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"Sludge audits" identify obstacles to completing colorectal cancer screening

Common Sense Family Doctor

Calling to schedule the next available appointment and taking time off work. A 2022 article in the Harvard Business Review introduced the term sludge to describe “these types of situations in which the design of a specific process consistently impedes individuals from completing their intended action.” Travel to the doctor’s office.

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You Know DPC is working when…

Noreta Family Medicine

Many of our patients have shared how they often felt rushed at their previous primary care doctor’s office, leaving appointments with lingering concerns. For instance, when a patient recently texted us with complaints of shoulder pain after a fall, Dr. Boylan arranged an appointment and ordered an X-ray — all within just a few hours. “

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Substance Use Disorder in Aging and Serious Illness: A Podcast with Katie Fitzgerald Jones, Jessica Merlin, Devon Check

GeriPal

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. We got a couple of articles to discuss and a lot of different components of this. Eric: Which brings us to an article. We’re going to be covering it in both cancer and in aging.

Illness 137
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Psychological Issues in Palliative Care: Elissa Kozlov and Des Azizoddin

GeriPal

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). We saw that around 60% of people were screening positive for depression in the last month before death. Or is it that I’m just not screening? That’s a lot.

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How to Make an Alzheimer’s Diagnosis in Primary Care: A Podcast with Nathaniel Chin

GeriPal

How should we screen for cognitive impairment? Who do you think we should be screening and how should we be screening them for these symptoms? Well, so I guess it depends on what you say screening. That screening influences kind of further treatment, actually, probably more importantly, patient outcomes.

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Telemedicine in a Post-Pandemic World: Joe Rotella, Brooke Calton, Carly Zapata

GeriPal

You wrote the SF Chronicle article on an op-ed. Carly: Absolutely, and I will say we had a really hard time narrowing it down to these three because amongst those of us who wrote that article, we can think of hundreds of people. So Carly, I’m going to start off with you. What instigated you to write an op-ed?