The BMJ brings you interviews with the people who are shaping medicine and science around the world.
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المحتوى المقدم من Frank Inglima, Adam Cifu, and MD. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة Frank Inglima, Adam Cifu, and MD أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
مشابه لـThe Clinical Excellence Podcast
Lyngso Fitness Academy presents: The Missing Piece, an audio offering about the mission, mindset and mechanics of completely transforming your life.Ever wondered what is holding your back from your best life? Your best self? You know that something is missing.Welcome to the Missing Piece. Hosted by Paul Lyngso, this podcast provides you everything you need to finally achieve the next level of satisfaction in your life. By transforming your life from the inside out, Paul offers actionable ste ...
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Learn the connection between what you eat and how you feel. Join us each week as licensed nutritionists and dietitians from Nutritional Weight & Wellness share practical, real-life solutions for healthier living through balanced nutrition. For over 25 years, we’ve helped thousands of clients and listeners discover how real food – animal protein, healthy fat, nutrient-dense carbohydrates – can increase energy, stabilize moods, jumpstart metabolism, eliminate cravings, restore digestion, balan ...
…
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Most of us have gotten at least a little emotional at some point recently. It’s natural. But why do we have emotions and how much should we pay attention to them on any given day? Can we learn to skillfully choose which emotions to listen to and which ones to just let move on by? In More Than A Feeling, the latest podcast from Ten Percent Happier, host Saleem Reshamwala goes on a real life quest to find the answers to these questions. He’ll experiment with neuroscientists, dive into stories ...
…
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Move more of your body more often and in more interesting ways with the Get-Fit Guy! If you want to begin an exercise routine and don't know where to start, or if you've been working out for a while and aren't getting the results you want, Kevin Don will give you the tips you need to reach your fitness and movement goals. Get expert information on the latest fitness trends and advice on everything from toning your arms to running a 5K or simply building more movement into your day. With his ...
…
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Sleep meditations created for women or anyone who feels called to listen 💗. Can’t sleep? Insomnia? Mind racing with worries and a never-ending to-do list? Tune in to the Sleep Meditation for Women podcast and let these guided meditations help you ease into sleep peacefully. Brought to you by the Women’s Meditation Network and hosted by Katie Krimitsos. Get comfy, press play and let yourself be guided into dreamland. Get more meditation resources at https://WomensMeditationNetwork.com
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Concise summaries of everything published in the latest weekly issue of the New England Journal of Medicine (NEJM). NEJM publishes new medical research findings, review articles, and editorial opinion on topics of importance to biomedical science and clinical practice.
…
continue reading
True Crime Brewery is the true crime podcast that brings you deeply inside of a crime and its investigation. Hosts Jill and her pediatrician husband Dick use their medical knowledge and life experiences to share the stories behind some of the most compelling crimes from all over the world. And, just for fun, Dick uses his secondary expertise as a craft beer lover to review the best beers from the regions where each crime occurred. Meet this true crime obsessed couple at the quiet end of the ...
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A top podcast for healthcare leaders, with over one million downloads, Radio Advisory is your weekly download on how to untangle the industry's most pressing challenges to help leaders like you make the best business decisions for your organization. From unpacking major trends in care delivery—like site-of-care shifts and the rise of high-cost drugs—to demystifying stakeholder dynamics, to shining a spotlight on priorities that may get overlooked, we're here to help. Our hosts and seasoned r ...
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From the stuff your mother never told you, to the stuff your doctor never learned, On Health features taboo-busting conversations that demystify and de-stigmatize our bodies, all while bridging the gap between conventional medicine and wellness. Join Yale-trained MD & midwife Aviva Romm and her line-up of expert guests as they discuss everything from periods to menopause, sex to reproductive health politics, and motherhood to mental health. Each week, Dr. Romm will be exploring the science a ...
