GeriPal

AUGUST 4, 2022

Today we are coming back for more (or less given the content), talking about the following articles with their lead authors: First up, we talk with Ariel Green about her article in JAMA Network on preferred phrases a clinician may use to explain why they should reduce or stop the medication. Liz, why’d you decide to do this?

Specialization 105

Specialization Medical Patient-Centered Provider 105

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. Great to be back.

Primary Care 97

Primary Care Diagnosis Screening IT 97

GeriPal

MAY 11, 2023

We also worked a little bit with the primary care team certain of the risk factors. The post Prevention of Dementia: Kristine Yaffe appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. And because we can’t resist, we dip into aducanumab and lecanemab at the end.

Physicals 86

Physicals IT Hypertension Education 86

The Motivated MD

SEPTEMBER 19, 2024

For the better half of 2024, I have been periodically writing posts that are individual articles that double as potential chapters to a future book. In medicine, it is commonly agreed that ‘to err is human’ Most healthcare professionals would agree that humans make mistakes. So yes, humans make mistakes.

Finance 52

Finance Individual Education Healthcare Professional 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

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. The article we discuss today, also published in JAMA , addresses these two gaps. We’re doing a number of work. Not the patients?

Patient-Centered 123

Patient-Centered IT Illness Patients 123

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. And also I was in the HVMA primary care program. He’s in Boston. Eric 12:21 Yeah.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

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. You know, I wonder how much, because it’s probably not brought up a lot in primary care settings. Eric 04:51 Yeah.

IT 125

IT Patient-Centered Screening Community 125

GeriPal

OCTOBER 20, 2022

This all came out from JAGS just published their first Clin-STAR corner, which is, and we’ll talk about what that is, but it’s a series of articles bringing in specialists to talk about updates in the last couple years within their field. So this point led us to select these articles. Eric: That’s exciting.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

MAY 25, 2023

Advance care planning doesn’t work. I’m not sure if you read that article and whether or not it’s changed your mind or whether or not you want to do any more research in advance care planning. And as you know, it’s a great article. Your thoughts? LJ: Definitely read it.

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

MAY 18, 2023

Eric: And in the article that’s being published in JAGS, you have multiple tables. Eric: So I guess it was table two in the JAGS article is about potentially inappropriate drugs. The review articles, the case studies, opinion pieces, things like that. So we’re trying to find articles that maybe support.

Medical 97

Medical IT Patients Clinic 97

BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. 150 (54.3) p<0.001 Doctor 83 (65.9) 126 (45.7) 162 (58.7) 228 (82.6)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. So my algorithm in that article is really based off the work Van Bo et all have done.

Management 123

Management IT Medical Patient-Centered 123

GeriPal

SEPTEMBER 7, 2023

To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies. We brought up your JAGS article, which we’ll link to our show notes about some of the geriatric needs, falls.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

APRIL 4, 2024

Today, we talk with Bernie Lo, prominent bioethicist and practicing primary care internist, and Laurie Dornbrand, geriatrician at the IOA On Lok PACE, about the legacy of Nancy Curzan. You write about this, you’ve written this New England Journal article, you’ve written past articles.

Families 113

Families Family Patient-Centered IT 113

GeriPal

OCTOBER 26, 2023

Having read at least some of your research articles there’s a lot of focus around this intersection between what happens to people after the hospital stay post-acute, especially in the cancer patients. Eric: I felt that reading the article. We’ll have a link to that article on our show notes. Ann: Likely.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

MAY 26, 2022

This week, we discuss an article by bioethicists Govind Persad and Emily Largent arguing that the NIH guidance for allocation of Paxlovid during conditions of scarcity. And great article. It’s been a while since we’ve done a Covid/bioethics podcast (see prior ethics podcasts here , here , here , and here ). Eric: Yeah. Eric: Thank you.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

AUGUST 11, 2022

And man, I still remember those sessions, some of the most powerful learning experiences of my career as a palliative care doctor. There was a Stanford article talking about you as a pioneer in this field. ” And I wonder, how did you fall in love with palliative care? My question is, what article are you most proud of?

Illness 110

Illness IT Families Family 110

GeriPal

JANUARY 18, 2024

We got a couple of articles to discuss and a lot of different components of this. I was wondering, because Alex did mention that we talked with Jessie before about whether or not we should be teaching some of this stuff in palliative care fellowships. Eric: Which brings us to an article. Jessie: Exactly. Eric: Oh, you were?

Illness 137

Illness Patient-Centered Screening Clinic 137

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. Welcome to the GeriPal podcast, Charlotta. Charlotta: Thank you.

