This Is Why with Dr. Busti

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This Is Why with Dr. Busti

Anthony Busti, MD, PharmD, MSc, FNLA, FAHA

34 episodes

1 hour ago

In this lecture from This is Why, Dr. Busti will teach you how to quickly and confidently tell AP vs PA chest X-ray (CXR) views apart so you don’t get misled by magnified hearts or a widened mediastinum. In this video, we break down chest X-ray projection step by step and show you how to spot whether a film is AP or PA view just by looking at the image itself—skills you can use on your next shift or exam. This teaching video is designed to help clinicians who want practical, bedside chest X-...

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Health & Fitness,

All content for This Is Why with Dr. Busti is the property of Anthony Busti, MD, PharmD, MSc, FNLA, FAHA and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.

In this lecture from This is Why, Dr. Busti will teach you how to quickly and confidently tell AP vs PA chest X-ray (CXR) views apart so you don’t get misled by magnified hearts or a widened mediastinum. In this video, we break down chest X-ray projection step by step and show you how to spot whether a film is AP or PA view just by looking at the image itself—skills you can use on your next shift or exam. This teaching video is designed to help clinicians who want practical, bedside chest X-...

Show more...

Health & Fitness,

Episodes (20/34)

This Is Why with Dr. Busti

AP vs PA Chest X-Ray: How to Tell the Difference

In this lecture from This is Why, Dr. Busti will teach you how to quickly and confidently tell AP vs PA chest X-ray (CXR) views apart so you don’t get misled by magnified hearts or a widened mediastinum. In this video, we break down chest X-ray projection step by step and show you how to spot whether a film is AP or PA view just by looking at the image itself—skills you can use on your next shift or exam. This teaching video is designed to help clinicians who want practical, bedside chest X-...

1 week ago

13 minutes

This Is Why with Dr. Busti

How to Tell If Chest X-Ray Inspiration Is Adequate (Portable CXR Tips)

In this lecture from This is Why, Dr. Busti will walk step-by-step through the proper steps to determine if the inspiration is good enough to allow the chest x-ray (CXR) to be appropriate to interpret and avoid missing an abnormality. This lecture will improve your overall chest x-ray interpretation skills. You’ll learn how to: Identify the posterior ribs and anterior ribs on a standard AP chest x ray Use rib counting to judge film quality and inspiration If you’re looking for a clear...

1 week ago

10 minutes

This Is Why with Dr. Busti

SSRI Antidepressants: Pharmacology Made Easy & Clinically Relevant

In this This Is Why pharmacology review, Dr. Busti walks through the Selective Serotonin Reuptake Inhibitors (SSRIs)—how they became first-line for major depressive disorder and a wide range of anxiety-related disorders, and where their real-world pitfalls live. We compare the core agents—citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, and sertraline—covering indications, mechanism, and clinical nuances that matter at the bedside. You’ll learn how dose, half-life, metabolism, a...

3 weeks ago

34 minutes

This Is Why with Dr. Busti

Chest X-Rays: How to Read Like a Pro - A Step-by-Step Guide

This session teaches a reproducible, step-by-step approach to chest X-ray (CXR) interpretation using two complementary mnemonics: RIPE (Rotation, Inspiration, Penetration/Projection, Exposure/Artifacts) to verify image quality, and A-B-C-D-E-F-G-H-I to read findings in a consistent order. Viewers learn to spot essential landmarks (trachea, aortic knob, hila, lobes/fissures, diaphragms, costophrenic angles), recognize when AP vs PA matters (e.g., cardiothoracic ratio), and avoid common pitfall...

1 month ago

39 minutes

This Is Why with Dr. Busti

Predicting Your NCLEX-RN Success: Why Some Pass & Some Don't

In this episode of This Is Why, Dr. Busti breaks down the evidence-based predictors of NCLEX-RN success for first-time test takers. See what the 10-year pass-rate trend really shows, which factors (GPA, standardized exit exams, program environment, life experience) matter most, and—most importantly—what you can do now to raise your odds on test day. Build confidence in your exam readiness and clinical mastery with free resources at https://thisiswhy.health Disclaimer: This content is for e...

