GeriPal

JANUARY 12, 2023

But if ACE units are so great, why do so few hospitals have them? If you want to do a deeper dive in ACE units, check out some of the following articles: The original NEJM paper on ACE units from 1996. Kellie Flood’s paper in JAMA IM showing that not only ACE units deliver better care, but also help with the hospitals bottom line.

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Hospital Patient-Centered IT Nurse Practitioner 100

Sound Physicians

OCTOBER 30, 2024

We caught up with Dr. Osman Saleem, Medical Director for our hospital medicine practice at Mercy Hospital of Buffalo in Buffalo, New York, to go behind the stethoscope and learn more about how he came to Sound and his leadership journey:    When did you first consider a career in medicine? Thanks to God, we have achieved that goal.

Hospital 52

Hospital Telemedicine Healthcare Provider 52

The Clinical Problem Solvers

SEPTEMBER 19, 2024

This year’s episode, our fourth conducted at SGIM, is focused on the importance of qualitative research and the role it plays in antiracism research, community-based work, and scholarship. She currently practices at Johns Hopkins Hospital in Baltimore, MD. She currently practices at Johns Hopkins Hospital in Baltimore, MD.

Internal Medicine 52

Internal Medicine Patient-Centered Specialization Community 52

Common Sense Family Doctor

MAY 1, 2025

A retrospective analysis of characteristics of 15 consecutive years of code stroke cases at a hospital in Barcelona, Spain, found that patients who were ultimately diagnosed with migraine headache with aura (1.1%) were more likely to be younger, female, and have fewer vascular risk factors than patients with ischemic strokes.

Primary Care 52

Primary Care Family Physician Clinical Practice Diagnosis 52

The Medical Futurist

MAY 18, 2025

Assisting surgeries, disinfecting rooms, dispensing medication, keeping company: believe it or not these are the tasks medical robots will soon undertake in hospitals, pharmacies, or your nearest doctor’s office. These new ‘colleagues’ will definitely make a difference in every field of medicine.

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Healthcare Hospital Medical Patient-Centered 64

Common Sense Family Doctor

DECEMBER 27, 2024

" The Gilded Age of Medicine is Here ," announced the title of a recent New Yorker article about the tactics of private equity firms that provide infusions of cash to struggling hospitals in order to extract hundreds of millions of dollars in profits by slashing costs to the bone and endangering the health of patients.

Primary Care 52

Primary Care Insurance Patient-Centered Medical Student 52

BMJ

FEBRUARY 18, 2022

Some will be at the forefront, others will be doing telehealth, or may find themselves back in a hospital situation rather than in the community. By Jill Benson, Discipline of General Practice, University of Adelaide, Adelaide, Australia, jill.benson@adelaide.edu.au

Family Medicine 40

Family Medicine DO Mental Health Family Doctor 40

The Clinical Problem Solvers

APRIL 3, 2023

During this episode, we hear from Dr. Nav Persaud, a staff physician in the Department of Family and Community Medicine at St. Michael’s Hospital in Unity Health Toronto, and Dr. Alika Lafontaine, the current President of the Canadian Medical Association.

Medical 52

Medical Healthcare Individual Community 52

BMJ

JULY 17, 2020

4 This short article draws on lessons learnt from other infectious disease outbreaks, such as HIV and Ebola, to help inform approaches to COVID-19-related stigma within China. The community can help people abide by national quarantine measures by turning negative narratives into ones encouraging people to be “more careful”.

Community 40

Community Individual Physicals Finance 40

GeriPal

OCTOBER 13, 2022

Sonali Advani and Lona Mody talk about their recent JAGS article highlighting three recent articles that every clinician caring for older adults should be aware of in the treatment of infectious diseases (hint: I’ve never finished a course of antibiotics, and maybe your patients don’t need that full course either).

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Complication Patient-Centered IT Patients 97

The Clinical Problem Solvers

FEBRUARY 9, 2020

Recall from our first article in the “Clinical Reasoning Corner” that pretest probability represents the relative probability we attribute to a certain disease before we gather further diagnostic data. As this article explains , using LRs can be time consuming, making it impractical to apply them to every clinical decision.

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Clinic Diagnosis Hypertension Patients 52

GeriPal

DECEMBER 2, 2022

Her most recent book is Dementia Friendly Communities: why we need them and how we can create them . It is a heavy load and yet I think all of us here think that it can be lighter when there are supportive programs and community engagements in place. And that’s why we need this community support, I think. Transcript.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

MARCH 14, 2024

But estimates in community dwelling older adults are around 15%. And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults. Eric: And why is it more common in hospitalized adults? What happens after they develop dysphagia in the hospital?

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IT Hospital Patient-Centered Individual 124

The Motivated MD

OCTOBER 3, 2024

Helene highlighted that even wealthy communities and well-financed and well-educated populations can be caught off guard and devastated. Assuming my hospital is still standing, I would obviously continue to work my job as best as I could to continue to bring in income. Low and high socioeconomic classes alike, no one is spared.

Insurance 52

Insurance Finance Community Medical Advice 52

GeriPal

APRIL 27, 2023

The company has expanded its palliative care services through partnerships with hospitals and other managed care providers, according to AccentCare CEO Stephan Rodgers. Eric: That’s why I love reading your articles, always so deep in science. Eric: And when do we expect that article to come out? Do you remember what it is?

