ACR on Air Podcast
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ACR on Air seeks to have informative conversations rheumatology professionals want to hear – ranging in topic from trends in clinical practice, to issues affecting rheumatology professionals, and the changing landscape of the rheumatology field. Tune in bi-weekly for new interviews and commentary that are sure to empower listeners to excel in their specialty.
Podcast Host
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Our host, Jonathan Hausmann, MD, is a pediatric and adult rheumatologist at Massachusetts General Hospital and Boston Children’s Hospital. He is also an Assistant Professor of Medicine at Harvard Medical School. His research interests include autoinflammatory diseases, health technology, and medical education. Connect with Dr. Hausmann on Twitter (@hausmannMD).
Episodes
New episodes will be available twice a month on Tuesdays.
Episode 94 – Caring for Older Adults in Rheumatology
Episode 93 – How to Become a Physician-Writer
Episode 92 – The Year Ahead for ACR & ARP
Episode 91 – Deficiency of Adenosine Deaminase 2 (DADA2)
Episode 90 – Campaigning for Rheumatology in An Election Year Legislative & Policy Update
Browse previous episodes in the ACR on Air archive.
Episode Show Notes
In this episode, we explore the unique challenges and considerations in treating older adults, focusing on the need for a different approach to care due to polypharmacy and multimorbidity. We delve into the complexities of managing these patients, emphasizing the importance of understanding frailty—how to assess, prevent, and address it. The discussion also covers late-onset rheumatoid arthritis, its distinction from rheumatoid arthritis, and why it often goes underdiagnosed and undertreated. We introduce the 5M’s framework; a geriatric care model that helps clinicians focus on what truly matters to older adults. Additionally, we address the role of palliative care in rheumatology, highlighting its importance beyond end-of-life care, and provide guidance on shared decision-making with older adults and their families to ensure patient-centered outcomes.
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Namrata Singh, MD, MSCI, FACP – Namrata Singh, MD, MSCI, FACP, is a board-certified adult rheumatologist in the Division of Rheumatology at the University of Washington. Before moving to Washington, she was a faculty at the University of Iowa where she completed her Master of Science in Clinical Investigation. Dr. Singh is an "onco-geri-rheumatologist" with her research focusing on the care of patients, especially older adults, with rheumatic diseases who develop cancer or those with cancer who develop complications of cancer therapies. She is currently funded by the NIAMS K23 and the GEMSSTAR award from the NIA to build an evidence base for this patient population. Besides working on her projects, she enjoys mentoring the next generation of physicians.
Related Links:
- Advancing Rheumatologic Care in Older Adults: Highlights from the 2024 American Geriatrics Society Annual Scientific Meeting
- Frailty integration in medical specialties: Current evidence and suggested strategies from the Clin-STAR frailty interest group
- Understanding the multiple dimensions of ageing: 5Ms for the rheumatologist
- Frailty and rheumatic diseases: evidence to date and lessons learned
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If you're a healthcare provider or a storytelling enthusiast, you'll enjoy this episode featuring Jason Liebowitz, MD, FACR. A practicing rheumatologist and accomplished writer, Dr. Liebowitz discusses his journey toward becoming a physician-writer, how writing helps him process his experiences, and the art of storytelling in medicine, especially for a wider audience in today’s complex healthcare landscape.
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Jason Liebowitz, MD, FACR – Jason Liebowitz, MD, FACR, is an Assistant Professor of Medicine in the Division of Rheumatology and Clinical Immunology at Columbia University Vagelos College of Physicians and Surgeons. He completed his rheumatology fellowship at Johns Hopkins Hospital and was nominated for the 2019 Distinguished Fellow Award from the American College of Rheumatology. His research and writings have been published in The New England Journal of Medicine, JAMA, JAMA Internal Medicine, Arthritis Care & Research, and The Journal of Graduate Medical Education, among other journals. He participated in fellowships with the American Federation for Aging Research (Medical Student Training in Aging Research), the American Austrian Foundation (Max Kade Clinical Clerkship in Vienna, Austria), and the Fellowships at Auschwitz for the Study of Professional Ethics (through Yale School of Medicine).
Dr. Liebowitz is a co-editor of the textbooks Clinical Innovation in Rheumatology: Past, Present, and Future and Masterclass in Medicine: Lessons from the Experts and he is a co-editor of the textbook series Interdisciplinary Rheumatology. He is also a staff writer for The Rheumatologist, a periodical that reaches over 10,000 readers.
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In this episode, we get an in-depth look at the collaborative efforts driving the ACR and ARP with our guests, ACR President Carol A. Langford, MD, MHS, and ARP President Adam Goode, PhD, PT, DPT. Drs. Langford and Goode share with us their journeys into leadership, key initiatives for this year, and their vision for advancing the field of rheumatology. We’ll also discuss workforce shortages, technological advancements affecting our field, and fostering a more inclusive community.
