Today's Hospitalist

MAY 9, 2025

Yet this expansion has come with a significant administrative burden, particularly that of clinical documentation. This isn’t about replacing your clinical judgment. Ambient dictation, or ambient clinical documentation, represents a paradigm shift. This isn’t about replacing your clinical judgment. The result?

Patient-Centered 52

Patient-Centered Telemedicine Clinic Electronics 52

LEAD Physician

SEPTEMBER 26, 2022

For example, a physician might be dealing with a patient who has just been diagnosed with cancer. Build Relationships Physicians must establish solid and lasting relationships with the individuals in their practice. Learn From Failure Being a leader involves taking risks and acknowledging failures.

Relationship 52

Relationship Education Management Patients 52

Vida Family Medicine

JUNE 28, 2024

If you have already been diagnosed with any medical conditions, write down all of the diagnoses you have. One of the reasons I love practicing in the direct primary care membership model so much is that it allows me to spend more time with patients and build a relationship with them over time.

Patients 52

Patients Primary Care Appointment Diagnose 52

GeriPal

JUNE 26, 2025

But from our clinical work, many of us are familiar with people with dementia who experience sudden shocks to their health, think hip fracture, think hospitalization for pneumonia. Sometimes people call them health shocks, but we kind of all, like, clinically, intuitively know what these things are. Has really changed.

Illness 52

Illness Hospital IT Patient-Centered 52

GeriPal

JUNE 20, 2024

Widera and Smith have no relationships to disclose. Guests George Kuchel & Alison Huang have no relationships to disclose. George 03:01 So I would say that as many clinical issues in older adults, we need to think about them in two ways. I don’t see those perspectives as incompatible. How do you think about this?

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IT Patient-Centered Patients Clinic 121

Doctor On Demand

APRIL 16, 2025

Virtual visits can diagnose colds, flu , or allergies and help you manage symptoms at home. However, doctors interviewed in the study had concerns about limited regulation, potential interactions with conventional medications, and insufficient clinical guidance for these therapies.

Medical 52

Medical Board-Certified Asthma Telehealth 52

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

DECEMBER 2, 2022

At the end of the program, he was walking down the hall, you probably don’t remember this, but a woman I know who you had diagnosed with some type of Alzheimer’s went running after him down the hall. And then the people with the other kinds of diagnoses feel left out because we talk about Alzheimer’s all the time.

Community 102

Community IT Individual Patient-Centered 102

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. We’re doing a lot of interactive relationship building.

Board-Certified 111

Board-Certified IT Primary Care Referral 111

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

GeriPal

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. So delivering those month visits in clinic, often in tandem with their other oncology appointments.

Telehealth 106

Telehealth Patient-Centered IT Patients 106

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. If you look in the diagnostical statistical manual, right, the sort of handbook for diagnoses, most of the diagnostic criteria are in some important ways kind of arbitrary, right?

Illness 130

Illness IT Diagnosis Patient-Centered 130

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. Panelists Katie Fitzgerald Jones and Jessica Merlin have no relationships to disclose.

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Illness Patient-Centered Screening Clinic 137

GeriPal

OCTOBER 17, 2024

He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge. Alex 04:07 A heart failure clinic playing in the background. Is your impression that HFpEFde is under diagnosed in older adults? Yes, over diagnosed in older adults are about right. Parag 13:23 So I think I would say under diagnosed.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

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 74

Patients Clinic Patient-Centered Illness 74

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. Because how that is approached can have lasting effects on relationships, unfortunately. Eric: Let’s say I have a panel of older adults that I’m seeing, or a palliative care outpatient clinic.

Families 102

Families IT Family Diagnosis 102

GeriPal

SEPTEMBER 22, 2022

And I think also some of the stuff we’ll be talking about, when it comes to communication, I mean, a lot of the clinical encounter is listening to the music. Tell me about the clinical enc… How do you think the uncanny valley fits into medicine and communication training and skills? What is the uncanny valley? Eric: Yeah.

