FDA Law

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § 24(b) (emphasis added). 18 U.S.C. §

Lab Testing 52

Lab Testing Referral Individual Patient-Centered 52

Tiny Physician

FEBRUARY 15, 2022

However, the core problem in our medical system is yet to be addressed which actually results in these unfortunate incidents. This may result in errors in the diagnosis of the patient whom the doctor was examining initially. Here I will be discussing a few reasons for the frustration among PG doctors.

Patient-Centered 52

Patient-Centered Government Referral Hospital 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. Alright, let’s scope things out.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

MARCH 14, 2024

Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations. Are medications part of that, too? So, a lot of medications, you can see the secondary effects of dysphagia causing those, as well. We’ll also look at cognitive status, medications.

IT 124

IT Hospital Patient-Centered Individual 124

FDA Law

FEBRUARY 27, 2023

The Ryan Haight Act was enacted to address the legal “grey area” in which prescribers and pharmacies operated via the creation of two new statutory requirements: 1) the at least one “in-person” medical evaluation requirement for prescribing practitioners, 21 U.S.C. § 829(e); and 2) the modified registration requirement for online pharmacies.

Telemedicine 59

Telemedicine Telecommunication Telehealth Medical 59

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

PEMBlog

MAY 20, 2025

(Blooms: Apply; Kirkpatrick Level 2 Learning) Evaluate the risks and benefits of ultrasound, CT, and MRI for common pediatric emergencies and identify appropriate imaging modalities based on clinical guidelines discussed in the podcast. Do you think that medical-legal concerns also play a role? Subspecialists are key, right?

Family 101

Family Families Hospital Patient-Centered 101

FDA Law

JANUARY 6, 2022

In general, EKRA prohibits, knowingly and willfully, soliciting, receiving, paying or offering kickbacks in exchange for referring to, inducing a referral to, or using the services of a recovery home, clinical treatment facility, or laboratory. 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § 18 U.S.C. § 24(b) (emphasis added). 18 U.S.C. §

Lab Testing 40

Lab Testing Referral Individual Patient-Centered 40

Annals of Family Medicine

NOVEMBER 20, 2024

Objective Describe the population of patients referred to a palliative care clinic and observe their healthcare utilization patterns. Study Design Retrospective chart review of patients seen in a palliative care clinic between June 2023 and August 2023. Referrals were predominantly from Pulmonology (60%).

Patients 130

Patients Diagnosis Patient-Centered Utilities 130

GeriPal

NOVEMBER 9, 2023

We make a diagnosis. If they’re a beginning fellow, that’s a very different coaching situation than coaching the chief medical officer or the president of a medical center. Second thing to say is that I think referrals are really important. I have hired coaches based on referrals. Beth: Yeah.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

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. He is associate professor at the University of Wisconsin and medical director of their Alzheimer’s Disease Research Center. Nate, welcome back to the GeriPal Podcast. Nate 00:25 Thanks for having me.

Primary Care 95

Primary Care Diagnosis Screening IT 95

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 9, 2022

Clinical growth of geriatrics programs has lagged academic research, despite the rapid aging of the population. . In contrast to geriatrics, the evidence base for palliative care lagged clinical growth, in part because palliative care has no centralized “home” at the National Institutes of Health. By diagnosis? Kate: Sure.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

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.

Illness 136

Illness Patient-Centered Screening Clinic 136

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

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. Eric: Yeah.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 11, 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.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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. Often when there’s a cognitive concern, it’s a family member that is calling saying, “I just want to make sure my mom should still be driving after this happened, or after this diagnosis.”

IT 102

IT Family Families Diagnosis 102

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

JULY 3, 2025

We’ve invited two palliative care doctors to talk about survivorship with us: Laura Petrillo , a physician-researcher at Mass General Hospital and Harvard Medical School, and Laura Shoemaker , an outpatient palliative care doctor at the Cleveland Clinic. Alex 03:45 This came up because I was in Cleveland Clinic doing grand rounds.

52

52

GeriPal

JUNE 22, 2023

Summary Transcript Summary In the early 1990’s, California Medical Facility (CMF) created one of the nation’s first licensed hospice units inside a prison. Alex: We are in the California Medical Facility and we will ask our guest about that. I’ve known Michele a long time, since the Joint Medical Program. Michele: Yep.

Family 132

Family Families IT Community 132

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 20, 2025

Summary Transcript CME Summary Eric and Alex have featured discussions about complex bioethical concepts around caring for people at the end of life, including voluntarily stopping eating and drinking ( VSED ), and multiple episodes about the ethical issues surrounding medical aid in dying ( MAID ). Alex 00:14 We have a very full house today.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

SEPTEMBER 19, 2024

Eric 07:31 A clinical perspective, why is it important to test this stepped care model versus implementing more? And now when I think about the clinic at Duke, when we’re really running on all cylinders, we can get ourselves up to a five, six, seven week wait for a new palliative care referral. Jennifer 07:31 From.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

Not just with our aging and independent services, but also with our behavioral health services, with our public health services, with our medical care services, to really have everyone see older people as part of their work. And that referral can be done in real time, a soft handoff. And then, the system responds in turn.

Community 89

Community Nurse Practitioner Provider IT 89

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 79

Primary Care IT Clinic Illness 79

GeriPal

JUNE 6, 2024

Sharon Bober, clinical psychologist at DFCI, notes that clinicians can get caught in an anxiety cycle, in which they are afraid to ask, don’t ask, then have increased anxiety about not asking. And it actually came up during a clinical encounter that I had. So this is about two and a half, three years out from leukemia diagnosis.

Illness 130

Illness IT Physicals Patients 130

GeriPal

FEBRUARY 24, 2022

Should we focus on something else, both from a clinical and a research perspective? That this is iterative from diagnosis to end-of-life, right? And then you can make a medical recommendation that matches with what they’ve told you. Get the hospice referral. Like, should we be doing advance care planning?

Illness 98

Illness Patient-Centered IT Patients 98

Physician's Weekly

JUNE 13, 2025

Walk-in clinics are overbooked, the emergency rooms at the hospitals all have overfull waiting rooms and doctors and nurses are doing 12-hour or longer shifts. Our women’s clinics are not plagued by political ideology. They gave me another referral and reported the practice to Medicare. No post-graduation debt in Germany.

Vaccination 52

Vaccination Family Families Appointment 52