Lab Medicine Rounds

In this episode of “Lab Medicine Rounds,” host Justin Kreuter, M.D., along with the Lab Medicine Rounds podcast team share their experience on starting an educational podcast and reflecting on past episodes.

Timestamps
00:00 Introduction
01:02 Rick: How did the podcast start up? What was the genesis, how did this all start?
03:05 Dr. Kreuter: How does this work around the podcast all come together? And what’s most surprising about it?
07:03 Rick to Dr. Kreuter: From your standpoint, what do you have to do to prepare for a podcast?
08:48 Rick: What was the overall goal or mission statement of the podcast when you started?
11:14 Rick: What are your takeaways, funny things, things that Dr. Kreuter does that annoys you, or what do you look forward to?
14:02 Dr. Kreuter to Rick: Can you share some of the pointers you give to presenters before we begin recording?
18:15 Rick: What do you think is different from when we started, the first one we did here in this studio, to the 99th one we just finished?
21:18 Rick to Dr. Kreuter: What does the future of the Lab Medicine Rounds podcast hold?
23:57 Outro

What is Lab Medicine Rounds?

A Mayo Clinic podcast for laboratory professionals, physicians, and students, hosted by Justin Kreuter, M.D., assistant professor of laboratory medicine and pathology at Mayo Clinic, featuring educational topics and insightful takeaways to apply in your practice.

- This is Lab Medicine
Rounds, a curated podcast

for physicians, laboratory
professionals, and students.

Today we're recording
a very special episode

to celebrate our 100th episode
here at Lab Medicine Rounds.

We're rounding with the full
podcast production team,

which includes myself as
your host, Justin Kreuter,

the Bow Tie Bandit

of Blood, Transfusion Medicine pathologist

and Assistant Professor of
Laboratory Medicine and Pathology,

Rick Andresen, producer

and director, Melissa Peterson,

MBA, Senior education
specialist, and Heidi Zunker, MS,

And education program manager

all here at Mayo Clinic
in Rochester, Minnesota,

to share their experience,

these behind the scenes stories
on starting this educational

podcast and reflecting on past episodes.

It's exciting that it's
our hundredth episode.

I think we should start
it off by finding out

how did the podcast start out?

So why don't you guys
tell us what was the kind

of genesis, how did this all start?

- So it really birthed
from a needs assessment

that we sent out to clients
of Mayo Clinical Laboratories.

And we found out that people
wanted on-demand content,

but, like shorter amounts of it.

And we had never done a podcast before.

So we thought, you know, this
might be a great medium for us

to try in terms of providing
education to our clients.

And we were told that in order
to make a podcast happen,

you need a good host.

And so right away, Melissa
and I were talking,

and this is back when we
were still in the office

and we're just like, Dr.

Kreuter, like it has to be.

So we reached out to him
and thankfully he agreed,

and the rest is history. So yeah,

- We're very grateful that
you jumped on board so quickly

too, by the way, because when we were kind

of doing our research

and meeting with other departments

of education throughout Mayo
who have done some podcasting,

we were trying to get benchmarks

and, you know, see what we needed to do.

So hosting from, I think we
even met with Rick a couple

of times ahead of time
being like, you know,

you've recorded some of these,

like, what do we need to know?

And from there we were
able to just kind of

piece it together.

- Wow. I'm super glad that
you guys had that kind

of needs assessment came out that way.

I think, I'm trying to think
back about what year that was

because you know, I think,
you know, we kind of knew

what podcasting was.

Rick, you were recording some,
I was certainly listening

to some podcasts at the time.

And yeah, when the ask came
together, then the opportunity

to hang out with you two was super cool.

'cause maybe what our
audience doesn't understand is

that I've, I've been have the
privilege of hanging out and,

and working with Melissa

and Heidi for several years
about education projects.

Their, their, their hearts also
beat for medical education.

So I was, I was super
thrilled how this kind

of came together, which
then kind of makes us kind

of talk about like, how does this work

around the podcast all,
all come together and,

and kind of what's most
surprising about it.

Maybe we can kinda tell that
story for our audience, kind

of put things front and center.

Heidi, you wanna start us off?

- Sure. Typically the
process for us is kind of,

we meet once a month with Dr.

Kreuter and brainstorm different topics.

Maybe there's trending things
happening at Mayo Clinic

or in the world, and we really
wanna cover those topics.

So then from there, Dr.

Kreuter takes it and
invites the consultants

or the guests to the podcast.

