The Accelerators Podcast

"The Accelerators Podcast" is a specialized podcast series presented by The Accelerators

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Latest Episodes

On Lymphedema and Treatment with Mary and Katelyn from Tactile Medical

On Lymphedema and Treatment with Mary and Katelyn from Tactile Medical

In this episode, The Accelerators (Drs. Matt Spraker and Simul Parikh) host Mary Calys, DPT, a lymphedema physical therapist, and Katelyn Nees. They are the Senior Clinical Specialist and Senior Market Development Director for Tactile Medical, respectively.

Mary and Katelyn update our medical knowledge on the etiology and management of lymphedema with a special focus on breast and head & neck cancers.

Do not miss the awesome resources they provided for this show: a high-quality slide deck, clinician resources for lymphedema management in breast and head and neck cancers, and data supporting pneumatic compression.

We cover definitions, screening for symptoms, advanced measurements, and comprehensive management. We also cover the randomized data supporting the use of Flexitouch Plus, an advanced pneumatic compression device to treat lymphedema at home.

Finally, we cover the process of prescribing Flexitouch in clinic and Matt and Simul share their experiences with clinical use. 

We hope you enjoy this practical #MedEd episode as much as we enjoyed making it!

Here are some other things we discussed during the show:

Editor's Note: The Accelerators Podcast was compensated for this episode and Tactile Medical participated in planning the content. Matt and Simul are not compensated by the company for the clinical use of Tactile products, they just really like them! The discussions in this episode are the opinions of the participants and are not clinical, billing, or coding advice. We encourage you to contact your friendly local Tactile Medical representative or visit tactilemedical.com for more information.

Please see our website for complete information on our past and current sponsors.

The Accelerators Podcast is a Photon Media production. 

“Its Worth Asking Why”: In Conversation With Todd Scarbrough

“Its Worth Asking Why”: In Conversation With Todd Scarbrough

At the end of last year, Dr. Jason Beckta published a docu-podcast about clinical supervision of radiotherapy services (parts one, two, and three). The series covers supervision terms, legal precedent, and dispels the misinformation shared by conflicted parties. 

In this episode, The Accelerators (Drs. Matt Spraker and Simul Parikh) join up with Jason to interview the famous Dr. Todd Scarbrough, the radiation oncologist at the center of supervision lore.

Todd shares his story and we discuss many aspects of supervision policy. 

Here are some links to things discussed in the show:

The Accelerators Podcast is a production of Photon Media, a division of the Cold Light Legacy Company.

If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

“Xeet It Out”: Austin, Anna, and Avinash on the ASTRO ECC

“Xeet It Out”: Austin, Anna, and Avinash on the ASTRO ECC

The Accelerators (Drs. Matt Spraker and Simul Parikh) host early career radiation oncologists Drs. Austin Sim, Anna Paulsson, and Avinash Chaurasia to discuss... early career (EC) issues in radiation oncology!

It's no secret that this is a passion topic for TAP. One of our first episodes dished out practical tips for new attendings (and new residents), and we've since given an independent voice to our EC peers on a wide range of topics: boards, starting families, finding your place in community medicine, and more.

We've been watching the work of friends-of-the-show Austin, Anna, and Avinash in this space throughout the last year.

They are among founding members of the nascent ASTRO Early Career Committee, a new group created to "represent the needs of radiation oncologists and physicists who are eight years or fewer out of training."

Listen in as we discuss all the things they are working on and their ideas for the future!

Don't miss the ECC resource website (members only) as well as their open suggestion box!

The Accelerators Podcast is a production of Photon Media, a division of the Cold Light Legacy Company.

If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

“I Am Friendly to Industry”: A Rad Onc Skin Cancer Journal Club

“I Am Friendly to Industry”: A Rad Onc Skin Cancer Journal Club

It's another Accelerators journal club with Dr. Simul Parikh!

In this episode Simul reviews a recent industry sponsored publication in Advances in Radiation Oncology.

Image guidance improves freedom from recurrence rate after superficial radiation therapy for non-melanoma skin cancer

The article retrospectively compares patients with skin cancer treated with image-guided superficial radiotherapy to other previously published cohorts. Such a definitive title for a retrospective study! Well, there is more to the story. 

Simul discusses the article's methods, results, and adds important context for the message communicated by this paper. Edward Bernays would be proud.

Here are some links to things discussed in the show:

The Accelerators Podcast is a production of Photon Media, a division of the Cold Light Legacy Company.

If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

“Ignoring the Elephant in the Room”: Matt Interviews Simul About Discourse in Rad Onc

“Ignoring the Elephant in the Room”: Matt Interviews Simul About Discourse in Rad Onc

The Accelerators (Drs. Matt Spraker and Simul Parikh) discuss critique versus negativity, why Simul quit social media, Student Doctor Network, and engaging in discourse about Radiation Oncology.

This episode is a companion to an episode we recorded in December, but Matt initially decided to hold it back. The episode is a strong, journal club style critique of payer policy article published by the IJROBP that we feel should be retracted.

We encourage you to listen to our "almost lost" episode and additionally read Mark Storey's amazing rebuttal to the IJROBP publication.  

