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Episode 236: ARM Episode 16 – Live from SGIM: Best of Antiracism Research at the Society of General Internal Medicine’s 2022 Annual Meeting

The Clinical Problem Solvers

Individuals who believe that genetic differences explain racial differences in health outcomes are more likely to practice race-based medicine. In addition to a need for culturally competent interpersonal communication, health systems and structures must actively work to build trust with historically marginalized communities.

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Is Hospice Losing Its Way: A Podcast with Ira Byock and Joseph Shega

GeriPal

Usually I don’t put a lot of background on this podcast, but I got to … in November of 2022, Ava Kofman, along with ProPublica, published … well I won’t want to say great, published an article in The New Yorker that I think it was divisive in the hospice and palliative care community. Is it you, Ira? Eric: Great.

IT 113
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Psilocybin in Serious Illness: James Downar, Ali John Zarrabi and Margaret Ross

GeriPal

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We begin with a refresher on psilocybinwhat it is, how it might work, what conditions it may help treat (including demoralization), and how its typically administered. It’s there.

Illness 107
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GeriPal 300th Episode: Ask Me Anything Hot Ones Style

GeriPal

The hot sauces progressed from mild to extreme (and I mean extreme) heat. Can I just say…it works? Being asked a question with your mouth on fire, sweat streaming down your face, feeling the most awake and terrified you have ever been in your life, forces you to give an unadorned answer, straight from the heart. Lynn: Okay. Anne: GeriPal edition.

IT 126
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Dementia and high risk surgery: Joel Weissman and Samir Shah

GeriPal

Eric: So we’re going to be talking about dementia and considerations around surgery for individuals with dementia. Samir: Thanks, Alex and Eric. Before we go into this topic, who has a song request for Alex? It was Remember Me. Was that the title? Alex: I think it’s I Will Remember You. Alex: By … Joel: Sarah McLachlan.

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PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers

GeriPal

Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not). See Sachs write up about setting up this clinic in JPSM. What is harm reduction and how can we implement it in practice? Who follows the patient once the cancer goes into remission? Who will prescribe the buprenorphine then? Oh, my goodness.

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Prognosis Superspecial: A Podcast with Kara Bischoff, James Deardorff, and Elizabeth Lilley

GeriPal

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. You got it.

Family 106