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. You write about this, you’ve written this New England Journal article, you’ve written past articles.

Family 112

Family Families Patient-Centered IT 112

GeriPal

APRIL 10, 2025

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. And then we had clinical decision support. What is a clinical decision support? Long overdue.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

FEBRUARY 29, 2024

The ones who are publishing interesting articles are easy as we knew MAID is always going to be a controversial topic. But when we have people in rural areas of California, so we don’t know our clinical site, we go from San Francisco all the way to the Northern California border, super rural areas. We mentioned her name before.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

OCTOBER 19, 2023

Additional links mentioned in the podcast: Recent JGIM article on POLST in California nursing homes, hospitalization, and nursing home care Karl’s GeriPal post on appropriate use of POLST Enjoy! And we were able, because of the way OHSU has the registry and POLST link had just been integrated into our electronic medical records.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

JUNE 30, 2022

In today’s podcast we talk with surgeon Samir Shah and Health Services Researcher Joel Weissman about a pair of JAGS articles they published on the outcomes of high risk surgery and advance care planning among persons with dementia. Eric: Let’s say tomorrow, a patient comes into your clinic. Eric: Yeah. Eric: Mm-hmm.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MAY 15, 2025

These were EHR documents in the patient’s chart built within the Atrium Health’s electronic health record, where they document other things. And just briefly, to ward off those of you who’ve read the article and may have concerns that death was included as one of the longest lengths of stay in the primary analysis.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

APRIL 6, 2023

We just couldn’t find one that quite fit our needs, and I’m sure that they differ to some extent by the clinical context, so we reviewed a bunch of categorizations that were in the literature and this was the most parsimonious group that we could come up with, that I thought captured the core elements of spirituality. Alex: Yeah.

IT 99

IT Patient-Centered Family Families 99

GeriPal

APRIL 18, 2024

Because I remember there was an article maybe six months ago in JAGS, maybe it was longer than that, everybody was talking about ChatGPT-3.5, And you say, “Okay, that’s fine, but can it really … What about a real live clinical situation?” That is the first clinical use case. Let me ask you a question.

IT 139

IT Electronics Patients Healthcare 139

GeriPal

SEPTEMBER 19, 2024

So you, Jennifer, probably have, like, the most cited, probably should be the most cited randomized controlled trial of palliative care and lung cancer patients that everybody, every palliative care article I’ve seen, whether or not it works, always includes, it was outpatient palliative care in lung cancer patients. All of this is.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

Eric: Which is, so let’s say I am a provider, a healthcare provider taking, let’s say a nurse practitioner working in an older, a clinic that’s mainly caring for older adults. And then, the system responds in turn. Alex: I want to pick up on this thread and talk- Lindsey: I really- Alex: Oh, Lindsey, jump in there.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. At a high level to sort of step in and start, you know, tinkering with workflows that, you know, are kind of as healthcare is a giant machine in primary care. We did it by the clinic level.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 13, 2023

[laughter] Bob: That’s what happens when junior faculty get invited on the podcast [laughter] Eric: So we’re going to be talking about the article that just came out in JAMA on a priming intervention for goals of care conversations in hospitalized patients with serious illness. We’ll have a link to the article on our notes.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

AUGUST 15, 2024

See also guides for how to confront and discuss anti-Asian hate in these articles in the NEJM and JGIM. I had fun trying to make a danceable version with electronic drums for the audio-only podcast. We do talk about healthcare policy. We do a lot of clinical focused discussions. We’re not a general policy podcast.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

FEBRUARY 24, 2022

It’s not a new debate but has gathered steam at least in palliative care circles since Sean Morrisons published a JPM article titled “ Advance Directives/Care Planning: Clear, Simple, and Wrong.” Should we focus on something else, both from a clinical and a research perspective? Like, should we be doing advance care planning?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

JULY 20, 2023

You wrote the SF Chronicle article on an op-ed. If we’re going to get really academic, that’s the umbrella, and that can include a lot of things like including phone calls between a provider and a patient or messages in someone’s electronic medical record. So Carly, I’m going to start off with you. Eric: Yeah.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73