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 95

Primary Care Diagnosis Screening IT 95

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

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. With their regular providers?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

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

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 113

Primary Care Patient-Centered IT Patients 113

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician.

Patient-Centered 52

Patient-Centered Complication IT Patients 52

GeriPal

NOVEMBER 14, 2024

Summary Transcript CME Summary Falls are very common among older adults but often go unreported or untreated by healthcare providers. Providers may feel a sense of nihilism, that there just isn’t anything they can do to decrease the risk of falling. I think providers feel that way. Anxiety and institutionalization.

IT 124

IT Patient-Centered Screening Community 124

GeriPal

MAY 18, 2023

So the intention of the AGS Beers Criteria is to provide information primarily to clinicians, although to other audience as well, but medications that we consider to be potentially inappropriate in older adults. But it does kind of provide that caution, it kind of slows things down to make sure you’re really paying attention.

Medical 97

Medical IT Patients Clinic 97

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 95

Community IT Patient-Centered Primary Care 95

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 132

Patient-Centered Hospital Patients IT 132

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

For example, we once thought that the lower urinary tract was sterile, but we now know it has its own microbiome, which may even provide protection against infections. And in my medical training, becoming a primary care doctor, I realized that older adults, women and men were having a lot of these same symptoms. Chrissy: Yeah.

Management 122

Management IT Medical Patient-Centered 122

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.

Referral 78

Referral Nurse Practitioner 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 ). I’m unsure what they do, how often they’re used, and who pays for their work. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

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.

Family 112

Family Families Patient-Centered IT 112

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. But I mean, I would also add that not all of the responses to the PGA, and to the provider part that is completed, are coming from the patient.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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. AMA PRA Category 1 credit(s) ™.

Illness 136

Illness Patient-Centered Screening Clinic 136

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.

Family 132

Family Families IT Community 132

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. It’s been a while since we’ve done a Covid/bioethics podcast (see prior ethics podcasts here , here , here , and here ). Eric: Yeah. I think it’s really hard.

Vaccination 87

Vaccination Individual IT Healthcare 87

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

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. I think the AI can allow for that complexity but still provide some guidance.

IT 99

IT Patient-Centered Patients Healthcare 99

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 72

Illness IT Healthcare Patient-Centered 72

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 109

Illness IT Families Family 109

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 talking about trauma informed care. We’re going to be linking to two important JAGS articles that our guests wrote just recently in JAGS.

IT 66

IT Patient-Centered Individual Screening 66

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

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

APRIL 10, 2025

I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. We weren’t randomizing providers or patients. No difference in their primary outcome. No difference.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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. Alex: Bye everybody.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

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

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Palliative Care in Nursing Homes: Discussion of a Multinational Trial with Lieve Van den Block. Well, I’m a geriatric nurse practitioner and I provided care to over 800 nursing home residents in 11 different nursing homes.

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Nurse Practitioner Hospital Family Families 60

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

MAY 1, 2025

Have been now a care provider for people with HIV for over 40 years. And I became more and more involved in it, including becoming involved in research and developing some of the programs initially to provide care for people with both drug use and HIV related problems, women with HIV vulnerable populations.

Primary Care 94

Primary Care IT Clinic Provider 94

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 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JUNE 6, 2024

Here are some articles that Kira and I have written about the topic, and that’s really how my interest in addressing sexual health concerns started. And that really is what prompted me to get certified as a sexual education provider. So provide multiple sort of concrete examples of what you’re talking about.

Illness 130

Illness IT Physicals Patients 130

GeriPal

APRIL 20, 2023

But nothing in healthcare. We said, “Reframe the debate,” because what we saw, for instance, in this permanent housing trial is that people started to use primary care. We’ll have all of the articles we talked about on our show notes. But it’s not a drug. This is awesome, right? Have a great night.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

JULY 20, 2023

You wrote the SF Chronicle article on an op-ed. What was life for you as a provider pre-pandemic? 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.

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Telemedicine Telehealth Patient-Centered Board-Certified 73