Lab Medicine Rounds

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., interviews Eric Hsi, M.D., chair of the Department of Laboratory Medicine and Pathology at Mayo Clinic in Rochester, Minnesota, about the lab’s important role in healthcare. Timestamps: 00:00 Intro 00:42 Importance of labs in current medical practice 02:41 Understanding & appreciating the role of lab medicine 05:30 Working as a team to affect patient care 08:14 What advice do you have for upcoming lab professionals to cultivate their leadership skills? 12:43 Where do you see the future of laboratory medicine?

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Chancey Christenson, M.D., about the lab's important role in healthcare. Timestamps: 0:00 Intro 01:00 Why is it important to highlight the extensive presence of the laboratory in current medical practice? 05:20 What’s the story of how you first came to appreciate the extensive role of the medical laboratory? 07:03 How do you and your team work together for efficient patient care? 10:15 Do you have any thoughts or advice for how to move through setbacks and creating that environment where people feel empowered to speak? 11:57 How do you see the role of the laboratory evolving in the coming years? 17:35 Closing

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Brooke Katzman, Ph.D., to discuss the blood tube collection order. Show Notes: 0:00 Intro 0:41 Rational of blood tube order 3:15 Direct and indirect contamination 4:58 Draw order 8:11 Serum vs. Plasma 10:23 Testing for specific analytes 12:39 Interferences 14:38 Teaching order of draw 17:22 Best practices 20:41 Closing

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Reade Quinton, M.D., assistant professor of laboratory medicine and pathology, to discuss a popular topic at this year’s 9th Annual Forensic Science Symposium, the bullet catch and other deadly illusions. Timestamps: 0:00 Introduction 0:45 Forensic Science Symposium discussion 3:30 Historical conference topics 5:50 Story of the bullet catch illusion 10:00 Approach to storytelling 12:45 Developing presentation skills 16:30 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with operations administrator Mark Brown to discuss the significance of collaborating with administrators. Show notes: 0:00 Intro 0:59 Importance of working with lab administrators 3:00 Role of administrators 10:20 Resetting with admins 14:20 Supporting wellbeing

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Alfredo Quinones-Hinojosa, M.D., a neurosurgeon and scientist at Mayo Clinic. From humble beginnings as a migrant worker, his story is one of resilience, determination, and a relentless pursuit of knowledge. Timestamps: 0:00 Introduction 1:54 Importance for physicians to play a role in science 5:28 Setting yourself up for success 9:48 Inquisitive mind 14:00 Mentoring 22:00 Looking ahead 23:55 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with placement coordinator Jamie Herget to discuss recruitment initiatives within the laboratory profession. Timestamps: 0:00 Introduction 0:59 Importance of recruitment 2:57 What roles are being recruited? 5:31 Effective strategies for recruitment 9:28 Ineffective strategies for recruitment 15:01 Trends & Collaborations Resources: www.jobs.mayoclinic.org Clinical Laboratory Technologist/Scientist - CLT/CLS/MLS at Mayo Clinic

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., and Rondell Graham, M.B.B.S., delve into the critical decisions involved in contemplating a role on the staff at the institution where you receive your training. Timestamps: 00:00 Introduction 01:25 Why did you decide to take a job at the institution where you finished training? 03:35 Things to think about when accepting a job 07:27 What to focus on during interviews 11:37 Importance of early years 16:58 How do you learn about updates in medicine? 20:35 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., engages in a compelling conversation with Lindsey Randall, a third-year medical student, as they discuss her experiences and insights in the role of a teaching assistant. 00:00 Introduction 01:05 Why did you decide to get involved in teaching in the first place? 02:07 You’ve been teaching in this course, but how has your learning been from this experience of teaching? 05:45 Do you have any thoughts about what you’ve learned about chunking information and sequencing information? 08:01 Could you elaborate on your approach for writing those questions? 10:25 You don’t shy away from questions where there is clearly a “best answer.” Could you talk on why you’ve included those questions intentionally? 13:14 How do you handle those moments when you don’t know an answer? 15:45 What advice do you have for those listening who may be interested in developing their teaching skills?

