Episode 373 – RLR – A Sudden Problem, but where is it?

The Clinical Problem Solvers

https://clinicalproblemsolving.com/wp-content/uploads/2025/01/audio1588233744-2.mp3

38:05

In late 1972, U.S. Marine Captain Ron Forrester disappeared on a bombing run into North Vietnam. Back home in Texas, his family could only wait and hope. Audio subscribers to Texas Monthly can get early access to episodes of the series, plus exclusive interviews and audio. Visit texasmonthly.com/audio to join. Go to HelloFresh.com/FLIGHT10FM to get 10 Free Meals with a Free Item For Life.…

about a year ago 50:44

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Title – A Sudden Problem – but where is it?

Episode description

RR discuss a fascinating case of abrupt onset abdominal pain

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386 episodes

#Higher Education #Diagnosis #Clinical Reasoning #Clinical Problem Solving #Diagnostic Schema #Internal Medicine #Clinical Unkowns #Medicine #Science #Podcasting Education #Clinical Problem Solvers

Episode 373 – RLR – A Sudden Problem, but where is it?

The Clinical Problem Solvers

77 subscribers

published about a year ago

MP3•Episode home

https://clinicalproblemsolving.com/wp-content/uploads/2025/01/audio1588233744-2.mp3

Title – A Sudden Problem – but where is it?

Episode description

RR discuss a fascinating case of abrupt onset abdominal pain

Student discount

https://www.rlrcpsolvers.com/student-discounts/

IMG discount

Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan

386 episodes

#Higher Education #Diagnosis #Clinical Reasoning #Clinical Problem Solving #Diagnostic Schema #Internal Medicine #Clinical Unkowns #Medicine #Science #Podcasting Education #Clinical Problem Solvers

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Episode 394 – RLR – Rapid Response 38:53

17 hours ago38:53

38:53

https://clinicalproblemsolving.com/wp-content/uploads/2025/05/audio1727940939-1-1.mp3 Title – Rapid Response Episode description RR drop you into a rapid response Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan…

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Episode 393 – Spaced Learning Series – Hyperglycemia 35:29

5 days ago35:29

35:29

https://clinicalproblemsolving.com/wp-content/uploads/2025/05/5-1-SLS-RTP.mp3 Episode description: is a simple case of hyperglycemia hiding something sinister? Elena presents a rich teaching case on a common, but complex, chief complaint. Featuring: Valeria Roldan Jasdeep Bajwa Elena Storz Mukund Raguram Schemas Diabetes – Causes Hypokalemia Download CPSolvers App here RLRCPSOLVERS Click here to view the weekly episode recap email!…

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Episode 392: Antiracism in Medicine – Episode 27 – Racial and Gender Health Disparities in Youth Suicide: Part 2 49:02

