The Clinical Problem Solvers

OCTOBER 18, 2022

All healthcare professionals will have patients who are directly or indirectly impacted by the carceral system. Additionally, our guests urge us to recognize the ways in which our patients are impacted by incarceration and to ask our patients about these impacts in order to better care for them.

Healthcare Professional 52

Healthcare Professional Healthcare Patient-Centered Mental Health 52

FDA Law Blog

JUNE 23, 2021

Valentine — For the last 13 years, this blogger has been at the center of what has now been dubbed “patient-focused drug development.” For 6 years, I served as a patient liaison within FDA in what was then called the Office of Special Health Issues. By James E. The practice of medicine was viewed as paternalistic.

Patients 52

Patients Patient-Centered Clinic IT 52

Doctor On Demand

APRIL 16, 2025

The American Thoracic Society’s 2015 study, “The Relationship of Mucus Concentration (Hydration) to Mucus Osmotic Pressure and Transport in Chronic Bronchitis,” found that clearing excess mucus is a significant factor in protecting the lungs from “inhaled infectious and noninfectious challenges.”

Medical 52

Medical Board-Certified Telehealth Asthma 52

The Clinical Problem Solvers

AUGUST 25, 2020

It is important to understand that police brutality not only impacts individuals with direct relationships to those afflicted by this violence but also has widespread effects on the entire Black community. This starts with self-education and a commitment to speak up when blatant examples of racism come up in the work space and beyond.

Community 52

Community Patient-Centered Relationship Education 52

FDA Law Blog

JULY 7, 2021

In March 2020, FDA issued a final rule that banned the use of Graduated Electronic Decelerators (GEDs) to treat patients with severe self-injurious and aggressive behaviors (SIB/AB), but did not restrict the use of these same devices for other purposes, like smoking cessation. FDA cleared 510(k)s for GEDs in the 1990s.

Medical 52

Medical Patient-Centered Patients IT 52

FDA Law Blog

MAY 8, 2023

The discussion paper described a PCCP as including (1) the types of anticipated modifications (SaMD Pre-Specifications or SPS) based on the retraining and model update strategy and (2) the associated methodology (Algorithm Change Protocol or ACP) being used to implement those changes in a controlled manner to manage patient risks.

Manufacturing 98

Manufacturing Provider Medical IT 98

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

GeriPal

NOVEMBER 9, 2023

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. Summary Transcript Summary Coaching is in. When I was a junior faculty, coaching wasn’t a thing. We address: What is coaching? How does it differ from therapy?

Board-Certified 110

Board-Certified IT Primary Care Referral 110

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. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

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

The Clinical Problem Solvers

MARCH 4, 2024

Episode Learning Objectives After listening to this episode, learners will be able to: Illustrate the relationship between narrative medicine and healing relationships. What the term gestures towards is the centering of the ‘story’ in healing relationships. The show notes for this episode were written by Sudarshan Krishnamurthy.

Community 52

Community Education Patient-Centered Relationship 52

The Clinical Problem Solvers

FEBRUARY 14, 2022

Take time to learn from your patients. Our patients are not just a list of problems. She encourages us to see beyond these problems, and ask patients about their lives, challenges, and successes. She asks to think about what we are doing today to make it easier for people to live in the future. Be curious.

Community 52

Community Individual Mental Health IT 52

GeriPal

FEBRUARY 8, 2024

Panelists BJ Miller and Naomi Saks have no relationships to disclose. Our guests are BJ Miller, palliative care physician and c-founder of Mettle Health , and Naomi Saks, chaplain at UCSF. Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. Pain Manag Nurs. 2023 Dec 20:S1524-9042(23)00202-3. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Family Families Physicals 137

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. Storytelling Helps Hospital Staff Discover The Person Within The Patient. It wasn’t until the end that the best term emerged – storycatching. What’s in a story?

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

The Clinical Problem Solvers

NOVEMBER 6, 2023

Identify ways to navigate clinical interactions with patients while respecting them and affirming their experiences with food and fatness. All of this contributes to various mental health challenges that are consistent with surveillance in not only a wider police-state but also the patient-physician relationship.

Community 52

Community Manufacturing Patients Medical 52

The Clinical Problem Solvers

FEBRUARY 8, 2023

Pearls: In 2020, American Indian and Alaska Native (Indigenous) communities experienced the highest drug overdose mortality rate of any racial or ethnic group, also surpassing rates among the non-Hispanic white population. Once the need for labor was largely met, anti-Chinese narratives (e.g.,

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

NOVEMBER 2, 2023

Jerry: Probably for the reason a lot of people go into geriatrics, close relationship with grandparents, volunteered to work in a nursing home as a high school student, just felt really good about being around old people and not having a problem with it. I’ve seen this question come up a lot since finishing fellowship nearly two decades ago.

Board-Certified 91

Board-Certified IT Community Medical Student 91

ABIM

JUNE 4, 2025

Expanding ABIM’s engagement with stakeholder communities such as early career physicians, specialty societies and patient-focused organizations. They also noted a distinction in telehealth practices between remote consultations in different states and using telehealth to treat patients who live nearby.

