The Clinical Problem Solvers

SEPTEMBER 12, 2024

[link] In this Clinical Reasoning Rafael Medina Subspecialty episode, Dr. Kuchal Agadi presents a case to Dr. John Woller and Dr. Areeb Masood of a 67 year-old male with altered mental status. If you would like to get involved as a case presenter or discussant (or nominate an attending/educator), fill out the form HERE.

Diagnosis 52

Diagnosis Internal Medicine Primary Care Medical Student 52

Physician's Weekly

JUNE 11, 2025

If low bone density is present, it’s often treated alongside a weight loss program. What practical strategies would you recommend for implementing resistance training in community or home-based settings? For older adults, the YMCA’s Silver Sneakers Program is a fantastic community resource.

Management 52

Management Primary Care Physicals Telehealth 52

Annals of Family Medicine

NOVEMBER 20, 2024

Appropriate care for these people calls for integrated care from the healthcare, social services, and community networks. Few studies assessed the factors influencing cross-sectoral collaboration between non-profit organizations (NPOs) and primary healthcare partners. Study design: An instrumental case study design.

Healthcare 130

Healthcare Finance Integrated Care Relationship 130

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

Barton Associates

JUNE 19, 2025

In these complex and ever-changing environments, staffing challenges can quickly become a critical issue, impacting both patient care quality and operational efficiency. As a healthcare facility, your primary focus is on consistently providing the highest-quality services possible to your patients.

Healthcare 52

Healthcare Healthcare Professional Provider Community 52

The Clinical Problem Solvers

MAY 11, 2023

Rafa presents a nephrology clinical unknown to Drs. The goal of this series is to expand access to subspecialty, primary care and internal medicine-adjacent specialty education to learners around the world. He impacted the lives of so many and touched every corner of the CPSolvers community, and rippled far beyond.

Internal Medicine 52

Internal Medicine Primary Care Education Community 52

The Clinical Problem Solvers

SEPTEMBER 19, 2024

Cooper September 19, 2024 Summary : This episode highlights a selection of antiracism research presentations at a live recording of the podcast at the 2024 SGIM Annual Meeting. Describe the positive impacts of qualitative methods on healthcare provision and/or policies in clinical settings. Zakaria, S., Vaught, A. Toth-Manikowski, S.

Internal Medicine 52

Internal Medicine Patient-Centered Specialization Community 52

The Clinical Problem Solvers

JANUARY 18, 2021

Understand that collective action and a focus on community, rather than individualism, are most effective in combating racism and achieving health equity. One of the biggest barriers to health equity is the narrow focus on the individual and a failure to see health as a widespread community issue. Published December 2, 2020.

Community 52

Community Medical Individual IT 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 119

Screening Primary Care Patient-Centered IT 119

GeriPal

OCTOBER 13, 2022

Devika Nair and Rasheeda Hall talk about their JAGS article highlighting updates from nephrology in the care of older adults, including a link to this new eGFR calculator that does NOT include race. There’s a team now with them behind them making sure that they stay safe and held in our communities. So you’re right.

Complication 97

Complication Patient-Centered IT Patients 97

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 120

IT Patient-Centered Patients Clinic 120

GeriPal

AUGUST 4, 2022

Next up, we chat with Liz Bayliss about her JAMA IM article that studied whether increasing awareness about deprescribing prior to primary care visits can reduce the use of potentially inappropriate long-term medications for individuals with cognitive impairment. Welcome, Ariel. Ariel: Thanks. I’m excited to be here.

Specialization 104

Specialization Medical Patient-Centered Provider 104

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. Both conditions can present with similar symptoms. And the presentation for GERD varies by age.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

MAY 11, 2023

The beautiful thing about it, it’s more than just having a career development award; it’s a community of aging researchers. One of the highlights really is the networking and the community that it fosters and highlighted, in some ways, by the meeting, which of course you often lead the sing along at. I agree with you.

