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Episode 148: Antiracism in Medicine Series Episode 4 – Dismantling Race-Based Medicine Part 2: Clinical Perspectives

The Clinical Problem Solvers

Race, racism, and racial inequality have tangible impacts on people’s livelihoods, much less their experiences in the healthcare system. J Epidemiol Community Health. 2009 May;139(1):47-57. Race in eGFR Calculations — Why So Contentious? eGFR equation-building is a complex science. J Gen Intern Med. 2020;35(9):2760-2762.

Clinic 52
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Is Hospice Losing Its Way: A Podcast with Ira Byock and Joseph Shega

GeriPal

We also have Joe Shega, who is a hospice physician, and he is a Chief Medical Officer and Vice President at VITAS Healthcare. This was an investigative report about fraud and healthcare, pure fraud, pure victimization of vulnerable people. So initially hospice grew as a non-profit, charity based, community based organization.

IT 113
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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

primary palliative care interventions seem to fail, whereas specialized palliative care interventions have a relatively robust track record of success. So Tammie developed something called EPIC for Emergency medicine, which is a curriculum that was one of the first ways that I think palliative care got spread in our community.

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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

She’s a geriatric nurse practitioner specializing in palliative care, and assistant professor at the University of Maryland School of Nursing. Caroline: And I love how you highlight the importance of these staff biases, perhaps implicit bias that is driving some of these healthcare decisions. Welcome to the GeriPal Podcast, Joan.