1 month ago

8 minutes

This Is Why with Dr. Busti

BPS Exam Pass Rates & Predictors of Success: How to Improve Your Odds

BPS specialty board exams are challenging — and the data proves it. But knowing what drives success can make all the difference. In this episode of This Is Why, Dr. Busti reviews national BPS pass rate trends and explores what separates first-time test takers who succeed from those who don’t. Using data from multiple specialties, he highlights how residency training, study strategy, and preparation methods predict success — and why relying solely on memorization or guesswork fails so many can...

1 month ago

14 minutes

This Is Why with Dr. Busti

BPS Exams: Study What is Testable to Maximize Success

Passing a BPS specialty exam takes more than hard work — it takes strategy and understanding. In this episode of This Is Why, Dr. Busti breaks down how BPS exams are built, what “testable” really means, and why focusing on validated, evidence-based concepts gives you a major advantage. Drawing on decades of experience as a pharmacist, educator, and exam review developer, he explains the multi-step process used to create fair, reliable, and job-related BPS exams. Listeners will learn why not a...

1 month ago

14 minutes

This Is Why with Dr. Busti

Predicting Your NAPLEX Success: How to Boost Your First-Time Pass Rate

What predicts success on the NAPLEX? It’s not chance — it’s about understanding the factors that matter most. In this episode of This Is Why, Dr. Busti unpacks the key predictors of NAPLEX performance based on data and published literature. You’ll learn how GPA, pre-admission metrics, clinical performance, study effort, and test timing correlate with first-time pass rates — and how to interpret these factors to improve your own odds. Drawing from decades of experience teaching pharmacy and pr...

1 month ago

9 minutes

This Is Why with Dr. Busti

Study Smarter for the NAPLEX: What’s Really Testable?

The NAPLEX isn’t testing everything you’ve ever learned — it’s measuring what matters most for entry-level pharmacist competence. In this episode of This Is Why, Dr. Busti explains how the NAPLEX is built by the NABP, why understanding its blueprint helps you focus your studying, and how to avoid wasting time on untested or emerging content. Drawing on his own experience as a pharmacist, physician, and nurse — and decades teaching pharmacy students — he reveals the process behind question val...

1 month ago

12 minutes

This Is Why with Dr. Busti

Why NAPLEX Scores are Low & How to Reverse the Trend

Over the past decade, NAPLEX pass rates have dropped — sparking concern across pharmacy education. But what’s really driving this decline? In this episode of This Is Why, Dr. Busti breaks down the data behind NAPLEX performance trends, exploring factors such as the rapid growth of pharmacy schools, shifts in applicant pools, and the impact of the COVID-19 pandemic on learning and assessment. Drawing from decades of experience as a pharmacist, physician, and nurse, Dr. Busti helps listeners un...

1 month ago

13 minutes

This Is Why with Dr. Busti

NCLEX-RN: Study Smarter, Pass Faster: : Focus on What Matters

Passing the NCLEX-RN isn’t about memorizing more — it’s about understanding what truly matters and how the exam is built to measure it. In this episode of This Is Why, Dr. Busti, a physician and pharmacist who began his healthcare career as a registered nurse, breaks down how the NCLEX-RN is developed by the National Council of State Boards of Nursing (NCSBN) — and what that means for your study plan. You’ll learn how to recognize high-yield, testable concepts, why some new content won’t app...

1 month ago

8 minutes

This Is Why with Dr. Busti

Smoking Cessation Agents: Pharmacology Made Easy & Clinically Relevant

Dr. Busti reviews pharmacologic options for smoking cessation—bupropion, nicotine replacement therapy, and varenicline—highlighting mechanisms, dosing strategies, and safety considerations. Learn how to integrate these therapies with behavioral approaches, tailor choices to patient comorbidities, and monitor for clinically relevant risks. Access bonus materials and downloads at https://thisiswhy.health Disclaimer: This content is for educational purposes only and is not intended to provide ...

2 months ago

35 minutes

This Is Why with Dr. Busti

Practice Question: Pneumonia Treatment - As Seen on Your Exams

In this episode of This Is Why, Dr. Busti walks through a real-world board-style question on community-acquired pneumonia — connecting core pathophysiology to exam reasoning and clinical judgment. Using a 54-year-old patient case, you’ll learn how to differentiate inpatient versus outpatient management, apply CURB-65 and PSI scoring tools, and identify sepsis criteria that drive treatment decisions. Dr. Busti also unpacks the rationale behind antibiotic selection, comparing macrolide monother...

