GeriPal

OCTOBER 13, 2022

We have a discussion about the decision to remove race, a social construct, from clinical risk calculators (though I’m not 100% sold that race should always be removed – if removal is likely to worsen disparities for example – at least until a superior race-blind calculator can be developed). Rasheeda, welcome to GeriPal.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

JULY 19, 2024

Joe 03:55 You know, my thoughts are screening is important for a variety of reasons, and certainly Doctor Boris and Soo and Anna, Doctor chodos can provide a lot greater clinical insight than I. What hasn’t been shown, Eric, is that if you apply tools like this, clinical outcomes down the road are better for patients.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

DECEMBER 2, 2022

And for people with dementia and their caregivers, who both feel very devalued in the social system, support systems, their communities, the medical system. And then the people with the other kinds of diagnoses feel left out because we talk about Alzheimer’s all the time. They get very little build up, they’re depleted.

Community 101

Community IT Individual Patient-Centered 101

GeriPal

NOVEMBER 9, 2023

But oftentimes, a therapist has deeper training and really history of trauma and specific diagnoses, versus a coach may be a little bit more future-focused and really works with people, regardless of whether they’re having any diagnosable challenge at the moment. Eric: Vicky, anything you’d add to that? Beth: Yeah.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

MAY 11, 2023

Then I went to medical school and I thought, “Well, should I go into psych? 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

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? Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. How do you choose the right clinic when every option seems equally promising?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

The Medical Futurist

JUNE 21, 2025

Matthew Enevoldson, PR Manager at SkinVision told The Medical Futurist that technology such as their own is becoming more integrated within the health system, to both ensure that those who need treatment are made aware of it and that those who have an unfounded concern do not take up valuable time and resources.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

Rao Doctor

APRIL 3, 2025

One of the primary tools used in diagnosing fever is the thermometer, an instrument that measures body temperature. Infrared thermometers, which measure temperature from the forehead or ear, are also prevalent in clinical settings. Understanding the patient’s medical history is crucial for an accurate diagnosis.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

Doctor On Demand

APRIL 28, 2025

Urgent care clinics provide quick diagnoses and treatments, including antibiotics if needed. In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JUNE 27, 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 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

OCTOBER 17, 2024

Summary Transcript CME Summary When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

SEPTEMBER 1, 2022

Alex: We are honored to be joined by Barbara Jones, who is professor and associate dean for Health Affairs at the School of Social Work at UT Austin and chair of the Department of Health Social Work at Dell Medical School. Jennifer Temel study did not have a social worker as part of the clinical team. Alex: And we’re also-.

IT 102

IT Family Families Clinic 102

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. Who do we have with us today? Katie, welcome back to GeriPal. Jessie: Yes.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JANUARY 30, 2025

Find out on this weeks podcast where we invite Joseph Greer, Simone Rinaldi, and Vicki Jackson to talk about their recent JAMA article on Telehealth vs In-Person Early Palliative Care for Patients With Advanced Lung Cancer – A Multisite Randomized Clinical Trial. Alex, who is gonna be answering that question? Vicki 02:10 Thank you.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

JUNE 16, 2022

First, we talk with Christine, a researcher and geriatrician from the University of North Carolina, who recently published a JAGS article titled Overdiagnosis of urinary tract infections by nursing home clinicians versus a clinical guideline. And so really am fascinated by tough medical decisions. Scott: Sure. Thanks Eric.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

FEBRUARY 6, 2025

We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? So let’s just say you have a healthy 55 year old or 65 year old in your clinic.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

APRIL 14, 2022

This is both a research and a clinical interest of yours. But that just didn’t really resonate with what I saw clinically which was that there was lots of suffering both in the patient, their family and on the clinical team and just felt it was really this space where I didn’t have a lot of evidence to guide me.

Illness 102

Illness Patient-Centered IT Patients 102

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. Emmy: But we know that physiologic changes with aging, like decreasing night vision and so forth, as well as medications, as well as medical conditions, can all affect whether you can drive.

IT 102

IT Family Families Diagnosis 102

GeriPal

FEBRUARY 27, 2025

Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. Sach Kale set up an outpatient clinic focused on substance use disorder for patients with cancer. Do you need to be an addiction medicine trained physician to start such a clinic (no: Sach is not). What do they do?

