The Clinical Problem Solvers

JUNE 29, 2020

Born and raised in Toronto, he attended Boston University for medical school and loved it so much that he stayed on for his internal medicine residency. Outside of medicine he enjoys cheering on his beloved Toronto sport teams, jogging along the Charles River, and exploring the beautiful city of Boston.

Internal Medicine 52

Internal Medicine Diagnosis Education Hospital 52

Common Sense Family Doctor

DECEMBER 14, 2024

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Watchful waiting refers to clinical observation only. A recent analysis of the U.S.

Routine Screenings 52

Routine Screenings Screening Complication Diagnose 52

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

JANUARY 23, 2025

Join us as we dive deeper into these studies and discuss the implications for clinical practice and patient care. In my perspective, the other thing I’ll say is what I’ve learned from these podcasts is that there’s this big sort of cultural momentum towards prescribing in Western medicine. We got our pink ribbons.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

MAY 11, 2023

Should do medicine?” ” Because I loved internal medicine. There I was, extremely overly trained with brain stuff, and I wanted to learn how to do clinical research. They’re not a lot of randomized clinical trials. I presented this at the big clinical trials meeting in November in San Francisco.

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

JUNE 12, 2025

I’m sort of seeing them in clinic for consideration of palliative radiation, they have a lot going on. There were a number of opportunities to be involved in medical oncology and doing medical oncology rotations as a medical student, as an internal medicine residential. Eric 00:59 Why did you choose this song?

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

JUNE 27, 2024

Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. I think I certainly have had a lot of friends and colleagues in internal medicine who are so fearful that, oh, if I get this definition wrong, I’m going to cause some harm.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Or is it just this lingering practice of starting dialysis early before really severe complications develop? Clinical experience.

Management 116

Management Patient-Centered Patients IT 116

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. . That was one thing.

Illness 109

Illness IT Family Families 109

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 77

Patient-Centered IT Hospital Patients 77

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. And although it wasn’t a conscious decision, or connection, in my mind between entering medicine and the experience of having grown up in a family with Ellen. .” Which is… In fact, I was approached by the Mayo Clinic recently.

Patient-Centered 98

Patient-Centered Patients IT Illness 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? I’m going to be doing inpatient palliative medicine mainly, so I’ll continue Doing what I’m doing now. There are lots of people involved.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

DECEMBER 14, 2023

Similarly Jessica Zitter, an intensivist and palliative care doctor analogized the inevitable clinical momentum toward highly aggressive intensive care in US hospitals as a conveyor belt. Liz: Well, some aspects of this paper around clinical momentum and things around defaults and that sort of thing. Liz: I do, indeed. Proud Mary.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. I think it’s really, really complicated. Julien: I like this question.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. Because it’s complicated and we don’t want to over complicate prayer listeners. And it’s the right thing to do clinically for patients and families. Prior-auth forms? Eric 23:03 If you want.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

FEBRUARY 13, 2025

And we had a greater decrease in symptom intensity at day seven versus the usual care group by both a clinically meaningful and a statistically significant difference. We gave these tools to oncology and fusion room N that was complicated. So absolutely, it is complicated. We did a large primary palliative care trial.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

MAY 29, 2025

Andrew complicates this definition , stating it raises more questions than answers. And I think this just hasn’t made it into, like, our academic clinical training space. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. These are windows.

Family 93

Family Families IT Patient-Centered 93

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. But the process of implementing this project across two big health systems in our area was very complicated and had its share of both challenges and rewards. We did it by the clinic level.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

JULY 25, 2024

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? The folks that we were seeing either in clinic or inpatient, were probably a lot sicker than the ones that we’re seeing now.

Family 106

Family Families Patient-Centered Patients 106