The Art of Medicine with Dr. Andrew Wilner

Andrew Wilner, MD

"The Art of Medicine" explores the arts, business and clinical aspects of the practice of medicine. Guests range from a CPA who specializes in helping locum tenens physicians file their taxes to a Rabbi who shares secrets about spiritual healing.
Precision Tax Strategies, an interview with Larry West III
Special Announcement: The Locum Life: A Physician's Guide to Locum Tenens is available on sale in the month of November only through this link:https://www.lulu.com/shop/andrew-n-wilner-md/the-locum-life-a-physicians-guide-to-locum-tenens/paperback/product-23929272.html?page=1&pageSize=4Show NotesMany thanks to Larry West III, MBA, EA, a tax planner with Precision Tax Planning, LLC, for joining me on today’s episode of “The Art of Medicine.” Larry was referred by Veena Jetti, an expert in Class B real estate. Veena shared her investment expertise on “The Art of Medicine” a couple of weeks ago. (Episode #46: Veena Jetti)During this 20-minute episode, Larry explained that tax planning requires a proactive approach. As an “EA,” an “enrolled agent,” he is licensed to represent individuals to the internal revenue service (IRS). Larry has worked as an EA for the last eight years and can serve clients in all 50 states.According to Larry, tax planning is most important for business owners and investors. Tax strategies can include deductions and employing family members. These family members could also potentially benefit from employer-sponsored retirement plans and other fringe benefits. When it comes to mounting an effective defense before an audit, documentation is critical. Employed family members must have a job description, records of hours worked, and an appropriate salary for the type of work.According to Larry, social security and medicare taxes can be avoided for children under 17 when employed under the proper entity such as an LLC.For additional tips on building wealth and “legal loopholes,” reach out to Larry at www.pb-strategies.com.Thanks for listening!PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!"  For more fascinating episodes, please subscribe!www.andrewwilner.comhttps://www.patreon.com/andrewwilner#taxplanning #precisiontaxstrategies #Bidentaxplan #certifiedpublicaccountants #EA #CPA #IRS
3d ago
24 mins
Real Estate Investments for Physicians
Special Announcement: The Locum Life: A Physician's Guide to Locum Tenens is available on sale in the month of November only through this link:https://www.lulu.com/shop/andrew-n-wilner-md/the-locum-life-a-physicians-guide-to-locum-tenens/paperback/product-23929272.html?page=1&pageSize=4Veena JettiReal Estate Investments for PhysiciansMany thanks to Veena Jetti, founder of Vive Funds, for sharing her expertise in real estate investing during this 20-minute interview. Veena’s company has a 1/2 billion dollar portfolio. Veena invests in Class B and Multifamily real estate, which includes apartments with 200 units or more. These buildings cost millions of dollars, which are far too expensive for most individual investors. Consequently, after vetting these properties and doing due diligence, Vive Funds harnesses the purchasing power of multiple investors to complete the deal. These purchases are typically long-term investments, which may not realize a profit until Veena resells the property several years later. Vive Funds puts their money where their mouth is by co-investing with the Limited Partners on every deal. Investors must balance the potential of high profits with the lack of guaranteed returns.Veena offers a Masterclass to provide prospective investors a solid understanding of where the money goes and the likelihood of larger amounts returning! Masterclasses are staffed by experts and run for six weeks. To register for the next class, check out MFmasterclass.com. You can register with this  link:  https://mf-masterclass.teachable.com/?affcode=779274_bincyq0u For more information on investing, please contact Veena Jetti at: ViveFunds.comFor more fascinating interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.” www.youtube.com/c/andrewwilnermdauthorPS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" To contact Dr. Wilner: www.andrewwilner.comhttps://www.patreon.com/andrewwilner #investing #ClassBinvesting #Vivefunds #multifamily #portfolio #FIRE #retirement #masterclass #realestateinvesting #realestate #locums #locumtenens #physicianinvesting
Nov 14 2021
21 mins
History of Medicine and Anti-Semitism