12 days ago49:02

49:02

https://clinicalproblemsolving.com/wp-content/uploads/2025/04/Clinical-Problem-Solvers-Episode-391-Antiracism-in-Medicine-Episode-27-.mp3 CPSolvers: Anti-Racism in Medicine Series Episode 27 – Racial and Gender Health Disparities in Youth Suicide: Part 2 Show Notes by Asya Pitre April 25, 2025 Summary: In this second half of a two-part series, Dr. Tami Benton and Dr. Kevin Simon discuss racial and gender health disparities in youth suicide. They explore the impact of racism, trauma, and inequities in care, while emphasizing the need for culturally grounded, community-based prevention. The episode highlights the importance of policy advocacy, culturally responsive therapy, and practicing cultural humility in mental health care. Episode Learning Objectives After listening to this episode, learners will be able to: Identify barriers and facilitators to establishing care with a child and adolescent psychiatrist Explain the shifting visibility of racial and gender health disparities in the academic literature Describe the importance of cultural humility and racial concordance in health care Credits Written and produced by: Ashley Cooper, Sudarshan Krishnamurthy, and Team Host: Ashley Cooper Infographic and Audio Edits: Ashley Cooper Show Notes: Asya Pitre Guests: Dr. Tami Benton and Dr. Kevin Simon Speaker Biographies Dr. Tami Benton, MD , is the Frederick Allen Professor of Psychiatry at the University of Pennsylvania. She is the Psychiatrist-in-Chief and Chair of the Department of Child and Adolescent Psychiatry and Behavioral Sciences at the Children’s Hospital of Philadelphia (CHOP). She is the President of The American Association of Directors of Child and Adolescent Psychiatry (AADCAP) and the President of The American Academy of Child and Adolescent Psychiatry (AACAP). She served on the National Institute of Mental Health Advisory Council and the APA’s Council for Research. Dr. Benton mentors clinical and research physicians, fellows, and postdoctoral trainees. She was awarded the Society of Biological Psychiatry Humanitarian Award and the Community Outreach Award by the American Foundation for Suicide Prevention. Dr. Benton’s career has been dedicated to developing leadership for a diverse child psychiatry workforce. Her mission — preparing the next generation of diverse physician leaders in pediatric healthcare and mental health and creating partnerships between communities and academic centers — will be critical for eliminating disparities among minority populations. Dr. Kevin M. Simon, MD, MPH , is Boston’s inaugural Chief Behavioral Health Officer, appointed by Mayor Michelle Wu. He is a physician-scientist, health policy expert, inspirational teacher, and a gifted writer. Dr. Simon is a pediatric addiction medicine psychiatrist at Boston Children’s Hospital; an assistant professor in psychiatry at Harvard Medical School; a recent Commonwealth Fund fellow in health policy at Harvard University; and the medical director of Wayside Youth & Family Support Network. Clinically, he cares for youth and families through the Department of Psychiatry & Behavioral Sciences and the new Division of Addiction Medicine at Boston Children’s Hospital. Academically, he has won multiple awards for research on structural violence, health equity, and mental health. Additionally, he consults with federal agencies on mental health system design and practices. Dr. Simon’s writings on health equity are in notable journals like the American Journal of Public Health and the New England Journal of Medicine . National audiences regularly seek his perspectives on mental health through trusted outlets. Episode Takeaways Rising Suicide Rates Among Black and Indigenous Girls: In this episode of the Clinical Problem Solvers Anti-Racism in Medicine Podcast , host Ashley Cooper is joined by Dr. Tami Benton and Dr. Kevin Simon to continue the conversation on racial and gender health disparities in youth suicide. The episode opens with a discussion on the rising suicide rates among Black girls. Dr. Simon stresses the importance of educational efforts to dismantle biases and calls for greater research attention to this group. Dr. Benton emphasizes the role of intersecting psychosocial factors—poverty, racism, and trauma—that contribute to suicide risk among Black and Indigenous girls and how these early life experiences impact mental health in adulthood. Community-Based Prevention: The conversation then moves toward community-based prevention, with Dr. Simon advocating for trusted community networks to support youth mental health. He points out that historically, some community spaces have also been sources of harm, so intentional engagement and mental health education are essential. Dr. Benton’s presidential theme, as President of the American Academy of Child and Adolescent Psychiatry, “Bringing the Village to the Children,” underscores the importance of collective responsibility. She highlights promising initiatives like suicide prevention programs in African American churches and the American Foundation for Suicide Prevention-Soul Shop. Dr. Simon’s Role as Chief Behavioral Health Officer: Dr. Simon shares his work as Boston’s first Chief Behavioral Health Officer, prioritizing substance use treatment and uplifting Black and Indigenous communities. The episode also explores how digital tools can help youth manage their mental health, while also noting the need for culturally relevant