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Should you have a coach? Greg Pawlson, Beth Griffiths, & Vicky Tang

GeriPal

Alex: Well, today, we’re delighted to welcome Beth Griffiths, who’s a Primary Care Internist and Associate Professor of Medicine at UCSF in Leeds, a coaching program for general internists, also at UCSF. Medicine’s a tough road for everybody, and we put all kinds of barriers in the way in addition. Beth: Thank you.

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What You Should Know About Radiation Oncology: Anish Butala, Emily Martin and Evie Kalmar

GeriPal

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. So you have the consultation.

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PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers

GeriPal

Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? What is making this hard for me?

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Storycatching: Podcast with Heather Coats and Thor Ringler

GeriPal

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. Working with our clinical decision support team and thinking about where that could be.

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Is it time for geriatricians to get on board with lecanemab? Jason Karlawish and Ken Covinsky

GeriPal

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. So those questions we ask when we’re doing a palliative care consult. Working with our clinical decision support team and thinking about where that could be.

IT 105
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Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

I, for example, had one patient, I remember during my fellowship, I was in geriatrics clinic and had a very well read patient who came in and was reading a New York Times article, I think in the well section at one point. Alex 16:45 That really rings true with my clinical experience. Decision making hierarchies by default.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

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.