The Medical Futurist

JUNE 2, 2025

Although features like continuous aFib screening (or blood pressure monitoring, alerts about changes in respiratory patterns, in gait, reminders on medication or drinking enough, and so on, and so on) would do more favor for the seventy-somethings than for the twenty-somethings, we just seem to acknowledge the status quo.

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Screening Healthcare Individual IT 74

Common Sense Family Doctor

DECEMBER 14, 2024

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Explaining the AAFP’s position, Drs.

Routine Screenings 52

Routine Screenings Screening Complication Diagnose 52

Annals of Family Medicine

NOVEMBER 20, 2024

Setting: Community-based primary health care. After de-duplication, the selection process started with 4922 articles. The full-text screening started with 345 studies and resulted in 120 included observational studies (21 qualitative, 94 quantitative, and 5 mixed methods). Health organization outcomes.

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General Practitioner Lab Testing Relationship Family Physician 130

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. And I think of the analogy of, like, cancer screening. The stopping the cancer screening doesn’t have that same sort of momentum. Amy, welcome to GeriPal. Why is that?

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Common Sense Family Doctor

MAY 30, 2025

The US Preventive Services Task Force , the American Academy of Family Physicians , and the American College of Chest Physicians recommend annual low-dose computed tomography (CT) screening for adults 50 to 80 years of age who have at least a 20 pack-year smoking history and currently smoke or have smoked within the past 15 years.

Primary Care 59

Primary Care Screening Family Physician Family Medicine 59

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." Users can navigate pre-deployment preparation, on-the-ground assistance, post-deployment resources, and more—at the touch of a button from the home screen. LINK to article

Mental Health 52

Mental Health Behavioral Health Services Provider Healthcare 52

GeriPal

NOVEMBER 14, 2024

What are ways we should screen for falls? 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. People don’t ask about it, they don’t screen about it.

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IT Patient-Centered Screening Community 125

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. Nancy 04:51 Yeah.

IT 65

IT Hospital Screening Patients 65

The Clinical Problem Solvers

FEBRUARY 8, 2023

Identify realistic solutions to drug policy reform that promote health equity among marginalized communities living in the United States. Screening for substance use and offering connections to treatment and community-based services are important strategies that clinicians can implement in their own practice today.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

MARCH 9, 2023

Psychedelics have been used by communities around the globe for hundreds of years (or more). Stacy: I honestly read Michael Pollan’s New Yorker article and was really inspired, and cold emailed the group at NYU, and they responded. Stacy: We’re using anxiety, baseline anxiety, as our screening. Eric: Yeah.

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Patient-Centered Community IT Medical 91

GeriPal

FEBRUARY 6, 2025

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.

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

JANUARY 25, 2024

The article we discuss today, also published in JAMA , addresses these two gaps. In their communities? If I remember correctly, I think the average was, people were screening positive for depression in this study. They’re mostly living at home and living their lives in the community.” David: Exactly.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

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 130

Patient-Centered IT Patients Clinic 130

GeriPal

MAY 8, 2025

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. They communicated by looking at a letter screen and it would track his eye movements.

Illness 109

Illness IT Patient-Centered Patients 109

GeriPal

FEBRUARY 8, 2024

Alex: I wonder when we talk about it, because we’ll have links to both Eric Cassell’s argument, and we mentioned another article from Tate. Eric Cassell’s article, The Nature of Suffering, that you might think suffering would appear in the definition of palliative care. Pain Manag Nurs. doi: 10.1016/j.pmn.2023.11.004.

IT 137

IT Families Family Physicals 137

GeriPal

MAY 22, 2025

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. Eric 11:13 And, Tyler, that’s why I loved your article at J Gym on bringing music and benefits to patients at the bedside. You might see me on the TV screens next year.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

FEBRUARY 17, 2022

Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. It’s in the title of this article.

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Clinic IT Patients Medical 68

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. They didn’t feel connected to the people in their broader community.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

JULY 28, 2022

And I just want to highlight, Jennifer has a great JPSM article that just came out. I had it on my screen. Would you also just mind mentioning kind of the JPSM article too? What drove you to write that article on this important trip to Seattle? What year did your New England journal article come out, Jennifer?

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

OCTOBER 27, 2022

As a springboard for this conversation we discuss new prognostic models developed to predict (simultaneously) mortality, disability, and mobility impairment ( Alex Lee first author, JAGS ) and mortality for people with dementia residing in the community ( James Deardorff first author, JAMA IM ). . James: Yeah. Eric: What other decisions?