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TechSurge: Deep Tech VC Podcast
1 Understanding the Elegant Math Behind Modern Machine Learning 1:14:43
1:14:43 
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احبArtificial intelligence is evolving at an unprecedented pace—what does that mean for the future of technology, venture capital, business, and even our understanding of ourselves? Award-winning journalist and writer Anil Ananthaswamy joins us for our latest episode to discuss his latest book Why Machines Learn: The Elegant Math Behind Modern AI . Anil helps us explore the journey and many breakthroughs that have propelled machine learning from simple perceptrons to the sophisticated algorithms shaping today’s AI revolution, powering GPT and other models. The discussion aims to demystify some of the underlying mathematical concepts that power modern machine learning, to help everyone grasp this technology impacting our lives–even if your last math class was in high school. Anil walks us through the power of scaling laws, the shift from training to inference optimization, and the debate among AI’s pioneers about the road to AGI—should we be concerned, or are we still missing key pieces of the puzzle? The conversation also delves into AI’s philosophical implications—could understanding how machines learn help us better understand ourselves? And what challenges remain before AI systems can truly operate with agency? If you enjoy this episode, please subscribe and leave us a review on your favorite podcast platform. Sign up for our newsletter at techsurgepodcast.com for exclusive insights and updates on upcoming TechSurge Live Summits. Links: Read Why Machines Learn, Anil’s latest book on the math behind AI https://www.amazon.com/Why-Machines-Learn-Elegant-Behind/dp/0593185749 Learn more about Anil Ananthaswamy’s work and writing https://anilananthaswamy.com/ Watch Anil Ananthaswamy’s TED Talk on AI and intelligence https://www.ted.com/speakers/anil_ananthaswamy Discover the MIT Knight Science Journalism Fellowship that shaped Anil’s AI research https://ksj.mit.edu/ Understand the Perceptron, the foundation of neural networks https://en.wikipedia.org/wiki/Perceptron Read about the Perceptron Convergence Theorem and its significance https://www.nature.com/articles/323533a0…
Winner of the Bucksbaum National Award for Clinical Excellence
Manage episode 452034560 series 3392556
المحتوى المقدم من Frank Inglima, Adam Cifu, and MD. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة Frank Inglima, Adam Cifu, and MD أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
In this episode, we speak with Dr. Dee Fenner, the first recipient of the Bucksbaum National Award for Clinical Excellence. A trailblazer in the field of urogynecology, Dr. Fenner shares her remarkable journey - from being one of the few women in her medical school class to becoming a nationally recognized expert in pelvic floor disorders and reconstructive surgery.
Dr. Fenner discusses how she found her passion in obstetrics and gynecology, and how she helped advance the burgeoning field of urogynecology. She reflects on the importance of creating a safe, comfortable environment for her vulnerable patients, and the challenges of training the next generation of surgeons.
As she looks to the future, Dr. Fenner is both excited and apprehensive about how data science and AI will impact patient care. At the same time, she remains focused on mentoring her colleagues and ensuring her department's continued success.
56 حلقات
مشاركةManage episode 452034560 series 3392556
المحتوى المقدم من Frank Inglima, Adam Cifu, and MD. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة Frank Inglima, Adam Cifu, and MD أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.
In this episode, we speak with Dr. Dee Fenner, the first recipient of the Bucksbaum National Award for Clinical Excellence. A trailblazer in the field of urogynecology, Dr. Fenner shares her remarkable journey - from being one of the few women in her medical school class to becoming a nationally recognized expert in pelvic floor disorders and reconstructive surgery.
Dr. Fenner discusses how she found her passion in obstetrics and gynecology, and how she helped advance the burgeoning field of urogynecology. She reflects on the importance of creating a safe, comfortable environment for her vulnerable patients, and the challenges of training the next generation of surgeons.
As she looks to the future, Dr. Fenner is both excited and apprehensive about how data science and AI will impact patient care. At the same time, she remains focused on mentoring her colleagues and ensuring her department's continued success.