Show NotesAugust 16, 2021I was honored today to speak with Edward Halperin, MD, a pediatric radiation oncologist, and Chancellor and Chief Executive Officer of New York Medical College, Valhalla, NY. Dr. Halperin is an erudite student of medical history and authored the recent article, ‘“We do not want him because he is a Jew:” The Montreal Interns’ Strike of 1934,’ published in the Annals of Internal Medicine (1). The story resonated with me for several reasons, one of which is because I was a neurology resident and epilepsy fellow in Montreal from 1985-1989. Dr. Halperin’s research puts the current discussion of institutional racism in medicine into relevant historical context.During this 25-minute interview, Dr. Halperin relates the almost forgotten story of Samuel Rabinovitch, MD, the top medical student at the University of Montreal and Jewish intern (briefly!) at the Montreal Notre-Dame Hospital. To protest the hiring of a Jew, 75 French Canadian Roman Catholic interns from multiple hospitals chose to disregard their patient responsibilities and leave Dr. Rabinovitch as the sole intern on duty. Concerned that the strike deprived so many patients of medical care, Dr. Rabinovitch took the high road and resigned. Dr. Halperin also discussed his research regarding quotas that limited Jews and other ethnic groups from entering medical and dental school from the 1920s to the 1960s. Specifically, he investigated why some hospitals defied this policy and integrated their classes. To learn what happened to Dr. Rabinovitch and gain more insight into discrimination in medicine, please take time out of your day to listen to Dr. Halperin!For more fascinating discussions, please subscribe to “The Art of Medicine with Dr. Andrew Wilner” www.youtube.com/c/andrewwilnermdauthorAlso available on your favorite podcast player.PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" Contact me here:www.andrewwilner.comReferences1.     Halperin E. “We do not want him because he is a Jew”: The Montreal Interns Strike of 1934. Ann Intern Med 2021;174:852-857.#discrimination #institutionalracism #bigotry #internsstrike #Rabinovitch #Montrealhospitals #antisemitism #NewYorkMedicalCollege #segretation #quota
Oct 31 2021
24 mins
The Art of Medicine, Episode #44, Space Medicine, an interview with Karina Marshall-Goebel, PhD
Show NotesRecent space adventures by Richard Branson on Virgin Galactic and Jeff Bezos’ flight on his rocket ship, “New Shepard,” have lowered the bar for travel beyond earth’s atmosphere.One consequence of humans entering space is the burgeoning and exciting field of space medicine. William Tarver, MD, MPH, discussed astronaut selection and the challenges of space flight with me in Episode #35: https://www.youtube.com/watch?v=eCGqeSkqVx8&t=39sToday, I’m joined by Karina Marshall-Goebel, Ph.D., to discuss health issues related to long-duration spaceflight. Dr. Goebel is a human physiologist with special training and ten years of experience in space medicine. As human beings venture further into space, health concerns related to long-duration space flight will inevitably increase. A round trip to Mars will be a 3-year journey, and some health issues like bone and muscle loss and exposure to radiation are foreseeable. But no one can yet predict all hazards to human health that must be addressed along the way.One recently described health issue that affects approximately 2/3 of the International Space Station crew is spaceflight-associated neuro-ocular syndrome (SANS). Astronauts may experience visual blurring as their eyeballs become distorted over time. Other, more subtle ocular effects such as retinal and optic nerve changes occur. The underlying cause seems to be an excessive amount of fluid that has shifted to the head that would normally be held lower in the body due to gravity. To learn more about this syndrome and devise preventive measures and treatments, astronauts currently study themselves while in space with ultrasound and eye examinations.Dr. Marshall-Goebel discussed countermeasures under development that astronauts could employ to counteract health problems associated with microgravity fluid shifts. Artificial gravity is one solution but tough to implement. A novel solution might be “vacuum pants,” which redistributes excess fluids from the upper body back to where they belong.Please join us for this 15-minute discussion to learn more about the challenges of space medicine.PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" For more fascinating interviews, please join me on “The Art of Medicine with Dr. Andrew Wilner” on your favorite podcast player or YouTube: www.youtube.com/c/andrewwilnermdauthor#astronaut #vacuumpants #Mars #missiontomars #artificialgravity#spaceflight #longdurationspaceflight #SANS #microgravity #NASA #outerspace