care providers. Disparities in Restraint Practices: Disparities in restraint practices are addressed, particularly the disproportionate use of physical and pharmacologic restraints on Black people. Policy issues such as the need for enforcement of the Mental Health Parity and Equity Act (MHPAEA) are discussed, alongside practical clinical strategies to prevent youth suicide. These include population-specific adaptations of DBT, attachment-based family therapy, and increasing research on effective interventions for minority youth. A referenced meta-analysis questions the effectiveness of psychotherapy in communities with high levels of anti-Black racism, reinforcing the importance of environmental context in mental health outcomes. The Mental Health Parity and Addiction Equity Act (MHPAEA) and Youth Suicide Interventions: Racial socialization is offered as a protective intervention for youth facing racism-related trauma. Key Takeaways (Awareness, Access, and Cultural Humility): The conversation ends by emphasizing awareness of mental health warning signs in youth, advocating for broader access to care, and urging healthcare professionals to practice cultural humility. Disclosures The hosts and guests report no relevant financial disclosures. References 1. Benton TD , Boyd RC , Njoroge WF. Addressing the Global Crisis of Child and Adolescent Mental Health. JAMA Pediatr. 2021;175(11):1108–1110. doi:10.1001/jamapediatrics.2021.2479 2. Benton T, Njoroge WFM, Ng WYK. Sounding the Alarm for Children’s Mental Health During the COVID-19 Pandemic. JAMA Pediatr. 2022;176(4):e216295. doi:10.1001/jamapediatrics.2021.6295 3. Benton TD. Suicide and Suicidal Behaviors Among Minoritized Youth. Child and Adolescent Psychiatric Clinics of North America. 2022;31(2):211-221. doi:10.1016/j.chc.2022.01.002 4. Benton TD. A Culturally Informed Approach to Supporting Suicidal Minoritized Patients. Focus. 2023 Apr;21(2):166-7. 5. Brent DA, Goldstein TR, Benton TD. Bridging Gaps in Follow-up Appointments After Hospitalization and Youth Suicide: Mental Health Care Disparities Matter. JAMA Netw Open. 2020;3(8):e2013100. doi:10.1001/jamanetworkopen.2020.13100 6. Bridge JA, Asti L, Horowitz LM, et al. Suicide Trends Among Elementary School-Aged Children in the United States From 1993 to 2012. 2015;169(7):673-677. doi: 10.1001/jamapediatrics.2015.0465 7. Fontanella CA, Hiance-Steelesmith DL, Bridge JA, Lester N, Sweeney HA, Hurst M, Campo JV. Factors Associated With Timely Follow-Up Care After Psychiatric Hospitalization for Youths With Mood Disorders. Psychiatr Serv. 2016 Mar;67(3):324-31. doi: 10.1176/appi.ps.201500104. Epub 2015 Dec 1. PMID: 26620293. 8. Lindsey MA, Sheftall AH, Xiao Y, Joe S. Trends of Suicidal Behaviors Among High School Students in the United States: 1991–2017. Pediatrics . 2019;144(5):e20191187. doi: 10.1542/peds.2019-1187 9. Lindsey MA, Brown DR, Cunningham M. Boys do(n’t) cry: Addressing the unmet mental health needs of African American boys. American Journal of Orthopsychiatry . 2017;87:377-383. doi: 10.1037/ort0000198 10. Molock, Sherry Davis et al. “Developing suicide prevention programs for African American youth in African American churches.” Suicide & life-threatening behavior vol. 38,3 (2008): 323-33. doi:10.1521/suli.2008.38.3.323 11. Price JH, Khubchandani J. The Changing Characteristics of African-American Adolescent Suicides, 2001–2017. J Community Health . 2019;44(4):756-763. doi: 10.1007/s10900-019-00678-x 12. Price, Maggi A et al. “Meta-analysis: Are Psychotherapies Less Effective for Black Youth in Communities With Higher Levels of Anti-Black Racism?.” Journal of the American Academy of Child and Adolescent Psychiatry vol. 61,6 (2022): 754-763. doi:10.1016/j.jaac.2021.07.808 13. Sheftall AH, Vakil F, Ruch DA, Boyd RC, Lindsey MA, Bridge JA. Black Youth Suicide: Investigation of Current Trends and Precipitating Circumstances. Journal of the American Academy of Child & Adolescent Psychiatry . 2022;61(5):662-675. doi: 10.1016/j.jaac.2021.08.021 14. Sheftall AH, Miller AB. Setting a Ground Zero Research Agenda for Preventing Black Youth Suicide. 2021;175(9):890-892. doi: 10.1001/jamapediatrics.2021.1112 15. Simon KM. Daughters’ Keeper—The Care and Treatment of Black Girls in America. New England Journal of Medicine. 2022 Jun 2;386(22):2067-9. 16. Simon KM. Mitigating the Negative Mental Health Impact of Racism on Black Adolescents—A Preventive Perspective. JAMA Netw Open. 2023;6(11):e2340577. doi:10.1001/jamanetworkopen.2023.40577 17. Simon KM. Them and Me – The Care and Treatment of Black Boys in America. N Engl J Med. 2020 Nov 12;383(20):1904-1905. doi: 10.1056/NEJMp2022606. PMID: 33176082. 18. Congressional Black Caucus: Emergency Task Force on Black Youth Suicide and Mental Health. Ring the Alarm. The Crisis of Black Youth Suicide in America. U.S. Congress. Published December 17, 2019. Accessed 2024. https://watsoncoleman.house.gov/imo/media/doc/full_taskforce_report.pdf 19. American Foundation for Suicide Prevention. Soul Shop . https://afsp.org/soul-shop/ . Accessed 2025. Citation Benton T, Simon K, Cooper A, Krishnamurthy S, Calac A, Pitre A, Pierce G, Onuoha C, Watkins A, Khazanchi R. “Episode 27: Racial and Gender Health Disparities in Youth Suicide: Part 2” The Clinical Problem Solvers Podcast – Antiracism in Medicine Series. https://clinicalproblemsolving.com/antiracism-in-medicine/ . April 25, 2025. Show Transcript Download CPSolvers App here RLRCPSOLVERS…

