Trailer

An introduction to the primary care pearls podcast with Dr. Joshua Onyango, MD EdM (@drjomax) and Dr. Katie Gielissen, MD MHS-MedEd (@katie-g-md)!

Outline:
1. Introduction (00:00)
2. Defining Primary Care (00:50)
3. Why we're pumped about primary care (02:10)
4. "YOBM Brainchild" (03:10)
5. Sneek Peak (04:45)
6. Outro (06:18)

Music composed by: Josh Onyango

=== Social Media ===
Instagram: @pcpearls
Twitter: @PCarePearls
Listen on most podcast platforms

=== About Us ===
The Primary Care Pearls (PCP) Podcast is created in collaboration with faculty, residents, and students from the Department of Internal Medicine at the Yale School of Medicine. The project aims to create accessible and informative podcasts for furthering the medical education of residents and clinicians in early stages of their careers. Building on the work of other medical education podcasts, Primary Care Pearls includes contributions from patients themselves, who have the autonomy to share their own experiences of how their primary care physician directly impacted the quality of their care.

Transcript

[00:00:00] Josh: Hello, and welcome to what we hope to be one of your new favorite podcasts. My name is Josh . I'm currently a resident in the Yale Primary Care internal medicine program. 

[00:00:14] Katie: And I'm Katie Giellisen. I'm an assistant professor of medicine and pediatrics at the Yale school of medicine. And I currently serve as one of three editors of the Yale office-based medicine group.

[00:00:25] Josh: And we're here to introduce you to primary care pearls, a podcast made by learners or learners.

Before diving into the specifics of the podcast, I'd like to briefly talk about why we are so excited to talk about primary care. So just to get our footing here, we should take a moment to define primary care. Doctor Giellisen, how would you define primary care and how else have you heard it defined? 

[00:00:56] Katie: Well, primary care can be quite a broad topic, but there are a few themes that I always think about when I think about primary.

Number one access; we're the first point of contact for many of our patients. Some of our patients haven't seen a doctor for a long time, or some of our patients just see us once a year and no other doctors. 

Number two continuity; one of the great things about being a primary care doc is that we get to form long-term relationships with our patients. We get to know them and their families very well, and that can be very gratifying for both us and our patients. 

Number three comprehensiveness; one of the great things about being a primary care doctor is that we sort of have to be a Jack of all trades, which means that we're often addressing most of our patient's healthcare needs at the point of contact.

Number four coordination; by that, I mean, coordination of care. Some of our patients have to see sub-specialists for various health care needs. And I really see myself as a conductor of a symphony as a primary care doctor, I sort of bring things together to create a bigger picture for my patients to help them understand what their healthcare issues are.

[00:02:12] Josh: I love that, and I really enjoyed those analogies too. You know, the reason we get so pumped about primary care as you so beautifully defined it is that it works over the years. The evidence has been mounting an all tells a simple story, that good primary. Build stronger, more efficient and more equitable healthcare systems studies in the U S show that greater availability of primary care in a community is associated with better access to care.

Thereby decreasing costly expenditures, such as hospitalizations and emergency room visits for preventable causes at a time when we're growing increasingly more aware of economic inequalities among different communities in the United States, primary care has been shown to help mitigate some of the health disparities resulting from differences.

Bottom line is primary care helps people get the care they need when they need it while saving them and the hospital system, lots of money in the process. It's a win-win. So Dr. Giellisen we're pumped about primary care, but could you make it more tangible for us? How are we actually going to accomplish this?

[00:03:15] Katie: Thanks for that question, Josh, really, this podcast is sort of the spiritual brain child of our Yale office-based medicine curriculum, which we call . This is a literature based curriculum written by current Yale school of medicine, primary care faculty to guide residents and their instructors through thoughtful and engaging discussions about core ambulatory topics.

I edit it along with doctors, Laura Whitman and Seonaid Hay. We have primary care docs write the curriculum because we really buy into this idea that physicians should be empowered to provide excellent evidence-based care to their patients. This podcast has the same spirit and that we're leveraging our wonderful faculty and trainees to spur broader discussions on topics in outpatient care, ranging from innovations in hypertension and diabetes treatment and newer topics such as transgender health and telemedicine.

Something we're particularly excited about is the inclusion of patients into our conversations. A key tenant of primary care is treating the whole person. We think it's so important to hear directly from them about their experience with receiving a diagnosis, living with a chronic medical condition or interacting with our.

Lastly, we're really excited about engaging with you, our audience in new and dynamic ways. 

[00:04:34] Josh: That sounds incredible, Dr. Giellisen. I was already aware about much of what you just said, but I'm still getting even more excited just hearing you talk about it. I think our audience really has a lot to look forward to what should they be expecting in the coming weeks 

[00:04:47] Katie: instead of me telling you what you can expect, why don't I show you.

[00:04:52] Nate: Let's begin by hearing a bit from Phil about his personal journey with his weight. 

[00:05:00] Patient: I've been on a weight loss journey for most of my life. that's something I've always struggled with and my whole life I've been up and down the spectrum. At the height, I was 425 pounds and working with my primary care here is. He suggested some changes. And luckily it was at a time when I was receptive to that,

[00:05:21] Helen Cai: So what, what do you think it was about your position at the time that made you receptive to those changes?

[00:05:28] Patient: The reason I was ready for change was I had just been, you know, I was talking. I was tired of being tired. I was tired of being sore. I was tired of my joints, always hurting. I had already been working with an orthopedist about problems with my knee. And I was too young to need a knee replacement.

 I just, I wasn't ready to give up on life because if I had kept down the track, I was, it wasn't sustainable. Eating the way I was wasn't sustainable in any way, shape or form

 I miss hiking. I really miss hiking. I haven't been able to do it for two, two or three years now because of circumstances. And all I want to do is go up to sleeping giant on, you know, in the spring in April and hike, hike up the tower trail. That's all I want to do.

[00:06:27] Helen Cai: what else does a healthy fill look like for you?

[00:06:31] Patient: a healthy Phil is being able to do those things that I haven't 

[00:06:34] Katie: I think you have a lot to look forward to. 

[00:06:36] Josh: Totally agree. 

Well, I hope you found this introduction informative and we look forward to engaging with you in our upcoming episodes. Be sure to follow us @pcpearls on Instagram, where you can expect to get sneak, peeks, additional learning content and the most up-to-date details on the show release times.

Thanks again for tuning in today. Farewell from all of us at the primary care podcast and we'll catch you soon.