And I think the most
surprising thing for me is

how much time it does
take from start to finish

to complete the whole process. So

- Yeah, I would say regarding
the scheduling, it was,

I mean, I've scheduled things
on consultant's, calendars

and stuff before, but man, some

of your guys' calendars are insane.

So it, it's really difficult
to try to find a time

that works for you, for the
guest, that Rick is available

to do the recording

so he can get the editing and things done.

So I mean, I think that

for me has been really like eye-opening

and just having, you know,
our questions for the speakers

and the guest speakers laid out, kind

of giving everybody a chance to him

and haw over it ahead of
time, which is really nice.

But then sometimes I think people are just

so off the cuff sometimes
it, it just comes out

so conversational and so fluid

and I'm like, this was amazing.

I couldn't do that.

- And my, my job actually doesn't
start until the recording.

So, and then after, so basically
once the recording is done,

I take it and then I take it back in,

in the professional terms, I clean it up

and basically all that really
involves is taking out ums

and ahs and pauses.

And sometimes our guests will misspeak

or the.y'll start a sentence
and change in the middle of it.

So I'll, I'll clean it all up.

I add music, I add our mid-roll,
and then I send it back.

Usually that takes anywhere
between a week or so.

And then I'll send it
back to Heidi and Melissa

and then they can review it

and then it's up to them to post it.

- Yeah. So from there we take those files

and we get closed captioning for YouTube.

We post them both to
transistor and YouTube

and make sure everything's
published on Mayo Clinic

Lab's website as well.

So,

- And the social media.

- Yes. Yep.

We do create little promo ads so

that we can promote the
podcast on social media.

And Dr. Kreuter has a great Twitter

following, as you all know.

So

- It's been kind of cool to
see how that's been growing.

Right. In the sense

that this podcast originally
truly was a podcast.

Actually nobody saw us. Yeah.

What the audience doesn't know
is this is actually our first

time being here in the studio

where this was actually birthed.

Right. And,

and we were always just
recording audio only I was,

you know, very much looking at notes and,

and looking at the people
we're interviewing.

But then, then with Covid we
really kind of transitioned to,

to virtual, which then kind

of opened up the opportunity
since we had video

to get on YouTube.

Right. Which kind of,
you know, I guess, did

that change anybody's work process?

No. Whenever
we do a recording,

I record the audio and video together

and then basically I'll make two files.

I'll make an audio file only,

and then I'll make a video
file as well for Heidi

and Melissa to post on online. So

- You always did that?

Always.

- I Didn't realize that I always did that.

Only because some of my
other customers here at Mayo

who do podcasts take the video part of it

to use for promotion.

So they'll take a clip of the video

and they'll have a little clip

of an expert talking about something

and they'll use that to promote it.

And they'll put that on Instagram

or they'll put that on LinkedIn

or they'll put it somewhere

so they can get more eyeballs on it.

Sure. Yeah. So now from your
standpoint, what do you have

to do to prepare for
one of their podcasts?

Yeah, it is a great question.

One that's changed in the very beginning.

I remember we'd invite experts

and so since we were
inviting an expert in a lot

of times was, you know, kind of, we'd love

to have you on your podcast.

Like what are some,
some, you know, questions

that I could ask you, you know,
kind of deferring to their

expertise of course.

And I think those first couple asks,

of course we had people accept,

but there was a lot more
work it seemed like,

because, you know, number
one, you're asking them

to do some work to put
together the questions.

And then, you know, sometimes
people don't actually

post maybe the best questions

or ones that kind of lead to a story.

Or even just thinking about our audience

particularly, right?

So physicians, laboratory
professionals and students.

Sometimes we would have to
kind of tweak those questions

so there'd be back and forth.

And after doing that, in the
beginning, I sort of came

to appreciate, let me just try and,

and then I started where I
would actually invite somebody

to the podcast and I would
just propose four questions.

And I would say, Hey, here's
a draft, feel free to edit.

And I have to say that
probably 99% of people

just say, those are great, right?

Let's, let's go. And, and every now

and then you get people
that actually do wanna tweak

and something that works great.

But that seriously, I think
has cut down on, I think,

at least for me, the amount

of work I do going into
it in the beginning.

And then also I think from
the getting somebody to commit

and accept the invitation, I
feel like we get a little bit

of a higher success rate.

And so with all these kinds
of, the learning process

of us kind of starting from scratch,

really not knowing much about
podcasts than that, kind of,

let's take a step back

and think about what was the overall goal?