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Episode 391: Clinical Unknown Series with Marcela Santana 59:24

12 days ago59:24

59:24

https://clinicalproblemsolving.com/wp-content/uploads/2025/04/CUS-Apr-24.wav In this episode, Noah and Marcela explored a compelling case presented by Debora, engaging in a thoughtful discussion. At the end, Mark shared the key teaching points from the case, inspiring us all to reflect and grow. Embark on this diagnostic journey with us! Download CPSolvers App here RLRCPSOLVERS…

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Episode 390: WDx #35: Demystifying Feedback 53:28

20 days ago53:28

53:28

Description: Dr. Julia Armendariz joins Kaylin, Sharmin, and Cheryl to discuss feedback. She shares why giving feedback is so critical as well as an approach to feedback and goal-setting with learners. She also debunks common myths, highlights potential pitfalls, and shares her strategies to create a positive team learning environment. Julia’s bio: Julia Armendariz, MD, is a hospitalist and clinician educator in the Bay Area who works closely with trainees on the wards and in the classroom. She is the co-director for the Medical Education Elective for the Stanford Internal Medicine Residency, where she shares her passion for Med Ed with Stanford junior and senior residents. Her special areas of interest within Med Ed are communication, specifically feedback, and the struggling learner. She is also a facilitator for a national CME course called MODEL (Maximizing Ongoing Development and Educational Leadership) within the Veteran’s Administration, where she delivers a feedback workshop for attending physicians. She is currently collaborating with faculty at Stanford and other academic programs for research projects, including resident perspectives on faculty feedback delivery, how to improve feedback skills for attending physicians, and how to coach feedback givers. Outside of medicine, Julia loves gardening, the ocean, and spending time with family and friends. https://clinicalproblemsolving.com/wp-content/uploads/2025/04/WDx-4.17.25-final.m4a Download CPSolvers App here RLRCPSOLVERS…

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Episode 389: Rafael Medina Subspecialty Series – Hypotension and Peaked T waves 1:19:20

