Common Sense Family Doctor

FEBRUARY 28, 2025

Family physicians are being squeezed by two accelerating trends: (1) too few of us to care for the growing US population and (2) the rising number of tasks that we are asked to accomplish for each patient. Since 2020, the starting ages for breast, lung, and colorectal cancer screening were lowered to 40, 50, and 45 years, respectively.

Primary Care 52

Primary Care Family Physician Preventive Care Preventative Care 52

CDOCS

MARCH 15, 2021

png]</p> <p><span style="font-family:ubuntu; font-size:12px">​</span><span style="font-size:14px"><span style="font-family:ubuntu">By putting ourselves in the shoes of our patients, we can easily see the comfort and trust our patients have developed with their general dentists.

Patients 52

Patients Finance Education Utilities 52

Annals of Family Medicine

NOVEMBER 20, 2024

2019/pre-pandemic and 2020/pandemic cohorts included 167,095 vs. 173,240 PLWD living in the community and 93,374 vs. 92,434 PLWD residing in nursing homes (NHs), respectively. Analysis: We compared 2020 to 2019 in 3 periods (1st wave; interim period; 2nd wave) and conducted meta-analyses on the provincial estimates.

Healthcare 130

Healthcare Community Hospital Management 130

The Clinical Problem Solvers

OCTOBER 18, 2022

Incarceration negatively affects the physical and mental health of people who are incarcerated as well as their family members and loved ones, and limits access to healthcare before, during, and after incarceration. All healthcare professionals will have patients who are directly or indirectly impacted by the carceral system.

Healthcare Professional 52

Healthcare Professional Healthcare Patient-Centered Mental Health 52

Common Sense Family Doctor

DECEMBER 14, 2024

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Explaining the AAFP’s position, Drs. Watchful waiting refers to clinical observation only.

Screening 52

Screening Routine Screenings Complication Diagnose 52

The Clinical Problem Solvers

APRIL 24, 2025

They explore the impact of racism, trauma, and inequities in care, while emphasizing the need for culturally grounded, community-based prevention. Clinically, he cares for youth and families through the Department of Psychiatry & Behavioral Sciences and the new Division of Addiction Medicine at Boston Children’s Hospital.

Mental Health 52

Mental Health Community Hospital Appointment 52

The Clinical Problem Solvers

MARCH 14, 2025

She was awarded the Society of Biological Psychiatry Humanitarian Award and the Community Outreach Award by the American Foundation for Suicide Prevention. Clinically, he cares for youth and families through the Department of Psychiatry & Behavioral Sciences and the new Division of Addiction Medicine at Boston Children’s Hospital.

Mental Health 52

Mental Health Community Patient-Centered Hospital 52

ABIM

JUNE 12, 2025

Expanding ABIM’s engagement with stakeholder communities such as early career physicians, specialty societies and patient-focused organizations. Community Practice in ABIM Governance* Erica N. Ruiz first joined the Specialty Board as a member in 2021.

Board-Certified 52

Board-Certified Internal Medicine Government Community 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Interprofessional primary care teams can improve quality of care, reduce health care costs, decrease burnout, and improve patient experiences. Setting: Eighteen primary care practices and systems across the United States (US) diverse in size, location, composition, and 2019-2020 revenue change.

Primary Care 130

Primary Care Management Government Community 130

Common Sense Family Doctor

MARCH 15, 2025

In a traditional health care setting, many administrative burdens and barriers stand in the way of patients receiving evidence-based care. Although not originally applied to health care processes, sludge audits can improve the efficiency of health systems and patients’ experiences. Travel to the doctor’s office. Wait times.

Screening 52

Screening Insurance Primary Care Referral 52

The Clinical Problem Solvers

APRIL 3, 2023

During this episode, we hear from Dr. Nav Persaud, a staff physician in the Department of Family and Community Medicine at St. Additionally, Indigenous communities experience lower life expectancy, higher burden of disease, and lower socioeconomic status compared to non-Indigenous Peoples.

Medical 52

Medical Healthcare Individual Community 52

BMJ

AUGUST 20, 2021

By Paul Amendola, Executive Director, VecnaCares Reference: Bartlett L , Avery L , Ponnappan P , et al, Insights into the design, development and implementation of a novel digital health tool for skilled birth attendants to support quality maternity care in Kenya, Family Medicine and Community Health 2021; 9: e000845.

Patient-Centered 40

Patient-Centered Clinic Provider Patients 40

GeriPal

JUNE 8, 2023

When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. And we invited Tamryn Gray from the Dana Farber joins us to ask insightful questions, including: What blood sugar range should we target for patients in the nursing home or hospice?

Diabetes 73

Diabetes Management Patient-Centered Family 73

FDA Law

OCTOBER 28, 2024

To determine whether a long-term neurodevelopmental safety study is necessary, the Guidance describes general considerations, patient and population-specific considerations, and product-specific considerations that should be considered. Patient/population-specific considerations include the timing and frequency of assessments.

Clinic 64

Clinic Physicals IT Referral 64

GeriPal

AUGUST 4, 2022

My take home from this is that while the most preferred explanation for deprescribing statins and sedative-hypnotics is one focused on the risk of side effects, we also need to individualize it to the patient and the medication that they are taking. But how to talk to patients about the risk and benefits when starting. Eric: Yeah.

Specialization 104

Specialization Medical Patient-Centered Provider 104

Annals of Family Medicine

NOVEMBER 20, 2024

Objective: To assess the impact of neighborhood poverty, as measured by the Distressed Communities Index (DCI), on TKA in Maryland. Compared to the poorest neighborhoods, patients living in prosperous areas (OR = 1.97, 95% CI 1.65-2.34) A substantive association was found between the DCI quintiles and access to TKAs.

