The Motivated MD

SEPTEMBER 12, 2024

There are a plethora of physicians who transition to real estate (see The Darwinian Doctor , The Prudent Plastic Surgeon , Passive Income MD , and Semi-Retired MD ), but these are largely individuals who have made their money, used this cashflow to increase their property ownership, while simultaneously decreasing their clinical burdens.

Management 52

Management Finance Individual Education 52

Plum Health

OCTOBER 11, 2024

Have you ever found yourself in need of medical attention but overwhelmed by the myriad of clinics and healthcare options out there? This guide will help you understand the different types of clinics and services they offer, so you can make an informed decision about where to seek medical care. It's a common challenge many people face.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

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. A key feature of gastritis is the timing of pain.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

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. Alex Smith: That’s a compelling clinical argument… Tamryn: It is.

Diabetes 74

Diabetes Management Patient-Centered Families 74

Mesa Family Physician

MARCH 13, 2025

During your comprehensive check-up at our Mesa clinic, our board-certified physicians will not only assess your current health status but also help you understand your risk factors for various conditions based on your family history, lifestyle, and previous medical records.

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Family Physician Preventive Care Preventative Care Family 100

GeriPal

JUNE 12, 2025

I’m sort of seeing them in clinic for consideration of palliative radiation, they have a lot going on. Now patients are living so much longer that they’re coming back to my clinic after I’ve treated them with radiation. Eric 00:59 Why did you choose this song?

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Patient-Centered Referral Patients IT 103

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. 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?

Illness 130

Illness IT Diagnosis Patient-Centered 130

Vida Family Medicine

JANUARY 4, 2022

to take care of ourselves and prevent disease, or to treat disease when we catch it early than it is to treat a more complicated health problem. Preventive care works best when you build a relationship over time with a physician who knows you and your health and can make personalized recommendations. It is much easier (and cheaper!)

Preventive Care 52

Preventive Care Preventative Care Chronic Disease Insurance 52

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. Can you come and be in our clinic once a week? It used to also be a social worker and myself who would actually go to clinic and spend some time up there.

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Patient-Centered IT Patients Clinic 110

The Clinical Problem Solvers

FEBRUARY 8, 2023

One example that is presented involves the complicated relationship between the United States and Chinese immigrants and farmworkers in California. Dr. Jordan then questions the utility and continued operation of methadone clinics, especially as the United States largely moves on from the COVID-19 pandemic.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

Vida Family Medicine

JUNE 29, 2022

I care deeply about each and every one of my patients, and I do not want a difference in opinion to create a wedge in our relationship. This included additional classes in medical ethics as well as a scholarly project examining the medical ethics of a specific clinical situation.

Family Physician 52

Family Physician Families Family Healthcare Professional 52

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. David: Similarly informed by my clinical experience, really, actually, beginning in residency when I took care of a lot of sick folks in the hospital, particularly those with cancer and heart and lung diseases like these. David: Right.

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Patient-Centered IT Illness Patients 123

The Clinical Problem Solvers

APRIL 5, 2022

This is the last of three episodes interrogating the relationships between race, place, housing, and health. Dr. Kushel detailed how the use of dehumanizing language equates to complicity in a narrative that systemically harms our neighbors with lived expertise in homelessness. The Clinical Problem Solvers Podcast.

Community 52

Community Patient-Centered Emergency Room Medical 52

GeriPal

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. But once we realize that almost everybody makes decisions in the context of relationships. We really see family engagement as a clinical intervention. This is a clinical intervention. I don’t have capacity a surrogate decides for me.

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Families Family Patient-Centered IT 98

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

Maine Academy of Family Physicians

OCTOBER 22, 2023

I also spent one day at the Maine Family Planning clinic in Augusta, shadowing the head clinician, Lindsey Piper, NP. At the Family Medicine office, I observed the close relationships fostered between Dr. I feel very fortunate to have had the opportunity to shadow the head nurse practitioner at the Augusta clinic.

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Medical Student Family Medicine DO Patient-Centered 40

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. If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. Love to talk about also in the serious illness population. Eric: Yeah.

IT 102

IT Families Family Diagnosis 102

GeriPal

NOVEMBER 21, 2024

The clinical trials and the this and that. Potentially harmful elements of that coping mechanism for your relationship with your four year old. And she says, no, I heard that there’s a clinical trial at the Mayo Clinic, and I’m wondering about this. They’re doing. They’re doing. They know which.

