Mac Overmyer
Group collaboration: Three pillars support practice success
As the health care market matures, consolidation will occur throughout the system, including within medical groups, says Steven M. Berkowitz, MD.
Consultant: Push performance, be distinctive, use social media
As owner and president of Shift Happens, a Chicago-based consulting firm, James Feldman is not a physician. But he learned some valuable, if not difficult, lessons about practicing medicine from his physician father.
PAs address shortage, but their role can be controversial
There has been and remains a shortage of urologists in the United States that is expected to worsen, and experts inside and outside of urology generally agree that physician assistants (PAs) will be called upon increasingly to help shoulder the burden of a declining work force. The remaining question—and a frequently contentious one—is, what specific tasks should these men and women be allowed to carry out.
RARP checklist assesses, evaluates surgeon progress
A new checklist-based assessment tool could prove to be useful for surgeons learning robot-assisted radical prostatectomy.
Robotic kidney transplant continues to show benefits
An international team of surgeons from the U.S. and India continues to explore the potential of robotic kidney transplantation with regional hypothermia. The results of an IDEAL (Idea, Development, Exploration, Assessment, Long-term) phase IIb trial of the procedure support the promise seen in preceding trials.
Estradiol boosts libido in men receiving testosterone
A new study suggests that the role estrogen plays in influencing male libido may be more significant than previously thought. The findings carry implications for a variety of clinical situations, ranging from the use of testosterone replacement to boost flagging libido and androgen therapies in men with prostate cancer.
Gene set breaks high-grade bladder cancer into two subtypes
Researchers at the University of North Carolina School of Medicine, Chapel Hill, have identified a discrete set of genes that segregate high-grade bladder cancer into two distinct subtypes—basal-like and luminal—each of which appears to have its own molecular characteristics and outcome. The authors also found that the two subtypes share many of the characteristics seen in basal and luminal breast cancer subtypes, a discovery with clinical implications.
3-D mapping enhances accuracy of prostate biopsy
Three-dimensional mapping biopsy (3DMB) of the prostate provides a more accurate disease assessment and in doing so may allow more confident decision making when patients and their physicians are trying to resolve issues surrounding observation or more aggressive therapies, a study from the University of Colorado School of Medicine, Denver, suggests.
‘Obesity paradox’ appears to fit for men with renal cell carcinoma
A study from Memorial Sloan-Kettering Cancer Center, New York sheds light on the “obesity paradox” seen with renal cell carcinoma while at the same time demonstrating the emerging value of genomics in understanding cancer and other diseases.
PVP laser enabling BPH treatment for more patients
Laser photoselective vaporization prostatectomy is permitting surgical intervention for BPH in a widening array of patients, many of whom harbor comorbidities that would ordinarily exclude them from invasive procedures, according to a new multinational report.

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