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., along with the Lab Medicine Rounds podcast team share their experience on starting an educational podcast and reflecting on past episodes. Timestamps 00:00 Introduction 01:02 Rick: How did the podcast start up? What was the genesis, how did this all start? 03:05 Dr. Kreuter: How does this work around the podcast all come together? And what’s most surprising about it? 07:03 Rick to Dr. Kreuter: From your standpoint, what do you have to do to prepare for a podcast? 08:48 Rick: What was the overall goal or mission statement of the podcast when you started? 11:14 Rick: What are your takeaways, funny things, things that Dr. Kreuter does that annoys you, or what do you look forward to? 14:02 Dr. Kreuter to Rick: Can you share some of the pointers you give to presenters before we begin recording? 18:15 Rick: What do you think is different from when we started, the first one we did here in this studio, to the 99th one we just finished? 21:18 Rick to Dr. Kreuter: What does the future of the Lab Medicine Rounds podcast hold? 23:57 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Alex Klobassa, assistant supervisor for transfusion medicine in the Department of Laboratory Medicine and Pathology at Mayo Clinic, to discuss nurturing our laboratories. 03:38 Challenges to nurturing laboratory teams. 02:39 Takeaways from nurturing laboratory teams. 07:42 Creating programs to support laboratory staff. 14:21 Ways to improve our laboratories.

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Jansen Seheult, M.B., B.Ch., B.A.O., M.D., assistant professor of laboratory medicine and pathology in the Division of Hematopathology, to discuss heterophile antibodies and HIL, which are considered by some to be analytical errors and by others to reflect patient-related pre-analytical variables. Timestamps: 00:00 Introduction 00:40 Role of pre-analytical variables for coagulation testing 03:25 Common pre-analytical variables to be aware of 07:49 Medical community collaboration to mitigate patient-related issues 11:51 Share about an intervention that was tried and how that worked out 14:10 Future of coagulation testing 16:34 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Timothy Wiltshire, Ph.D., assistant professor of laboratory medicine and pathology in the Division of Transfusion Medicine, to discuss what’s new with CAR-T cells. Timestamps: 0:00 Introduction 0:49 Why is CAR-T important for healthcare folks to appreciate in 2023? 3:05 What should healthcare professionals understand about CAR-T? 4:55 Is it true to say that we’ve seen success specifically in the hematologic cancers like leukemias, but not necessarily like the solid tumors, like breast cancer or prostate cancer? 7:27 Are there a few things that you look for when you read an article that’s reporting about CAR-T cells? 10:24 Can you explain what off-target effects are? 11:46 What are some of the new things that have come out recently? 13:24 What’s involved with creating your typical CAR-T? 14:58 What are your thoughts on the future for the field? 16:22 Is this a more equitable product or are there still some struggles with getting equity for different populations with CAR-T? 17:25 Is the promise of an off-the-shelf not just for an emergency, but could that be a cheaper option? 18:00 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Robert Fazzio, M.D., Ph.D., assistant professor of radiology and chair of the Division of Breast Imaging at Mayo Clinic in Rochester, Minnesota. Timestamps: 0:00 Introduction 1:05 The importance for pathologists to understand the fundamentals of breast imaging. 2:40 Reading the comments and the roles they play in the pathology report. 4:30 Aspects of breast imaging that pathologists should appreciate. 6:45 Interpreting the level of suspicion. 8:00 Modalities for imaging used (ex. Mammograms, ultrasound, MRI) 9:20 Interprofessional collaboration 13:00 Preparation for trainees and various workflows 15:20 Future of breast imaging 18:30 Outro

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Allan Jaffe, M.D., a consultant in the Department of Laboratory Medicine and Pathology at Mayo Clinic, about cardiac troponins and checkpoint inhibitors. Dr. Jaffe is also the Wayne and Kathryn Preisel Professor of Cardiovascular Disease Research, professor of laboratory medicine and pathology, and professor of medicine in the Mayo Clinic College of Medicine and Science. Discussion includes: 00:47 Introductory background on checkpoint inhibitors and cardiac troponins. 15:12 Challenges with recognizing immune checkpoint inhibitor-associated myocarditis. 19:28 Key takeaways for how laboratory professionals can support these patients. 19:28 Considerations of questions that are top of mind when tackling these issues.