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The Clinical Excellence Podcast
1 From ER to Advanced Illness Management - A Physician's Varied Career Journey 22:15
22:15 التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احب22:15
التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احبIn this episode, we speak with Dr. Jennifer Brokaw about her varied and impressive career in medicine. Dr. Brokaw shares how she transitioned from emergency medicine into founding a private practice focused on advanced illness management and end-of-life care, driven by a desire to tackle complex societal challenges she witnessed in the ER. She discusses the unique value she was able to provide as an independent advocate for patients and families, as well as the challenges of building a sustainable business model around these services. Dr. Brokaw's insights offer a fascinating look at alternative paths for doctors beyond traditional clinical roles. This conversation provides an engaging glimpse into one physician's remarkable career journey.…
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The Clinical Excellence Podcast
1 Clinical Training So Far - Surgical Resident 27:11
27:11 التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احب27:11
التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احبIn this installment of our series talking with medical trainees, we're joined by Dr. Ava Ferguson Bryan, a general surgery resident at the University of Chicago. Dr. Ferguson Bryan shares her winding path to medicine, from initially pursuing English and art history, to discovering a passion for surgery during her clinical rotations. She provides an honest look at the challenges and sacrifices of surgical training, including the lengthy 7-8 year commitment and the impact on work-life balance, especially as a woman having children during residency. Dr. Ferguson Bryan also discusses the evolving landscape of surgical education, including competency-based assessments that may allow for more flexibility in training duration. This episode offers valuable insights for aspiring physicians navigating the realities of surgical specialties and the broader effort to diversify the field. Dr. Ferguson Bryan's personal experience provides a nuanced perspective on the progress made, as well as the work still needed to support the next generation of surgeon-trainees.…
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The Clinical Excellence Podcast
1 Clinical Training So Far - Chief Medical Resident 24:05
24:05 التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احب24:05
التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احبGaining an inside look at the realities of medical training, this episode features a conversation with Layne Keating, a chief medical resident at the University of Chicago. Layne shares her experiences navigating the transition from medical school at the Frank H. Netter MD School of Medicine at Quinnipiac University to residency, highlighting the importance of being given autonomy and the ability to make real clinical decisions. She explains how this hands-on responsibility, even with the support of her team, has been critical for developing the confidence and problem-solving skills needed to be an effective physician. Layne contrasts this with concerns that overprotecting trainees from having to make tough choices during their education can make the leap to independent practice much more difficult. The conversation also touches on the use of letters of recommendation in the residency application process. Layne and Dr. Adam Cifu discuss how more holistic, thoughtful approaches may be needed to evaluate the suitability of medical trainees. This transparent discussion provides a unique perspective on the highs and lows of the clinical training journey, as well as insights into improving medical education to better prepare the next generation of physicians. To read more: https://medicine.qu.edu/ https://www.sensible-med.com/p/letters-of-recommendation-should-fb0…
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The Clinical Excellence Podcast
1 Clinical Training So Far - Medical Resident 19:41
19:41 التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احب19:41
التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احبIn this episode, we continue our series exploring the experiences of medical trainees. Dr. Adam Cifu is joined by Arman Shahriar, MD, a third-year internal medicine resident at the University of Chicago. Arman shares his nontraditional path to medicine, including teaching in Ecuador and working in the medical device industry. He provides a candid look at residency life, from the grueling schedules to the unexpected challenges and the camaraderie forged during training. Arman is also the author of two compelling articles: On One-Liners and Doing No Harm , which explores the power of language in patient care, and The Wrong Fight—Prior Authorization , a personal account of navigating systemic barriers. To read Dr. Shahriar's above-mentioned articles, check them out here: • On One-Liners and Doing No Harm : https://journals.lww.com/academicmedicine/fulltext/2023/10000/on_one_liners_and_doing_no_harm.24.aspx • The Wrong Fight—Prior Authorization : https://jamanetwork.com/journals/jamaoncology/article-abstract/2813580…