26 days ago1:19:20

1:19:20

In this Nephrology episode, Dr.Samira Farouk discusses the nuances of AKI, why you should be trending Urine like you trend Troponin. Stay tuned to find out the final diagnosis! Session facilitator: Dr.Elena Storz Case Discussants: Dr.Douglas Farrell MD : Nephrology Fellow, Icahn School of Medicine at Mount Sinai Dr. Samira Farouk MD: Associate Professor of Medicine and medical Education, Associate Program Director of the Nephrology Fellowship Program, Icahn School of Medicine at Mount Sinai Case Presenter: Kuchal To join us live and present a case, check out our virtual morning report ! Download CPSolversApp here. RLRCPSOLVERS https://clinicalproblemsolving.com/wp-content/uploads/2025/04/SubspecialityVMR1_13_2025_Nephrology_3_10_25.mp3…

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Episode 388: Schema Episode – Bradycardia 32:08

5 weeks ago32:08

32:08

https://clinicalproblemsolving.com/wp-content/uploads/2025/04/Schema-Episode-April-3-2025.wav Maddy, Youssef and Andrew discuss a case presented by Noah and share their approach to bradycardia. View the bradycardia schema here. To join us live on Virtual Morning Report (VMR), sign up HERE . Download CPSolvers App here RLRCPSOLVERS…

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Episode 387 – RLR – Delayed Dysphagia 33:18

5 weeks ago33:18

33:18

https://clinicalproblemsolving.com/wp-content/uploads/2025/04/RLR-3.31.25-1.mp3 Episode description RR discusses a case of dysphagia Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan

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Episode 386: Neurology VMR – Confusion 59:42

6 weeks ago59:42

59:42

https://clinicalproblemsolving.com/wp-content/uploads/2025/03/Confusion-32825-11.01 PM.mp3 Episode description: We continue our campaign to #EndNeurophobia, with the help of Dr. Aaron Berkowitz. This time, Sebastian presents a case of confusion to Aye. Aye Chan Moe Thant ( @AyeThant94 ) Aye is a physician from Myanmar and now working as a clinical research team member at the Department of Neurology, Washington University in Saint Louis. Throughout her career in Myanmar, she worked closely and received training from her mentor neurologist, one of only three neurologists available for the whole upper Myanmar of 23 million population. Witnessing the challenges faced by the patients from underserved areas, she is dedicated to advancing health equity, research, and global neurology. Aye is also very passionate about medical education and has been deeply involved in Clinical Problem Solvers mainly in neurology with the mentor Dr. Aaron Berkowitz. She is going to apply for neurology residency and very excited about the journey ahead! Dr. Sebastian Green ( @sebfgreen ) Dr. Sebastian Green is a neurology resident at the University of California, Los Angeles (UCLA). He was born and raised in London, England. He has degrees in Medicine from the University of Bristol and Neuroscience from the University of Oxford. He has published on neuroimaging, memory, sleep, epilepsy, and more. He is passionate about medical education in neurology, and using EEG to answer big questions about the brain. Download CPSolvers App here RLRCPSOLVERS…

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Episode 385 – Spaced Learning Series – Organizing Thoughts Around Hemoptysis 47:25

6 weeks ago47:25

47:25

https://clinicalproblemsolving.com/wp-content/uploads/2025/03/3-20-2025-SLS_RTP.mp3 Episode description: Seyma presents a case of persistent cough and fatigue that ends up in an unexpected place. Featuring: Priyanka Athavale Anna Fretz Kirtan Patolia Seyma Yildirim Schemas: Syncope Pulmonary renal syndromes Download CPSolvers App here RLRCPSOLVERS Click here to view the weekly episode recap email!…

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Episode 384: Antiracism in Medicine – Episode 26 – Racial and Gender Health Disparities in Youth Suicide: Part 1 41:02

