Episode 81: Journal Club, Protocol U 6 month Results, Physician Age and Patient Complaints

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Dr. M. Ali Khan of the Doheny Eye Institute at the University of California Los Angeles and Dr. Ajay Kuriyan of the University of Rochester join for a journal club discussion of two recent articles in JAMA Ophthalmology:

Protocol U Six-Month Results (https://jamanetwork.com/journals/jamaophthalmology/article-abstract/2663061)

Association Between Ophthalmologist Age and Unsolicited Patient Complaints (https://jamanetwork.com/journals/jamaophthalmology/fullarticle/2664085)

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[1:16] Introduction

[1:50] Background and Results of the first paper, entitled “Effect of Adding Dexamethasone to Continued Ranibizumab Treatment in Patients with Persistent Diabetic Macular Edema.”

[3:24] Take-home points of the article.

[4:00] Did the results surprise you?

[5:25] What do you think about the long-term effectiveness of steroid treatment?

[9:45] Discussion of IOP results between dexamethasone and triamcinolone.

[13:15] Summary of the second paper, entitled “Association Between Ophthalmologist Age and Unsolicited Patient Complaints.”

[14:40] What were your take-away’s from this paper?

[17:18] The only subspecialty with a significant result was neuro-ophthalmology – what are your thoughts as to why this may be?

[21:40] Discussion of the best ways to receive and use feedback, and how to best make a recommendation to a patient.

[28:15] Discussion of time spent with the physician and how to improve efficiency to maximize this time.

[29:45] Football talk!

[32:10] Conclusion

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