Illness 126

Illness IT Patient-Centered Patients 126

GeriPal

NOVEMBER 7, 2024

About half of patients who are over the age of 65 start dialysis with a GFR of over 9, which is sort of the level below which we have clinical trial evidence for suggesting that there may not be a benefit to starting at that level of GFR. Clinical experience. Maria 29:14 We’ll be more statistical than clinical, I think.

Management 117

Management Patient-Centered Patients IT 117

GeriPal

FEBRUARY 8, 2024

** Claim your CME credit for EP297 “The Nature of Suffering” [link] Note : If you have not already registered for the annual CME subscription ( cost is $100 for a year’s worth of CME podcasts ), you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose.

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IT Families Family Physicals 137

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

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. Is there a true relationship with that? Charlotta: Thank you.

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. And so once they build their own relationships with the PCPs, they’d be able to track down and see what their network of most common primary care offices are and build their relationship out to the PCPs.

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Community Transportation IT PCP 116

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? Widera and Smith have no relationships to disclose. Guests Jenny Chen, Tyler Jorgensen, & Theresa Allison have no relationships to disclose.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

AUGUST 29, 2024

Alex 01:24 And Elise Carey, who’s a palliative care doc and geriatrician and associate professor of medicine at the Mayo Clinic in Rochester, Minnesota. Gordon 25:52 I mean, I think that what I’d say, just in general, about our own clinical team’s emotions, is that what I try to think about? Holly, welcome to GeriPal.

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IT Illness Families Family 133

GeriPal

JANUARY 26, 2023

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? Eric: And it’s even more complicated, right? Ramona: Glomerular Filtration Raterate. Eric: Yes.

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IT Patient-Centered Healthcare Patients 92

GeriPal

JULY 28, 2022

And so often, these patients experience a lot of hospitalizations, numerous hospitalizations while they receive intensive chemotherapy that requires prolonged periods of neutropenia and toxicities, or stem cell transplantation, which is what I specialize in clinically now. Was in Journal of Clinical Oncology and that was interesting.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

MAY 4, 2023

We talk about why it’s so hard with Abby Rosenberg (chief of PC at DFCI and Boston Childrens), Nick Purol (clinical social worker at DFCI and Boston Childrens), Daniel Eison (pediatric PC doc and co-host of PediPal). Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues.

IT 83

IT Families Family Illness 83

GeriPal

AUGUST 11, 2022

And you’re talking about developing a field, developing clinical experts in the field, research literature base, and a methodologic approach for a field that was also, as you said, marginalized. And that doesn’t happen in a regular way. I think there’s data that shows that there have been improvements in end of life care.

Illness 110

Illness IT Families Family 110

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 126

Hospital IT Patient-Centered Patients 126

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. From just the abstracts we had so many questions.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. All of this really turns into an emotional partnership with someone. John: Yeah. I would add, too.

Provider 119

Provider Illness IT Healthcare 119

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. This is, you know, has to do with our personal relationship. These are windows. Like, you’re really feeling yourself today. Andrew 33:18 Yeah.

Families 94

Families Family IT Patient-Centered 94

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. How should I define cachexia and anorexia when I’m talking to fellow students or thinking about it in my own clinical practice? Cachexia is one of those that kind of always confuses me. Like, how would I define it?

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Illness Patient-Centered Patients IT 134

GeriPal

MARCH 30, 2023

Then in the OpenNotes work that I do, I was hired to take something complicated like transparency and patients having access to their full records in medicine, and then making that something that the lay public understood. It’s at this point where she’s talking about highly aggressive life-prolonging treatment. Anne: Yeah.

IT 96

IT Patient-Centered Patients Healthcare 96

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose. Bill, welcome back to GeriPal.

Illness 144

Illness IT Medical Provider 144

Family Medicine Initiative

APRIL 10, 2024

This graph illustrates that the benefit of long-term GP-patient relationships is even dose-dependent (longer GP-patient-relationship = lower risk of dying prematurely): Why do long-term GP-patient relationships improve health and reduce costs? GPs improve chronic disease management, which prevents complications.

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Family Physician Families Family GP 130