Illness 102

Illness IT Patient-Centered Patients 102

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. Eric: Lynn or Anne? But there was an impact on us as a team too.

Families 98

Families Family Patient-Centered IT 98

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

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

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.

IT 100

IT Community Patient-Centered Medical 100

GeriPal

FEBRUARY 22, 2024

Widera and Smith have no relationships to disclose. Panelists Elissa Kozlov and Desiree Azizoddin have no relationships to disclose. Is it that they’re clinically depressed or that they’re understandably sad at the situation that they’re in or specific issues? It’s high, it’s too high. Eric: Yeah.

Mental Health 123

Mental Health Patient-Centered Illness Screening 123

GeriPal

JUNE 19, 2025

And so there’s one study that used Medicare beneficiary data, and when they look at diagnoses for transgender men and women compared to cisgender men and women, we see around one in five have a diagnosis of dementia in the medical record for the transgender community compared to around, like, 1 in 7, 1 in 8 versus gender people.

Individual 82

Individual Community IT Chronic Condition 82

FDA Law Blog

JUNE 4, 2025

The Assessment highlights various trends related to chronic disease diagnoses (such as increasing rates of autism spectrum disorder and attention deficit hyperactivity disorder) with associated trends in prescribing practices. That leaves us to speculate what the implications of this Assessment will be.

Chronic Disease 59

Chronic Disease Government Chronic Condition Clinic 59

GeriPal

JULY 28, 2022

And as a resident, I just was drawn, similar to many oncology clinicians and fellows, to just be traumatic and difficult experience of patients with blood cancers during prolonged and intense hospitalizations, where they experience a lot of physical symptoms, emotional trauma related to the diagnoses.

Illness 111

Illness Hospital Patient-Centered Patients 111

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

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.

Families 113

Families Family Patient-Centered IT 113

GeriPal

MAY 9, 2024

Widera and Smith have no relationships to disclose. Guests Matt Tyler, Sammy Winemaker and Hsien Seow have no relationships to disclose. Julie McFadden discloses an employee relationship started on 15Apr2024. But it’s the people in the relationships that you meet. Hsien, welcome to the GeriPal podcast.

Education 128

Education IT Illness Healthcare 128

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? Ramona: Glomerular Filtration Raterate. I probably should have said GFR. Eric: Yes. I just choose GFR.

IT 92

IT Patient-Centered Healthcare Patients 92

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

OCTOBER 3, 2024

How the act of drawing can help us sloooow down, pay attention to the people and world around us, and ultimately let go… The possibility of incorporating drawings in research and even clinical care. They had triple diagnoses, often life threatening illness, but also mental illness and usually some kind of addiction. Wendy, I have.

IT 123

IT Patient-Centered Patients Relationship 123

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? So cachexia, I would put it involuntary weight loss is the number one way to diagnose it.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

FEBRUARY 2, 2024

Panelists Kate Courtright and Scott Halpern have no relationships to disclose. But you could have clustering within clinics, within clinicians who care for a panel of patients, that sort of thing. Ashwin Kotwal reports receiving a research grant from Humana Inc. and consulting for Papa Health.

Consulting 122

Consulting Hospital Patient-Centered IT 122

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

GeriPal

SEPTEMBER 19, 2024

So, for example, everyone who was diagnosed with an advanced or metastatic lung cancer had a prognosis on the order of months. Eric 07:31 A clinical perspective, why is it important to test this stepped care model versus implementing more? And there’s a mortality number of people who just can’t make it to get to our clinic.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

GeriPal

APRIL 18, 2024

And you say, “Okay, that’s fine, but can it really … What about a real live clinical situation?” The results were that the chat bots got the diagnoses right and had an escalation strategy that was better than the doctors, as judged by blinded specialists reading the transcripts. They had no idea.

IT 140

IT Electronics Patients Healthcare 140

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. Eric 08:37 And that’s because you randomized clinics, you didn’t randomize patients interventions. We did it by the clinic level. And so everyone who’s in that clinic was.

Primary Care 80

Primary Care IT Clinic Illness 80