Nelson Winkler's guest appearances

Nelson Winkler

Talking About Glaucoma (AAC)

Talking About Glaucoma (mp3)

ACHiEVE

Karim Damji

Gus DeMoraes

Suman Thapa

Josh Ehrlich

Steve Sarkisian

GEDDE Steve

Robert Schertzer

SIEGFRIED Carla

Richard Hom

Dale Heuer

Marcelo Nicolela

Joanie Connell

Nate Bailey

Jens Larsen

Andrea Wilson Woods

OwlTail

Sandra Nelson Winkler

[This is the .mp3 un-enhanced version of this podcast. The AAC .m4a version has chapter markers and artwork embedded in the podcast to enhance the experience on devices/apps that support this, which includes most podcasting apps on iOS and Android devices. It is the preferred version for experiencing this podcast.] In this episode, I talk with Nelson Winkler (a medical student at the time) and Cheryl Khanna (Glaucoma attending) at The Mayo Clinic, who analyzed the outcomes of their team based model for Glaucoma care. This physician- led model began in 2008 and has Ophthalmologists working together with Optometrists to deliver glaucoma care. With specific definitions for progression of the disease, patients are referred back to Ophthalmology at critical points or every two years if stable. This model was born out of necessity as they have just two glaucoma sub-specialists to care for a large patient population. It has allowed better allocation of resources so that patients who really need the glaucoma subspecialty care are not over-loaded with patients who are clearly stable.They looked at the outcomes of adherence to the American Academy of Ophthalmology's Preferred Practice Patterns for glaucoma care as their metric for success of their collaborative model.--------------------------------------------------Dr Winkler's contact information:Winkler.Nelson@mayo.eduMayo ClinicDept. of Ophthalmology200 First St SWRochester, MN 55905Dr Khanna's contact information:Mayo ClinicDept. of Ophthalmology200 First St SWRochester, MN 55905Khanna.Cheryl@mayo.eduPhone: 1-(507)-284-27871-(507)-284-2733http://www.mayoclinic.org/biographies/khanna-cheryl-l-m-d/bio-20055437Selected references:1. Moroi SE, Newman-Casey PA, Dougherty Wood S, Khanna CL The Glaucoma Specialist’s Extended Care Network A patient-centered model for the future. The Glaucoma Specialist’s Extended Care Network A patient-centered model for the future. Glaucoma Today. 2015 July/August; 13(4):35-39. 2. Ophthalmology AAO. Preferred Practice Pattern. Primary Open-Angle Glaucoma. 2010.3. Hertzog LH, Albrecht KG, LaBree L, Lee PP. Glaucoma care and conformance with preferred practice patterns. Examination of the private, community-based ophthalmologist. Ophthalmology 1996;103(7): 1009-13.4. Fremont AM, Lee PP, Mangione CM, Kapur K, Adams JL, Wickstrom SL, Escarce JJ. Patterns of care for open-angle glaucoma in managed care. Arch Ophthalmol 2003;121(6): 777-783.5. Boland MV, Quigley HA, Lehmann HP. The impact of physician subspecialty training, risk calculation, and patient age on treatment recommendations in ocular hypertension. Am J Ophthalmol 2011;152(4): 638-45 e1.6. Swamy L, Smith S, Radcliffe NM. Optic nerve complex imaging in glaucoma Medicare beneficiaries. Ophthalmic Epidemiol 2012;19(4): 249-55.7. Albrecht KG, Lee PP. Conformance with preferred practice patterns in caring for patients with glaucoma. Ophthalmology 1994;101(10): 1668-1671.8. Hicks NR. Some observations on attempts to measure appropriateness of care. BMJ 1994;309(6956): 730-3.9. Murdoch I, Johnston RL. Consultant clinical decision making in a glaucoma clinic. Eye (Lond) 2010;24(6): 1028-30.10. Vorwerk C, Thelen U, Buchholz P, Kimmich F. Treatment of glaucoma patients with insufficient intraocular pressure control: a survey of German ophthalmologists in private practice. Curr Med Res Opin 2008;24(5): 1295-301.--------------------------------------------------Production information:This episode was recorded live in March 2015 during the Annual Meeting of the American Glaucoma Society in Coronado, CA, using two Shure SM58 microphones with a Marantz PMD661 digital recorder. Mixing and sound levelling were performed in February 2016 on a MacBook Pro and MacPro using Levelator, Fission, and Garage Band. Narration was overdubbed using a Blue YETI Microphone and Garage Band.Opinions expressed in this podcast  are those of the speakers and are not intended to be taken as the standard of care for glaucoma treatment. Please always weigh the complete clinical picture and involve patients with any decisions in their care.--------------------------------------------------Robert M Schertzer, MD, MEd, FRCSCAssociate Clinical Professor of SurgeryDartmouth Medical School - OphthalmologyDartmouth Collegepodcast@iguy.orgTwitter - http://twitter.com/robschertzeror http://iguy.tv/twitterBlog -     http://wholelottarob.comor http://iguy.tv/blogAlthough I closed down the West Coast Glaucoma Center after moving to the east coast in the Fall of 2013, the website is still alive as a resource for eye information at http://westcoastglaucoma.comor http://iguy.tv/officeTheme music "Middle East Gold" ©Daniel Schertzer 2010 and published by Les Prods DOSWA Enr © 2016 DOSWA Prods Enr/Robert M Schertzer MD. MEd, FRCSC