Diabetes 52

Diabetes Board-Certified Telehealth Government 52

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

GeriPal

JANUARY 20, 2023

Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. Jasmine: It’s an imaginative love story that deconstructs age through an intergenerational friend relationship. You were on a National Academy of Sciences committee started in 2020? I hope I got that right.

Finance 95

Finance Board-Certified IT Provider 95

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. Eric: Lucky Strike.

IT 95

IT Patient-Centered Patients Healthcare 95

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. With Liz Salmi, Anne Kelly, and Preeti Malani we talked about stories written up in the academic literature, such as the JAMA Piece of My Mind series. That’s medicine.

IT 107

IT Community Patients Family 107

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. Clinicians are able to shape the environment in which people give birth by caring for the earth and their patients. Published online August 2020. link] Katy B.

Community 52

Community Patient-Centered Family Families 52

GeriPal

SEPTEMBER 12, 2024

Eric 04:44 Could just make you a little bit more resilient, you can increase your Rvus so you can see more patients. Well-being committees are popping up at every level of an organization. And C-suites now have chief wellness officers sitting at the table. Eric 01:54 Why’d you pick this song, Naomi? Eric 02:09 Thank you.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

FEBRUARY 20, 2025

If you want a deeper dive, check out the following resources: Our Nature of Suffering podcast with BJ Miller and Naomi Saks Dani Chammas Annals paper on countertransference and why we shouldnt say that the patient was difficult rather than that I felt frustrated. Mariah, welcome to the GeriPal Podcast. Mariah 00:29 Glad to be here.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

FEBRUARY 13, 2025

How to be sensitive to the risks of stereotyping based on recommendations from the few members of the board to the many heterogeneous patients served? Does every institution need to get a community advisory board to tailor their rural tele-palliative care initiative (or geriatrics intervention) to the local communities served? Which is it?

Consulting 63

Consulting Community Patient-Centered Family 63

BMJ

MAY 10, 2022

METHOD The cross-sectional study was conducted on family physicians and family health staff working in primary care family health centers in Üsküdar district of Istanbul with a population of 520,771 between 25-29 December 2020 [4]. Jour Turk Fam Phy 2020; 11 (1): 95-101. 150 (54.3) p<0.001 Doctor 83 (65.9) 126 (45.7) 162 (58.7)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

Family Medicine Initiative

APRIL 10, 2024

Having Your Own Long-Term GP Can Save Your Life Patients who choose a GP rather than a specialist as their primary care provider have a 19% 8 lower mortality and produce 22% 9 -33% 8 lower healthcare spending. 11 , 13 Over time, GPs come to know their patients well. Over time, GPs put their patients into context.

Family Physician 130

Family Physician Family Families GP 130

GeriPal

DECEMBER 7, 2023

Summary Transcript Summary To my teenagers, climate change is an existential crisis. It’s the end of the world as we know it. They decry the lack of serious attention and prioritization this issue has in the US. My kids ask – why don’t adults care about this issue the same way that they and their friends care about it? Ruth: Thank you.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

DECEMBER 29, 2022

Journal of Patient Experience. December 2020. I mean, it’s something that frustrates me on a daily basis, the number of times that I’ve had to argue with patients and even my own grandparents. Training Hospitalists in Negotiations to Address Conflicts with Older Adults around Their Social Needs. Geriatrics.

Family 96

Family Families IT Patient-Centered 96

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

NOVEMBER 3, 2022

You’d imagine though that our professional expertise and experiences in helping patients and families cope with loss and grief would be helpful in managing our own personal losses. Health care professionals are human, and as humans we experience loss both in and out of work. Turns out, it’s maybe not. Eric: And why’d you pick that song?

Healthcare Professional 102

Healthcare Professional Healthcare IT Relationship 102

GeriPal

APRIL 21, 2022

Poetry holds us in that liminal space so many of our patients are in. The impossiblity which is life, which is everything, and death, which is the end of life. As Mary Oliver tells us In Blackwater Woods , and I’m paraphrasing here, we must to hold it to our bones, knowing our lives depend on it, and when the time comes, to let it go.

Patient-Centered 93

Patient-Centered IT Community Illness 93

Medical Xpress

JUNE 8, 2025

The research, published this week in Safety Science , collected data from 562 recreational surfers from 2020 to 2023. Researchers found that for every 100 surfs, respondents on average gave beachgoers safety advice 11.6 times, first aid 0.4 times and assistance in the water 1.1 This study helps to quantify surfers impact on community safety.

Provider 53

Provider Community Medical Diabetes 53

GeriPal

JUNE 2, 2022

Well, on today’s podcast we invite Monica Gandhi to sum up the evidence to date about how best to prevent getting COVID (or at least the severe outcomes of the disease) and how to treat it, including the role of Paxlovid in symptomatic disease. A good twitter criticism of the CDC 1 in 5 COVID survivors have long COVID study. Transcript. Alex: Great.

Vaccination 100

Vaccination IT Hospital Management 100

FDA Law Blog

NOVEMBER 8, 2022

If you have a good relationship with the review team, Dr. Maisel encourages a brief phone call or quick email to obtain informal feedback. To that end, Dr. Shuren shared that there was a 17-fold increase in device related vulnerabilities from 2016 to 2020 and said FDA requires more funding and authority to fight the issue.

Medical 59

Medical Manufacturing Patient-Centered Provider 59