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Episode 384: Antiracism in Medicine – Episode 26 – Racial and Gender Health Disparities in Youth Suicide: Part 1

The Clinical Problem Solvers

Benton) 13:08 Youth Suicide Crisis Discussion, “Ringing the Alarm” 20:10 Shift in Issue Framing in the Literature 24:31 The Network Begins with Primary Care 28:42 Diversifying your Outreach 30:54 Cultural Humility Speaker Biographies Dr. Tami Benton, MD , is the Frederick Allen Professor of Psychiatry at the University of Pennsylvania.

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How Doctors Can Save More and Do Less

The Motivated MD

A study by Johns Hopkins in 2016 found that medical errors may potentially be the third leading cause of death nationwide. ’ Though it often does not come with the attending salary, medical trainees are getting paid to perform a service, and hospitals provide retirement plans to these individuals. So yes, humans make mistakes.

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

GeriPal

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Yael Shenkers negative study of primary palliative care for cancer , Randy Curtiss negative study of a Vital Talk-ish intervention , Lieve Van den Blocks negative study of primary PC in nursing homes.

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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. That’s a pretty big palliative care study. Asking clinicians to document prognosis did not change the primary outcome of hospital length of stay or really any of the secondary outcomes, which I’ll get into. Eric: Okay.

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Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace

GeriPal

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

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Aging and Homelessness: Margot Kushel

GeriPal

Today we talk with Margot Kushel about how we got here, including: That sense of powerlessness as a clinician when you “fix up” a patient in the hospital, only to discharge them to the street knowing things will fall apart. It was in the mid-nineties, and about half of the patients that we cared for in the inpatient service were homeless.