The Clinical Problem Solvers podcast

#Higher Education #Diagnosis #Clinical Reasoning #Clinical Problem Solving #Diagnostic Schema #Internal Medicine #Clinical Unkowns #Medicine #Science #Podcasting Education #Clinical Problem Solvers

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How do you know when it’s time to make your next big career move? With International Women’s Day around the corner, we are excited to feature Avni Patel Thompson, Founder and CEO of Milo. Avni is building technology that directly supports the often overlooked emotional and logistical labor that falls on parents—especially women. Milo is an AI assistant designed to help families manage that invisible load more efficiently. In this episode, Avni shares her journey from studying chemistry to holding leadership roles at global brands like Adidas and Starbucks, to launching her own ventures. She discusses how she approaches career transitions, the importance of unpleasant experiences, and why she’s focused on making everyday life easier for parents. [01:26] Avni's University Days and Early Career [04:36] Non-Linear Career Paths [05:16] Pursuing Steep Learning Curves [11:51] Entrepreneurship and Safety Nets [15:22] Lived Experiences and Milo [19:55] Avni’s In Her Ellement Moment [20:03] Reflections Links: Avni Patel Thompson on LinkedIn Suchi Srinivasan on LinkedIn Kamila Rakhimova on LinkedIn Ipsos report on the future of parenting About In Her Ellement: In Her Ellement highlights the women and allies leading the charge in digital, business, and technology innovation. Through engaging conversations, the podcast explores their journeys—celebrating successes and acknowledging the balance between work and family. Most importantly, it asks: when was the moment you realized you hadn’t just arrived—you were truly in your element? About The Hosts: Suchi Srinivasan is an expert in AI and digital transformation. Originally from India, her career includes roles at trailblazing organizations like Bell Labs and Microsoft. In 2011, she co-founded the Cleanweb Hackathon, a global initiative driving IT-powered climate solutions with over 10,000 members across 25+ countries. She also advises Women in Cloud, aiming to create $1B in economic opportunities for women entrepreneurs by 2030. Kamila Rakhimova is a fintech leader whose journey took her from Tajikistan to the U.S., where she built a career on her own terms. Leveraging her English proficiency and international relations expertise, she discovered the power of microfinance and moved to the U.S., eventually leading Amazon's Alexa Fund to support underrepresented founders. Subscribe to In Her Ellement on your podcast app of choice to hear meaningful conversations with women in digital, business, and technology.…

The Clinical Problem Solvers

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The Clinical Problem Solvers is a multi-modal venture that works to disseminate and democratize the stories and science of diagnostic reasoning Twitter: @CPSolvers Website: clinicalproblemsolving.com

377 episodes

The Clinical Problem Solvers

73 subscribers

updated 3 days ago

Series home•Feed

The Clinical Problem Solvers is a multi-modal venture that works to disseminate and democratize the stories and science of diagnostic reasoning Twitter: @CPSolvers Website: clinicalproblemsolving.com

377 episodes

#Higher Education #Diagnosis #Clinical Reasoning #Clinical Problem Solving #Diagnostic Schema #Internal Medicine #Clinical Unkowns #Medicine #Science #Podcasting Education #Clinical Problem Solvers

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Episode 385 – Spaced Learning Series – Organizing Thoughts Around Hemoptysis 47:25

3 days ago47:25

47:25

https://clinicalproblemsolving.com/wp-content/uploads/2025/03/3-20-2025-SLS_RTP.mp3 Episode description: Seyma presents a case of persistent cough and fatigue that ends up in an unexpected place. Featuring: Priyanka Athavale Anna Fretz Kirtan Patolia Seyma Yildirim Schemas: Syncope Pulmonary renal syndromes Download CPSolvers App here RLRCPSOLVERS Click here to view the weekly episode recap email!…

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Episode 384: Antiracism in Medicine – Episode 26 – Racial and Gender Health Disparities in Youth Suicide: Part 1 41:02