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

MARCH 24, 2022

This is the latest in our series of podcasts on concerns about, and potential of advance care planning. Start by reading this article by Sean Morrison, Diane Meier, and Bob Arnold in JAMA , and this response from Rebecca Sudore, Susan Hickman, and Anne Walling. I worry, as a ex-primary care doctor, how much time I have.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

JUNE 22, 2023

Michele: Yeah, so in May of 2018, there was an article by Suleika Jaouad in the New York Times Magazine, and they spent about two weeks in our hospice with us learning about the work that’s done. And so the article focuses on the work of these three men who were mostly gang involved and did something really bad when they were young.

Families 133

Families Family IT Community 133

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? Why did you even decide to write this article? How did you think about this when you’re together thinking about writing this article? Eric 11:35 And let me ask you this.

Patient-Centered 79

Patient-Centered IT Patients Illness 79

GeriPal

JUNE 5, 2025

How to think about primary and specialized palliative care in this setting. The obstacles hindering referrals to palliative care services. Practical strategies to overcome these barriers and enhance care. JAGS 2024 Nursing Home Palliative Care Referral Process, Barriers, and Proposed Solutions: A Qualitative Study.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

MARCH 7, 2024

Check out the Pub Crawl GeriPal post for more info, and follow #HPMParty on Twitter to keep us as we crawl! ** In the last several years, I’ve seen more and more articles about end-of-life doulas ( like this NY Times article from 2021 ). Well, I’d agree, John, for palliative care ideally starts around the time of diagnosis.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

AUGUST 31, 2023

Juliet, last time we talked to you, you were talking about shifting from advanced care planning to serious illness conversations. You’re a senior author on this article in JPSM, where you interviewed some geriatricians and other people caring for older adults, nurse practitioners, social workers, et cetera.

Illness 129

Illness IT Diagnose Medical 129

GeriPal

FEBRUARY 20, 2025

A great Curbsiders podcast episode on Trauma-informed care with Megan Gerber CAPCs Trauma-informed care toolkit Mariahs article on Home-Based Care for LGBTQ or another diverse gender identity Older Adults ** This podcast is not CME eligible. We’re going to be talking about trauma informed care.

IT 67

IT Patient-Centered Individual Screening 67

GeriPal

SEPTEMBER 5, 2024

Alex 00:27 And we’re delighted to welcome for the first time, guest Bill Ander e ch, who’s a primary care internist and senior scholar in Sutter Health’s program in M edicine and Human Values, a program that he co-founded with a former UCSF faculty member, Al Johnson. Actually, it’s not really an article.

Patients 98

Patients IT Patient-Centered Hospital 98

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. We’re available, palliative care. Eric: Yeah. Alex: Mm-hmm. Last question from me.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

DECEMBER 5, 2024

– @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. And I think overall, we lack the ability to truly sit with suffering together in medicine and palliative care, especially in the setting of COVID and caring for those that are dying.

IT 108

IT Community Patients Families 108

GeriPal

AUGUST 17, 2023

They need to become experts in understanding the biology of Alzheimer’s or all cognitive conditions and marry those two things because we are going to be either in the primary care clinic doing this or in the specialty care clinics doing it because geriatrics is in both. And we will have him on a podcast. Eric: Sharon.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

APRIL 10, 2025

I mean, those articles didn’t get published in jama, so in journals, but we had qualitative. Eric 26:01 Curtis’s, he had a 2014 JAMA article on simulation. For residents and nurse practitioners, primary outcome was the quality of communication. No difference in their primary outcome. We looked at reach.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

MARCH 3, 2022

I am wondering whether it’s the conversations and preparation that’s primary care providers and outpatient providers are having with a lot of these patients and families to either prevent an ICU admission or potentially address their goals, such that they don’t go into the ICU. How do I reconcile these two issues?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MARCH 10, 2022

And to keep it short work for an article. And I again, reference the readers back to this JAMDA article where we proposed a concerted coordinated framework for achieving an integrated model of palliative care in nursing homes. Yeah, it’s a challenging concept to define and to put in a simple phrase. Eric: Yeah.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

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 the actors were blinded to whether this was a primary care doctor or a chat bot answering them. Let me ask you a question. They had no idea. And they suck at it for a lot of reasons.

IT 140

IT Electronics Patients Healthcare 140

BMJ

AUGUST 20, 2021

By John Scott Frazer, Glenn Ross Frazer Reference : Frazer JS , Frazer GR, Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model, Family Medicine and Community Health 2021; 9: e001143.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

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. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 80

Primary Care IT Clinic Patient-Centered 80