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

GeriPal

A 2020 RCT of coaching for primary care physicians shows that coaching improves burnout well-being during the intervention and has a sustained duration at 6 months of follow up. We make a diagnosis. The initial RCT published on physician coaching in JAMA in 2019 showing that coaching improves quality of life.

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Telehealth vs In-Person Palliative Care: A Podcast with Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson

GeriPal

But in reality, given workforce shortages and just the challenges and the resources necessary to be able to provide early integrated palliative care from the time of diagnosis of advanced cancer, the model simply is not implementable, at least not in our current state with our available infrastructure and resources.

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How State and Local Agencies on Aging Help Older Adults: Susan DeMarois, Greg Olsen, and Lindsey Yourman

GeriPal

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. 60% of all medical costs have nothing to do with your health diagnosis. To Susan’s point. Older people don’t live in the Offices for the Aging. They touch every single system.

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Poetry & Palliative Care: Podcast with Mike Rabow and Redwing Keyssar

GeriPal

Mike Rabow shares his award winning poem about coming out to the world about his diagnosis with multiple sclerosis. . Redwing: When you’re diagnosed with cancer, the first thing you think about is when you’re going to die. I had planned to start doing in-person poetry sessions with cancer patients at the beginning of 2020.

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Guiding an Improved Dementia Experience (GUIDE) Model: A Podcast with Malaz Boustani and Diane Ty

GeriPal

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Diane: Fantastic.

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Hospital-at-Home: Bruce Leff and Tacara Soones

GeriPal

2020 Hospital at Home-Plus: A Platform of Facility-Based Care. The other way to think about who’s eligible… I talked about coming at this from a diagnosis point of view, people with certain conditions that you need to be hospitalized for. You can broaden the scope of diagnoses. That started in November of 2020.

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Ageism and Elections: Louise Aronson and Ken Covinsky

GeriPal

Ken Covinsky reminds us that we should not be making a diagnosis based on what we see on TV, and that if a patient’s daughter expressed a concern that their parent “wasn’t right,” we would conduct an in depth evaluation that might last an hour. Cecilia Poon says, what are some best practices to highlight professional ethics?

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