12 days ago41:02

41:02

https://clinicalproblemsolving.com/wp-content/uploads/2025/03/The-Clinical-Problem-Solvers-Episode-384-Antiracism-in-Medicine-–-Episode-26-–-Racial-and-Gender-Health-Disparities-in-Youth-Suicide-Part-1-Dr.-Tami-Benton-and-Dr.-Kevin-Simon.mp3 CPSolvers: Anti-Racism in Medicine Series Episode 26 – Racial and Gender Health Disparities in Youth Suicide: Part 1 Show Notes by Alec J. Calac March 14, 2025 Summary: In this first half of a two-part series, we discuss the growing rates of suicide amongst child and adolescent populations in the United States, with a focus on historically underserved groups. In particular, our guests, Dr. Tami Benton and Dr. Kevin Simon, elucidate the disturbing rises in suicidality—suicide attempts and suicidal ideation—and suicide fatality amongst Indigenous and Black youth. Drs. Benton and Simon recount the pervasive nature of the suicide crisis impacting Black and Indigenous youth and offer insights into how we may begin ameliorating these harrowing inequities. Episode Learning Objectives After listening to this episode, learners will be able to: Identify barriers and facilitators to establishing care with a child and adolescent psychiatrist Explain the shifting visibility of racial and gender health disparities in the academic literature Describe the importance of cultural humility and racial concordance in health care Credits Written and produced by: Ashley Cooper, Sudarshan Krishnamurthy, Asya Pitre, and Team Hosts: Ashley Cooper and Sudarshan Krishnamurthy Infographic and Audio Edits: Ashley Cooper Show Notes: Alec J. Calac Guest: Dr. Tami Benton and Dr. Kevin Simon Time Stamps 0:00 Opening and Guest Biographies 3:15 Personal Guest Introductions (Dr. Simon) 6:50 Personal Guest Introductions (Dr. Benton) 13:08 Youth Suicide Crisis Discussion, “Ringing the Alarm” 20:10 Shift in Issue Framing in the Literature 24:31 The Network Begins with Primary Care 28:42 Diversifying your Outreach 30:54 Cultural Humility Speaker Biographies Dr. Tami Benton, MD , is the Frederick Allen Professor of Psychiatry at the University of Pennsylvania. She is the Psychiatrist-in-Chief and Chair of the Department of Child and Adolescent Psychiatry and Behavioral Sciences at the Children’s Hospital of Philadelphia (CHOP). She is the President of The American Association of Directors of Child and Adolescent Psychiatry (AADCAP) and the President of The American Academy of Child and Adolescent Psychiatry (AACAP). She served on the National Institute of Mental Health Advisory Council and the APA’s Council for Research. Dr. Benton mentors clinical and research physicians, fellows, and postdoctoral trainees. She was awarded the Society of Biological Psychiatry Humanitarian Award and the Community Outreach Award by the American Foundation for Suicide Prevention. Dr. Benton’s career has been dedicated to developing leadership for a diverse child psychiatry workforce. Her mission — preparing the next generation of diverse physician leaders in pediatric healthcare and mental health and creating partnerships between communities and academic centers — will be critical for eliminating disparities among minority populations. Dr. Kevin M. Simon, MD, MPH , is Boston’s inaugural Chief Behavioral Health Officer, appointed by Mayor Michelle Wu. He is a physician-scientist, health policy expert, inspirational teacher, and a gifted writer. Dr. Simon is a pediatric addiction medicine psychiatrist at Boston Children’s Hospital; an assistant professor in psychiatry at Harvard Medical School; a recent Commonwealth Fund fellow in health policy at Harvard University; and the medical director of Wayside Youth & Family Support Network. Clinically, he cares for youth and families through