KevinMD

JUNE 21, 2025

An excerpt from Real Medicine, Unreal Stories: Lessons and Insights from Clinical Practice (Volume 2). The dinner plates had been cleared and a lazy instrumental playlist drifted through the background. Thad Brigham leaned back in his chair, a satisfied smile crossing his face as he looked at his daughters across the table.

Family 176

Family Families Clinical Practice Management 176

Common Sense Family Doctor

MAY 1, 2025

million primary care visits annually and are the fifth most common reason for emergency department visits” in the United States. Clinical practice guidelines on the management of episodic migraine headache, including the 2023 US Veterans Affairs/Department of Defense guideline , preferentially recommend triptans for most patients.

Primary Care 52

Primary Care Family Physician Clinical Practice Diagnose 52

Annals of Family Medicine

NOVEMBER 20, 2024

Background Researchers use card studies to obtain observational data about primary care provider (PCP) knowledge, attitudes, and behaviors on a variety of topics. Card studies have been influential in changing clinical practice, such as the reduction of antibiotics in patients with upper respiratory infections.

PCP 130

PCP PCP Primary Care Clinical Practice 130

Physician's Weekly

JUNE 17, 2025

“Our hope is that using the childhood asthma passive digital marker in clinical practice will improve the early detection of asthma risk in high-risk children, allowing for earlier interventions that could improve asthma control and lessen the future risk of hospitalization,” Owora said in a statement.

Asthma 52

Asthma Clinical Practice Electronics Diagnosis 52

Barton Associates

MAY 8, 2025

Across the United States, tens of millions of Americans live in areas with shortage s of primary care, dental, and mental health professionals. And there’s little sign of this issue slowing down any time soon—in fact, the U.S. Enter temporary medical staff, such as locum tenens providers.

Medical Staff 52

Medical Staff Medical Patients Healthcare 52

The Clinical Problem Solvers

JUNE 26, 2023

Following residency, she was a Robert Wood Johnson Clinical Scholar and received health services research methodology training. Clinically, she is boarded in both Internal Medicine and Addiction Medicine and practices as a primary care physician and teaching hospitalist. Preserve the dignity of the patient.

Electronics 52

Electronics Internal Medicine Patient-Centered Healthcare 52

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 120

Screening Primary Care Patient-Centered IT 120

GeriPal

JANUARY 23, 2025

The intervention involved mailing medication-specific brochures to patients before their primary care appointments (click here for the brochure ). Join us as we dive deeper into these studies and discuss the implications for clinical practice and patient care. Ethical and practical. We got our pink ribbons.

Specialization 120

Specialization IT Patient-Centered Medical 120

Annals of Family Medicine

NOVEMBER 20, 2024

A Mobile Harm Reduction Team (MHR) partnered with public health bureau to develop low-barrier primary care addiction medicine in a trusted location, prioritizing relationship-centered care to promote patient engagement. Setting or Dataset: New primary care addiction medicine site.

Relationship 130

Relationship Clinical Practice Clinic Patient-Centered 130

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Primary care providers (PCPs) frequently treat children and adolescents with obesity. In 2023, the American Academy of Pediatrics released new clinical practice guidelines (CPG) for the evaluation and treatment of pediatric obesity.

Clinical Practice 130

Clinical Practice Clinic Education Primary Care 130

GeriPal

JUNE 20, 2024

Alex 00:30 And we’re delighted to welcome Alison Huang, who’s a primary care doc and researcher and professor of medicine, urology, and epi-biostats at UCSF in the division of General Internal Medicine. George 03:01 So I would say that as many clinical issues in older adults, we need to think about them in two ways.

IT 121

IT Patient-Centered Patients Clinic 121

Common Sense Family Doctor

MAY 30, 2025

Barriers to implementing findings from lung cancer screening trials into typical clinical practice include the nonrepresentative nature of research participants (younger, healthier, and less racially and geographically diverse than the target populations) and the superior infrastructure and clinical support available to them.

Primary Care 59

Primary Care Screening Family Physician Family Medicine 59

PEMBlog

OCTOBER 2, 2024

I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment. Understanding dyspepsia and its clinical presentation. Join me as I scope out the nuances of gastroesophageal reflux and gastritis and provide practical insights for clinicians in the emergency setting.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

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

Annals of Family Medicine

NOVEMBER 20, 2024

Context: We previously reported on the effectiveness of PINCER at reducing hazardous prescribing in primary care in a cluster randomised trial, and the subsequent roll out of the intervention in one region of England; PINCER has now been rolled out nationally to over 2,800 general practices in England.