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Carol A. Langford, MD, MHS – Carol A. Langford, MD, MHS, received her MD at the University of California, Los Angeles in 1987 and trained in internal medicine at the University of Michigan from 1987–1990. She was a fellow in rheumatology at Duke University from 1990–1994, where she also received a Masters in Health Sciences in 1995. From 1994–2004, Dr. Langford was a senior investigator within the Immunologic Diseases Section of the National Institute of Allergy and Infectious Diseases at the National Institutes of Health, where her research focused on vasculitis.
Dr. Langford is director of the Center for Vasculitis Care and Research within the Department of Rheumatic and Immunologic Diseases at the Cleveland Clinic where she is also a professor of Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, and the Harold C. Schott endowed chair in Rheumatic and Immunologic Diseases.
At Cleveland Clinic, Dr. Langford’s work has continued to focus on patient care, education, and research in vasculitis. Her main research focus has been in the investigation of novel therapies in vasculitis where she has served as principal investigator for randomized trials in granulomatosis with polyangiitis, giant cell arteritis, and Takayasu arteritis.
Dr. Langford is a member of the Editor team for Harrison’s Principles of Internal Medicine, 22nd Edition.
Throughout her career, Dr. Langford has been actively involved with the ACR. She was clinical abstract chair for the annual meeting and was part of the ACR team involved in developing tools directed toward Maintenance of Certification that sought to advance the educational goals of rheumatologists. From 2000–2005, she was Associate Editor for Arthritis & Rheumatology. She has served as Chair of the Committee on Education, co-Chair of the Membership and Awards Committee, and as a member of the ACR Board of Directors. Dr. Langford joined the ACR Executive Committee in November 2021 as Treasurer of the ACR and Rheumatology Research Foundation, leading to her becoming President of the ACR in November 2024.
Dr. Langford has been a proud resident of Cleveland, Ohio for the past 20 years where she lives with her husband Dr. Matthew Bunyard, who is also a rheumatologist.
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Adam Goode, PhD, PT, DPT – Adam Goode, PhD, PT, DPT, completed his Doctor of Physical Therapy from Duke University in 2005 and PhD in Epidemiology from the University of North Carolina Chapel Hill in 2011. He joined Duke University School of Medicine as a faculty member in 2005.
Currently a Professor in the Department of Orthopedic Surgery and Department of Population Health Sciences at Duke University, Dr. Goode also serves as the Vice Chair of Clinical Research for the Department of Orthopedic Surgery and an Associate Director of the Duke Clinical Research Institute Fellowship Program. Since 2016, the NIH has continuously funded his research on musculoskeletal pain mechanisms.
He is currently serving on the ARP Executive Committee as President, ACR Executive Committee and ACR Board of Directors as an Invited Guest and is Co-Chair of the Joint Membership and Awards Committee.
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Pui Y. Lee, MD, PhD, a pediatric rheumatologist, leading researcher and clinician, joins us today to lend his insights on deficiency of adenosine deaminase 2 (DADA2). What is this disease and how common is it? What is the underlying pathophysiology, the role of genetic screening and the most useful diagnostic tools? We’ll also cover treatment options for DADA2, the prognosis most patients face, plus the future of research for this condition.
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Pui Y. Lee, MD, PhD – Pui Y. Lee, MD, PhD, is a physician scientist at Boston Children’s Hospital and an Assistant Professor of Pediatrics at Harvard Medical School. He received his MD and PhD degrees at the University of Florida College of Medicine. He completed residency in pediatrics and fellowship in pediatric rheumatology at Boston Children’s Hospital. He is currently an attending pediatric rheumatologist at Boston Children’s and has clinic once a month at UMass Memorial Medical Center. Dr. Lee’s lab works on the biology of systemic juvenile idiopathic arthritis and autoinflammatory diseases in children.
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As 2024 ends, the ACR’s Government Affairs Committee looks ahead to the 119th Congress to address key issues in rheumatology. For our second annual legislative and policy update, we’re joined by Lennie McDaniel, JD, head of ACR’s Washington, D.C. office, and Christina Downey, MD, RhMSUS, FACR, and Chair of the Government Affairs Committee, to share insights from their ACR Convergence 2024 session. Topics include Medicare cuts, physician payments, pharmacy benefit managers (PBMs), telemedicine reimbursement changes, and how you can advocate for better outcomes with the ACR.
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Lennie McDaniel, JD – Lennie Shewmaker McDaniel, JD, is the head of the ACR's Washington, D.C. office and Director, Congressional Affairs. Her political and public policy experience includes roles as legislative staff managing healthcare for a member of the House majority leadership, representing a portfolio of healthcare organization clients for a private government relations firm, managing a PAC representing over 60 members of Congress, and serving on the finance and policy teams of multiple political campaigns. She is a member of the State Bar of Georgia and holds a degree in Political Science and Writing from Birmingham-Southern College and a Jurist Doctorate from the University of Georgia School of Law.
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Christina Downey, MD, RhMSUS, FACR – Christina Downey, MD, RhMSUS, FACR, is an Associate Professor of Medicine, Rheumatology and Division Director at Loma Linda University Medical Center. Dr. Downey is also the Chair of the ACR’s Government Affairs Committee and the ACR’s Young Physician Representative to the AMA.
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