What was kind of the,
the mission statement

of the podcast when we, when we started?

- Yeah. So I remember brainstorming this.

Do you remember that meeting
Dr. Kreuter? We sat in a room.

- I remember the room.
I remember the table.

Yeah, I think we had a whiteboard.

- Yes. And we were just like
throwing ideas out there.

And we landed on connecting lab medicine

with the clinical practice
through insightful conversations

or educational conversations.

So, and really I would say

another huge goal is every episode Dr.

Kreuter does such an awesome
job of, of reaching each one

of those target audiences.

So laboratory professionals,
physicians and students.

And he always has like great takeaways.

And so it's, yeah, that's kind of,

yeah, the goal. And I will

- Say, I mean, coming from like Heidi

and my perspective, we don't
have the laboratory background.

You know, we have more

of like the business
professional side of things.

So being in those meetings with you

and just the way you draft those questions

and the way you ask people things,

I think it's really easy to follow

and understand even for someone like me

who doesn't have the background,
the medical background.

So, I mean, a lot of times the
information is over my head,

but a lot of times I
actually, I'm like, oh, okay,

I understand this better
now than what I did before.

- I have to say actually for
all three of you, I think

that it's the ultimate compliment.

Like when we finished doing a recording

and you guys are like, wow,
that was really great.

Right? Because then I, I know that, right?

We've, you know, with your
experience Rick, in, in listening

to so many podcasts and you know, Melissa

and Heidi, from your
experience in understanding

medical education, what seems
to resonate with people,

it's kind of like the
ultimate compliment of okay,

we've told a good story and
and packaged it up well.

Right, right. And for me it's
always, at least the ones

that have the greatest impact
are the ones for students.

Because you could tell
they're at the beginning

of their career and
you're giving them advice

or telling them, here's things

that these other people
have done in their careers.

And I always feel like
that those mean the most

because you're basically
helping the future generation

of physicians.

So we've done a hundred
episodes, that's a lot

to be together for four years or

however many years we've been together.

So what are your guys like,
takeaways, funny things,

things that Dr.

Kreuter does that annoys you

or that we always look forward to?

- Well, I know, 'cause we've
talked about this before.

So Rick, why don't you start with yours?

- So, because I have to edit these

and I basically sit

through the whole
recording the first time,

and then I sit through it again

as I go in and re-edit everything.

There are certain phrases that Dr.

Kreuter likes to use that keep coming up,

and I always get a
little chuckle with them.

The the one that always says is,

is it makes my heart go pitter patter.

He always says that one.

The other ones I like is,
I'm kind of curious that,

that one you say a lot
when you're interviewing

and then let's unpack that
or, or let's dive into that.

Those are a couple other things that I,

I hear frequently when I'm doing the

record, when I'm doing the editing.

Well, you didn't miss a beat there.

- He's been thinking about it for a while.

Yeah, well, a hundred
episodes, that's a lot.

Well, sorry Heidi,

but I mean, to that point we've kind

of had chuckles at your
expense from it and,

but we've included you
so you're in on it too.

But I think some of the other
stuff was just sometimes

someone would give a really great answer

and something that you hadn't thought of

that they were gonna respond
with and you go genius.

Or like, you have some
of these like phrases

and we kind of made it into a game.

We're like, oh, tally won for Genius. Yep.

We'll be behind the scenes
chatting each other on teams

and we're just like, oh,
there comes heart goes

pitter patter down.

- I have to say, right?
Like, that's something that,

like you say, I, you guys
have brought me in on that

and that's been one of the cool things

for me as a host, right?

Like, you know, life is busy

and a lot of times I'm coming
from various clinical things

and, and I think when
we kind of come together

and usually we kind of joke
about those things when we're

about to start recording, I
think that for me is my kind

of like, you know, taking
a beat, center, getting,

getting my game face on.

So to level the playing field now.

- Yeah. Oh yeah, yeah,
that's right. We all know,

- We know Rick gives some great
pointers to our presenters.

So that's how we kind of
get them settled in. Right.

And so as our audience maybe interested

in podcasting

or just curious of what
some of that prep goes,

which I know part of it
is probably getting them

to feel comfortable.

I'm kind of curious if you'd share

for our audience how you do that.

Absolutely. So a lot of people,

especially medical professionals
sometimes are great in

front of their peers giving presentations,

but the instant you stick
a camera in their face

or a microphone, it's, it's unnatural.

It's a little weird. So I always try

to get them to relax a little.