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Specialization Illness Healthcare Patient-Centered 93

GeriPal

JANUARY 23, 2025

Alex 00:36 And next we have Connie Fung, who I know well through the Beeson community and is a physician, researcher, professor of medicine at UCLA. Eric 16:36 Okay, Connie, I got one last question about your article. I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin.

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Specialization IT Patient-Centered Medical 119

GeriPal

JULY 19, 2024

There’s an article about her in New York Times. So we measure things like hospitalizations and ed visits and the like, and those data are a bit weaker, but they’re also, you know, I think they need to be contextualized in what, why we would even want to reduce hospitalizations right. Anna 01:38 Yeah. Here we go.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JUNE 8, 2023

This hasn’t floated into our hospital systems yet, but at least in the real world, people are using these to make insulin dosing decisions without needing to poke their fingers. And I think because these patients are unique in that aspect, they’re not always necessarily in the hospital like say cancer patients are.

Diabetes 74

Diabetes Management Patient-Centered Families 74

Common Sense Family Doctor

FEBRUARY 1, 2025

Since the turn of the century, the rise of hospitalists and the corresponding decline in the number of office-based family physicians who provide inpatient care for their own patients has magnified the value of optimizing the handoff from hospital-based teams to primary care physicians.

Hospital 52

Hospital Management Primary Care Primary Care Physician 52

GeriPal

NOVEMBER 17, 2022

Assisted Living Communities (no longer preferable to call them Assisted Living Facilities, as we learned on the podcast) are…what, exactly? If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. . If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. .

Community 97

Community IT Mental Health Medical 97

GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Today Liz Dzeng discusses her journey towards studying this issue in detail. So Liz, let’s jump into the topic.

Hospital 125

Hospital IT Patient-Centered Patients 125

Maine Academy of Family Physicians

OCTOBER 28, 2023

Read the American Journal of Public Health article, " T alking About “Firearm Injury” and “Gun Violence”: Words Matter." Key Takeaways Recommendations developed during a consensus conference can help healthcare facilities and communities be ready to respond if a mass shooting occurs nearby. LINK to article

Mental Health 52

Mental Health Behavioral Health Services Provider Healthcare 52

GeriPal

NOVEMBER 2, 2023

First, we’ve invited Jerry Gurwitz to talk about his recently published article in JAMA titled The Paradoxical Decline of Geriatric Medicine as a Profession (while it’s not the most upbeat title for the future of geriatrics, Jerry sees it as a call to action). I was going to start off by asking Jerry about why he wrote the JAMA article.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

APRIL 3, 2025

We discuss our favorite articles, parody songs, and memories from AGS meetings past, with a little preview of a song for this years meeting. We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. And then I got to choose the first article.

IT 64

IT Hospital Screening Patients 64

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. David: Right.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

Common Sense Family Doctor

DECEMBER 4, 2024

A JAMA review article quotes a 2020 American College of Cardiology/American Heart Association guideline as recommending surgical aortic valve replacement (SAVR) for patients younger than 65 years, TAVI for patients 80 years or older, and either procedure in patients 65 to 79 years, depending on operative risk and comorbidities.

Hospital 52

Hospital Management Patients Clinic 52

GeriPal

NOVEMBER 14, 2024

If you want to do a deeper dive into some of the articles we discuss, take a look at the following: An awesome JAMA review by Sarah on fall risk assessment and prevention in community-dwelling adults. Sarah 03:57 Yeah, it’s a pretty big problem for older adults, I’d say in community dwellers. Alex 04:10 Wow.

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IT Patient-Centered Screening Community 124

GeriPal

MAY 25, 2023

Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Sarah Nouri gives an example from her work in the LGBTQ+ community of a trans woman who was buried as a man because existing laws/rules did not protect her wishes. And as you know, it’s a great article. And I love Gladys Knight.

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. And I just want to highlight, Jennifer has a great JPSM article that just came out. Would you also just mind mentioning kind of the JPSM article too? Jennifer: Thanks.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MAY 22, 2025

When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? And I was looking for articles, and I wasn’t seeing as many as I expected. Jenny 04:45 Like, the last article was, like, 10 years ago. Tyler 01:43 Okay. That’s how you do it.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

MAY 12, 2022

He is also author of the book, “ Walk with the Weary: Lessons in Humanity in Health Care ,” and was featured in this Atlantic article. Prognosis communication and the subtle ways we may communicate it without intention. Community-based palliative care networks . And I believe it needs the community.

Community 115

Community IT Relationship Healthcare 115

GeriPal

SEPTEMBER 7, 2023

Alex and I did a study on over 2000 community dwelling older adults, and we found that over two thirds of people had geriatric conditions, these geriatric syndromes, and palliative care related problems like pain, difficulty climbing stairs. One of my good friends, Jerome Kim, is a community oncologist. Throw it in the trash.”

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

MAY 8, 2025

Vincent’s Hospital in Melbourne, Australia. And it kind of made its way into medicine probably around, I’m going to say the 50s after there was a fairly interesting Time Life article that was published. And when that article went to print, it just went ballistic. But also it brings community. Im b leary eyed.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. The intervention was a negative study for the primary outcome, hospital length of stay.

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. Corita 04:32 Yep.

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Patient-Centered IT Hospital Patients 77