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The Clinical Excellence Podcast
1 Clinical Training So Far - Medical Student 21:18
21:18 التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احب21:18
التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احبKicking off a series of talks with people in medical training, this episode features third-year student Nihar Rama discussing his experiences and insights so far. Nihar discusses how his personal background as a patient has shaped his empathetic approach to caring for patients. He reflects on the importance of maintaining confidence while also expressing humility, and the challenges of developing strong interpersonal skills alongside medical knowledge. Nihar offers thoughtful perspectives on how medical education could better assess and cultivate the human qualities, beyond just academic acumen, that are essential for becoming an excellent clinician.…
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The Clinical Excellence Podcast
In this episode, Dr. Adam Cifu sits down with Dr. Chadi Nabhan—a hematologist, oncologist, author, and healthcare leader—to discuss his inspiring career transitions and his latest book, The Cancer Journey: Understanding Diagnosis, Treatment, Recovery, and Prevention . They explore the phases of a cancer diagnosis, the emotional toll on patients and caregivers, and the critical role of communication and second opinions. Dr. Nabhan also shares insights from his work at a company advancing AI technology to accelerate clinical trials. He is also the author of Toxic Exposure: The True Story Behind the Monsanto Trials and the Search for Justice . To learn more about Dr. Nabhan's The Cancer Journey and read an article about the book, visit ASCO Connection: https://connection.asco.org/magazine/features/cancer-journey-dr-chadi-nabhan-uses-storytelling-plain-language-simplify-complex .…
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The Clinical Excellence Podcast
1 Winner of the Bucksbaum National Award for Clinical Excellence 20:27
20:27 التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احب20:27
التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احبIn this episode, we speak with Dr. Dee Fenner, the first recipient of the Bucksbaum National Award for Clinical Excellence. A trailblazer in the field of urogynecology, Dr. Fenner shares her remarkable journey - from being one of the few women in her medical school class to becoming a nationally recognized expert in pelvic floor disorders and reconstructive surgery. Dr. Fenner discusses how she found her passion in obstetrics and gynecology, and how she helped advance the burgeoning field of urogynecology. She reflects on the importance of creating a safe, comfortable environment for her vulnerable patients, and the challenges of training the next generation of surgeons. As she looks to the future, Dr. Fenner is both excited and apprehensive about how data science and AI will impact patient care. At the same time, she remains focused on mentoring her colleagues and ensuring her department's continued success.…
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The Clinical Excellence Podcast
In this episode, Dr. Adam Cifu sits down with Dr. Micah Prochaska to explore the intricate ethical dilemmas surrounding end-of-life care. They delve into the complex issues of patient autonomy, relational autonomy, and the role of families in these deeply personal decisions. Through thought-provoking discussion, they challenge the traditional frameworks and reveal the nuances in balancing medical expertise, personal values, and the well-being of patients and their loved ones. This episode offers a poignant and insightful examination of the ethical quandaries faced by healthcare providers when guiding patients and families through the end-of-life journey. Dr. Prochaska also references a highly influential paper by Daniel P. Sulmasy, MD, PhD, and Lois Snyder, JD, titled " Substituted Interests and Best Judgments: An Integrated Model of Surrogate Decision Making . URL: https://tinyurl.com/yc2y9u5j…
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The Clinical Excellence Podcast
1 Measuring Clinical Excellence and the Impact of the Bucksbaum-Siegler Institute 20:57
20:57 التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احب20:57
التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احبHow do you measure clinical excellence? Host Dr. Adam Cifu welcomes guest Dr. Anna Volerman to discuss the realities of clinical excellence, diving deep into the challenges of delivering impactful care beyond clinic walls. Dr. Volerman candidly shares her experiences with self-doubt, the importance of understanding patients' daily environments, and her work to address health inequities. Dr. Cifu adds thought-provoking insights on the art of medicine, as together they explore the shift from merely treating patients to transforming systems for better health outcomes. This episode offers a heartfelt look into healthcare's complexities, making it a must-listen for those passionate about medicine’s future.…