[This is the .mp3 un-enhanced version of this podcast. The AAC .m4a version has chapter markers and artwork embedded in the podcast to enhance the experience on devices/apps that support this, which includes most podcasting apps on iOS and Android devices. It is the preferred version for experiencing this podcast.] In this episode, I talk with Nelson Winkler (a medical student at the time) and Cheryl Khanna (Glaucoma attending) at The Mayo Clinic, who analyzed the outcomes of their team based model for Glaucoma care. This physician- led model began in 2008 and has Ophthalmologists working together with Optometrists to deliver glaucoma care. With specific definitions for progression of the disease, patients are referred back to Ophthalmology at critical points or every two years if stable. This model was born out of necessity as they have just two glaucoma sub-specialists to care for a large patient population. It has allowed better allocation of resources so that patients who really need the glaucoma subspecialty care are not over-loaded with patients who are clearly stable.They looked at the outcomes of adherence to the American Academy of Ophthalmology's Preferred Practice Patterns for glaucoma care as their metric for success of their collaborative model.-------------------------------------------------- Dr Winkler's contact information: <a href="mailto:Winkler.Nelson@mayo.edu">Winkler.Nelson@mayo.edu</a> Mayo Clinic Dept. of Ophthalmology 200 First St SW Rochester, MN 55905Dr Khanna's contact information: Mayo Clinic Dept. of Ophthalmology 200 First St SW Rochester, MN 55905 <a href="mailto:Khanna.Cheryl@mayo.edu">Khanna.Cheryl@mayo.edu</a> Phone:  1-(507)-284-2787 1-(507)-284-2733 <a href="http://www.mayoclinic.org/biographies/khanna-cheryl-l-m-d/bio-20055437" rel="nofollow" target="_blank">http://www.mayoclinic.org/biographies/khanna-cheryl-l-m-d/bio-20055437</a>Selected references: 1. Moroi SE, Newman-Casey PA, Dougherty Wood S, Khanna CL The Glaucoma Specialist’s Extended Care Network A patient-centered model for the future. The Glaucoma Specialist’s Extended Care Network A patient-centered model for the future. Glaucoma Today. 2015 July/August; 13(4):35-39.  2. Ophthalmology AAO. Preferred Practice Pattern. Primary Open-Angle Glaucoma. 2010. 3. Hertzog LH, Albrecht KG, LaBree L, Lee PP. Glaucoma care and conformance with preferred practice patterns. Examination of the private, community-based ophthalmologist. Ophthalmology 1996;103(7): 1009-13. 4. Fremont AM, Lee PP, Mangione CM, Kapur K, Adams JL, Wickstrom SL, Escarce JJ. Patterns of care for open-angle glaucoma in managed care. Arch Ophthalmol 2003;121(6): 777-783. 