GeriPal

JANUARY 12, 2023

After coming out of residency and taking care of lots of complicated older adults as of now, a brand new physician attending, I really needed that team to help me out. Not every hospital or every health system is the same physically or financial incentives or which clinical programs exist and patient demographics.

Hospital 101

Hospital Patient-Centered IT Nurse Practitioner 101

GeriPal

MAY 19, 2022

It depends on the clinical situation. So, Dr. McPherson, as far as I can tell, she’s really the only person in our professional community who in any sort of serious public way said, folks we need to do something about this. But we still, regardless of how you do this calculation have to temper it with clinical judgment.

IT 139

IT Patients Individual Relationship 139

GeriPal

JUNE 8, 2023

-@AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera. Alex Smith: This is Alex Smith. Tamryn: Yes, 100%.

Diabetes 74

Diabetes Management Patient-Centered Family 74

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. Now, in the pediatric emergency department, the diagnosis of reflux is primarily clinical. They can handle this problem. Don’t minimize it.

Diagnosis 52

Diagnosis Management Patient-Centered IT 52

The Clinical Problem Solvers

APRIL 5, 2022

During this episode, we gained insight from special guests Dr. Margot Kushel and Mr. Bobby Watts about what brought them into their fields, how their work reaches the most marginalized, and what can be done at the community and structural level to address homelessness. Know your community resources.

Community 52

Community Patient-Centered Emergency Room Medical 52

GeriPal

NOVEMBER 17, 2022

Assisted Living Communities (no longer preferable to call them Assisted Living Facilities, as we learned on the podcast) are…what, exactly? If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. . If you’ve seen one Assisted Living Community you’ve seen one Assisted Living Community. .

Community 97

Community IT Mental Health Medical 97

The Clinical Problem Solvers

FEBRUARY 8, 2023

Identify realistic solutions to drug policy reform that promote health equity among marginalized communities living in the United States. Screening for substance use and offering connections to treatment and community-based services are important strategies that clinicians can implement in their own practice today.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. Word of mouth spread rapidly.

Community 116

Community Transportation IT PCP 116

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Psychedelics have been used by communities around the globe for hundreds of years (or more). Alex: It’s complicated. We, for very complicated reasons, ended up with niacin. Eric: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

JANUARY 25, 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.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). There’s a team now with them behind them making sure that they stay safe and held in our communities. How to make your voice heard and get involved.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. And then I met a patient in clinic once who asked me a lot of really intelligent questions about medical cannabis, what it does. I’d been a nurse at the time, and I went back to do my clinicals in an oncology clinic locally. They just kept at it.

Medical 100

Medical IT Patient-Centered Healthcare 100

GeriPal

SEPTEMBER 7, 2023

Based on this surge in evidence, the American Society of Clinical Oncologists recently updated their guidelines for care of older adults to state that all older adults receiving systemic therapy (including chemo, immuno, targeted, hormonal therapy) should receive geriatric assessment guided care. Mazie, welcome to GeriPal. William: Sure.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

APRIL 10, 2025

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. And then we had clinical decision support. What is a clinical decision support? Long overdue.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

OCTOBER 26, 2023

Summary Transcript Summary Often podcasts meet clinical reality. But rarely does the podcast and clinical reality meet in the same day. Ann Henshaw is an occupational therapist who works clinically at Georgetown and teaches at GW. Alex: Today we are delighted to welcome Ann Henshaw who brought this podcast idea to us.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

JANUARY 26, 2023

It can influence education systems. Can you give us some examples, even the ones you mentioned in the paper, about how some of these structural races, like these common things that may occur in the hospital or in the clinics that we use, and we may not even think about? We actually had, God, how long ago was that? Eric: Yes.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

JULY 21, 2022

I don’t practice clinically in outpatient settings, and often the folks I’m seeing are there for other kinds of issues. But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. Eric: Yeah.