Physicals 85

Physicals IT Hypertension Education 85

The Medical Futurist

JUNE 21, 2025

2) iDoc24 The award-winning dermatology service is present in more than 160 countries and is available in 7 languages. Usually, patients go to their primary care physician for advice or try to ask in the pharmacy on the corner what the smiling pharmacists recommend. It’s a jackpot software for eczema troubles.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

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 95

Primary Care Diagnosis Screening IT 95

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Regular visits to your primary care physician at Mesa Family Physicians provide opportunities for early detection of potential health issues before they become serious problems.

Family Physician 100

Family Physician Preventative Care Preventive Care Families 100

BMJ

JUNE 1, 2021

By Malte Kohns Vasconcelos, MD MSc on behalf of the authors Reference: Kohns Vasconcelos M , Weil K , Vesterling-Hörner D , et al, Paediatric primary care in Germany during the early COVID-19 pandemic: the calm before the storm, Family Medicine and Community Health 2021; 9: e000919.

Primary Care 40

Primary Care Provider Patients Families 40

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. I would like to request the Friendship Train by Gladys Knight and the Pips.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

JUNE 19, 2025

Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming. You present your. And I often use transgender because that’s the language that is more affirming broadly for the community. Johnson, actually. Sorry, Martha.

Individual 81

Individual Community IT Chronic Condition 81

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, if you want to think about the problem, think about clinical research. Eric 03:49 Great. Anxiety and institutionalization.

IT 124

IT Patient-Centered Screening Community 124

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.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

NOVEMBER 2, 2023

So the data relating to the number of geriatricians in this country, salaries in comparison to hospitalists or primary care physicians. And I met with the clinical pharmacist who worked in that clinic and she told me, “You know what? How do we train primary care doctors to do geriatrics?

Board-Certified 91

Board-Certified IT Community Medical Student 91

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). We also touch briefly on topics discussed in prior podcasts such as loneliness and federal responses to the pandemic in relation to long-term care.

Complication 52

Complication Patient-Centered IT Patients 52

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.

IT 102

IT Families Family Diagnosis 102

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. We’re going to be covering what you’re going to be presenting at the state of the science tomorrow, so this is pre-recorded. I’m just stunned even writing that! We’ve come so far as a field.

Consulting 115

Consulting Patient-Centered IT Patients 115

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. Essentially a primary palliative care intervention of sorts. What is a clinical decision support?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

OCTOBER 26, 2023

Summary Transcript Summary Often podcasts meet clinical reality. That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. But rarely does the podcast and clinical reality meet in the same day. Dear listeners, if you have a podcast idea, feel free to reach out to us.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

DECEMBER 5, 2024

It’s that mixture of intimacy and vulnerability, of shared clinical experiences, that fosters a sense of belonging. We definitely draw on the sciences, on biomedical science, on clinical trials, on pharmaceutical design and all sorts of things like that. I think it started off from a need, a hunger in the community.

IT 107

IT Community Patients Families 107

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. That was really the theme song of how the community came together.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MARCH 24, 2022

I worry, as a ex-primary care doctor, how much time I have. And so you could say that’s sort of starting the normalizing that process of advance care planning. And I would say too, as a primary care provider, it really doesn’t take that long to ask people about a surrogate decision maker.

Illness 72

Illness IT Healthcare Patient-Centered 72

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. Ashwin 18:08 These are things that we often see from a clinical standpoint.

IT 66

IT Patient-Centered Individual Screening 66

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. Over time, communication improves.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

MARCH 3, 2022

I am wondering whether it’s the conversations and preparation that’s primary care providers and outpatient providers are having with a lot of these patients and families to either prevent an ICU admission or potentially address their goals, such that they don’t go into the ICU.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

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). Sydney 00:41 Thank you.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

MAY 1, 2025

Our second guest, Meredith Greene, is a geriatrician and researcher who focuses on care of older adults living with HIV, in the US and Africa. Funding for research and clinical care is at risk, as USAID and PEPFAR (which is under USAID), are shuttered. Is that what you’re seeing as a palliative care provider now or.

Primary Care 94

Primary Care IT Clinic Provider 94