Oct 17 2021
16 mins
The Art of Medicine, Episode #43, Advanced Practice Clinicians in Neurology
Show NotesJuly 9, 2021Many thanks to Rhonda Finnie, DNP, APRN (and a lot of other acronyms due to her many certifications!) for joining me today to examine the role of nurse practitioners and other nonphysician providers in the health care team.We discussed the recent article published in JAMA Neurology by Calli Cook, DNP, and Heidi Schwarz, MD, that called attention to the role of advanced practice clinicians (APCs) in neurology (1). Rhonda’s clinical focus for more than 15 years has been neurology and neurosurgery. Currently, she works as a nurse with a 5-member neurosurgical group where she evaluates and cares for patients in the emergency room and intensive care unit. Her clinical activities allow the neurosurgeons to spend more time in the operating room employing their unique skillsAdvanced practice clinicians are a growing part of the healthcare workforce. For example, of the 36,000 members of the American Academy of Neurology, more than 1,600 are APCs. How these providers integrate into patient care with respect to autonomy and scope of practice is very much a work in progress. The inclusion of “midlevels” has not been without its growing pains. Rhonda clarified how the addition of APCs to the healthcare team can benefit patients. Rhonda explained that postgraduate education such as specialty boards can help APCs prepare for roles in neurology. Mastering the neurologic clinical examination is another key to success. Physicians and organizations that employ APCs need to have appropriate expectations. Rhonda emphasized that APCs are “not there to replace the physician.” Physicians shouldn’t feel threatened by the integration of APCs into the healthcare team.Please enjoy this 20-minute interview. Your feedback is always welcome.PS: Now available on Alexa! Just ask, "Play podcast The Art of Medicine with Dr. Andrew Wilner!" ReferencesCook CL, Schwarz HB. Advanced Practice Clinicians-Neurology’s Underused Resource, JAMA Neurology, May 24, 2021, doi:10.1001/jamaneurol.2021.1416. For more fascinating interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.” www.youtube.com/c/andrewwilnermdauthor www.andrewwilner.com #advancedpracticeclinicians, #midlevels, #AAN, #nursepractitioner, #APCs, #RN, #providers,#locums #locumphysicians
Oct 3 2021
18 mins
The Art of Medicine, Episode #42, Asset Protection: Who Needs It? An interview with Brian Bradley, Esq.
Show NotesJuly 9, 2021Many thanks to Brian Bradley, Esq., for discussing the topic of asset protection during this 20-miunute podcast. Brian is an asset protection attorney with Bradley Legal Corp. The more assets one has, the more critical asset protection becomes. However, asset protection plans may be advisable even for those without private jets and multiple residences. Brian advised that anyone who invests in something beyond their personal residence should consider asset protection. For example, owning a single rental property may warrant a Limited Liability Company (LLC) or other strategies. According to Brian, real estate is a “very risky asset” because you become a landlord with tenants. Other assets, including “anything that needs a key that has a motor,” such as an airplane, boat, or recreational vehicle, requires inclusion in an asset protection plan.Brian explained that “asset protection” goes beyond insurance policies and estate planning. Asset protection is crucial because it places an additional legal barrier between assets and a potential creditor. As the stakes get higher, security can be layered. An asset protection trust may be advisable for high-net-worth individuals.Brian also explored whether malpractice insurance provides sufficient protection for most physicians. This depends upon the type of medical practice as well as personal risk tolerance.To learn more about malpractice, check out Chapters 11 and 12 of my book, “The Locum Life: A Physician’s Guide to Locum Tenens,” available on Amazon and through my website: www.andrewwilner.comIf you have assets to protect, it’s important to develop a continuing relationship with an attorney specializing in asset protection. A directory of asset protection attorneys is available at www.assetprotectioncouncil.com.Brian Bradley can be contacted at: www.btblegal.comFor more fascinating interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.” www.youtube.com/c/andrewwilnermdauthorwww.andrewwilner.com#risktolerance #malpractice #assetprotection #assetprotectionattorney #liability #LLC #realestate #realestateinvestmentSHOW LESS
Sep 19 2021
19 mins