So the first thing I always
tell them when we do a mic check

to make sure I'm getting
good audio levels is I'll say

something like, tell me
what you had for breakfast,

or tell me about your favorite
vacation you've taken.

And that gets them talking
about something unrelated

to what's about to happen.

And so, and sometimes
if I can tell they're

really nervous, I'll add something.

Oh, really? What was
skiing like at Vaylor?

You know, something just to
get them talking off camera.

I always make sure that
their video looks good,

so I make sure that
there's nothing behind them

that they wouldn't want people to see.

We have had a few instances

where people had their
dirty laundry on their bed

behind them, or they had a bookshelf

with maybe some pictures of
them goofing off, you know,

on vacation or with their kids

or maybe a book title

that they didn't want
people to know about.

So I always make sure that
they, you know, take a look

around and make sure
there's nothing around

that you don't want people to see,

because people will, will look
and see what's behind them.

And then after that it's
really just, you know,

take a deep breath and, and try to relax

and try to have fun with it.

So I know for me that sparked
some fun memories. Yes,

- Sure.

Does

- Do you guys
have a favorite memory?

Keep in mind, right audience?
This is during Covid times.

As, as you know, we
don't have any professors

with their laundry in their offices. But

- Yes, I, okay, do you
guys, this is by far one

of my favorites, and if
he's listening to this,

he will know it's him, but that is okay

because he's awesome.

I remember when we first transitioned

to recording these at
home via Zoom, you know

how you can pick your background in Zoom?

We had one consultant come on,

and he looked like he
was driving a spaceship.

And I'm like, oh, okay.

So I kind of recommended you, you know,

you might want to change it to
like a Mayo Clinic background

or maybe Mayo Clinic Laboratories.

And he's like, oh, okay.

So he's like, I'll find the right one.

And I remember he scanned through

and he is like, yep, this is the one.

And it was Darth Vader in the background,

and I'm like, oh, nope,
nope, he's serious.

This is what we're rolling with.

So I just, oh yeah, it was great.

How about you, Melissa? Oh gosh.

- Well, didn't one of the physicians have

his mic in his hand? Oh

- Yeah.

- That, that is my personal favorite

because I feel like you
were saying, well, yeah, one

of the things you say when
we're prepping is kind of like,

oh, it's usually like, do
you have a headset mic?

Because you know, when you
got a headset mic, no matter

how you turn your face,

like the audio level is gonna be the same.

And this particular attending
didn't have one of those.

And, and so he said, oh yeah, no problem.

I'll, I'll, you know, hold
it right here, you know,

right in the center of
my chest and I'll talk.

And so we're like, okay.

And we get in and like,
you know, question one,

tell me a story, and all of
a sudden the mic is going out

and it's going in and I, you know, you,

you almost like think that this,

this person is like playing
the trombone or something.

I, and I just, I think I held it all eggs.

I was just like thinking, oh man,

Rick, Rick's gonna be sitting there.

I had to reverse engineer
every time he pulled it away.

I'd have to bring the levels
up and when he brought

it back, I'd have to bring him down.

- Well, and I mean, it's a podcast

and you're trying to make
it, I mean, it's not live,

but you're trying to make it
flow and things do happen.

I mean, there was what,
one episode two where one

of the consultants had a headset

and every time he would start
talking about the podcast

and like try to answer
one of your questions,

his mic would cut out completely

and it would just go silent.

Yeah. And so then we'd finally
like, like, okay, stop, stop.

We're not, we're not hearing you. Right.

And then all of a sudden
it would start working

and he is like, you can't hear me.

I'm like, well now we can. But
then he'd start talking about

the podcast and giving his

responses and it would cut out again.

- Yeah. So all of those are great stories

and yeah, always fun to have.

So let's talk about, now
we've done a hundred of these.

What do you think is
different from when we started

the first one that we
did here in this studio

to the 99th one that we've just finished?

- Okay. I'm just gonna call it
out because I can't help it.

Dr. Kreuters's hair. Can
we just talk about that?

- Are
- You talking about my covid project?

- I mean, no facial hair whatsoever.

It wasn't long when we
first started, you know,

then I think it was the long hair

and then the beard appeared.

It was just all the things.

So I feel like, you
know, we might just have

to show a progression of that because

- Oh, definitely.

That was also one of the things

that we would always laugh about.

Like, did you see Dr.
Kreuter's hair today?

Like, we haven't seen him in a month.

I know, like it has grown a lot. Yeah.

