GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. He died in 2024. So those types of relationships, clergy, non family members, we talk about, I think cohabitating unmarried couples. Is that fair?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

APRIL 4, 2024

In case you miss the introductions at the start of the podcast, Bernie and Laurie are married, and offer wonderful reminiscence of their clinical practice over the last several decades. Bernie Lo discloses being an Honorarium Recipient and consultant for Takeda starting on 01/23/2024. Should we abandon the term, “comfort measures?”

Family 112

Family Families Patient-Centered IT 112

GeriPal

FEBRUARY 8, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. The more we can notice that, the more we can actually be present for that family and actually see how they’re experiencing it. Family member, and with some chagrin- Eric: Powerful nudge. For any MOC questions, please email moc@ucsf.edu.

IT 137

IT Family Families Physicals 137

GeriPal

JUNE 27, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. The question I would ask is, how helpful is that in our clinical practice? So we put those cutoffs, and I asked the question earlier, how helpful are those cutoffs in clinical practice? For any MOC questions, please email moc@ucsf.edu. And so bathe is an acronym.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

SEPTEMBER 12, 2024

Ishwaria 05:29 And that’s really how this field of professional well being, healthcare professional well being, clinician well being, has evolved, is that there is an important place in our overall professional well being for personal resilience and our individual coping strategies, recovery methods from day to day.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

MAY 9, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Alex: And Sammy Winemaker, who’s a palliative care physician and Associate Clinical Professor at McMaster University in the Department of Family Medicine, Division of Palliative Care. For any MOC questions, please email moc@ucsf.edu.

Education 127

Education IT Illness Healthcare 127

GeriPal

NOVEMBER 7, 2024

About half of patients who are over the age of 65 start dialysis with a GFR of over 9, which is sort of the level below which we have clinical trial evidence for suggesting that there may not be a benefit to starting at that level of GFR. Clinical experience. Maria 29:14 We’ll be more statistical than clinical, I think.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

NOVEMBER 21, 2024

The clinical trials and the this and that. But if we’re going to have a family meeting, that’s a different circumstance. It’s amazing how often when we’re taking care of somebody in the hospital, if you have Say, you know, a family member who is not showing up for visits with the medical team or who is.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

FEBRUARY 22, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Is it that they’re clinically depressed or that they’re understandably sad at the situation that they’re in or specific issues? Subscribers will claim MOC credit by completing an evaluation with self-reflection questions. Eric: Yeah.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

APRIL 6, 2023

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. LaVera: Yes.

IT 99

IT Patient-Centered Family Families 99

GeriPal

FEBRUARY 15, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Eric: Well, what are the odds that two family members focus on a similar topic and do research together? laughter] Alex: We love the family theme. Subscribers will claim MOC credit by completing an evaluation with self-reflection questions. Katie: Awesome.

Community 114

Community Transportation IT PCP 114

GeriPal

FEBRUARY 29, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Eric: I do not want my family to listen to my podcasts. So, I generally don’t listen to the podcast afterwards, nor force them on my family. Anne: Which episode of the GeriPal podcast has most significantly changed your clinical practice?

IT 126

IT Patient-Centered Illness Education 126

GeriPal

JUNE 13, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. And the truth is we don’t want, I don’t want any patient or family to perceive that when Brera goes to see me, there’s a second interest, a second gain. Alex 24:58 I’m so glad you mentioned the family. There’s something.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

JANUARY 11, 2024

A planned expansion of MAID to include people with mental illness was placed on hold until March 2024. ABIM MOC credit will be offered to subscribers in November, 2024. Alex: We’re delighted to welcome Leonie Herx, who’s a palliative care physician and clinical professor at the University of Calgary. Bill: Thank you.

Illness 144

Illness IT Medical Provider 144

GeriPal

JUNE 5, 2025

JAGS 2024 Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study. Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

FEBRUARY 2, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. And, of course, this is what families of patients undergoing palliative care go through. But you could have clustering within clinics, within clinicians who care for a panel of patients, that sort of thing. For any MOC questions, please email moc@ucsf.edu.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

MARCH 20, 2025

Alex 00:48 And we’re delighted to welcome back Josh Briscoe, who’s a palliative care doc at the Durham VA Medical center in Duke and blogs at Notes from a Family Meeting. I was part of a writing group that wrote clinical guidelines for VSET for voluntarily stopping eating and drinking. Thaddeus 00:46 Thank you.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

APRIL 18, 2024

And I wonder, now, was this 2024 version sort of a redo? Would you have that same pessimism that you had then today about these predictive algorithms and their ability to transform healthcare? And you say, “Okay, that’s fine, but can it really … What about a real live clinical situation?”

IT 139

IT Electronics Patients Healthcare 139

GeriPal

SEPTEMBER 19, 2024

Eric 07:31 A clinical perspective, why is it important to test this stepped care model versus implementing more? And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. Jennifer 07:31 From.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 11, 2024

This podcast was initially sparked by Josh’s “Note From a Family Meeting” Substack post titled “ Ambivalence in Clinical Decision-Making ,” which discussed Bryanna’s and Jenny’s 2022 article titled “ Two Minds, One Patient: Clearing up Confusion About Ambivalence.” ABIM MOC credit will be offered to subscribers in November, 2024.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Alex: We are delighted to welcome Bryanna Moore, who is a philosopher and bioethicist, and she’s at the University of Texas Medical Branch where she also directs the clinical Ethics Fellowship. I was a clinical ethics fellow at Baylor College of Medicine.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

JULY 25, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic? For any MOC questions, please email moc@ucsf.edu.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. And so this is our way of supporting non English speaking families in advanced care planning. And I have a long interest in identifying family caregivers and supporting them in care delivery.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

AUGUST 1, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. So I’m hearing, and I’d love to talk about specific diets and maybe the evidence for them, but before we do that, how should we ask about this in our clinics? Eric 18:14 Elizabeth, how do you bring it up in your clinic? So I lived with a family there.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

DECEMBER 21, 2023

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.” Malaz: I love it.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

SEPTEMBER 14, 2023

That’s focused on older adults who are too frail to get into clinic. In that clinical experience, we saw a lot of older adults who would develop acute illness, often exacerbations of their chronic conditions. We relied on our clinical experience as geriatricians, that home-based primary care experience. Bruce: Sure.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

DECEMBER 12, 2024

Or, to phrase the question for 2024, Can AI do better? You basically don’t even ask the family, you just stop the bleeding. Does this issue ring true to you clinically? In your clinical, everyday reality, this comes up and say, like, does this ring true to you from your work in the icu, from your work with patients?

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108