Individual 130

Individual Insurance Community Healthcare 130

Common Sense Family Doctor

MAY 30, 2025

The US Preventive Services Task Force , the American Academy of Family Physicians , and the American College of Chest Physicians recommend annual low-dose computed tomography (CT) screening for adults 50 to 80 years of age who have at least a 20 pack-year smoking history and currently smoke or have smoked within the past 15 years.

Primary Care 59

Primary Care Screening Family Physician DO 59

Physician's Weekly

JUNE 19, 2025

On Fridays, Stephanie Johnson has a busy schedule, driving her navy-blue Jeep from one patient’s home to the next, seeing eight in all. Forget a lunch break; she often eats a sandwich or some nuts as she heads to her next patient visit. “Our patient isn’t just the older adult,” Johnson said. “Hello.

Nurse Practitioner 52

Nurse Practitioner Family Families Primary Care 52

The Clinical Problem Solvers

MAY 2, 2022

Dr. Okah is a family medicine clinician and NRSA research fellow at the University of North Carolina School of Medicine, and she studies the association between the use of race in medical decision-making and beliefs regarding the etiology of disparities in health outcomes. Essien MD, MPH, Jazzmin Williams, Alec J. Calac, Victor A.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

The Clinical Problem Solvers

MAY 30, 2022

We all must recognize the codification of racism within our institutions and work to unlearn these hierarchies in order to better care for Black and Indigenous patients. The exact statistics vary by location and by the overall level of investment in services such as childcare and parental leave within each community. and a professor.”

Community 52

Community Patient-Centered Family Families 52

The Clinical Problem Solvers

MARCH 4, 2024

Her research, writing, and community engagement focuses on shifting consciousness in medical education toward abolitionist possibilities. She came from an activist family, with her mother being one of the first South Asian feminist activists in the country. Learn more about her work at www.sayantanidasgupta.com.

Community 52

Community Education Patient-Centered Relationship 52

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. But watch out! Travel time can leave this champ vulnerable to fatigue and no-shows.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

Common Sense Family Doctor

DECEMBER 4, 2024

A JAMA review article quotes a 2020 American College of Cardiology/American Heart Association guideline as recommending surgical aortic valve replacement (SAVR) for patients younger than 65 years, TAVI for patients 80 years or older, and either procedure in patients 65 to 79 years, depending on operative risk and comorbidities.

Hospital 52

Hospital Management Patients Clinic 52

GeriPal

DECEMBER 8, 2022

Clinicians “catching” patient life stories. . Our patients aren’t “the 76 year old with heart failure in room 202,” as Heather Coats astutely noted. Our loves, our triumphs, our failures, our work, our families. . Storytelling Helps Hospital Staff Discover The Person Within The Patient. What’s in a story? Bennett, C.R.,

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

SEPTEMBER 21, 2023

Feyron has centered her work in Black/African American faith communities and churches – a program she titled Alter. Alex: And we’re delighted to welcome Fayron Epps, who is associate professor and director of Community and Research Engagement at the School of Nursing at Emory. Why this focus? Karen: Thank you. Alex: Great.

Community 128

Community Family Families IT 128

GeriPal

FEBRUARY 8, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 2023.11.004.

IT 137

IT Families Family Physicals 137

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. The patient’s capacity to make decisions was marginal, and his sons were shouldering much of the responsibility.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 2, 2023

The FDA-approved indications for gabapentin are only for treating patients with partial seizures or postherpetic neuralgia. valproic acid and gabapentin), in nursing homes, particularly patients with Alzheimer’s disease and related dementias. There are a lot of reasons that may explain the massive increase in use of these drugs.

Patient-Centered 96

Patient-Centered IT Healthcare Medical 96

GeriPal

NOVEMBER 2, 2023

Ryan: For those of you that aren’t familiar, GERI-A-FLOAT stands for Geriatrics Fellows Learning Online and Together it was created amongst the COVID pandemic in 2020 when all of the fellowship rotations were shutting down. Eric: Yeah, I love just creating the community of people who are passionate about that. Yes, I own it.

Board-Certified 91

Board-Certified IT Community Medical Student 91

BMJ

FEBRUARY 8, 2021

Increased quality of patient-provider communication, including offering behavioral counseling when needed, may avert unnecessary prescriptions. Parents and other family members who are prescribed these medications should be encouraged to take more responsibility to keep them locked and out of the hands of youth and young adults.

Medical 40

Medical Holistic Care Healthcare Healthcare Professional 40

GeriPal

MARCH 30, 2023

Liz wrote a fabulous perspectives piece in the NEJM titled “ Deciding on My Dimples ” which talks about her experience as a patient doing shared decision making during neurosurgery for resection of an astrocytoma. But my piece in the New England Journal is about being a patient right before awake brain surgery. I could learn this.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

OCTOBER 19, 2023

Caveat as well that RCTs should not be placed on pedestal as the only answer- often patients enrolled in RCTs do not represent real world patients – observational studies do. For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

DECEMBER 5, 2024

We talked with Thor Ringler, who helped found the My Life My Story Project at the VA and beyond, and Heather Coats about the evidence base for capturing patient stories. So we take that science and we apply it to something that’s very messy and chaotic, like a human being or a community or a population. Emily 06:27 Yes.

IT 107

IT Community Patients Families 107

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Eric 04:27 Yeah, I gotta ask about the community advisor. Who would/should be on that board?

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. Statistical significance level was accepted as p<0.05.

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40