the Department of Psychiatry & Behavioral Sciences and the new Division of Addiction Medicine at Boston Children’s Hospital. Academically, he has won multiple awards for research on structural violence, health equity, and mental health. Additionally, he consults with federal agencies on mental health system design and practices. Dr. Simon’s writings on health equity are in notable journals like the American Journal of Public Health and the New England Journal of Medicine . National audiences regularly seek his perspectives on mental health through trusted outlets. Episode Takeaways Community health centers play an important role in access to evidence-based psychiatric care rooted in community values. They are often the first interface for patients experiencing mental health crises, not academic medical centers. The youth suicide crisis is disproportionately shouldered by Indigenous and Black and African American communities. Historical challenges include inadequate data surveillance and reporting systems and “hidden” trends brought to the attention of academics by Dr. Jeffrey Bridge, a leading researcher at the Nationwide Children’s Hospital. Among these groups, youth suicide is particularly more prominent at younger ages when compared to other racial and ethnic groups. Groups experiencing severe morbidity and mortality–due to any psychiatric cause–often do not reflect the demographics of inpatient hospital censuses. Comprehensive mental health interventions are often beyond reach of those uninsured and underinsured. Resources are often directed to the largest group by number, not necessarily the group with the highest incidence and prevalence per capita. This can have devastating effects on public health and impede timely policy and program development. Literature has also shown that youth beneficiaries in Medicaid are not prioritized for mental health services when compar ed to other programs, which impedes continuity of care. There are a growing number of Child Psychiatric Access Programs, including one in Massachusetts, which provide quick access to psychiatric consultation and facilitates referrals for accessing ongoing behavioral health care. These programs recognize the increasing difficulties in having to first see a community-based primary care provider before seeing a specialized psychiatrist. Diversifying your mental health outreach goes hand in hand with diversifying your providers. This is directly related to the importance of cultural humility in mitigating health disparities among racial and gender minority youth, as well as literature highlighting the benefits of racial concordance between providers and patients. According to a 2019 study published by Price and Khubchandani, the suicide rate among Black girls increased by a striking 182% over the course of 2001 to 2017. Despite these increases there remains a paucity of literature addressing this critical disparity. Language plays an important role in obtaining a thorough mental health history. Youth are often not familiar with medical jargon on questionnaires and intake forms, which can work against important conversations and opportunities for shared decision-making. Large language models and artificial intelligence technologies are likely biased by the documentation we place in the electronic health record, which may reinforce youth health disparities. Disclosures The hosts and guests report no relevant financial disclosures. References Benton TD , Boyd RC , Njoroge WF. Addressing the Global Crisis of Child and Adolescent Mental Health. JAMA Pediatr. 2021;175(11):1108–1110. doi:10.1001/jamapediatrics.2021.2479 Benton T, Njoroge WFM, Ng WYK. Sounding the Alarm for Children’s Mental Health During the COVID-19 Pandemic. JAMA Pediatr. 