Family 102

Family IT Families Diagnosis 102

GeriPal

MAY 26, 2022

Another area where this came up that I think has to just be clearly reciprocity is that people who were volunteers or clinical trial participants were often prioritized to some extent for COVID 19 vaccines. And on the prioritization front, I think we ended up being pretty skeptical.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

MARCH 28, 2024

Ten years ago we would have been hard pressed to find 3 clinical trial abstracts submitted to the annual meeting, much less high quality randomized trials with robust measures, sample sizes, and analytics plans. These were clinically significant and statistically significant improvements. I’m just stunned even writing that! Eric: Okay.

Consulting 116

Consulting Patient-Centered IT Patients 116

GeriPal

FEBRUARY 13, 2025

We covered some of our questions on the podcast, others you can ponder on your own or in your journal clubs, including: Maries tele/video palliative care intervention was tailored/refined with the help of a community advisory board. Eric 04:27 Yeah, I gotta ask about the community advisor. So I don’t want my Marin community to.

Consulting 64

Consulting Community Patient-Centered Family 64

GeriPal

FEBRUARY 23, 2023

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” This is a clinical intervention.

Family 98

Family Families Patient-Centered IT 98

GeriPal

MAY 22, 2025

Relationships are usually more complicated. Eric 34:49 And Jenny, how are you planning to involve music once you’re done with fellowship in your clinical work? We’re looking at community based organizations and we’re just going to keep synthesizing this to try and construct a picture of music in everyday life.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

MAY 15, 2025

Many were community hospitals. And especially that requires a lot of education. But for me, who’s practicing in North Carolina and not just at the main resource hospital, but also at the smaller hospitals, the community hospital, we look at this across the geography. Participants were critically ill and intubated.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

FEBRUARY 8, 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.

IT 137

IT Family Families Physicals 137

GeriPal

MARCH 24, 2022

Although, certainly when you start facing complications of serious illness, it is increasingly important to engage as individuals and conversations about goals, values, and preferences. I know not all systems are set up to allow for that or facilitate that retrieval, which makes things a little bit more complicated when push comes to shove.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

JUNE 13, 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.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

JULY 28, 2022

So at least in my oncology community, I really didn’t have anyone guiding or supporting or mentoring me. Was in Journal of Clinical Oncology and that was interesting. It was not plug and play, that we did see differences between the study groups that in that clinical trial, but it was really driven by the lung cancer patients.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. Bubbles Up is following Bubbles Up as the song will elucidate. How do you see the light? Is that right, Jane? This is one of the barriers.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

JANUARY 11, 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.

Illness 144

Illness IT Medical Provider 144

Family Medicine Initiative

APRIL 10, 2024

You know your patients’ evolving story as well as their family, friends, coworkers, and the peculiarities of their local community. Over time, communication improves. On average, twice as many patients have contact with GPs than with all specialists (in offices and/or outpatient clinics) combined. Over time, more trust develops.

Family Physician 130

Family Physician Family Families GP 130

GeriPal

MAY 1, 2025

Funding for research and clinical care is at risk, as USAID and PEPFAR (which is under USAID), are shuttered. And when she was here, she co founded the Golden Compass Clinic at San Francisco General Hospital for older adults living with HIV. Millions of lives are at stake. Meredith wore a shirt that said Silence=death.

Primary Care 96

Primary Care IT Clinic Provider 96

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. The reason I chose this song is because I’m currently working on bringing advanced care planning sessions to the Latino community. We did it by the clinic level. Is that right?

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic?

Family 108

Family Families Patient-Centered Patients 108

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. Clearly this issue is important to patients. Sharon, welcome to Jerry Powell.

Illness 131

Illness IT Physicals Patients 131

Pamela Wible MD

JUNE 19, 2025

Drawing from her experience running a physician suicide helpline , she speaks candidly about the emotional toll of assembly-line medicine , the link between overwork and doctor suicide , and the revolutionary joy of reclaiming your career by launching your own ideal clinic. I was in a big-box clinic. Thank you for joining us Dr. Wible.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. How is it financed and what comes next? Bruce: Sure.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

PEMBlog

DECEMBER 4, 2024

We will review the clinical presentation, diagnostic strategies, management protocols, infection control practices, and vaccination updates. Learning Objectives Understand the clinical progression of pertussis through its three distinct stages and identify key symptoms, including age-specific presentations in infants and older children.

IT 52

IT Vaccination Diagnosis Complication 52