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

OCTOBER 20, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. That includes many medical specialists, surgical specialists, many specialists and many other disciplines who are on our older adults team. Rasheeda, welcome to GeriPal.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

AUGUST 17, 2023

Praised by the FDA, Alzheimer’s Association (AA), and Pharma as a “game changer”, but derided by others for the drug’s lack of clinical efficacy, risk of severe adverse effects, absence of diversity in trial populations, high costs, and an FDA approval process that was in the kindest words “rife with irregularities”. That was an FDA decision.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

JUNE 9, 2022

Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . We can’t possibly meet the needs of all people with newly diagnosed serious illness. I was always critical care bound since medical school. Palliative care, in contrast, saw explosive growth in US hospitals.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

APRIL 13, 2023

Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? The Listening “EAR” approach that simplifies assessment of loneliness and social isolation in clinical settings, and other practical pointers. Eric: You’ve timed it perfectly.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 22, 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.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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. Welcome to the GeriPal podcast, Charlotta. Charlotta: Thank you.

IT 99

IT Patient-Centered Patients Healthcare 99

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.” Eric: Lynn or Anne?

Families 97

Families Family Patient-Centered IT 97

GeriPal

SEPTEMBER 22, 2022

Alex: Today, we’re delighted to welcome Josh Briscoe, who is assistant professor of medicine and psychiatry at Duke, and a palliative care physician at the Durham VA Medical Center. Tell me about the clinical enc… How do you think the uncanny valley fits into medicine and communication training and skills? Eric: So yeah.

Illness 101

Illness IT Patient-Centered Patients 101

GeriPal

APRIL 4, 2024

She was resuscitated by EMS, but did not regain higher brain function, and was eventually diagnosed as being in a persistent vegetative state. In case you miss the introductions at the start of the podcast, Bernie and Laurie are married, and offer wonderful reminiscence of their clinical practice over the last several decades.

Family 112

Family Families Patient-Centered IT 112

GeriPal

JUNE 19, 2025

And so when I had decided to socially, medically, and surgically transition, I had to really sit down with members of the department and really did a lot of in services. But you know, the clinical piece, I think it starts out with collecting sexual orientation, gender identity in your databases. Eric 04:53 How is it public?

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

JANUARY 26, 2023

Alex: And we are delighted to welcome Sharon Brangman, who is a geriatrician and chair of the Department of Geriatrics at Upstate Medical University. So GFR was adjusted based on race, which it probably did lead to African-American patients being diagnosed with chronic kidney disease later in their disease trajectory, as compared to others.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). What’s up with Medical aid in dying in Canada? Alex: We’re delighted to welcome Leonie Herx, who’s a palliative care physician and clinical professor at the University of Calgary. Four percent.

Illness 144

Illness IT Medical Provider 144

GeriPal

FEBRUARY 9, 2023

Amber tells the moving story of how these findings led a clinical colleague, her chief, to question and change his behavior. Alex: We are delighted to welcome Amber Barnato, who’s a palliative care physician and health service researcher, and she’s director of the Dartmouth Institute for Health Policy and Clinical Practice.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

MAY 9, 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.

Education 127

Education IT Illness Healthcare 127

GeriPal

JULY 28, 2022

And so I went into medical school wanting to cure cancer. I entered medical school and I did a course that was offered that’s called living with a life threatening illness. I entered medical school and I did a course that was offered that’s called living with a life threatening illness.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

FEBRUARY 16, 2023

Alex: And we’re delighted to welcome back to the GeriPal podcast, Keri Brenner, who is also a psychiatrist and palliative care doctor and clinical associate professor at Stanford. I’m really excited about this because clinically this happened to me, somebody was very angry at something we were talking about.

Patients 109

Patients IT Family Families 109

GeriPal

OCTOBER 27, 2022

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. As Sei Lee notes, the argument for developing prognostic models has won the day, and we increasingly use prognostic scores in clinical decision making.

IT 95

IT Clinic Screening Patients 95

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. That’s probably too medical. I’m using my medical brain. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117