2022;176(4):e216295. doi:10.1001/jamapediatrics.2021.6295 Benton TD. Suicide and Suicidal Behaviors Among Minoritized Youth. Child and Adolescent Psychiatric Clinics of North America. 2022;31(2):211-221. doi:10.1016/j.chc.2022.01.002 Benton TD. A Culturally Informed Approach to Supporting Suicidal Minoritized Patients. Focus. 2023 Apr;21(2):166-7. Brent DA, Goldstein TR, Benton TD. Bridging Gaps in Follow-up Appointments After Hospitalization and Youth Suicide: Mental Health Care Disparities Matter. JAMA Netw Open. 2020;3(8):e2013100. doi:10.1001/jamanetworkopen.2020.13100 Bridge JA, Asti L, Horowitz LM, et al. Suicide Trends Among Elementary School-Aged Children in the United States From 1993 to 2012. 2015;169(7):673-677. doi: 10.1001/jamapediatrics.2015.0465 Fontanella CA, Hiance-Steelesmith DL, Bridge JA, Lester N, Sweeney HA, Hurst M, Campo JV. Factors Associated With Timely Follow-Up Care After Psychiatric Hospitalization for Youths With Mood Disorders. Psychiatr Serv. 2016 Mar;67(3):324-31. doi: 10.1176/appi.ps.201500104. Epub 2015 Dec 1. PMID: 26620293. King, C. A., Brent, D., Grupp-Phelan, J., Shenoi, R., Page, K., Mahabee-Gittens, E. M., Chernick, L. S., Melzer-Lange, M., Rea, M., McGuire, T. C., Littlefield, A., & Casper, T. C. (2020). Five Profiles of Adolescents at Elevated Risk for Suicide Attempts: Differences in Mental Health Service Use. Journal of the American Academy of Child & Adolescent Psychiatry , 59 (9), 1058-1068.e5. https://doi.org/10.1016/j.jaac.2019.10.015 Lindsey MA, Sheftall AH, Xiao Y, Joe S. Trends of Suicidal Behaviors Among High School Students in the United States: 1991–2017. Pediatrics . 2019;144(5):e20191187. doi: 10.1542/peds.2019-1187 Lindsey MA, Brown DR, Cunningham M. Boys do(n’t) cry: Addressing the unmet mental health needs of African American boys. American Journal of Orthopsychiatry . 2017;87:377-383. doi: 10.1037/ort0000198 Price JH, Khubchandani J. The Changing Characteristics of African-American Adolescent Suicides, 2001–2017. J Community Health . 2019;44(4):756-763. doi: 10.1007/s10900-019-00678-x Sheftall AH, Vakil F, Ruch DA, Boyd RC, Lindsey MA, Bridge JA. Black Youth Suicide: Investigation of Current Trends and Precipitating Circumstances. Journal of the American Academy of Child & Adolescent Psychiatry . 2022;61(5):662-675. doi: 10.1016/j.jaac.2021.08.021 Sheftall AH, Miller AB. Setting a Ground Zero Research Agenda for Preventing Black Youth Suicide. 2021;175(9):890-892. doi: 10.1001/jamapediatrics.2021.1112 Simon KM. Daughters’ Keeper—The Care and Treatment of Black Girls in America. New England Journal of Medicine. 2022 Jun 2;386(22):2067-9. Simon KM. Mitigating the Negative Mental Health Impact of Racism on Black Adolescents—A Preventive Perspective. JAMA Netw Open. 2023;6(11):e2340577. doi:10.1001/jamanetworkopen.2023.40577 Simon KM. Them and Me – The Care and Treatment of Black Boys in America. N Engl J Med. 2020 Nov 12;383(20):1904-1905. doi: 10.1056/NEJMp2022606. PMID: 33176082. Congressional Black Caucus: Emergency Task Force on Black Youth Suicide and Mental Health. Ring the Alarm. The Crisis of Black Youth Suicide in America. U.S. Congress. Published December 17, 2019. Accessed 2024. https://watsoncoleman.house.gov/imo/media/doc/full_taskforce_report.pdf Citation Benton T, Simon K, Cooper A, Krishnamurthy S, Calac A, Pitre A, Pierce G, Essien UR, Fields NF, Lopez-Carmen V, Nolen L, Onuoha C, Watkins A, Williams J, Tsai J, Khazanchi R. “Episode 26: Racial and Gender Health Disparities in Youth Suicide: Part 1” The Clinical Problem Solvers Podcast – Antiracism in Medicine Series. https://clinicalproblemsolving.com/antiracism-in-medicine/ . March 14, 2025. Show Transcript Download CPSolvers App here RLRCPSOLVERS…