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The Clinical Excellence Podcast
1 The Future of Clinical Excellence: Bridging Technology and Human Connection 17:08
17:08 التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احب17:08
التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احبIn this episode, Dr. Adam Cifu chats with Dr. Wei Wei Lee about the essence of clinical excellence, which she defines as the importance of shared vulnerability and meaningful human connection in patient care. Dr. Lee reflects on how advancements in artificial intelligence can threaten these connections if they prioritize efficiency over personal interaction. Join them as they discuss the evolving landscape of medicine and the challenge of maintaining empathy in a technology-driven world. Dive deeper into the fascinating conversations from this episode with two must-see resources related to the themes discussed: Episode featuring Dr. Shah – “AI in Medicine: The Present” : In this insightful episode, Dr. Shah highlights the transformative role of artificial intelligence in healthcare, examining how tools for ambient clinical documentation are changing the way physicians interact with patients. Discover how AI is enhancing clinical encounters by allowing doctors to focus more on care and less on paperwork: AI in Medicine: The Present . Article by Dr. Adam Cifu – “The Moment I Realized AI Will Introduce a Brave New World for Medicine” : In this article, Adam Cifu explores the complex relationship between artificial intelligence and the practice of medicine, cautioning against an over-reliance on technology and emphasizing the irreplaceable role of human clinicians in patient care: Article about AI in Medicine .…
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The Clinical Excellence Podcast
What does it take to practice excellent nursing in a busy primary care setting? In this insightful episode, Adam Cifu, MD, sits down with Sybil Caruthers, RN, a nurse with 38 years of experience and a recipient of the Nursing Professional Excellence Award. They discuss the core elements of clinical excellence in nursing, focusing on the vital importance of collaboration and communication among healthcare professionals. Sybil shares her unique journey into the profession, which began unexpectedly. From her early days as an oncology triage nurse to her current role in primary care, she highlights the importance of patient advocacy and adapting to the growing demands of healthcare. Join us as we explore the lessons learned from their journey and the transformative power of teamwork in improving patient outcomes.…
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The Clinical Excellence Podcast
Dr. Victoria Barbosa, an expert in dermatology and director of the Hair Loss Program at the University of Chicago, explores the challenges in the patient-doctor relationship within dermatology and alopecia. This episode highlights the impact of cultural understanding and diversity in patient care, including race concordance and discordant care. Dr. Barbosa provides insights into the psychological aspects of hair loss and the importance of empathetic, hopeful communication, while also discussing the role of these factors in fostering strong, trusting patient relationships.…
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The Clinical Excellence Podcast
1 Clinical Excellence in Physical Therapy 23:52
23:52 التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احب23:52
التشغيل لاحقا التشغيل لاحقا قوائم إعجاب احبA conversation exploring clinical excellence in physical therapy, examining its crucial role within primary care. This discussion delves into how these elements contribute to exceptional patient outcomes, while also acknowledging the importance of empathy and patient rapport.
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The Clinical Excellence Podcast
We've all heard grand predictions about how AI will transform the future of medicine. But what about the here and now? In this episode, we dive into the ways AI is already reshaping healthcare. Discover how these technologies are not just promises for tomorrow, but are making an impact today. Tune in to explore the exciting developments happening right now and what they mean for the future of medicine.…
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The Clinical Excellence Podcast
Dr. Lisa Vinci joins the Clinical Excellence Podcast to discuss the nuances of quality measures in primary care. Delve into the complexities of healthcare metrics and their impact on patient care, with insights on navigating between standardized measures and personalized medicine.
مرحبًا بك في مشغل أف ام!
يقوم برنامج مشغل أف أم بمسح الويب للحصول على بودكاست عالية الجودة لتستمتع بها الآن. إنه أفضل تطبيق بودكاست ويعمل على أجهزة اندرويد والأيفون والويب. قم بالتسجيل لمزامنة الاشتراكات عبر الأجهزة.