8 weeks ago41:02

41:02

https://clinicalproblemsolving.com/wp-content/uploads/2025/03/The-Clinical-Problem-Solvers-Episode-384-Antiracism-in-Medicine-–-Episode-26-–-Racial-and-Gender-Health-Disparities-in-Youth-Suicide-Part-1-Dr.-Tami-Benton-and-Dr.-Kevin-Simon.mp3 CPSolvers: Anti-Racism in Medicine Series Episode 26 – Racial and Gender Health Disparities in Youth Suicide: Part 1 Show Notes by Alec J. Calac March 14, 2025 Summary: In this first half of a two-part series, we discuss the growing rates of suicide amongst child and adolescent populations in the United States, with a focus on historically underserved groups. In particular, our guests, Dr. Tami Benton and Dr. Kevin Simon, elucidate the disturbing rises in suicidality—suicide attempts and suicidal ideation—and suicide fatality amongst Indigenous and Black youth. Drs. Benton and Simon recount the pervasive nature of the suicide crisis impacting Black and Indigenous youth and offer insights into how we may begin ameliorating these harrowing inequities. Episode Learning Objectives After listening to this episode, learners will be able to: Identify barriers and facilitators to establishing care with a child and adolescent psychiatrist Explain the shifting visibility of racial and gender health disparities in the academic literature Describe the importance of cultural humility and racial concordance in health care Credits Written and produced by: Ashley Cooper, Sudarshan Krishnamurthy, Asya Pitre, and Team Hosts: Ashley Cooper and Sudarshan Krishnamurthy Infographic and Audio Edits: Ashley Cooper Show Notes: Alec J. Calac Guest: Dr. Tami Benton and Dr. Kevin Simon Time Stamps 0:00 Opening and Guest Biographies 3:15 Personal Guest Introductions (Dr. Simon) 6:50 Personal Guest Introductions (Dr. Benton) 13:08 Youth Suicide Crisis Discussion, “Ringing the Alarm” 20:10 Shift in Issue Framing in the Literature 24:31 The Network Begins with Primary Care 28:42 Diversifying your Outreach 30:54 Cultural Humility Speaker Biographies Dr. Tami Benton, MD , is the Frederick Allen Professor of Psychiatry at the University of Pennsylvania. She is the Psychiatrist-in-Chief and Chair of the Department of Child and Adolescent Psychiatry and Behavioral Sciences at the Children’s Hospital of Philadelphia (CHOP). She is the President of The American Association of Directors of Child and Adolescent Psychiatry (AADCAP) and the President of The American Academy of Child and Adolescent Psychiatry (AACAP). She served on the National Institute of Mental Health Advisory Council and the APA’s Council for Research. Dr. Benton mentors clinical and research physicians, fellows, and postdoctoral trainees. She was awarded the Society of Biological Psychiatry Humanitarian Award and the Community Outreach Award by the American Foundation for Suicide Prevention. Dr. Benton’s career has been dedicated to developing leadership for a diverse child psychiatry workforce. Her mission — preparing the next generation of diverse physician leaders in pediatric healthcare and mental health and creating partnerships between communities and academic centers — will be critical for eliminating disparities among minority populations. Dr. Kevin M. Simon, MD, MPH , is Boston’s inaugural Chief Behavioral Health Officer, appointed by Mayor Michelle Wu. He is a physician-scientist, health policy expert, inspirational teacher, and a gifted writer. Dr. Simon is a pediatric addiction medicine psychiatrist at Boston Children’s Hospital; an assistant professor in psychiatry at Harvard Medical School; a recent Commonwealth Fund fellow in health policy at Harvard University; and the medical director of Wayside Youth & Family Support Network. Clinically, he cares for youth and families through the Department of Psychiatry & Behavioral Sciences and the new Division of Addiction Medicine at Boston Children’s Hospital. Academically, he has won multiple awards for research on structural violence, health equity, and mental health. Additionally, he consults with federal agencies on mental health system design and practices. Dr. Simon’s writings on health equity are in notable journals like the American Journal of Public