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Episode 383 – Clinical Unknown Series with Rabih Geha 1:00:38

13 days ago1:00:38

1:00:38

https://clinicalproblemsolving.com/wp-content/uploads/2025/03/CUS-March-13-2025-Post-1.wav Noah, Mark, and Debora received Rabih Geha for a fantastic case discussion in this episode. Embark on this diagnostic journey with us! Download CPSolvers App here RLRCPSOLVERS

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Special Episode 382 – Reza interviews Dr. Elmer Holzinger 52:15

16 days ago52:15

52:15

https://clinicalproblemsolving.com/wp-content/uploads/2025/03/Holzinger.mp3 Episode description Reza interviews his mentor and master clinician Dr. Elmer Holzinger

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Episode 381 – RLR – Distention – Why? 46:16

23 days ago46:16

46:16

https://clinicalproblemsolving.com/wp-content/uploads/2025/03/RLR-for-podcast-1.mp3 Title – Distention – why? Episode description RR discusses 2 cases of abdominal distention Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan…

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Episode 380: Schema Episode – Neuropathy 30:10

5 weeks ago30:10

30:10

https://clinicalproblemsolving.com/wp-content/uploads/2025/02/Neuropathy_SchemaFinal.mp3 Maddy , Youssef and Andrew share their approach to neuropathy and frequent falls as they discuss a case presented by Sharmin . Polyneuropathy Framework To join us live on Virtual Morning Report (VMR), sign up HERE . Download CPSolvers App here RLRCPSOLVERS…

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Episode 379: Neurology VMR – Double Vision for One Day 56:52

6 weeks ago56:52

56:52

https://clinicalproblemsolving.com/wp-content/uploads/2025/02/One-and-a-half-Syndrome-Podcast-final.mp3 Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Aye presents a case of double vision to Vale. Aye Chan Moe Thant ( @AyeThant94 ) Aye is a physician from Myanmar and now working as a clinical research team member at the Department of Neurology, Washington University in Saint Louis. Throughout her career in Myanmar, she worked closely and received training from her mentor neurologist, one of only three neurologists available for the whole upper Myanmar of 23 million population. Witnessing the challenges faced by the patients from underserved areas, she is dedicated to advancing health equity, research, and global neurology. Aye is also very passionate about medical education and has been deeply involved in Clinical Problem Solvers mainly in neurology with the mentor Dr. Aaron Berkowitz. She is going to apply for neurology residency and very excited about the journey ahead! Valeria Roldan @valeroldan23 Valeria Roldan was born and raised in Lima, Peru. She recently graduated medical school at Universidad Peruana Cayetano Heredia and is excited to pursue a career in Neurology. She is passionate about LGBTQ+ health, particularly advocating for trans rights, as well as medical education. She would describe herself as an optimist and outside of medicine you probably will find her running or talking about pop culture over a glass of wine. Download CPSolvers App here RLRCPSOLVERS…

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Episode 378 – #IDLove – Staph Bacteremia 41:16

6 weeks ago41:16

41:16

https://clinicalproblemsolving.com/wp-content/uploads/2025/02/IDLove-Episode-2-Final-Post-Auphonic.mp3 Frameworks discussed in the episode To join us live on Virtual Morning Report (VMR) or to present a case to us, sign up here . Download CPSolvers App here RLRCPSOLVERS

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Episode 377 – Spaced Learning Series – Cachexia & Irregular Eye Movements 39:56

7 weeks ago39:56

39:56

https://clinicalproblemsolving.com/wp-content/uploads/2025/02/SLS-2-6-2025-RTP.mp3 Episode description: Valeria presents a very unique neurological finding amidst a case of cachexia to the SLS team. Featuring: Valeria Roldan Jasdeep Bajwa Elena Storz Mukund Raguram Schemas Weight loss Abdominal distension Chronic diarrhea Joint pain thought train Iron deficiency Download CPSolvers App here RLRCPSOLVERS Click here to view the weekly episode recap email!…

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Episode 376 – RLR – The Same Start but a different end 38:10

7 weeks ago38:10

38:10

https://clinicalproblemsolving.com/wp-content/uploads/2025/02/RLR-2-cases-of-fatigue-1.mp3 Title – The same start, but a different ending Episode description RR discusses 2 cases of fatigue Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan…

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Episode 375 – Clinical Unknown Series – Mark presented a case to Debora and Noah 50:56

8 weeks ago50:56

50:56

https://clinicalproblemsolving.com/wp-content/uploads/2025/01/CUS-1-2025.wav Mark presented a case to Debora and Noah in the year’s first episode. Embark on this diagnostic journey with us! Download CPSolvers App here RLRCPSOLVERS

