GeriPal

OCTOBER 13, 2022

Sonali Advani and Lona Mody talk about their recent JAGS article highlighting three recent articles that every clinician caring for older adults should be aware of in the treatment of infectious diseases (hint: I’ve never finished a course of antibiotics, and maybe your patients don’t need that full course either).

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Complication Patient-Centered IT Patients 96

GeriPal

JANUARY 23, 2025

The intervention involved mailing medication-specific brochures to patients before their primary care appointments (click here for the brochure ). And our next guest is Amy Linsky, who’s a physician and researcher at the VA Boston Healthcare System and associate professor at Boston University University. Alex 00:24 Great.

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GeriPal

NOVEMBER 9, 2023

Today we learn more about coaching from 3 coaches: Greg Pawlson, coach and former president of the American Geriatrics Society, Vicky Tang, geriatrician-researcher at UCSF and coach , and Beth Griffiths, primary care internist at UCSF and coach. We address: What is coaching? How does it differ from therapy? From Beth Israel and UNC.

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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?

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Specialization Medical Patient-Centered Provider 103

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.

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Physicals IT Education Hypertension 85

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.

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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.

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Finance Education Individual 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.

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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. AMA PRA Category 1 credit(s) ™. David: Right.

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GeriPal

JULY 3, 2025

This episode is a must-listen for those navigating the evolving landscape of cancer care, and asking not just how we treat cancer, but how we support people who are living with it. And so I wonder if a way to think about our role would be when we are seeing patients for whom survivorship care is applicable. Survivors of care.

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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.

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Primary Care Patient-Centered IT Patients 112

GeriPal

OCTOBER 20, 2022

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. Our first guest is a repeat guest.

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Complication Patient-Centered IT Patients 52

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)

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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. I think we often said that we prioritize healthcare personnel on the basis of instrumental value because it seems less controversial. Govind: Yeah.

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GeriPal

NOVEMBER 14, 2024

Summary Transcript CME Summary Falls are very common among older adults but often go unreported or untreated by healthcare providers. 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.

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GeriPal

JUNE 15, 2023

-@AlexSmithMD Links: Papers on AI and palliative care and concerns about bias: [link] [link] Comparison of machine learning vs traditional prognostic methods based on regression: [link] Other links on the issue of AI and racial or ethnic bias: Are Robots Racist? Greenwall Foundation Bill Stubbing lecture Are Robots Racist?

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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.

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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.

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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.

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Community IT Patient-Centered Primary Care 95

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) ™.

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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.

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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. Fortunately, I am at an institution where they value patient-centered care and they give us that extra time. Well, I do it personally.

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Patient-Centered IT Patients Clinic 128

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.

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Management IT Medical Patient-Centered 120

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.

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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.

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Patient-Centered Hospital Patients IT 131

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?

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Illness IT Families Family 108

GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. Eric: Because that article wasn’t too long ago. Michele: Yep.

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Families Family IT Community 131

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.

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Patient-Centered IT Patients Illness 76

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. I mean, financially, the bulk of the American healthcare system is a fee-for-service system.

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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. There’s obviously a lot of flaws in the healthcare system. And I turned to my dad and I said, I think mom needs palliative care. And she did have a primary care doctor.

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IT Community Patients Families 106

GeriPal

AUGUST 17, 2023

And that’s going to be very interesting to see how that unfolds in healthcare practice. You’d like to have each healthcare system go through a checklist of do we have a neuroradiologist and if we don’t, how are we going to get one? It’s not intended to say a drug is risky. And, Sharon, you’ve outlined it.

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Patient-Centered IT Clinic Patients 98

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.

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Patient-Centered IT Screening Patients 66

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.

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GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. So while you don’t have to, we’re gonna summarize these articles. Alex 02:37 Great choice.

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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.

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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. Eric 08:45 Why did you choose that as a primary outcome? That’s not news to us.

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Patient-Centered Hospital IT Patients 76

GeriPal

MARCH 3, 2022

That said, I think we, and I mean collectively, not just in critical care, I think we as a healthcare system, I think we’re really good at keeping people alive. Where she has each of the age categories and you see the prevalence of frailty increasing. How do I reconcile these two issues? Julien: Lauren, I totally agree with you.

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Patient-Centered Patients IT Illness 96