GeriPal

DECEMBER 8, 2022

And which of those experiences would you like to share with us that we could then write into a story that we’ll share with providers? It started here at Madison at one and it’s also spread outside the VA now to hospitals in Boston, Providence and now starting up actually in California and UCLA and UCSF. Alex: Yeah.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) And which of those experiences would you like to share with us that we could then write into a story that we’ll share with providers? So it’s a very scary culture for people who are not in healthcare. So it sounds like them.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. And so one of the things that I felt as a resident was moral distress around some of the treatments that we provide near the end-of-life.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . So when I make a cartoon, usually I’m sending it to a few people before it’s ever seeing the light of social media, to make sure it’s not going to come across as insensitive either to patients or to my fellow providers. You never want to be punching down.

IT 145

IT Hospital Patients Illness 145

GeriPal

AUGUST 24, 2023

And I had no idea what that would look like or what I would do until I happened upon an article by actually a fellow Winnipegger, a man named Jim Brown who was an expert in mood disorders. And decided, interesting article, but it raised as many questions as it answered. ” And we began writing and we got our first grant. .”

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

APRIL 24, 2025

We discuss an article they wrote about PULET for the American Journal of Hospice and Palliative Medicine, including: What makes a PULET a PULET? It’s just that he was foregoing things that we think would have provided him more benefit. Why did you even decide to write this article? Laura 10:36 Yeah, I was just.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

FEBRUARY 27, 2025

Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? But, you know, I’ve talked to a lot of palliative care providers, a lot of people caring for people with serious illness. Sach 07:22 Yeah.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. We’re going to be linking to two important JAGS articles that our guests wrote just recently in JAGS. To learn more about CME for other GeriPal episodes, click here. Kate 01:09 Yeah.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

OCTOBER 17, 2024

I’d also like to give a shout out to a recent ACP article on HFpEF with an outstanding contribution from Ariela Orkaby, geriatrician extraordinaire (we also just did a podcast with her on frailty ). ** This podcast is not CME eligible. So I just wanted to add that layer of how I think about these things, because I agree.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. It was this slow build, I would say. How do I reconcile these two issues?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. We weren’t randomizing providers or patients.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. Rehabbed to Death. Ruth: Aw, thanks. Ruth: Sure. Ruth: Mm-hmm (affirmative).

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. Prior-auth forms? Examples of nudges, some based in health care, others in coffee. Alex 25:41 Yeah.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

FEBRUARY 13, 2025

We’re gonna be talking about three different articles that are gonna be presented Saturday, I believe, at the annual meeting. Three different articles. Like, would you include the doctors that I work with, healthcare providers where I live in Marin? Which kind of brings us to our third article. Have to see.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MARCH 20, 2025

And is there a middle path to provide some degree of comfort while also hastening the end of life? Joshua Briscoe, to discuss the topic of voluntarily stopping eating and drinking as a potential bridge to access medical aid in dying medications and their respective articles on the topic. Is that right, Hope? Well, how can I be.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

MAY 29, 2025

Any depictions of paradoxical acidity that you’ve seen in media or movies that strike you as accurate, or any links we could provide to YouTube videos or anything like that. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. I appreciate that good job.

Family 93

Family Families IT Patient-Centered 93

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. But, what you need is a community-based game there. They deal with that.

Community 89

Community Nurse Practitioner Provider IT 89

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.” What about ambivalence on the part of the provider? Josh: Yeah.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 2024

Some numbers to back it up: ELNEC has trained more than 48,000 providers in a train the trainer model Over 1.5 From you reading the 2022 article that was authored? Eric: So not from the patient perspective or family, but from the provider perspective? And then we have providers. AMA PRA Category 1 credit(s) ™. Josh: Yeah.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

JULY 25, 2024

Summary Transcript Summary We are dusting off our crystal balls today with three amazing guests who have all recently published an article on prognosis over the last couple months: Kara Bischoff, James Deardorff, and Elizabeth Lilley. Eric 00:13 And Alex, we have a super special today, three different articles. This is Eric W id era.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. Jasmine, is it you? Jasmine 01:31 It is me. This is what I do here.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

AUGUST 15, 2024

Lingsheng (and I) recently published studies on this in JAMA Internal Medicine , and JAGS. This question, while providing an opportunity to talk about direct and indirect experiences, can be asked of all patients, and opens the door to conversations about anti-semitism, islamophobia, or anti-Black racism. Lingsheng 38:03 Yeah.

Mental Health 116

Mental Health Community IT Screening 116

GeriPal

APRIL 21, 2022

To the deeper emotions – of loss and grief, of wonder and transcendence – that are at the heart of the complex care we provide. Institute for Poetic Medicine. Mike: It was really then it was when I was a internal medicine resident that I heard a Mary Oliver poem, and it really connected to where I was at.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Eric: Okay.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. Stat news article about variants/COVID becoming more predictable.

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Vaccination IT Hospital Management 100