Daily Deals
مشابه لـThe Clinical Excellence Podcast
The BMJ brings you interviews with the people who are shaping medicine and science around the world.
…
continue reading
Lyngso Fitness Academy presents: The Missing Piece, an audio offering about the mission, mindset and mechanics of completely transforming your life.Ever wondered what is holding your back from your best life? Your best self? You know that something is missing.Welcome to the Missing Piece. Hosted by Paul Lyngso, this podcast provides you everything you need to finally achieve the next level of satisfaction in your life. By transforming your life from the inside out, Paul offers actionable ste ...
…
continue reading
Learn the connection between what you eat and how you feel. Join us each week as licensed nutritionists and dietitians from Nutritional Weight & Wellness share practical, real-life solutions for healthier living through balanced nutrition. For over 25 years, we’ve helped thousands of clients and listeners discover how real food – animal protein, healthy fat, nutrient-dense carbohydrates – can increase energy, stabilize moods, jumpstart metabolism, eliminate cravings, restore digestion, balan ...
…
continue reading
Most of us have gotten at least a little emotional at some point recently. It’s natural. But why do we have emotions and how much should we pay attention to them on any given day? Can we learn to skillfully choose which emotions to listen to and which ones to just let move on by? In More Than A Feeling, the latest podcast from Ten Percent Happier, host Saleem Reshamwala goes on a real life quest to find the answers to these questions. He’ll experiment with neuroscientists, dive into stories ...
…
continue reading
Move more of your body more often and in more interesting ways with the Get-Fit Guy! If you want to begin an exercise routine and don't know where to start, or if you've been working out for a while and aren't getting the results you want, Kevin Don will give you the tips you need to reach your fitness and movement goals. Get expert information on the latest fitness trends and advice on everything from toning your arms to running a 5K or simply building more movement into your day. With his ...
…
continue reading
Sleep meditations created for women or anyone who feels called to listen 💗. Can’t sleep? Insomnia? Mind racing with worries and a never-ending to-do list? Tune in to the Sleep Meditation for Women podcast and let these guided meditations help you ease into sleep peacefully. Brought to you by the Women’s Meditation Network and hosted by Katie Krimitsos. Get comfy, press play and let yourself be guided into dreamland. Get more meditation resources at https://WomensMeditationNetwork.com
…
continue reading
Concise summaries of everything published in the latest weekly issue of the New England Journal of Medicine (NEJM). NEJM publishes new medical research findings, review articles, and editorial opinion on topics of importance to biomedical science and clinical practice.
…
continue reading
True Crime Brewery is the true crime podcast that brings you deeply inside of a crime and its investigation. Hosts Jill and her pediatrician husband Dick use their medical knowledge and life experiences to share the stories behind some of the most compelling crimes from all over the world. And, just for fun, Dick uses his secondary expertise as a craft beer lover to review the best beers from the regions where each crime occurred. Meet this true crime obsessed couple at the quiet end of the ...
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A top podcast for healthcare leaders, with over one million downloads, Radio Advisory is your weekly download on how to untangle the industry's most pressing challenges to help leaders like you make the best business decisions for your organization. From unpacking major trends in care delivery—like site-of-care shifts and the rise of high-cost drugs—to demystifying stakeholder dynamics, to shining a spotlight on priorities that may get overlooked, we're here to help. Our hosts and seasoned r ...
…
continue reading
From the stuff your mother never told you, to the stuff your doctor never learned, On Health features taboo-busting conversations that demystify and de-stigmatize our bodies, all while bridging the gap between conventional medicine and wellness. Join Yale-trained MD & midwife Aviva Romm and her line-up of expert guests as they discuss everything from periods to menopause, sex to reproductive health politics, and motherhood to mental health. Each week, Dr. Romm will be exploring the science a ...
…
continue reading
Player FM - تطبيق بودكاست
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