The Art of Medicine, Episode #41, Medspa vs. Dayspa, in interview with Leighann Landy, FNP-C
Show NotesJuly 9, 2021Many thanks to Leighann Landy, FNP-C, for sharing her experience as a co-owner of a Medspa with her husband, Stephen Landy, MD. If you listen to “The Art of Medicine” regularly, you will remember that Dr. Landy and I had a great talk about migraines in Episode #32.Leighann explained the difference between a Medspa and Dayspa.  Botox, fillers, and lasers are popular Medspa treatments that require medical training to limit complications. Dark spots, telangiectasias, and wrinkles are all susceptible to amelioration. Leighann observed that the type of treatments available varies depending upon the individual Medspa.Leighann emphasized that prospective patients should check the staff’s medical credentials when selecting a Medspa. They must also have realistic expectations regarding the expected results. Before treatment begins, Leighann consults with each patient and discusses possible interventions and costs. Clients need to know that some procedures, like eliminating dark spots, may require more than one visit. Other treatments, like removing wrinkles with Botox, can be completed in one visit but wear off and need to be performed periodically. In some instances, Medspa techniques offer an alternative to more definitive surgery.To reach Leighann for a consultation, visit Landy Headache and Esthetics, 311 S. Gloster Street, Tupelo, MS: https://landyhe.com/Thanks for listening! #Medspa #Dayspa #esthetics #laser #filler #migraine #Botox #bodyimageFor more fascinating episodes, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.” www.youtube.com/c/andrewwilnermdauthorwww.andrewwilner.com
Sep 5 2021
17 mins
The Art of Medicine, Episode #40, Locum Tenens and ER Medicine, an interview with Ripal Patel, MD
Show NotesJuly 7, 2021Many thanks to Ripal Patel, MD, founder and lead for Mercision Emergency Medicine, for joining me to discuss locum tenens and ER medicine. Dr. Patel received his MD at UT Southwestern Medical Center and his MPH at Kings College, London. He started in general surgery but quickly found his home in ER medicine. After an ER residency at Thomas Jefferson University Hospitals, Philadelphia, PA, he moved to Houston, TX, where he is an Assistant Professor at the Baylor College of Medicine. As a locum tenens ER physician, Dr. Patel has traveled to as many as 30 different ERs in a half-dozen states. He works with staffing agencies and also has his own group of ER physicians who contract directly with hospitals. During this 20-minute interview, Rip shares his experiences, both good and bad, with the world of locums.Dr. Patel explained that locums physicians work on their own schedule, receive excellent compensation, and avoid hospital politics. Assignments are time-limited. If they don’t work out, there’s no obligation to return. On the other hand, if it’s a good experience, recurring assignments offer many advantages.If you are a physician unhappy with your current employment, need supplemental income, or just ready to try something new, this interview will interest you. Dr. Patel advises that physicians disillusioned with clinical medicine consider locums before switching to a nonclinical career. Dr. Patel can be contacted through his website: www.mercisionem.comFor more fascinating interviews, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.”www.youtube.com/c/andrewwilnermdauthorIf you have questions about locums, don't hesitate to get in touch with me: www.andrewwilner.com#ER #ermedicine #locums #locumtenens #travel #locumsphysician #roadwarrior #1099 #sidegig #nonclinicalcareers
Aug 22 2021
23 mins
The Art of Medicine, Episode #39, Stop the Bleed, an interview with Pamela Finnie, RN
Show NotesJuly 7, 2021Please join me for this 20-minute program with Pamela Finnie, RN, Trauma Program Manager at Regional One Health, Memphis, TN. We discussed the role of a regional trauma center and an important public health program, "Stop the Bleed."Pamela explains what trauma is and the need for immediate specialized care. As a Level 1 Trauma Center, Regional One Health accepts patients from a 150-mile radius. These include motor vehicle accidents, gunshot wounds, falls, burns, and other bodily injuries. Ground and air ambulances arrive at the hospital regularly. The trauma team treats as many as 40 patients each day, every day of the year.Pamela is a local ambassador for the "Stop the Bleed" campaign, which teaches first aid for gunshot wounds and other injuries that result in bleeding. She explained that the American College of Surgeons spearheaded "Stop the Bleed" after studies of mass shootings revealed that bystanders could have saved lives if only they knew how. For example, law enforcement officers prioritize neutralizing the threat in a mass shooting rather than assisting injured victims. An uninjured bystander's simple application of pressure or tourniquet could decrease bleeding sufficiently until emergency medical services arrive.The "Stop the Bleed" program recommends three steps:1.     