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., speaks with Jeff Meeusen, Ph.D., assistant professor of laboratory medicine and pathology and clinical chemist in the Division of Clinical Core Laboratory Services for the Department of Laboratory Medicine and Pathology at Mayo Clinic, who discusses a forthcoming guidance document on lipid testing. Discussion includes: 00:59 Importance of guidance document for lipid testing. 03:30 Key takeaways for laboratory professionals utilizing the guidance document. 09:20 Challenges with implementing a guidance document. 12:50 Advice for others looking to join guidance committees.

In this episode of “Lab Medicine Rounds,” guest host Ann Moyer, M.D., Ph.D., speaks with Justin Kreuter, M.D., transfusion medicine pathologist and assistant professor of laboratory medicine and pathology at Mayo Clinic, about the importance of creating and practicing professional presentations. Discussion Topics: 00:00 Introduction 01:03 Importance of practicing your presentation. 03:13 Common missteps in professional presentations. 07:52 Tips for putting together a strong presentation. 13:32 Tips for learners when presenting to experts in the field. Resources: https://pubmed.ncbi.nlm.nih.gov/15980086/

In this episode of “Lab Medicine Rounds,” guest host Ann Moyer, M.D., Ph.D., speaks with Justin Kreuter, M.D., transfusion medicine pathologist and assistant professor of pathology and laboratory medicine at Mayo Clinic, about common misunderstandings and practical ways to teach the basics of coagulation. Timestamps: 0:00 Intro 00:48 Why is it important for physicians to understand the fundamentals of coagulation? 02:27 In your experience, what are a few of the common misunderstandings that people might have? 08:15 Do you have any thoughts on what we can do better to teach a complicated topic like coagulation? 13:57 Are there any sessions at the upcoming Bleeding and Thrombosing Diseases conference that you are looking forward to in particular? 15:31 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., speaks with Laura Tafe, M.D., associate professor of pathology and laboratory medicine at Dartmouth-Hitchcock Medical Center and president of the Association of Molecular Pathology, to discuss practicing art and medicine. Timestamps: 0:00 Intro 01:30 What is your artist origin story? 03:40 What does that relationship of your art practice and medical practice look like? 07:18 How do you navigate the challenge of not having enough time? 08:52 What advice do you have for healthcare professionals, new residents, who have interests in addition to medicine? 12:37 What are your thoughts? Where does your art practice go in the coming months and years? 15:40 What is your interest in Graphic Medicine? (question from Dr. Tafe to Dr. Kreuter) 20:04 Outro

In this episode of “Lab Medicine Rounds,” Justin Kreuter, M.D., sits down with Bradley Erickson, M.D., Ph.D., Director of the Mayo Clinic Artificial Intelligence Lab and professor of radiology at Mayo Clinic, to talk about working with artificial intelligence and how to train on it. 0:00 Intro 00:45 Why are computer-aided diagnoses, artificial intelligence, important for our healthcare? 02:45 Is there one way or maybe one facet of AI that’s the next generation of a checklist? 03:46 What’s important for physicians to understand about working with artificial intelligence? 06:01 As they are getting developed, is there a standard way the community is talking about this confidence in probability? Is that going to be universal for the different tools that are being developed? Or is it each to their own the way they try to convey that? 08:10 Is the thought then that will help us get away from some of the biases in our clinical practices? 09:25 How are you thinking about how we train our trainees, our residents and fellows, how to use artificial intelligence well? What can you share with our audience? 11:20 If I wanted to get my residents and fellows exposed to AI now, is there a recommended textbook on it, or any online tools to get exposure to and appreciate these points you are highlighting for us? 14:09 Have you started to have program directors approach you and your laboratory to facilitate education around AI in their department/division? 15:48 What do you think the future of AI in medical practice looks like? 20:38 Outro Resources: Medical Image Deep Learning (MIDeL) National Imaging Informatics Course - Radiology (NIIC-RAD)