 Are there cultural differences regarding medical education and the importance of dietary interventions in nutrition? 11:50 Is collaboration key? 15:52 Why do you think having a behavioral psychologist and nutritionist on the team still hasn’t taken off? 18:25 We just completed a review on integrated care for Gastroenterology that should be published this year 21:37 The approach to Western medicine is reactive; thinking preventively is still a long way’s off 24:12 Are these services covered for patients with functional GI disorders in the U.S.? 25:53 Why did you choose “FODMAP”? 27:56 What are the FODMAPs that most commonly cause problems? 31:49 Do you see a way to use precision avoidance with FODMAPs in the near future? 35:50 How did you get into designing a mobile app? 39:12 Do you think the app is something that could replace the need for a dietician? 44:41 Did you ever deal with people who dissuaded you from trying to commercial some of your research? 47:42 How do you feel about other companies capitalizing on the FODMAP research? 50:06 What are some of the best practices/things you’ve learned on studying the way diet impacts disease? 52:11 What is the biggest misconception of FODMAPs among GI doctors? 56:50 If you had a magic wand that could change one thing about the way we care for patients with functional GI disease, or GI disease in general, what would you do? 59:24 Thank you so much for spending time with us, Dr. Gibson 1:01:58 Peter Gibson, MD, is director of gastroenterology at Monash University, he discovered the low-FODMAP diet and past president of the Gastroenterological Society of Australia. We’d love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc Disclosures: Berry and Chey report no relevant financial disclosures. Gibson works for Monash University, creator of the Monash University FODMAP diet app.

Peter Gibson, MD: Nutrition, Innovation and Entrepreneurship

In this episode, we spoke with Congresswoman Debbie Dingell (D-Mich.) about her history in politics and her passion for advocating for health issues, as well as her thoughts on COVID-19 and how health care providers can effect change by engaging with their representatives.    Intro :10 About Congresswoman Dingell :14 The interview 2:38 Can you talk to us about your background? 2:40 What positions did you hold at GM? 3:35 Were you with GM during the auto crisis? 4:06 How did you get involved in politics? 4:55 Women’s health issues 6:22 Can you talk about Congressman Dingell’s health care advocacy work? 7:07 Do you think we’re entering an environment where people will be more likely to engage in meaningful public health conversations? 9:46 Can you talk about your brush with health care issues? 12:45 What are your feelings on us cooperating on an international basis to reach a solution on COVID-19 as quickly as possible? 16:07 How are you interacting on Capitol Hill? 18:42 What will happen with the election? 20:41 Do you think, at the national level, some regulations on state licensure for physicians will roll back to their old ways? 21:59 The aftereffects of COVID-19 25:20 What are some of the misconceptions that physicians or providers have about the role of a congressperson and their ability to affect change? 26:59 Health care costs 30:59 How can our listeners engage with their congressperson or senator? 33:25 If you were advising Vice President Biden, what advice would you give him leading up to the election? 37:01 What advice would you have for President Trump 37:50 Thank you so much for spending time with us, Congresswoman Dingell 38:02 Congresswoman Debbie Dingell (D-Mich.) represents the 12th District of Michigan in the U.S. House of Representatives. We’d love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc Disclosures: Berry and Chey report no relevant financial disclosures.

Health Policy with Congresswoman Dingell (D-Mich.)

In this episode, we spoke with one of the luminaries of gastroenterology, Tachi Yamada, MD, about the guiding principles that led him through his GI career, the art of embracing change and what he learned about global health from working at the Gates Foundation.    Intro :10 About Dr. Yamada :14 The interview 4:48 Are there experiences from early in your life that you pull from today? 5:18 How did you end up doing basic science research? 8:50 How were you recruited to Michigan? 15:25 Do you have any advice for choosing mentors? 19:45 How did you decide to go to GSK as head of R&D? 26:28 Were there any cultural differences when you made the switch to industry? 29:47 What about the transition into philanthropy? 35:23 Have you gained insights that might provide wisdom amid COVID-19? 42:39 Are there open channels of communication that will help facilitate best practices? 49:54 What advice do you have for early career physicians? 52:16 Thanks for listening 55:00 Tachi Yamada, MD, is chief medical officer,Takeda Pharmaceuticals; former chief of GI, University of Michigan; and former president, AGA. We’d love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc Disclosures: Berry and Chey report no relevant financial disclosures. Yamada reports he owns stock in Agilent, Arcutis, CSL, Keysight, Passage and Phathom. References: Yamada T, Ogawa VA, Freire M. Nature. 2016;533:29-31.