Before helping others, first make sure you are safe.2.     Call 911, 3.     Apply pressure to the wound or a tourniquet "Stop the Bleed" educational programs are free of charge. To locate one in your area, contact stopthebleed.org.For local programs, don't hesitate to get in touch with Pamela at outreach@regionalonehealth.org.  Many thanks to Pamela Finnie for her work at the trauma center and for explaining "Stop the Bleed!"Thanks for watching! Feedback is always welcome.For more fascinating programs, please subscribe: www.youtube.com/c/andrewwilnermdauthor#stopthebleed #trauma #polytrauma #gunshotwound #opencarry #nopermit #firearms #hemorrhage
Aug 8 2021
18 mins
The Art of Medicine, Episode #38, Gender Differences in Traumatic Brain Injury
Show NotesJuly 6, 2021Many thanks to Maheen Mausoof Adamson, Ph.D., for joining me to discuss gender differences in traumatic brain injury. Dr. Adamson is Clinical Research Director for Rehabilitation Services at the Veterans Administration Palo Alto, CA, and Clinical Associate Professor of Neurosurgery at Stanford School of Medicine, Stanford, CA. I’ve interviewed Dr. Adamson before on ReachMD.com, and I’m grateful for this additional opportunity to discuss her research.As the number of women in active military service and extreme sports increases, so does their risk of traumatic brain injury. Dr. Adamson speculated that anatomical variations between men and women, such as skull size, neck size, and hormonal differences, may play a role in both injury severity and healing. Her team’s research has revealed that traumatic brain injury symptoms can vary depending upon gender. For example, similar injuries resulted in more complaints of anxiety, cognitive dysfunction, depression, PTSD, and vertigo from women than men. Gender differences in traumatic brain injury may have critical implications when individualizing treatment with medication, neuromodulation, and rehabilitation.Please join us for this 20-minute discussion on gender differences in traumatic brain injury.Additional information on Dr. Adamson’s research here: https://profiles.stanford.edu/maheen-adamsonFor more fascinating episodes, please subscribe to “The Art of Medicine with Dr. Andrew Wilner.” www.youtube.com/c/andrewwilnermdauthorLinks to prior episodes are available at: www.andrewwilner.com/videos #traumaticbraininjury #genderdifferences #menstrualmigraine #menstrualseizures #catamenialepilepsy #blastinjury #artofmedicine #TBI
Jul 25 2021
20 mins
The Art of Medicine, Episode #37, "Thrive Medicine" with thechefdoc, Colin Zhu, DOThe Art of Medicine, Episode #36, Dr. Robin's School
Dr. Robin’s SchoolPlease join me for a fun-filled discussion with Robin Dickinson, MD, creator of “Dr. Robin’s School,” an online pre-medical school for children curious about human physiology. Dr. Dickinson is a board-certified family physician whose teaching career began in the third grade—when she was a third-grade student! Tasked with tutoring the worst math student in the class, she discovered that helping others learn was challenging, fun, and satisfying. Dr. Dickinson continued to indulge her passion for teaching by explaining human physiology to her family practice patients. Then, when the pandemic hit, and she had to close her practice, Dr. Dickinson created Dr. Robin’s School. Designed for children who want to learn about the human body, lessons include introductions to the heart, genetics, the tongue, the stomach, the teeth, and many more topics. For a complete list of Dr. Robin’s lessons, click here: https://www.docrobinschool.com/all-lessonsDuring our 15-minute interview, I was awed by Dr. Dickinson’s passion for teaching. Because her live classes fill quickly, recorded sessions are also available. She targets lessons to children seven to eleven years old, but children as young as four as well as teenagers (and adults) also attend. New classes appear every week.Many thanks to Robin Dickinson, MD, for speaking with me about her online pre-medical school for children, “Dr. Robin’s School.” For more information on Dr. Robin’s School: https://www.docrobinschool.com/For more fascinating programs, please subscribe! More info at www.andrewwilner.com
Jun 27 2021
15 mins