Health and the New England Journal of Medicine . National audiences regularly seek his perspectives on mental health through trusted outlets. Episode Takeaways Community health centers play an important role in access to evidence-based psychiatric care rooted in community values. They are often the first interface for patients experiencing mental health crises, not academic medical centers. The youth suicide crisis is disproportionately shouldered by Indigenous and Black and African American communities. Historical challenges include inadequate data surveillance and reporting systems and “hidden” trends brought to the attention of academics by Dr. Jeffrey Bridge, a leading researcher at the Nationwide Children’s Hospital. Among these groups, youth suicide is particularly more prominent at younger ages when compared to other racial and ethnic groups. Groups experiencing severe morbidity and mortality–due to any psychiatric cause–often do not reflect the demographics of inpatient hospital censuses. Comprehensive mental health interventions are often beyond reach of those uninsured and underinsured. Resources are often directed to the largest group by number, not necessarily the group with the highest incidence and prevalence per capita. This can have devastating effects on public health and impede timely policy and program development. Literature has also shown that youth beneficiaries in Medicaid are not prioritized for mental health services when compar ed to other programs, which impedes continuity of care. There are a growing number of Child Psychiatric Access Programs, including one in Massachusetts, which provide quick access to psychiatric consultation and facilitates referrals for accessing ongoing behavioral health care. These programs recognize the increasing difficulties in having to first see a community-based primary care provider before seeing a specialized psychiatrist. Diversifying your mental health outreach goes hand in hand with diversifying your providers. This is directly related to the importance of cultural humility in mitigating health disparities among racial and gender minority youth, as well as literature highlighting the benefits of racial concordance between providers and patients. According to a 2019 study published by Price and Khubchandani, the suicide rate among Black girls increased by a striking 182% over the course of 2001 to 2017. Despite these increases there remains a paucity of literature addressing this critical disparity. Language plays an important role in obtaining a thorough mental health history. Youth are often not familiar with medical jargon on questionnaires and intake forms, which can work against important conversations and opportunities for shared decision-making. Large language models and artificial intelligence technologies are likely biased by the documentation we place in the electronic health record, which may reinforce youth health disparities. Disclosures The hosts and guests report no relevant financial disclosures. References Benton TD , Boyd RC , Njoroge WF. Addressing the Global Crisis of Child and Adolescent Mental Health. JAMA Pediatr. 2021;175(11):1108–1110. doi:10.1001/jamapediatrics.2021.2479 Benton T, Njoroge WFM, Ng WYK. Sounding the Alarm for Children’s Mental Health During the COVID-19 Pandemic. JAMA Pediatr. 2022;176(4):e216295. doi:10.1001/jamapediatrics.2021.6295 Benton TD. Suicide and Suicidal Behaviors Among Minoritized Youth. Child and Adolescent Psychiatric Clinics of North America. 2022;31(2):211-221. doi:10.1016/j.chc.2022.01.002 Benton TD. A Culturally Informed Approach to Supporting Suicidal Minoritized Patients. Focus. 2023 Apr;21(2):166-7. Brent DA, Goldstein TR, Benton TD. Bridging Gaps in Follow-up Appointments After Hospitalization and Youth Suicide: Mental Health Care Disparities Matter. JAMA Netw Open. 2020;3(8):e2013100. doi:10.1001/jamanetworkopen.2020.13100 Bridge JA, Asti L, Horowitz LM, et al. Suicide Trends Among Elementary School-Aged Children in the United States From 1993 to 2012. 