Here we discuss how this contributed to Simul leaving social media, why we initially held back the episode, critique, misanthropy, and our mission for open discussion in Radiation Oncology. 

Here are some links to things we discuss in the episode:

The Accelerators Podcast is a production of Photon Media, a division of Cold Light Legacy Company.

If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

“A Recent Article in the Red Journal”: A Rad Onc Policy Journal Club

“A Recent Article in the Red Journal”: A Rad Onc Policy Journal Club

For the first time ever, a lost episode has been found!

The Accelerators (Drs. Matt Spraker and Simul Parikh) recorded a "reaction" episode to a brief report published in December 2023 in the IJROBP shortly after it published.

The article demonstrates that freestanding departments have been slightly slower to implement hypofractionation for treatment of breast and prostate cancers that hospital-based departments. The authors argue that this burdens the healthcare system and propose ROCR as an incentive to drive increased use of these techniques.

In this episode, we discuss this article in detail and share our opinion that the authors examined this issue in a very disingenuous way.

Yet, if you holistically analyze this issue, the data does not support the author's argument.

Is the goal to help readers understand the complexities of our system or were data curated to support implementation of ROCR policy? You'll have to ask the authors. 

Here are some resources we feel are important complements to this episode:

The Accelerators Podcast is a production of Photon Media, a division of Cold Light Legacy Company.

If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

“Squatting Under the Table Feeding Them Answers”: In Conversation With Mike Yunes of the ABR

“Squatting Under the Table Feeding Them Answers”: In Conversation With Mike Yunes of the ABR

The Accelerators (Drs. Matt Spraker and Simul Parikh) host new Associate Executive Director for Radiation Oncology at The American Board of Radiology (ABR), Dr. Michael Yunes! 

Mike is a community radiation oncologist in Springfield, MA and long time volunteer for the ABR. The transition to his leadership comes after a turbulent period for the Rad Onc board. Communication around the 2018 score anomalies dragged trainee confidence in the ABR to new lows and, soon after, COVID forced the board to complete a rapid redesign of testing

More than 5 years later, there are exciting signals of change. The "Orals 2.0" platform seems very well received by examiners and examinees and the board has voted to ramp up the clinical relevance of the qualifying exams in Rad Onc.

Most importantly, Mike is all about transparency and communication. His door is always open, so we invited ourselves in and recorded a podcast. 

We discuss all things Initial Cert: the successful move to virtual oral boards, the written boards and clinical relevance, Angoff'ing, and "crisis management" and communication. 

We close the episode with Simul's lightning round.  Lobster, wine, informatics, 3D printing for benign radiotherapy, Mike's got hobbies!

We hope you enjoy what we hope is the first of many fruitful conversations. 

Physician training and evaluation is a topic near and dear to our hearts; here are some prior episodes from our group related to the ABR.

Here are some other resources discussed in the episode:

The Accelerators Podcast is a production of Photon Media, a division of Cold Light Legacy Company.

If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

MattPAC #2: Quality Payment Programs and Accreditation

MattPAC #2: Quality Payment Programs and Accreditation

Welcome to MattPAC*, a new Accelerators pilot concept!

Radiation Oncologist Dr. Matt Spraker aims to introduce important healthcare policy concepts rooted in current events. Each show is designed to be efficient with your time and inspire you to get engaged with advocacy in around 30 minutes. 

In MattPAC #1, Matt covers quality payment programs (QPP). QPPs aim to incentivize "High Quality Care" by adjusting a portion of physician's pay according to performance on quality indicators, measures of healthcare quality. 

We'll discuss the rich history of care quality improvement in radiation medicine and examine how Medicare has approached the QPP with Merit-based Incentive Payment System (MIPS). After, we examine practice accreditation, the QPP approach proposed in ASTRO's ROCR and close with a brainstorm of a better QPP. 

Here are some good resources for further reading on these topics:

The Accelerators Podcast is a production of Photon Media, a division of Cold Light Legacy Company.

*MattPAC is not a political action committee, it's just a cute name. If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

“I’m Gonna Put My Helmet on First”: On Lung Cancer Surgery With Brendon Stiles

“I’m Gonna Put My Helmet on First”: On Lung Cancer Surgery With Brendon Stiles

The Accelerators (Drs. Matt Spraker and Simul Parikh) host the lung cancer legend, Brendon Stiles, MD. He is a Professor of Oncology, Medicine, and Thoracic Surgery at Montfiore and Albert Einstein College of Medicine.

We discuss all things lung cancer: early stage, locally advanced, staging, quality, and more.

The episode is capped with Simul's Lighting Round. Good luck Brendon!

We hope you enjoy this #MedEd instant classic!

Here are (almost?) all the studies and materials we mentioned during the show:

The Accelerators Podcast is a production of Photon Media, a division of Cold Light Legacy Company.

If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

Bio of The Accelerators Podcast

"The Accelerators Podcast" is a specialized podcast series presented by The Accelerators, focusing on Oncology News and Views from Photon Media. 

This indicates that the podcast is likely tailored for individuals interested in the field of oncology, which involves the study and treatment of cancer.

The content of the podcast may include discussions, interviews, and updates related to various aspects of oncology, such as recent research findings, advancements in cancer treatment, insights from experts in the field, and possibly discussions on the broader healthcare landscape.

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