The Art of Medicine, Episode #35, Medical Challenges to Space Travel
Show NotesWilliam Tarver, MD, MPHMany thanks to William Tarver, MD, MPH, for taking time from his busy day at NASA to discuss space medicine on “The Art of Medicine with Dr. Andrew Wilner.”Bill trained as an Air Force Flight Surgeon. Then, after a stint in private practice, he joined NASA over 15 years ago. Please join us for this fascinating 25-minute interview. Bill describes his job of caring for an exceptionally healthy patient population engaged in an occupation with extraordinary environmental hazards-NASA’s astronauts. He’s cared for space shuttle astronauts and astronauts who travel to the International Space Station. Astronauts tend to be physically fit but confront unique physiologic and psychologic stressors. The challenges of keeping astronauts healthy continue to grow as NASA prepares for extended journeys to the moon and Mars.I’ve previously interviewed Bill for Medscape.com about spaceflight-associated acquired neuro-ocular syndrome (SANS). He truly has a unique perspective to share. About a year ago, Bill was kind enough to give me a behind-the-scenes NASA tour that included a brief visit to Mission Control. For an aging Star Trek fan, this peek into our nonfiction space program was a wonderful gift.During our interview, Bill explained how medical students interested in space medicine can direct their careers to join the medical team at NASA someday.For more episodes of The Art of Medicine with Dr. Andrew Wilner, please subscribe. Videos stream on YouTube, and podcasts appear on your favorite podcast player.Thank you!
Jun 13 2021
24 mins
The Art of Medicine, Episode #34, Bret Stetka's History of the Human BrainThe Art of Medicine, Episode #33, Mistaken Identity and GoodGuy CoffeeThe Art of Medicine, Episode #32, Spectrum of Migraine with Stephen Landy, MDThe Art of Medicine, Episode #31, How Acupressure Heals Body and SoulThe Art of Medicine, Episode #30, Repairing Licensing and credentialing
Many thanks to Donnie Bell, MD, a neuro-interventional radiologist and Deputy Chief Medical Officer for New York City Health and Hospitals in New York City, NY, for chatting with me today. Dr. Bell is a co-author of a recent article published in the Journal of the American Medical Association along with Michael Katz, MD, that speaks to the necessity of modernizing the medical licensing and credentialing process due to time-wasting redundancies and inefficiencies. Dr. Bell has first-hand knowledge of these issues from personal experience and overseeing his institution’s medical staff credentialing process.Dr. Bell confirmed that delayed and cumbersome credentialing experiences commonly occur across the country. This chronic problem disproportionately affects physicians who practice locum tenens and telemedicine, who often maintain more than one medical license and credentialing at multiple institutions. Locum tenens physicians often carry five or more state licenses, and I have heard of telemedicine physicians with thirty or more. In New York City, the bureaucratic obstacle to clinical care of licensing and credentialing became acutely apparent during the COVID-19 pandemic when additional providers were needed emergently. Even though regulatory bodies lifted some restrictions using “disaster” mode, many practitioners had to wait far too long before they could assist in desperately needed patient care. These barriers affected not only physicians but other health care providers as well.Dr. Bell discussed the pros and cons of a national medical license, which would facilitate physician movement throughout the country. A common physician database, which already exists in the form of the National Provider Identifier (NPI) identifier, could facilitate the process. As proof of concept, the Veterans Health Administration, the largest health care system in the United States, only requires its physicians to maintain a single state license. An international medical certificate would further increase physician mobility and access to care.Dr. Bell suggested that one hypothetical consequence of abandoning state medical board jurisdiction is that disciplinary action against physicians might be more difficult to enforce. According to Dr. Bell, it is too early to determine whether the relaxation of licensing and credentialing during the COVID-19 pandemic has resulted in any patient harm. According to Dr. Bell, the Interstate Medical Licensure Compact (IMLC) is “the best of both worlds.” Unfortunately, the IMLC still requires physicians to obtain and pay for each state license. Physicians must also adhere to each state’s continuing medical education (CME) requirements, which can vary significantly from state to state. Dr. Bell suggested that the Federal Government is “best positioned” to streamline the state-dominated system.“The Art of Medicine with Dr. Andrew Wilner” appears twice monthly. To receive notification of new programs, please subscribe.For more information, www.andrewwilner.com
