Dr. Schwartzstein discusses patterns of thought processing for medical diagnosis. One is based on heuristic principles that allows for more efficient decision making but can lead to systemic errors, and another requiring deductive clinical reasoning and flexible hypothesis generation which is particularly useful in complex or unusual medical presentations. He supports questioning and innovation over speed for treatment decisions, which can lead to constructive discussions about uncertainty with ...

(We are aware that the audio on this presentation is not ideal)Dr. Won compares the prevalence, risk factors, clinical consequences and implications for treatment and outcomes between men and women presenting with possible obstructive sleep apnea (OSA). OSA is more prevalent in men, and men are more likely to be referred for sleep studies while women are more likely to be evaluated with chemistries and neuropsychiatric testing for sleep related symptoms. Dr. Won describes structural and function...

Dr. Shah reminds us that telemedicine has been utilized for over fifty years in places such as jails and nursing homes, and explores why it has not been more widely adopted as a tool for patient care. He defines common terminology (sites, fees, laws) and explains why it can be difficult to set up a workable platform. In his Gastroenterology Motility practice, Dr. Shah demonstrates improved access and decreased “time to test”, both of which are positives for patients. He also discussed the diffic...