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Episode 374: WDx #34: It’s Not a Meritocracy 1:22:09

9 weeks ago1:22:09

1:22:09

Description: Kaylin, Sharmin, and Cheryl are joined by Dr. Arghavan Salles. They discuss career transitions/pivots, challenging workplace experiences, social/digital media use, and thoughts on allyship and gender biases/stereotype threat as self-identified angry women. Bio: Dr. Salles is a minimally invasive and bariatric surgeon. She completed medical school and residency in general surgery at Stanford prior to completing her fellowship in minimally invasive surgery at Washington University in St. Louis. She stayed on faculty at Washington University for three years prior to moving back to Stanford in 2019. During the pandemic, Dr. Salles has served as a disaster relief physician, caring for patients with COVID in the ICU. Dr. Salles obtained a PhD in education from Stanford University during her residency training, and her research focuses on gender equity, implicit bias, diversity, inclusion, and physician well-being. Her R01 grant from the NIH focuses on sexual harassment. She is a sought-after speaker and has given over 100 national and international invited talks related to gender equity, physician well-being, and weight bias. She currently serves as the Special Advisor for DEI Programs at the Stanford University Department of Medicine where she is a Clinical Associate Professor. Articles: https://www.usatoday.com/story/opinion/voices/2018/10/24/angry-women-voting-discrimination-column/1696287002/ https://shows.acast.com/the-house-of-pod-a-medical-podcast/episodes/epsiode-235-masculinity https://clinicalproblemsolving.com/wp-content/uploads/2025/01/WDx-1.23-AUPH.m4a Download CPSolvers App here RLRCPSOLVERS…

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Episode 374 – Rafael Medina Subspecialty Episode – Acute encephalopathy and unresponsiveness 56:39

10 weeks ago56:39

56:39

https://clinicalproblemsolving.com/wp-content/uploads/2025/01/CPS-PCCM-VMR-Final-Version.mp3 In this Pulmonary & Critical Care episode, Dr. Meghan Nothem presents an unusual case of acute encephalopathy and unresponsiveness to Dr. Paul A. Bergl. Stay tuned to found out the final diagnosis! Session facilitator: Dr. Hui Ting Ruan Case discussant: Dr. Paul A. Bergl is an intensivist at Gundersen Lutheran Medical Center in La Crosse, WI and clinical adjunct assistant professor with the University of Wisconsin. He completed medical school at the University of Wisconsin-Madison, internal medicine residency at the University of Chicago, and critical care fellowship at the Medical College of Wisconsin. Dr. Bergl is a decorated educator with over a dozen major teaching awards and honors from medical students, residents, and fellows. His foremost passions in medical eduation are critical thinking and diagnostic reasoning. His other scholarly work has focused on diagnostic error, point-of-care ultrasonography and echocardiography, and bedside teaching and rounding. Case presenter: Dr. Meghan Nothem Dr. Nothem is a third year Pulmonary & Critical Care Medicine fellow at The Medical College of Wisconsin in Milwaukee, Wisconsin where she also completed her Internal Medicine residency and served as Chief Resident. Prior to returning to her home city for post-graduate training, she earned her Bachelor of Science in Biology at University of Wisconsin-Madison and her medical degree at Rocky Vista University College of Osteopathic Medicine in Parker, Colorado. Dr. Nothem will be joining a Pulmonary and Critical Care Medicine practice in Milwaukee upon completion of her fellowship in summer of 2025. To join us live and present a case, check out our virtual morning reports ! Download CPSolvers App here RLRCPSOLVERS…

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Episode 373 – RLR – A Sudden Problem, but where is it? 50:44

11 weeks ago50:44

50:44

https://clinicalproblemsolving.com/wp-content/uploads/2025/01/audio1588233744-2.mp3 Title – A Sudden Problem – but where is it? Episode description RR discuss a fascinating case of abrupt onset abdominal pain Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan…

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Episode 372 : Neurology VMR – Generalized Weakness 1:02:29

12 weeks ago1:02:29