5. Boland MV, Quigley HA, Lehmann HP. The impact of physician subspecialty training, risk calculation, and patient age on treatment recommendations in ocular hypertension. Am J Ophthalmol 2011;152(4): 638-45 e1. 6. Swamy L, Smith S, Radcliffe NM. Optic nerve complex imaging in glaucoma Medicare beneficiaries. Ophthalmic Epidemiol 2012;19(4): 249-55. 7. Albrecht KG, Lee PP. Conformance with preferred practice patterns in caring for patients with glaucoma. Ophthalmology 1994;101(10): 1668-1671. 8. Hicks NR. Some observations on attempts to measure appropriateness of care. BMJ 1994;309(6956): 730-3. 9. Murdoch I, Johnston RL. Consultant clinical decision making in a glaucoma clinic. Eye (Lond) 2010;24(6): 1028-30. 10. Vorwerk C, Thelen U, Buchholz P, Kimmich F. Treatment of glaucoma patients with insufficient intraocular pressure control: a survey of German ophthalmologists in private practice. Curr Med Res Opin 2008;24(5): 1295-301. -------------------------------------------------- Production information:This episode was recorded live in March 2015 during the Annual Meeting of the American Glaucoma Society in Coronado, CA, using two Shure SM58 microphones with a Marantz PMD661 digital recorder. Mixing and sound levelling were performed in February 2016 on a MacBook Pro and MacPro using Levelator, Fission, and Garage Band. Narration was overdubbed using a Blue YETI Microphone and Garage Band.Opinions expressed in this podcast  are those of the speakers and are not intended to be taken as the standard of care for glaucoma treatment. Please always weigh the complete clinical picture and involve patients with any decisions in their care. -------------------------------------------------- Robert M Schertzer, MD, MEd, FRCSC Associate Clinical Professor of Surgery Dartmouth Medical School - Ophthalmology Dartmouth College <a href="mailto:podcast@iguy.org">podcast@iguy.org</a>Twitter - <a href="http://twitter.com/robschertzer" rel="nofollow" target="_blank">http://twitter.com/robschertzer</a> or <a href="http://iguy.tv/twitter" rel="nofollow" target="_blank">http://iguy.tv/twitter</a> Blog -     <a href="http://wholelottarob.com" rel="nofollow" target="_blank">http://wholelottarob.com</a> or <a href="http://iguy.tv/blog" rel="nofollow" target="_blank">http://iguy.tv/blog</a>Although I closed down the West Coast Glaucoma Center after moving to the east coast in the Fall of 2013, the website is still alive as a resource for eye information at <a href="http://westcoastglaucoma.com" rel="nofollow" target="_blank">http://westcoastglaucoma.com</a> or <a href="http://iguy.tv/office" rel="nofollow" target="_blank">http://iguy.tv/office</a>Theme music "Middle East Gold" ©Daniel Schertzer 2010 and published by Les Prods DOSWA Enr © 2016 DOSWA Prods Enr/Robert M Schertzer MD. MEd, FRCSC

