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Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

GeriPal

The initial RCT published on physician coaching in JAMA in 2019 showing that coaching improves quality of life. When somebody is not able to function, they need deep therapy, and probably maybe even hospitalization. This is the first RCT that was available for coaching in physicians. [link] 5. Beth: Yeah. Greg: Hmm.

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

GeriPal

I see this in the hospital when I’m doing addiction medicine consults. But back in 2019, there was a lot of disagreement in our group about whether for a patient with cancer and cancer related pain and a substance use disorder, whether palliative care was the appropriate specialty to care for those patients. Sach 31:47 Yeah.

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Private Equity Gobbling Up Hospices plus Hospice and Dementia: Melissa Aldridge, Krista Harrison, & Lauren Hunt

GeriPal

I had looked at a research article that had recently evaluated the prevalence of private equity transactions in the hospice market and noted that there was a pretty substantial uptick in the past decade, and really over the course of say around 2015 to 2019. Because people, they go to the hospital, then they revoke. Go ahead, Lauren.

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

GeriPal

We don’t want people dying in the hospital if their goal is to be at home. Either they go down continuous home care or somebody comes to the home, or they go into GIP, or they are a live discharge and get admitted to the acute care hospital. ‘Cause we don’t want people dying in the ICU. Most of the time it works out.

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The importance of social connection: Julianne Holt-Lunstad, Thomas Cudjoe, & Carla Perissinotto

GeriPal

And so I began to think about the training that I had and that there was no mental health condition that was diagnosed. And so I was really thinking about why are some of my people that are hospitalized doing better than others? In fact from the time he was diagnosed, he passed away within two and a half weeks.

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The Promise and Pitfalls of AI in Medicine: Guest Bob Wachter

GeriPal

Alex: In 2019 … You wrote two viewpoints about AI recently in JAMA, relatively recently. I guess, 2019, and then, one again about last month or so. The results were that the chat bots got the diagnoses right and had an escalation strategy that was better than the doctors, as judged by blinded specialists reading the transcripts.

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