Apr 4 2021
22 mins
The Art of Medicine, Episode #29, Pharma Careers: A Discussion with Ken Sommerville, MD
Show NotesRecorded March 2, 2021Many thanks to Ken Sommerville, MD, an old friend and colleague, who discussed his 30 years of experience in the pharmaceutical industry. When I was in training, my academic mentors considered Pharma the “dark side” with the implication that such a career was unworthy of a physician with Oslerian aspirations. Ken provided welcome enlightenment on this narrow perspective.A colleague’s unexpected invitation prompted Dr. Sommerville to consider working in the pharmaceutical industry. While excited by the possibility of trying something new, he was very reluctant to leave his patients and community after 11 years of private neurology practice. However, with his wife’s encouragement, he signed on as a clinical scientist to help develop new epilepsy drugs. Dr. Sommerville remembers that leaving clinical medicine was “one of the toughest decisions of my life.”Dr. Sommerville described how difficult it was to transition from an intense clinical practice to a nonclinical career. He had to master the science of drug development and the art of navigating a large organization’s politics. He discovered that both of these objectives were equally challenging.Dr. Sommerville described his work over the next thirty years with several pharmaceutical companies, both large and small, and offered insights on each. He explained that the pharmaceutical industry is “not for everybody” but allows one to help many more people than can be accomplished by treating patients one at a time in a clinic. His role of shepherding effective new drugs to market proved enormously satisfying. Dr. Sommerville also maintained his identity and mission as a physician even while working in the corporate world.I hope you find our 30-minute discussion both informative and entertaining. If you have any inkling of joining the ranks of Pharma, this program is a must-listen!For more episodes of “The Art of Medicine with Dr. Andrew Wilner,” please subscribe! Feel free to share these programs with your friends and colleagues. Comments are appreciated.
Mar 21 2021
30 mins
The Art of Medicine, Episode #28, COVID-19 Neuro Databank and Biobank
Show NotesFebruary 17, 2021IntroductionMany thanks to Jennifer Frontera, MD, Professor of Neurology at NYU Grossman School of Medicine, New York, New York, for discussing the new Neuro Databank-Biobank for COVID-19. Dr. Frontera is a neurocritical care specialist and has been caring for COVID-19 patients in New York City since the start of the pandemic. She has contributed to several important research publications on this topic found at www.pubmed.gov.“Disaster Medicine” in NYCDr. Frontera described the challenges of practicing “disaster medicine” at the onset of the pandemic. The high numbers of COVID-19 infected patients required impromptu field hospitals and the recruitment of all available medically trained personnel. New York City physicians are now applying lessons learned to the current “second surge” of the disease.Neuro Databank-BiobankTo better understand the neurologic complications of COVID-19, NYU collected information on approximately 5,000 patients last spring. With the help of a grant from the National Institutes of Health (NIH) and the National Institute of Neurological Disorders and Stroke (NINDS), the program now accepts data and specimens from physicians treating COVID-19-infected patients anywhere in the country. The registry also welcomes information and samples from outpatients with “Long-COVID.” Reimbursement is available to compensate for the time required to complete the data entry form.Dr. Frontera encouraged both academic and community neurologists to contact the databank to submit their experience with COVID-19 patients. https://med.nyu.edu/departments-institutes/population-health/divisions-sections-centers/biostatistics/research/nih-neurodatabank-neurobiobankConclusionsAs much as the Neuro Databank and Biobank welcomes COVID-19 samples, Dr. Frontera and I agree that vaccination is a low-risk and highly effective way to prevent the disease and the neurologic complications that may result. The registry will gladly settle for fewer contributions if it means a healthier population!
Mar 7 2021
24 mins