Lyt til M.ED POD — CME for the Practicing Clinician

Tyson Schwab is joined by psychiatrist Daisha Orchard, MD, to discuss her experience and the state of rural care in Idaho. She talks candidly about the obstacles patients face to receive care in her hometown and the surrounding rural areas. She shared that her education and placement were ideal. She says, "I fell in love with psychiatry in my third year of medical school at the University of Utah. I saw as a medical student, what a caring and well-rounded training program they had to offer. When I found out about the Rural Idaho Track, I couldn’t imagine a more perfect fit. This new program allowed me to train with amazing psychiatrists and facilities at a university program and train in a rural setting an hour and a half away from my hometown. I’m so excited to be part of a program bringing psychiatric care to Utah and Idaho."

In this episode of M.ed Pod, Tyson Schwab is joined by Jamie Sessions, MSN, RN, CEN. Their guest is Lee Chung, MD [https://healthcare.utah.edu/find-a-doctor/lee-s-chung ], Vascular Neurologist, Associate Professor, and Director of TeleStroke at University of Utah Health. Dr. Chung will share insights about the use of CT Perfusion (CTP) scans in the diagnosis of acute ischemic stroke. He will discuss indications for CTP and the updated research supporting CTP use. Continuing Medical Education (CME) learners should be able to answer the following questions/learning objectives: 1. Identify indications for CT Perfusion in treating acute ischemic stroke. 2. State how CTP use in AIS can differentiate between AIS and stroke mimics.   LEARN MORE - LINKS TO RESOURCES: Computed tomography perfusion stroke mimics on RAPID commercial software: A case-based review [https://journals.lww.com/brci/fulltext/2023/09020/computed_tomography_perfusion_stroke_mimics_on.4.aspx] Dr. Chung recommends these additional resources to providers interested in this work. * CTP-guided reperfusion therapy in acute ischemic stroke: a meta-analysis [https://pubmed.ncbi.nlm.nih.gov/33188539/]- National Library of Medicine * Utilization and availability of Advanced imaging in patients with acute ischemid stroke [https://www.ahajournals.org/doi/full/10.1161/CIRCOUTCOMES.120.006989] – AHA Journals * Clinical use of CT perfusion for diagnosis & prediction of lesion growth in acute ischemic stroke [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3608754/] – Journal of Stroke and Cerebrovascular Diseases

On this episode of MedPod, our host, Tyson Schwab, speaks with Colten D. Bracken, MD, about his journey to practice family medicine in rural Utah. Dr. Bracken’s experience shows the opportunities and unique rewards outside the traditional pathways and practice models. While Dr. Bracken’s education at the Mayo Clinic prepared him for many clinical settings, he chose family medicine to specialize. He now cares for everyone in the family, from newborns through geriatrics. This well-rounded resume even includes 6+ years of Emergency Room experience. Colten D. Bracken, MD, Clinical Practice Main Street Family Medicine: 571 E Main St, Enterprise, UT 84725 Education Utah Valley Family Medicine Residency, Family Medicine, 2018 Mayo Clinic Doctor of Medicine, Medicine, 2015 Board Certifications, Family Medicine American Board of Family Medicine, 2018

Danielle Pendergrass, DNP, APRN, WHNP-BC, joins our RUUTE [https://medicine.utah.edu/programs/ruute] host, Tyson Schwab, MD [https://uofuhealth.utah.edu/staff/tyson-schwab], for a conversation about women's health services. Danielle is a board-certified women’s health nurse practitioner with more than 20 years of nursing experience. Her clinic, Eastern Utah Women’s Health, is in rural Price, Utah. Eastern Utah Women's Health clinic sees over 3,500 patients and offers services to more than 20,000 women in three rural counties. Danielle has been driven to not only provide care but expand access by partnering with federal, state, and local agencies. She has succeeded in navigating a complex healthcare environment to provide a care oasis in a rural desert. By working with the local health department the community can access cancer and health screenings, suicide prevention, opioid addiction, and health-related services.

Dr. Tyson Shwab and Dr. John Hendleman discuss Transcranial magnetic stimulation⁠ [https://healthcare.utah.edu/hmhi/treatments/transcranial-magnetic-stimulation] (TMS) and the pathway that Dr. Hendleman took to his rural private practice in St. George, Utah. Learn more about TMS for treatment-resistant depression [https://healthcare.utah.edu/hmhi/conditions/mood-disorders/depression], or depression that hasn’t improved with medication or psychotherapy on our website. The Treatment-Resistant Mood Disorders Clinic [https://healthcare.utah.edu/hmhi/conditions/mood-disorders/treatment-resistant] offers comprehensive, evidence-based therapies to decrease symptoms and improve quality of life. Refer a patient by filling out our referral form [https://healthcare.utah.edu/documents/hmhi-trmd-patient-referral-form], or learn more by calling 801-587-3297 [tel:+1-801-587-3297].