2 months ago

21 minutes

This Is Why with Dr. Busti

TCA Antidepressants: Pharmacology Made Easy & Clinically Relevant

Dr. Busti reviews selective serotonin reuptake inhibitors (SSRIs)—their mechanism, first-line indications, key side effects, and clinical pearls. Learn why SSRIs are widely used for depression and anxiety, how to avoid pitfalls like QT prolongation and drug interactions, and what to monitor to optimize patient care. Access bonus materials and downloads at https://thisiswhy.health Find resources for this topic at https://www.thisiswhy.health/topics/pharmacology-review-tca-tricyclic-antidepres...

2 months ago

34 minutes

This Is Why with Dr. Busti

SNRI Antidepressants: Pharmacology Made Easy & Clinically Relevant

Discover serotonin-norepinephrine reuptake inhibitors (SNRIs)—safe, effective antidepressants for depression, anxiety, and pain syndromes. In this episode, you’ll learn: - How SNRIs work in the brain and differ from SSRIs, TCAs, and MAOIs - Key medications: venlafaxine, desvenlafaxine, duloxetine, milnacipran, levomilnacipran - Important side effects, including blood pressure changes and SIADH in older adults - Tips for safe switching, monitoring, and counseling patients Companion tabl...

2 months ago

29 minutes

This Is Why with Dr. Busti

Atypical Antidepressants: Pharmacology Made Easy & Clinically Relevant

Dr. Busti explores the atypical antidepressants—bupropion, mirtazapine, trazodone, vilazodone, and vortioxetine. Learn how these agents differ from SSRIs/SNRIs, when to use them, and how their unique side effect profiles can actually guide therapy. Access tables, visuals, and playlists for this episode at https://www.thisiswhy.health/topics/pharmacology-review-atypical-antidepressants Disclaimer: This content is for educational purposes only and is not intended to provide medical advice, di...

2 months ago

36 minutes

This Is Why with Dr. Busti

MAOI Antidepressants: Pharmacology Made Easy & Clinically Relevant

Dr. Busti breaks down monoamine oxidase inhibitors (MAOIs)—where they still fit in modern care, how they work, and how to use them safely. In this episode you’ll learn: Why MAOIs remain relevant for treatment-resistant depressionHow irreversible MAO-A/B inhibition elevates serotonin, norepinephrine, and dopaminePractical washout rules (why 14 days after MAOI, generally 7 days before starting an MAOI; longer with fluoxetine)High-yield differences (e.g., selegiline transdermal for depression v...

2 months ago

37 minutes

This Is Why with Dr. Busti

Inhaled Corticosteroids: Pharmacology Made Easy & Clinically Relevant

A practical pharmacology review of inhaled corticosteroids (ICS) in asthma and COPD. Dr. Busti explains why ICS are first-line therapy in asthma, their selective role in COPD, key mechanisms, dosing strategies, side effects, and patient counseling points to improve adherence and outcomes. Access downloads for this episode at https://www.thisiswhy.health/topics/pharmacology-review-inhaled-corticosteroids-asthma-copd Disclaimer: This content is for educational purposes only and is not intended...

2 months ago

44 minutes

This Is Why with Dr. Busti

Potassium-Competitive Acid Blockers (PCAB): Pharmacology Made Easy & Clinically Relevant

In this episode of This Is Why, Dr. Busti unpacks the pharmacology and clinical relevance of the potassium-competitive acid blocker (P-CAB) class—featuring vonoprazan, the newest option in acid suppression therapy. You’ll learn how P-CABs compare to H₂ receptor antagonists and proton pump inhibitors (PPIs) in terms of mechanism, onset, and duration of acid control. Dr. Busti explains the unique pharmacodynamic and pharmacokinetic properties that make vonoprazan a valuable alternative for pati...

2 months ago

37 minutes

This Is Why with Dr. Busti

Proton Pump Inhibitors (PPI): Pharmacology Made Easy & Clinically Relevant

Dr. Busti reviews Proton Pump Inhibitors (PPIs)—how they work, why they outperformed H2 blockers, key clinical uses, and important risks. From GERD to GI bleeds, learn the why behind PPIs so you can apply them safely in practice. Access tables, visuals, and playlists for this video at https://www.thisiswhy.health/topics/pharmacology-review-proton-pump-inhibitors-ppi Disclaimer: This content is for educational purposes only and is not intended to provide medical advice, diagnosis, or treatmen...

2 months ago

48 minutes