Ep 25 Talking About Glaucoma - 29Feb2016: Nelson Winkler & Cheryl Khanna Team Based Glaucoma Care (mp3 version)

In this episode, I talk with Nelson Winkler (a medical student at the time) and Cheryl Khanna (Glaucoma attending) at The Mayo Clinic, who analyzed the outcomes of their team based model for Glaucoma care. This physician- led model began in 2008 and has Ophthalmologists working together with Optometrists to deliver glaucoma care. With specific definitions for progression of the disease, patients are referred back to Ophthalmology at critical points or every two years if stable. This model was born out of necessity as they have just two glaucoma sub-specialists to care for a large patient population. It has allowed better allocation of resources so that patients who really need the glaucoma subspecialty care are not over-loaded with patients who are clearly stable.They looked at the outcomes of adherence to the American Academy of Ophthalmology's Preferred Practice Patterns for glaucoma care as their metric for success of their collaborative model.--------------------------------------------------Dr Winkler's contact information:Winkler.Nelson@mayo.eduMayo ClinicDept. of Ophthalmology200 First St SWRochester, MN 55905Dr Khanna's contact information:Mayo ClinicDept. of Ophthalmology200 First St SWRochester, MN 55905Khanna.Cheryl@mayo.eduPhone: 1-(507)-284-27871-(507)-284-2733http://www.mayoclinic.org/biographies/khanna-cheryl-l-m-d/bio-20055437Selected references:1. Moroi SE, Newman-Casey PA, Dougherty Wood S, Khanna CL The Glaucoma Specialist’s Extended Care Network A patient-centered model for the future. The Glaucoma Specialist’s Extended Care Network A patient-centered model for the future. Glaucoma Today. 2015 July/August; 13(4):35-39. 2. Ophthalmology AAO. Preferred Practice Pattern. Primary Open-Angle Glaucoma. 2010.3. Hertzog LH, Albrecht KG, LaBree L, Lee PP. Glaucoma care and conformance with preferred practice patterns. Examination of the private, community-based ophthalmologist. Ophthalmology 1996;103(7): 1009-13.4. Fremont AM, Lee PP, Mangione CM, Kapur K, Adams JL, Wickstrom SL, Escarce JJ. Patterns of care for open-angle glaucoma in managed care. Arch Ophthalmol 2003;121(6): 777-783.5. Boland MV, Quigley HA, Lehmann HP. The impact of physician subspecialty training, risk calculation, and patient age on treatment recommendations in ocular hypertension. Am J Ophthalmol 2011;152(4): 638-45 e1.6. Swamy L, Smith S, Radcliffe NM. Optic nerve complex imaging in glaucoma Medicare beneficiaries. Ophthalmic Epidemiol 2012;19(4): 249-55.7. Albrecht KG, Lee PP. Conformance with preferred practice patterns in caring for patients with glaucoma. Ophthalmology 1994;101(10): 1668-1671.8. Hicks NR. Some observations on attempts to measure appropriateness of care. BMJ 1994;309(6956): 730-3.9. Murdoch I, Johnston RL. Consultant clinical decision making in a glaucoma clinic. Eye (Lond) 2010;24(6): 1028-30.10. Vorwerk C, Thelen U, Buchholz P, Kimmich F. Treatment of glaucoma patients with insufficient intraocular pressure control: a survey of German ophthalmologists in private practice. Curr Med Res Opin 2008;24(5): 1295-301.--------------------------------------------------Production information:This episode was recorded live in March 2015 during the Annual Meeting of the American Glaucoma Society in Coronado, CA, using two Shure SM58 microphones with a Marantz PMD661 digital recorder. Mixing and sound levelling were performed in February 2016 on a MacBook Pro and MacPro using Levelator, Fission, and Garage Band. Narration was overdubbed using a Blue YETI Microphone and Garage Band.Opinions expressed in this podcast  are those of the speakers and are not intended to be taken as the standard of care for glaucoma treatment. Please always weigh the complete clinical picture and involve patients with any decisions in their care.--------------------------------------------------Robert M Schertzer, MD, MEd, FRCSCAssociate Clinical Professor of SurgeryDartmouth Medical School - OphthalmologyDartmouth Collegepodcast@iguy.orgTwitter - http://twitter.com/robschertzeror http://iguy.tv/twitterBlog -     http://wholelottarob.comor http://iguy.tv/blogAlthough I closed down the West Coast Glaucoma Center after moving to the east coast in the Fall of 2013, the website is still alive as a resource for eye information at http://westcoastglaucoma.comor http://iguy.tv/officeTheme music "Middle East Gold" ©Daniel Schertzer 2010 and published by Les Prods DOSWA Enr © 2016 DOSWA Prods Enr/Robert M Schertzer MD. MEd, FRCSC