- Yeah. I had, I had to,
for the audience, I had

to trim the, the beard
once I started to kind

of get in the way of the bow
tie, so the bow type bandit.

And people would just see me reach for my,

- Yeah, I think, ah, something else

that changed a lot just from
the progression of COVID.

You know, when we started
here we had our teleprompters

going, so you could look into the camera,

you could read the intro and the outro.

That kind of all changed
when Covid came too.

And everybody was just kind of
on their own screens. Right?

So just kind of trying to remind
everybody, like, okay, if,

if you have your talking points,
that's great, keep those,

but put them maybe closer
to the camera for you.

Otherwise you're looking
here, but we're over here.

So just trying to line that kind

of just like those small
little details that

you don't really think of
right away that now seem,

you know, pretty intuitive to us.

- But
- Yeah. Yeah.

I think for me, that
reminds me of, again, one

of these things about
recording in a studio versus

how we transitioned to over Zoom.

It was like, in the studio, I
think we were pretty much bound

to, we could only record people

that were here in Rochester, Minnesota.

Right? I do distinctly
remember doing one pre covid

interview where somebody was remote,

but I was here in the studio.

And I have to say like,
that was super challenging

because I couldn't see them.

And so that was like the one interview

where I was constantly interrupting them

or they were interrupting me

because that sort of,
that, the visual cues

of somebody who is about
to speak not present.

And so that's another way,

like this transition has been really good.

Because as, as everybody knows,
we've been able to get a lot

of guests from, you know,
internationally, we've been able

to bring in a lot of students

and talk with them from a
lot of different places.

And that, that's been a really cool way

I think this podcast has,

has changed is it's been
a lot more welcoming, open

and got, got a lot more diversity.

Right. Yeah. All right.

So we've, it should be a milestone

that we've hit a hundred, which is great.

So now let's talk about the next hundred.

What do you see Dr. Kreuter

for the coming podcasts in the future?

Well, I think, you know, like we've said,

I think the important
thing for this podcast is

that we're putting together
these interesting stories

and sharing these perspectives.

So I think that going forward, we want to

lean into this diversity that we have.

And to say that it's also a challenge

because we've tried to
reach out to some people

and invite them onto the podcast
where I think people think,

oh, you know, you know, why me?

Like, wouldn't you rather have, you know,

like particularly when we've
even tried to reach out,

sometimes Allied Health is
kind of felt like, well,

there should be a
physician that's on there.

It's like, well, no, we really want

that perspective in the mix.

I have to say, our students
that we've interviewed, some

of them I've been able to reach out to,

but a lot of them have been
students that have been here

and rotated and, and proposed the idea.

So I think maybe

as we talk about leaning
into the diversity,

interviewing people from different places,

I encourage the audience,
you know, if, if you know,

we can please reach out

to us if you're interested
in sharing your story,

your perspective on some aspect
that again, bridges that,

that clinical practice and the,
and the laboratory practice.

And I think, you know, we'll
continue doing this process

of bringing out these perspectives
and, and these stories.

And what about for you guys?

What do you think next a hundred episodes?

- Well, I would just like to
kind of chime in on what Dr.

Kreuter just mentioned, is
that for anyone listening,

if you do get our emails

that we send out when
the episodes go live,

you'll see a little link at the bottom

for a quick little survey.

And if you have like thoughts or ideas

or suggestions on things that you,

as the audience want to see, we
encourage you to click there

and fill that stuff out.

We check it regularly

and we would just love to hear

what you guys all have to say about it.

- Yeah, good, good call out.

I would just say I'm just
excited to see what the next

a hundred episodes, you know,

like from when we started
day one, I definitely

didn't foresee the future
of where we are today.

I mean, it, it's been a fun journey

and probably one of my favorite projects

that we have in education right now.

So yeah, that's, thanks to you guys.

- Ditto. I mean this, this team is a joy.

And I just wanna say
hat tip for, you know,

getting this group that
has done so much work from

behind the scenes and bringing up front,

this has been wonderful to do this

reflection with each of you.

Yeah, I agree. So we've been rounding

with the full production
crew of lab medicine rounds.

So from all of us involved
in the show, all four of us,

we'd like to thank you for your support

and for joining us to
celebrate this fun milestone

of our 100th episode.

And if you have any suggestions
for the show, we invite you

to send your thoughts via email

to MCL education@mayo.edu.

And lastly, if you've enjoyed
this podcast, please subscribe

until our next rounds,

we encourage you to continue
to connect lab medicine

and the clinical practice
through insightful conversations.