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. But they also did not do the DPOA for healthcare form. So there’s no healthcare surrogate.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

DECEMBER 15, 2022

In an article in the NEJM (a published article this time, wonder of wonders!) Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So it’s a very scary culture for people who are not in healthcare.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . Susan: Thank you.

Illness 109

Illness IT Families Family 109

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

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Eric 00:13 And, Alex, I am very excited today because there was an awesome article on Annals on conservative management versus dialysis.

Management 116

Management Patient-Centered Patients IT 116

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. So before we talk about the results, can you give us a very brief overview of what you did in this article? So Liz, let’s jump into the topic.

Hospital 125

Hospital IT Patient-Centered Patients 125

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 so what happens is people just say, well, they’re older, they’re more vulnerable.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . And so here’s a picture of four healthcare providers behind bars. ” The first healthcare provider said, “I said withdrawal of care. Alex: And you published in Washington Post, Annals of Internal Medicine. Like, oh no, I said it.

IT 145

IT Hospital Patients Illness 145

GeriPal

DECEMBER 5, 2024

– @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. And it was born when I was a medical resident at UCSF Internal Medicine. There’s obviously a lot of flaws in the healthcare system. Transcript Eric 00:01 Welcome to the GeriPal Podcast.

IT 107

IT Community Patients Families 107

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? Why did you even decide to write this article? And that was the last time that he’d been seen by our healthcare system. Eric 11:35 And let me ask you this.

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 that was my take home from Danny’s article. Janet, how are you integrating addiction medicine and palliative care? We have this.

Patients 72

Patients Clinic Patient-Centered Illness 72

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. Eric 27:08 I’m going to also call out Mariah’s article in jags. Kate 01:09 Yeah.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. Alex 06:20 Can I what’s the healthcare equivalent to the Starbucks coffee? Inside or outside of healthcare? Prior-auth forms? Examples of nudges, some based in health care, others in coffee. Eric 06:19 Oh yeah.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

APRIL 10, 2025

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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? We are going to have healthcare utilization data as well.

Consulting 63

Consulting Community Patient-Centered Families 63

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

MARCH 10, 2022

Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. And to keep it short work for an article. That’s a problem in our healthcare financing system. Rehabbed to Death. Ruth: Aw, thanks. Ruth: Mm-hmm (affirmative).

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

MARCH 20, 2025

To delve into these questions, we spoke with Hope Wechkin, medical director of EvergreenHealth home hospice, who authored an article describing a process of Minimal Comfort Feeding (MCF) for patients who have expressed an interest in not wanting to live with advanced dementia. Thaddeus, you wrote an article in JAGS not too long ago.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

MAY 29, 2025

There’s this great article in the New York Times yesterday about how maybe we should be treating AIs more respectfully because it’s possible they’re conscious. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. I appreciate that good job.

Families 93

Families Family IT Patient-Centered 93

GeriPal

JULY 6, 2023

Eric: Which is, so let’s say I am a provider, a healthcare provider taking, let’s say a nurse practitioner working in an older, a clinic that’s mainly caring for older adults. Really, to be a bridge between whether it’s a health plan on the healthcare side, Greg mentioned a hospital discharge, which is so common.

Community 89

Community Nurse Practitioner Provider IT 89

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.

Families 106

Families Family Patient-Centered Patients 106

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.” From you reading the 2022 article that was authored? Josh: Yeah.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 21, 2022

Institute for Poetic Medicine. 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). We haven’t decided exactly when we’ll publish this podcast, but we may delay it until that article comes out.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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. Is that right?

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

APRIL 26, 2024

Accreditation In support of improving patient care, UCSF Office of CME is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Josh: Yeah.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

AUGUST 15, 2024

Lingsheng (and I) recently published studies on this in JAMA Internal Medicine , and JAGS. See also guides for how to confront and discuss anti-Asian hate in these articles in the NEJM and JGIM. We do talk about healthcare policy. Eric 29:09 Okay, I got a question for you, lingqing. Anybody do.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

FEBRUARY 2, 2023

I had heard of course heard of imposter syndrome in the past but I didn’t make the connection to myself until I read this article and saw my thoughts printed on the page. Even declining to review an article for a journal is accompanied by some stomach knots (it’s so hard to find reviewers!) Eric: Yeah.

IT 104

IT Medical Student Medical Families 104

GeriPal

DECEMBER 21, 2023

Malaz: One day I was in internal medicine residency and I had to take care of a patient who was admitted from a nursing home with dementia. Eric: And looking back at that time, what do you think the healthcare system could have done to help with that? As you know the healthcare system right now, we struggle.

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