IT 95

IT Clinic Screening Patients 95

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Three different articles. Eric 04:27 Yeah, I gotta ask about the community advisor. Have to see.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. To learn more about CME for other GeriPal episodes, click here.

IT 67

IT Patient-Centered Individual Screening 67

GeriPal

DECEMBER 5, 2024

– @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. So we take that science and we apply it to something that’s very messy and chaotic, like a human being or a community or a population. I think it started off from a need, a hunger in the community.

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IT Community Patients Families 108

GeriPal

APRIL 28, 2022

I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. Let me share my screen here. But yeah, there’s a growing community of graphic medicine folks. And the editors know how to get people drawn into that article.

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IT Hospital Patients Illness 145

GeriPal

APRIL 6, 2023

We are also joined by LaVera Crawly, a physician turned chaplain, now VP of Spiritual Care at Common Spirit Health (and author of another of my favorite and most cited papers on palliative care in the African American Community ). It is a screening? And the screening questions would just allow you to know that. Lexy: Great.

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IT Patient-Centered Families Family 99

GeriPal

JANUARY 16, 2025

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. And I was asking this patient about if he had filled out an advanced directive.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

GeriPal

JUNE 5, 2025

We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. Like an AI robot goes in the room with the screen and that links to the human palliative care provider and is also the companion. right there.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

SEPTEMBER 8, 2022

And I got from your article, while the peaks follow this pattern, people feel a lot of different things where it just reminds me of the times I’ve grieved. We say it’s about 4% of those who are bereaved, who are from community-based samples. It’s complicated, it’s messy. So it’s different. Eric: Yeah.

IT 100

IT Complication Relationship Specialization 100

GeriPal

MARCH 10, 2022

And to keep it short work for an article. Ruth: Very strong odor, devoid of furniture, broken screens … Eric: So it was the physical environment and … Ruth: Physical environment. I was like, how do you disseminate this knowledge out to these community nursing homes in rural Georgia so that people know about this?

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

DECEMBER 7, 2023

Leslie Wharton is a leader in the 26,000 member grassroots organization Elders Climate Action , which organizes older adults to create communities engaged in making a difference at local, state, and national levels. Eric: It really doesn’t feel like we’ve done that because the amount of waste that we see- Ruth: Right.

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Healthcare IT Education Hospital 130

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? question used to screen for domestic violence. See also guides for how to confront and discuss anti-Asian hate in these articles in the NEJM and JGIM. And what are the strengths of the community in responding to this?

Mental Health 118

Mental Health Community Screening IT 118

GeriPal

APRIL 21, 2022

Look also for a forthcoming article by Mike and Redwing in Journal of Pain and Symptom Management on poetry as a healing modality, to be published mid May (will add link when out). This has become a community of people all over the world who come together every week. Redwing’s website: www.redwingkeyssar.com.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

APRIL 20, 2023

In terms of their risk, in terms of how we think of preventive health, as we think of screening, all of those things, I would turn around to the geriatricians and say, “Check your implicit bias. So the other part of that thing I would say is all of those things are true about the difference in rates between a community.

Mental Health 124

Mental Health IT Community Individual 124

GeriPal

MAY 1, 2025

So it felt like it was being part of this huge kind of change in the whole environment and the whole experience of that community. A review article, which I still like to go to. Eric 18:59 What is the recommendation currently for HIV screening in older adults or in non older adults? Eric 11:14 Yeah, we go way back.

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Primary Care IT Clinic Provider 96

Medical Xpress

JUNE 7, 2025

Edwards edited by Gaby Clark , reviewed by Andrew Zinin Gaby Clark scientific editor Meet our editorial team Behind our editorial process Andrew Zinin lead editor Meet our editorial team Behind our editorial process Editors notes This article has been reviewed according to Science Xs editorial process and policies.

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Vaccination Insurance Medical Diabetes 64

GeriPal

DECEMBER 21, 2023

So I thought… And I was doing this for the United States Preventive Services Task Force because we were looking at the evidence to what’s the benefit and harm of screening, and I had to look all over. Whereas with comprehensive dementia care, what you really need is a lot of the support that is delivered in the community.

Patient-Centered 126

Patient-Centered IT Families Family 126

Medical Xpress

JUNE 8, 2025

The results of this study provide an important and much-needed estimate of the rate of safety actions of Victorian surfers to beach users and the wider community," said Kiera Staley, Research Fellow at La Trobe Business Schools Center for Sport and Social Impact. This study helps to quantify surfers impact on community safety.

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Provider Community Medical Diabetes 53