The Clinical Problem Solvers

SEPTEMBER 19, 2024

Michelle Ogunwole, MD, PhD is a health disparities researcher, social epidemiologist and General Internal Medicine physician specializing in the care of women with chronic medical conditions. She currently practices at Johns Hopkins Hospital in Baltimore, MD. She currently practices at Johns Hopkins Hospital in Baltimore, MD.

Internal Medicine 52

Internal Medicine Patient-Centered Specialization Community 52

Physician's Weekly

JUNE 17, 2025

TUESDAY, June 17, 2025 (HealthDay News) — The PanDerm artificial intelligence (AI) model improves skin cancer diagnosis when used by doctors, according to a research article published online June 6 in Nature Medicine.

Diagnose 52

Diagnose Diagnosis Screening Clinic 52

Plum Health

OCTOBER 6, 2024

In this article, I want to give you a clearer understanding of what concierge medicine is, why it’s gaining popularity, and how it might be a good fit for you. They're also called direct primary care (DPC) or personalized medical service providers. Contact Plum Health Direct Primary Care today!

Healthcare 52

Healthcare Appointment Chronic Condition Patient-Centered 52

BMJ

FEBRUARY 18, 2022

Some will be at the forefront, others will be doing telehealth, or may find themselves back in a hospital situation rather than in the community. Acknowledgements: The authors wish to acknowledge the work and support of the other members of the WONCA Working Party for Mental Health who were not directly involved in writing this article.

Family Medicine 40

Family Medicine DO Mental Health Family Doctor 40

GeriPal

JULY 19, 2024

Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist. Who do we have with us today?

Screening 119

Screening Primary Care Patient-Centered IT 119

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).

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

JANUARY 23, 2025

The intervention involved mailing medication-specific brochures to patients before their primary care appointments (click here for the brochure ). Eric 16:36 Okay, Connie, I got one last question about your article. I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin.

Specialization 119

Specialization IT Patient-Centered Medical 119

Annals of Family Medicine

NOVEMBER 20, 2024

In Ontario, MD follow-up after ED discharge for chest pain is mostly provided by primary care physicians (PCPs) and sometimes cardiologists. Search concepts used were ED, patient discharge, primary care, follow up, Canada, and Ontario. 1.42), or hospital admission in the past year (OR 1.27, 95% CI 1.22-1.32).

Primary Care 130

Primary Care PCP PCP Patients 130

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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Board-Certified IT Primary Care Referral 110

Common Sense Family Doctor

FEBRUARY 1, 2025

Since the turn of the century, the rise of hospitalists and the corresponding decline in the number of office-based family physicians who provide inpatient care for their own patients has magnified the value of optimizing the handoff from hospital-based teams to primary care physicians.

Hospital 52

Hospital Management Primary Care Primary Care Physician 52

Noreta Family Medicine

APRIL 17, 2024

What is primary care? Part 2 Here are some frequently asked questions I get as a Primary Care Provider. As the name suggests, a family physician can take care of your entire family – from the day of your birth (even before!) Why Do I Need a Primary Care Physician? Read My Latest News!

Primary Care 52

Primary Care Board-Certified GP Family Medicine 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. Why this particular population? David: Right.

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 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

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Patient-Centered Hospital Patients IT 132

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

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 124

IT Patient-Centered Screening Community 124

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

Families 112

Families Family Patient-Centered IT 112

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. ’ Though it often does not come with the attending salary, medical trainees are getting paid to perform a service, and hospitals provide retirement plans to these individuals.

Finance 52

Finance Individual Education Healthcare Professional 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 95

Community IT Patient-Centered Primary Care 95

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

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 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 ).

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Vaccination Individual IT Healthcare 87

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. Mazie: Yes.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. I think back in what, May 2016, you published a randomized controlled trial, first author, palliative care and the ED randomized study, cancer patients.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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 132

Families Family IT Community 132

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. Joel: The Brigham and Women’s Hospital likes me to say that too. Did I get that right?

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

AUGUST 31, 2023

Alex: She’s also associate professor at Massachusetts General Hospital in Harvard Medical School. She was a prior guest with Rachelle Bernacki on our most listened to podcast of 2022, Should We Shift from Advanced Care Planning to Serious Illness Conversations? We could have talked for hours! Did I say it right, Lund? Alex: Lund.

Illness 128

Illness IT Diagnose Medical 128

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

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

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 66

IT Patient-Centered Individual Screening 66

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 136

Illness Patient-Centered Screening Clinic 136

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. Available: [link] Hostetter J, Schwarz N, Klug, M, Wynne J, Basson MD.

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

Family Medicine Initiative

APRIL 10, 2024

As a general practitioner and primary care researcher, it was always fascinating for me to delve into the scientific literature to investigate this issue. The following graph shows the striking difference in premature mortality between countries with weak or strong primary care: 2. Here are the key results.

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Family Physician Families Family GP 130

GeriPal

DECEMBER 5, 2024

– @AlexSmithMD Here’s a link to an article about the Palliative Story Exchange. ** This podcast is not CME eligible. Alex 00:40 We’re delighted to welcome Alexis Drutchas, who is a palliative care doc at the Massachusetts General Hospital and Harvard Medical School and co founder, also of the Palliative Story Exchange.

IT 107

IT Community Patients Families 107

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. Julien: He basically had an end of life care discussion with this patient. Eric: What was that paper?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96