GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

NOVEMBER 7, 2024

Additional link to study with heatmaps of specific locations (hospital, nursing home, home) after initiating dialysis. -@AlexSmithMD ** NOTE: To claim CME credit for this episode, click here ** Transcript Eric 00:11 Welcome to the GeriPal podcast. Clinical experience. Let it be (hint hint). Most patients don’t recover.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

JULY 11, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Can you come and be in our clinic once a week? It used to also be a social worker and myself who would actually go to clinic and spend some time up there. So if one of my patients gets admitted, I also see them on the inpatient side of our hospital.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. ABIM MOC credit will be offered to subscribers in November, 2024. For any MOC questions, please email moc@ucsf.edu.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

Family 112

Family Families Patient-Centered IT 112

GeriPal

JANUARY 16, 2025

He died in 2024. I, for example, had one patient, I remember during my fellowship, I was in geriatrics clinic and had a very well read patient who came in and was reading a New York Times article, I think in the well section at one point. Alex 16:45 That really rings true with my clinical experience.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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

FDA Law

JANUARY 18, 2024

Rescheduling Recommendation, 2024 FDA’s 2023 analysis and recommendation finally came to light when Texas attorney Matt Zorn posted it on his website a week ago. DEA found in 2016 that marijuana met none of the of elements and therefore did not have a currently accepted medical use in treatment in the U.S.

Medical 69

Medical Physicals IT Healthcare Professional 69

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. Alex: Generally in the hospital-based hospice. Sammy: Thank you so much.

Education 127

Education IT Illness Healthcare 127

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

NOVEMBER 21, 2024

Alex 00:26 And we’re delayed to welcome Amanda Moment, who is a palliative care social worker at the Brigham and Women’s Hospital in Boston. The clinical trials and the this and that. And she says, no, I heard that there’s a clinical trial at the Mayo Clinic, and I’m wondering about this.

Illness 125

Illness IT Patient-Centered Patients 125

GeriPal

APRIL 6, 2023

On the other hand, all of our guests agree that chaplains are often the most vulnerable to being cut from hospital and health system budgets. Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. These hick pick codes are available to any chaplain in a healthcare system.

IT 99

IT Patient-Centered Family Families 99

GeriPal

FEBRUARY 8, 2024

Hospital Chaplains, Spirituality, and Pain Management: A Qualitative Study. ABIM MOC credit will be offered to subscribers in November, 2024. The post The Nature of Suffering: BJ Miller and Naomi Saks appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. Pain Manag Nurs.

IT 137

IT Family Families Physicals 137

GeriPal

JUNE 5, 2025

JAGS 2024 Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study. And so they’re in there for a very short time, couple weeks, get a little bit stronger and transition home after a hospitalization. So they were a lot of preoccupied with other tasks, but clinical gestalt.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JUNE 13, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. Eduardo 07:17 Well, we had a palliative care unit in another hospital that was 510 minutes away. How should I define cachexia and anorexia when I’m talking to fellow students or thinking about it in my own clinical practice? Like, how would I define it?

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

SEPTEMBER 19, 2024

Alex 00:34 We are delighted to welcome back Jennifer Tem e l, who is a thoracic oncologist at Massachusetts General Hospital in Boston. Eric 07:31 A clinical perspective, why is it important to test this stepped care model versus implementing more? Chris 17:25 Yeah, I think a month is pretty uncommon, at least in our clinic.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

FDA Law

MAY 21, 2024

On Thursday, May 16, 2024 , the Attorney General issued a Notice of Proposed Rulemaking (“NPRM”) to initiate rulemaking proceedings to reschedule marijuana. The NPRM was signed by the Attorney General but published by DEA in the Federal Register on May 21, 2024. 44,597 (May 21, 2024). 21 U.S.C. § Basis at 24. NPRM at 44,607.

Physicals 69

Physicals Medical Clinic Emergency Room 69

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

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

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. And interesting enough, this is a really fascinating study that just got published in JAMA I M in December of 2024. We did it by the clinic level. Alex 03:54 Very generous. Is that right?

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JULY 25, 2024

ABIM MOC credit will be offered to subscribers in November, 2024. First time on the GeriPal podcast, Liz Lilley, who’s a surgeon and faculty in surgery at the Brigham Women’s Hospital and Harvard Medical School. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. Liz 00:32 Thanks.

Family 106

Family Families Patient-Centered IT 106

GeriPal

DECEMBER 21, 2023

The way we were treating him with dementia in the hospital, the way we talked about him, that he’s not there. Malaz: … to restrain them in the hospital. So IU, we have been able to convert our paper, Chris Callahan paper that was published in 2006, the first clinical trial that was positive. This is Eric Widera.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

SEPTEMBER 14, 2023

Summary Transcript Summary Hospitals are hazardous places for older adults. These hazards include delirium, malnutrition, falls, infections, and hospital associated disability (which about ⅓ of older adults get during a hospital stay). 2020 Hospital at Home-Plus: A Platform of Facility-Based Care. Annals of Int Med.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

DECEMBER 12, 2024

Or, to phrase the question for 2024, Can AI do better? 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? Can we do better? Teva, I want to go to you. You’re in it. Alex 10:44 No.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108