logo
episode-header-image
Jul 2023
54m 55s

The Plight of Primary Care, Part 1

NEJM Group
About this episode
This episode of “Intention to Treat,” explores the crisis in primary care in the United States, as increasing numbers or primary care physicians leave the field — driven out by corporatization, growing time pressure, and the inability to form the relationships that enable good care. A full transcript of this episode is available at nejm.org/doi/full/10.1056/ ... Show More
Up next
Jul 2023
The Plight of Primary Care, Part 2
What is driving U.S. physicians out of primary care — and keeping trainees from going into it in the first place? In this episode of “Intention to Treat,” host Rachel Gotbaum explores the breakdown of the system and possible ways to save it. A full transcript of this episode is a ... Show More
53m 25s
Aug 2023
Prospects for Pain
Some types of pain have proven resistant to all available medications. In this episode of “Intention to Treat,” Rachel Gotbaum talks with a patient with neuropathic pain and a researcher exploring new sodium-channel blockers that offer promise for such patients. A full transcript ... Show More
42m 2s
Aug 2023
Preventing HIV’s Collateral Cardiovascular Damage
People living with HIV have increased risk for cardiovascular disease (and other diseases of aging) earlier in life than those without HIV. In this episode of “Intention to Treat,” researcher Steven Grinspoon describes a new strategy for preventing collateral damage. A full trans ... Show More
50m 40s
Recommended Episodes
Apr 2024
Walking the Dog
<p>This episode considers what happens when the rigors of training and the pursuit of excellence in in medicine collide with the mental health needs of trainees.</p> <p>A full transcript of this episode is available at nejm.org/doi/full/10.1056/NEJMp2400698.</p> 
44m 52s
Aug 2024
Synchronised brains, and bird flu spreading in cow's milk
In this edition of The Naked Scientists: A meeting of minds: scientists show that when two people talk, their brains really do sync up. Also, bird flu is now spreading among cattle via their milk. What are the implications? And, a new scientific twist for better, more efficient f ... Show More
30m 6s
Feb 2025
How Close Are We to Another Pandemic?
<p>An outbreak of bird flu has been tearing through the nation’s dairy farms and infecting more and more people.</p><p>Now there are troubling signs that the United States may be closer to another pandemic, even as President Trump dismantles the country’s public health system.</p ... Show More
25m 6s
May 2025
Bird Flu: The Next Pandemic?
Bird flu has been in the headlines for ages, with scientists warning that we could be headed for a pandemic. But we’ve been hearing about this H5N1 virus for so long that it’s kind of starting to feel like the boy who cried wolf. So — what’s really going on with H5N1 bird flu? Ho ... Show More
42m 28s
Apr 2024
Injured, Not Sidelined
<p>This season finale examines the moral injury that the current U.S. health care system inflicts on physicians and trainees — and how they may be able to offer care that aligns with their values.</p> <p>A full transcript of this episode is available at nejm.org/doi/full/10.1056/ ... Show More
39m 10s
Jul 2022
Podcast 297: Forget about all that vitamin D testing!!
<p>A VIDEO RECORDING OF THIS INTERVIEW <a href='https://cdn.jwplayer.com/players/WpRvyAMa-rmTFgmxB.html'>IS AVAILABLE HERE</a>.</p> <p>THE USUAL AUDIO FILE IS AVAILABLE BELOW</p> <p>Steven Cummings has co-written a take-no-prisoners editorial in the New England Journal of Medici ... Show More
12m 59s
Jan 2025
Bird flu threat, and what the Romans really did for us
In the news podcast this week, the first human death from bird flu in the US has made virologists vigilant about its potential threat. Also, we learn about the potentially billions of tonnes of sequestered hydrogen on Earth that could be used for clean energy, and hear of the pro ... Show More
33m 37s
Jan 2025
The Latest On Bird Flu
Bird flu, or avian influenza, is spreading among livestock and other mammals in the United States, raising concerns that another pandemic may be looming. Last month, California declared a state of emergency due to rising cases in dairy cattle, and there have been over 65 human ca ... Show More
13m 18s
Sep 2024
490: Bird Flu Facts: Its History and Use as a Tool to Instill Fear with Jacob Diaz
<p><span data-preserver-spaces="true">What's the deal with bird flu? Is it actually something we should be worried about? What's the history of it? And why has there been a focus on it and why have millions of chickens been slaughtered because of it?</span></p> <p><span data-pres ... Show More
36m 2s
Feb 2025
Ep 164 Rift Valley Fever: Ruminating on ruminants
<p>Hemorrhagic virus? Check. Deadly disease? Check. Mosquito-borne? Check. Affected by animal movement, human activity, and environmental change? Check. Rift Valley Fever has all the markings of a classic TPWKY episode. This week, we’re doing a deep dive on this deadly virus, tak ... Show More
1h 15m