General Practice 130

General Practice Primary Care Clinical Practice Patients 130

GeriPal

JUNE 12, 2025

I’m sort of seeing them in clinic for consideration of palliative radiation, they have a lot going on. But there are times that a primary care physician or an internal medicine physician may make the referral. But in my practice it’s usually from another oncologist, typically a medical oncologist.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

FDA Law Blog

MARCH 17, 2022

Proposed 2022 CDC Clinical Practice Guideline for Prescribing Opioids, 87 Fed. et al, CDC Clinical Practice Guideline for Prescribing Opioids-United States, 2022, CDC. CDC Clinical Practice Guideline, 10. On February 10th, the agency published a comprehensive proposal to update the guideline. 7,838 (Feb.

Patient-Centered 75

Patient-Centered Clinical Practice Patients Individual 75

GeriPal

JUNE 27, 2024

The question I would ask is, how helpful is that in our clinical practice? So we put those cutoffs, and I asked the question earlier, how helpful are those cutoffs in clinical practice? So if we look at the strict diagnostic criteria, yes, there are kind of time based components to that. And so bathe is an acronym.

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

OCTOBER 10, 2024

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

Screening 121

Screening IT Families Family 121

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Katie, welcome back to GeriPal. Most oncologists would say no.

Illness 137

Illness Patient-Centered Screening Clinic 137

FDA Law Blog

NOVEMBER 29, 2022

CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. Expected clinical benefits should be weighed against risks before beginning therapy. Duration should be individualized based on the specific patient’s clinical circumstances. Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R.,

Patients 52

Patients Patient-Centered ER Individual 52

GeriPal

MAY 25, 2023

And, you know, I really leaned in from my perspective as a primary care geriatrician to hearing from what my patients and their family caregivers are asking me for and asking me about, and they’re asking me about how they can prepare. Hillary: I certainly agree lots to think about. Hillary: So those all differ.

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

MARCH 28, 2024

Summary Transcript Summary One marker of the distance we’ve traveled in palliative care is the blossoming evidence base for the field. These were clinically significant and statistically significant improvements. I treat patients with acute leukemias and related diseases, so I kind of know some of this from my own clinical practice.

Consulting 116

Consulting Patient-Centered Patients IT 116

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. Now as I understand it, you and Dr. Widera talked in clinic about this and that. Should we abandon the term, “comfort measures?”

Families 113

Families Family Patient-Centered IT 113

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Alex 19:12 And what’s the clinical takeaway from that?

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. And in addition, my work in palliative care, I also am a clinical ethicist. An increasing number of federal leaders have a track record of endorsing such products.

Patient-Centered 79

Patient-Centered IT Patients Illness 79

BMJ

JUNE 25, 2021

Findings from a longitudinal study using primary care records, Family Medicine and Community Health 2021; 9: e000780. 1 Clinical guidelines internationally recommend statin therapy for both primary and secondary prevention of CVD, making statins one of the most frequently prescribed drugs in industrialised countries.

Primary Care 40

Primary Care Clinical Practice Electronics Clinic 40

GeriPal

MARCH 10, 2022

This study explored nursing home organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia. Now when I say variation, I’m not talking about small little clinically questionable variations. Joan: A lot of my work comes out of my clinical practice.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. In the primary care practices that received the advance care planning intervention, rates of advance care planning were higher (about double). Eric 06:26 Great.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JUNE 6, 2024

Sharon Bober, clinical psychologist at DFCI, notes that clinicians can get caught in an anxiety cycle, in which they are afraid to ask, don’t ask, then have increased anxiety about not asking. And it actually came up during a clinical encounter that I had. So most of us in primary care, it’s probably even worse.

Illness 131

Illness IT Physicals Patients 131

Common Sense Family Doctor

MARCH 23, 2025

The proliferation of clinical practice guidelines of varying quality and conflicting recommendations has led to calls to systematically evaluate guidelines for their impact on patient outcomes. You need not be ill enough to be hospitalized or care about practice guidelines to suffer if AHRQ is eliminated for good.

Healthcare 52

Healthcare Patient-Centered Primary Care Illness 52