Non-traditional Careers in Medicine with Tachi Yamada, MD

In this episode, we talk to ACG presidents Mark Pochapin, MD, of NYU Langone, and David Greenwald, MD, of Mount Sinai, about the latest updates in COVID-19 for the gastroenterologist.    Intro :10 Why is this important for clinical gastroenterologists? 1:40 Do we know whether the virus in stool can lead to transmission? 5:36 How long can the virus live on surfaces? 7:12 How are we handling social distancing differently than China? 10:29 What personal protection should health care workers performing endoscopy be using? 16:06 Are you using head gear? 18:12 Are there any guidelines for elective procedures? 21:12 Are you switching to telehealth visits? 29:45 How long is this going to last? 33:29 How is this situation affecting fellows? 37:00 What about patients taking PPIs? 41:29 What are the screening tests? Which test are we doing in the U.S.? 44:12 Have either of you heard about broadening testing criteria? 49:00 We’re all in this together; make sure you’re kind and you thank those around you 52:20 Thank you, Drs. Pochapin and Greenwald 54:35 Mark Pochapin, MD, is chief of gastroenterology at NYU Langone Health and president of the American College of Gastroenterology. David Greenwald, MD, is director of clinical GI and endoscopy at Mount Sinai and president-elect of ACG. We’d love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry @umfoodoc Disclosures: The hosts and guests report no relevant financial disclosures.

COVID-19 GI Updates

In this Match Day episode, I speak with Justin Brandler, MD, first-year gastroenterology fellow at University of Michigan, about failure, the GI match and cultural shifts in the fellowship process.    Intro :10 Good luck and congrats to everyone :32 The history of Match Day :43 The match process today 5:55 A hidden curriculum to fellowship interviewing 8:37 Tell us about your Match Day experience 11:45 What happened after you found out you didn’t match? 14:11 Where did you direct the blame? 16:58 Why do you think it happened? 18:24 For some reason it’s not OK to be honest 19:30 There’s a strategy for interviewing 22:00 Can you talk about the mental toll this takes on us as physicians? 25:41 What type of failure are you writing about when you talk about our patients’ failures? 30:33 It’s difficult to discuss failure 36:30 What advice do you have for applicants who didn’t match or aren’t happy? 38:28 Thanks for listening 41:43 Justin Brandler, MD, is a first-year GI fellow at University of Michigan. We’d love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry

You Did Not Match

In this episode, registered dietitian at Cedars-Sinai, Kelly Issokson, gives a basic overview of the role of RDs in clinical practice, nutrition pearls, useful diets like low-FODMAP and EEN, and dispels some of the current snake oil being touted in the wellness space.    Intro :10 The interview :29 What is a registered dietitian (RD)?:31 Have you heard anything to suggest that additional nutrition education will be incorporated into medical school? 3:12 What trends are you’re seeing in patients that might not have much science-backed evidence behind them? 5:00 Why would someone tout the benefits of celery juice? 7:05 Is there something you wish your patients would do more of, or that you wish physicians would discuss with patients more? 7:45 Are there some patients for whom the keto diet is helpful? 10:16 What lab do you wish physicians would order more often? 12:10 Which supplement brands do you recommend for patients? 13:30 What labs are overused to determine nutritional status? 14:56 What about prealbumin? 16:15 What is your approach to assess nutritional status? 16:43 What is your role as a registered dietitian at Cedars Sinai? 17:41 What misconceptions exist of RDs in clinical practice? 20:02 Can you talk about the low-FODMAP and EEN diets? 22:00 When instituting the low-FODMAP diet, how do you handle patients with different cultural identities? 24:00 Kelly Issokson, MS, RD, CNSC, is a registered dietitian and certified nutrition support clinician at Cedars-Sinai. We’d love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry

Nutrition Quickchat

In this episode, I speak to Naresh T. Gunaratnum, MD, who completed his GI fellowship at Univ of Michigan and an advanced endoscopy fellowship at Mayo Clinic. He shares his perspective on transitioning from a large academic medical center to private practice in a community hospital. He also talks about balancing clinical practice with research, gives his thoughts on direct-to-consumer screening tools and presents pearls for gastroenterology fellows.    Intro :10 The interview :58 Cultural differences between academic and community centers 1:31 How did you create a path that allows you to publish research but maintain a busy clinical practice? 3:02 Research challenges in a community setting 4:24 What motivates you to spend time coordinating and conducting research? 6:00 Do you feel that community advanced endoscopists must defend their outcomes compared with large academic centers? 8:38 How do private practice centers afford expensive machines and technology that may or may not be covered by payors? 12:42 What are the challenges of creating a community weight loss program from the ground up? 15:15 What are your thoughts on direct-to-consumer tests like Cologuard? 22:10 Do you see an at-home, noninvasive test on the horizon that will be just as good as colonoscopy? 24:51 Do you have a routine to help you stay abreast of the literature? 27:00 You mentioned earlier that 80% of your time is spent gathering patient data, and that in the future that will be cut down to 20%. What do you mean by this and how will this happen? 28:30 Are you using midlevel providers such as NPs and PAs? What is your take on their role in the future? 30:55 If you had a magic wand and could change one thing regarding socioeconomics and social determinants of health, what would you change? 33:28 If you could go back to GI fellowship, what’s one thing you could do differently? 35:44 Thank you, Dr. Gunaratnum 37:44 Naresh Gunaratnum, MD, is a gastroenterologist in private practice at Huron Gastro Center for Digestive Care in Ypsilanti, Michigan, and 2019 recipient of the American Gastroenterological Association’s Distinguished Clinician Award. We’d love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry

Private Practice Gastroenterology

In this inaugural episode, social media guru, Austin Chiang, MD, MPH, of Jefferson University, joins me to discuss the importance of developing a professional social media presence. He also gives his take on where the field is heading and offers advice for early career physicians looking to get started on various platforms.    Intro :10 How did you decide to develop a professional social media presence? :49 Were you involved in social media as an IM resident? 2:04 Should professional accounts be separate from personal accounts? 2:34 Do you think major associations have developed social media guidelines that may be outdated? 5:15 Can you talk about the #VerifyHealthcare campaign? 6:30 Do you encounter vulnerability or fear of posting something that may be misinterpreted? 9:48 Is there a standardized set of rules for physicians regarding what can and cannot be posted online? 11:30 Are you aware of any rules regarding posting pictures or videos from endoscopy? Are you required to get patient consent? 12:45 What are you working on at the Association for Healthcare Social Media (AHSM)? 14:25 Where do you think social media is going? Where’s the next trend? 15:32 Would you suggest physicians open Instagram and Twitter accounts and develop profiles on LinkedIn all at once, or take things slow with one platform at a time? 17:33 Physicians are busy. What tips can you provide for developing creative and thoughtful social media posts? 19:00 What advice would you give to early career physicians who are looking to take this next step into social media? 21:21 Thank you, Dr. Chiang 23:47 Austin Chiang, MD, MPH, is a practicing gastroenterologist, director of the endoscopic bariatric program and chief medical social media officer at the Jefferson Health System in Philadelphia. Follow him on Twitter @AustinChiangMD. We’d love to hear from you! Send your comments/questions to guttalkpodcast@healio.com. Follow us on Twitter @HealioGastro @sameerkberry

Social Media in Medicine

This podcast provides busy clinicians with quick updates that directly affect their GI practices. Through interviews and candid conversations, Gut Talk explores how health policy, social media, technology, nutrition, practice management and research impact the field of Gastroenterology. Most importantly, the show also features interviews with patients to add a unique perspective on the topics that matter.