In this episode, I talk with Nelson Winkler (a medical student at the time) and Cheryl Khanna (Glaucoma attending) at The Mayo Clinic, who analyzed the outcomes of their team based model for Glaucoma care. This physician- led model began in 2008 and has Ophthalmologists working together with Optometrists to deliver glaucoma care. With specific definitions for progression of the disease, patients are referred back to Ophthalmology at critical points or every two years if stable. This model was born out of necessity as they have just two glaucoma sub-specialists to care for a large patient population. It has allowed better allocation of resources so that patients who really need the glaucoma subspecialty care are not over-loaded with patients who are clearly stable.They looked at the outcomes of adherence to the American Academy of Ophthalmology's Preferred Practice Patterns for glaucoma care as their metric for success of their collaborative model.-------------------------------------------------- Dr Winkler's contact information: <a href="mailto:Winkler.Nelson@mayo.edu">Winkler.Nelson@mayo.edu</a> Mayo Clinic Dept. of Ophthalmology 200 First St SW Rochester, MN 55905Dr Khanna's contact information: Mayo Clinic Dept. of Ophthalmology 200 First St SW Rochester, MN 55905 <a href="mailto:Khanna.Cheryl@mayo.edu">Khanna.Cheryl@mayo.edu</a> Phone:  1-(507)-284-2787 1-(507)-284-2733 <a href="http://www.mayoclinic.org/biographies/khanna-cheryl-l-m-d/bio-20055437" rel="nofollow" target="_blank">http://www.mayoclinic.org/biographies/khanna-cheryl-l-m-d/bio-20055437</a>Selected references: 1. Moroi SE, Newman-Casey PA, Dougherty Wood S, Khanna CL The Glaucoma Specialist’s Extended Care Network A patient-centered model for the future. The Glaucoma Specialist’s Extended Care Network A patient-centered model for the future. Glaucoma Today. 2015 July/August; 13(4):35-39.  2. Ophthalmology AAO. Preferred Practice Pattern. Primary Open-Angle Glaucoma. 2010. 3. Hertzog LH, Albrecht KG, LaBree L, Lee PP. Glaucoma care and conformance with preferred practice patterns. Examination of the private, community-based ophthalmologist. Ophthalmology 1996;103(7): 1009-13. 4. Fremont AM, Lee PP, Mangione CM, Kapur K, Adams JL, Wickstrom SL, Escarce JJ. Patterns of care for open-angle glaucoma in managed care. Arch Ophthalmol 2003;121(6): 777-783. 5. Boland MV, Quigley HA, Lehmann HP. The impact of physician subspecialty training, risk calculation, and patient age on treatment recommendations in ocular hypertension. Am J Ophthalmol 2011;152(4): 638-45 e1. 6. Swamy L, Smith S, Radcliffe NM. Optic nerve complex imaging in glaucoma Medicare beneficiaries. Ophthalmic Epidemiol 2012;19(4): 249-55. 7. Albrecht KG, Lee PP. Conformance with preferred practice patterns in caring for patients with glaucoma. Ophthalmology 1994;101(10): 1668-1671. 8. Hicks NR. Some observations on attempts to measure appropriateness of care. BMJ 1994;309(6956): 730-3. 9. Murdoch I, Johnston RL. Consultant clinical decision making in a glaucoma clinic. Eye (Lond) 2010;24(6): 1028-30. 10. Vorwerk C, Thelen U, Buchholz P, Kimmich F. Treatment of glaucoma patients with insufficient intraocular pressure control: a survey of German ophthalmologists in private practice. Curr Med Res Opin 2008;24(5): 1295-301. -------------------------------------------------- Production information:This episode was recorded live in March 2015 during the Annual Meeting of the American Glaucoma Society in Coronado, CA, using two Shure SM58 microphones with a Marantz PMD661 digital recorder. Mixing and sound levelling were performed in February 2016 on a MacBook Pro and MacPro using Levelator, Fission, and Garage Band. Narration was overdubbed using a Blue YETI Microphone and Garage Band.Opinions expressed in this podcast  are those of the speakers and are not intended to be taken as the standard of care for glaucoma treatment. Please always weigh the complete clinical picture and involve patients with any decisions in their care. -------------------------------------------------- Robert M Schertzer, MD, MEd, FRCSC Associate Clinical Professor of Surgery Dartmouth Medical School - Ophthalmology Dartmouth College <a href="mailto:podcast@iguy.org">podcast@iguy.org</a>Twitter - <a href="http://twitter.com/robschertzer" rel="nofollow" target="_blank">http://twitter.com/robschertzer</a> or <a href="http://iguy.tv/twitter" rel="nofollow" target="_blank">http://iguy.tv/twitter</a> Blog -     <a href="http://wholelottarob.com" rel="nofollow" target="_blank">http://wholelottarob.com</a> or <a href="http://iguy.tv/blog" rel="nofollow" target="_blank">http://iguy.tv/blog</a>Although I closed down the West Coast Glaucoma Center after moving to the east coast in the Fall of 2013, the website is still alive as a resource for eye information at <a href="http://westcoastglaucoma.com" rel="nofollow" target="_blank">http://westcoastglaucoma.com</a> or <a href="http://iguy.tv/office" rel="nofollow" target="_blank">http://iguy.tv/office</a>Theme music "Middle East Gold" ©Daniel Schertzer 2010 and published by Les Prods DOSWA Enr © 2016 DOSWA Prods Enr/Robert M Schertzer MD. MEd, FRCSC

Ep 25 Talking About Glaucoma - 29Feb2016: Nelson Winkler & Cheryl Khanna Team Based Glaucoma Care (AAC Enhanced)