2015;169(7):673-677. doi: 10.1001/jamapediatrics.2015.0465 Fontanella CA, Hiance-Steelesmith DL, Bridge JA, Lester N, Sweeney HA, Hurst M, Campo JV. Factors Associated With Timely Follow-Up Care After Psychiatric Hospitalization for Youths With Mood Disorders. Psychiatr Serv. 2016 Mar;67(3):324-31. doi: 10.1176/appi.ps.201500104. Epub 2015 Dec 1. PMID: 26620293. King, C. A., Brent, D., Grupp-Phelan, J., Shenoi, R., Page, K., Mahabee-Gittens, E. M., Chernick, L. S., Melzer-Lange, M., Rea, M., McGuire, T. C., Littlefield, A., & Casper, T. C. (2020). Five Profiles of Adolescents at Elevated Risk for Suicide Attempts: Differences in Mental Health Service Use. Journal of the American Academy of Child & Adolescent Psychiatry , 59 (9), 1058-1068.e5. https://doi.org/10.1016/j.jaac.2019.10.015 Lindsey MA, Sheftall AH, Xiao Y, Joe S. Trends of Suicidal Behaviors Among High School Students in the United States: 1991–2017. Pediatrics . 2019;144(5):e20191187. doi: 10.1542/peds.2019-1187 Lindsey MA, Brown DR, Cunningham M. Boys do(n’t) cry: Addressing the unmet mental health needs of African American boys. American Journal of Orthopsychiatry . 2017;87:377-383. doi: 10.1037/ort0000198 Price JH, Khubchandani J. The Changing Characteristics of African-American Adolescent Suicides, 2001–2017. J Community Health . 2019;44(4):756-763. doi: 10.1007/s10900-019-00678-x Sheftall AH, Vakil F, Ruch DA, Boyd RC, Lindsey MA, Bridge JA. Black Youth Suicide: Investigation of Current Trends and Precipitating Circumstances. Journal of the American Academy of Child & Adolescent Psychiatry . 2022;61(5):662-675. doi: 10.1016/j.jaac.2021.08.021 Sheftall AH, Miller AB. Setting a Ground Zero Research Agenda for Preventing Black Youth Suicide. 2021;175(9):890-892. doi: 10.1001/jamapediatrics.2021.1112 Simon KM. Daughters’ Keeper—The Care and Treatment of Black Girls in America. New England Journal of Medicine. 2022 Jun 2;386(22):2067-9. Simon KM. Mitigating the Negative Mental Health Impact of Racism on Black Adolescents—A Preventive Perspective. JAMA Netw Open. 2023;6(11):e2340577. doi:10.1001/jamanetworkopen.2023.40577 Simon KM. Them and Me – The Care and Treatment of Black Boys in America. N Engl J Med. 2020 Nov 12;383(20):1904-1905. doi: 10.1056/NEJMp2022606. PMID: 33176082. Congressional Black Caucus: Emergency Task Force on Black Youth Suicide and Mental Health. Ring the Alarm. The Crisis of Black Youth Suicide in America. U.S. Congress. Published December 17, 2019. Accessed 2024. https://watsoncoleman.house.gov/imo/media/doc/full_taskforce_report.pdf Citation Benton T, Simon K, Cooper A, Krishnamurthy S, Calac A, Pitre A, Pierce G, Essien UR, Fields NF, Lopez-Carmen V, Nolen L, Onuoha C, Watkins A, Williams J, Tsai J, Khazanchi R. “Episode 26: Racial and Gender Health Disparities in Youth Suicide: Part 1” The Clinical Problem Solvers Podcast – Antiracism in Medicine Series. https://clinicalproblemsolving.com/antiracism-in-medicine/ . March 14, 2025. Show Transcript Download CPSolvers App here RLRCPSOLVERS…

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Episode 383 – Clinical Unknown Series with Rabih Geha 1:00:38

8 weeks ago1:00:38

1:00:38

https://clinicalproblemsolving.com/wp-content/uploads/2025/03/CUS-March-13-2025-Post-1.wav Noah, Mark, and Debora received Rabih Geha for a fantastic case discussion in this episode. Embark on this diagnostic journey with us! Download CPSolvers App here RLRCPSOLVERS

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Special Episode 382 – Reza interviews Dr. Elmer Holzinger 52:15

8 weeks ago52:15

52:15

https://clinicalproblemsolving.com/wp-content/uploads/2025/03/Holzinger.mp3 Episode description Reza interviews his mentor and master clinician Dr. Elmer Holzinger

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Episode 381 – RLR – Distention – Why? 46:16

9 weeks ago46:16

46:16

https://clinicalproblemsolving.com/wp-content/uploads/2025/03/RLR-for-podcast-1.mp3 Title – Distention – why? Episode description RR discusses 2 cases of abdominal distention Student discount https://www.rlrcpsolvers.com/student-discounts/ IMG discount Use coupon code RLRIMG at check out https://rlrcpsolvers.com/annual-plan…

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Episode 380: Schema Episode – Neuropathy 30:10

11 weeks ago30:10