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

GeriPal

OCTOBER 10, 2024

And they begin on today’s podcast with one clinical ask: everyone should be a generalist and a specialist. They are looking to build on both their research and clinical programs and are interviewing candidates for the Associate Chief of Research and for full-time physician faculty to join them in the inpatient and outpatient setting.

Screening 119

Screening IT Families Family 119

GeriPal

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Who do we have with us today?

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

FEBRUARY 20, 2025

Thats my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. Eric 00:15 And we have three guests to help us talk about trauma informed care.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

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 129

Patient-Centered IT Patients Clinic 129

GeriPal

NOVEMBER 14, 2024

What are ways we should screen for falls? You know, if you want to think about the problem, think about clinical research. People don’t ask about it, they don’t screen about it. How do you screen or assess for risk for falls? Alex 07:27 Are there professional society recommendations or U.S.

IT 124

IT Screening Patient-Centered Community 124

GeriPal

FEBRUARY 22, 2024

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. That’s a lot. Eric: Yeah.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness. Stacy: We’re using anxiety, baseline anxiety, as our screening.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

JANUARY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. If I remember correctly, I think the average was, people were screening positive for depression in this study. And not just statistically significant, but clinically meaningful.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 17, 2022

Think of the 10 years it takes to benefit from colon or breast cancer screening, which is designed to detect slow growing cancers. This tool provides a clinical recommendation for starting/stopping medications and cancer screening based on the prognosis of the patient in front of you. See screenshot below. James: Yeah.

Clinic 67

Clinic IT Patients Medical 67

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. Eric: But before we jump into talking to your patients about driving retirement cessation, let’s talk about what is the role of the healthcare professional in this at all? Is this our role?

Families 102

Families Family IT Diagnosis 102

GeriPal

JANUARY 16, 2025

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. This is Eric Widera. Eric 20:31 Yeah.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JUNE 27, 2024

We then walk through how we should screen for anxiety and how we should think about a differential. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. The question I would ask is, how helpful is that in our clinical practice?

Illness 129

Illness IT Diagnosis Patient-Centered 129

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. So I actually got started in cancer screening also, thanks to some mutual colleagues.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

FEBRUARY 15, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. I mean, we work at a different part of the health system a lot of times, although we have acute care therapists who do the same thing, but the gap in information flow is similar.

Community 114

Community Transportation IT PCP 114

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 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. This was 2018 in AGS Orlando, and they did a song about when to stop screening for cancer for colon cancer. How to talk to patients about screening colonoscopies. Ken 10:29 Yes.

IT 64

IT Hospital Screening Patients 64

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. Alex 00:33 Our next guest is Margaret Ross, who’s a clinical psychologist and researcher at St. Ali John 24:35 In clinical trials. James 00:32 Good afternoon.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

FEBRUARY 8, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Tell us more about what you mean,” because they give us beautiful information from that. Between those two things, usually you get all the information you need. 2023.11.004.

IT 137

IT Families Family Physicals 137

GeriPal

APRIL 6, 2023

Alex Practice-PC Program Information: UCSF’s Practice-PC program is now accepting applications for the 2023-2024 year. Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. It is a screening?

IT 99

IT Patient-Centered Families Family 99

GeriPal

MAY 22, 2025

We start each podcast with a song in part to shift the frame, taking people out of their academic selves and into a more informal conversation. Eric 34:49 And Jenny, how are you planning to involve music once you’re done with fellowship in your clinical work? You might see me on the TV screens next year. Oh, my gosh.

Patient-Centered 96

Patient-Centered IT Patients Board-Certified 96

GeriPal

JUNE 5, 2025

So they were a lot of preoccupied with other tasks, but clinical gestalt. And so bringing information to people that says, you know, we think that your parent or your mom or your dad, you know, meets the criteria and would benefit from a palliative care consult can really set someone aback that’s not ready for that information.

Referral 78

Referral Nurse Practitioner Consulting Board-Certified 78

GeriPal

JULY 28, 2022

I had it on my screen. 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. What was the title of it, again?

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 29, 2025

And I think this just hasn’t made it into, like, our academic clinical training space. And then I think the flip side of that is we don’t deal with it as clinicians and help them understand how to interpret that information. And like, she retained that information for so long, but she does not really Speak.

Families 93

Families Family IT Patient-Centered 93

GeriPal

FEBRUARY 2, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. But you could have clustering within clinics, within clinicians who care for a panel of patients, that sort of thing. Because it suffers from an informative censoring problem.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

FEBRUARY 13, 2025

And then we incorporated that information into the consultation process. Later on, of course, we added health professionals to, you know, give us more information. And they had requested in their cultural tailing that the physician wore a white coat when he was going to be seen on the screen. Yael 21:10 Yeah.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

AUGUST 24, 2023

Our early studies were looking at things like, desire for death, and syndromal depression, and screening for depression and anxiety, and will to live. And so the importance of the picture and the epiphany that really came many years later, I published a paper in the Journal of Clinical Oncology called Dignity in the Eye of the Beholder.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 10, 2022

Now when I say variation, I’m not talking about small little clinically questionable variations. Ruth: I do have to also say that it’s important to remember that feeding tube use and hospital transfers for people with advanced dementia has no demonstrated clinical benefit. Joan: A lot of my work comes out of my clinical practice.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

APRIL 18, 2024

And you say, “Okay, that’s fine, but can it really … What about a real live clinical situation?” I think we’re getting closer to real live clinical situations, not just answering a test. I don’t need to know how to bill, to enter encounter information to code.

Electronics 139

Electronics IT Patients Healthcare 139

GeriPal

DECEMBER 7, 2023

AlexSmithMD Additional links: JAMA paper on clinical research risks, climate change, and health Geriatric medicine in the era of climate change Health Care Without Harm: [link] Practice Green Health: [link] Global Consortium for Climate and Health Education: [link] Transcript Eric: Welcome to the GeriPal podcast. Karl: Sure.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

AUGUST 1, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. I know Elizabeth has a lot of information about the way to structure the mediterranean diet. Eric 18:14 Elizabeth, how do you bring it up in your clinic? Anna 07:06 Thank you.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

JULY 13, 2023

And I think that his research was informed by his clinical practice, his clinical practice was informed by his research. And we were able to work under a waiver of informed consent with making the case that we were promoting, which should be standard of care. And the guy was just so good. No, it’s not.”

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

FEBRUARY 24, 2022

Should we focus on something else, both from a clinical and a research perspective? And that kind of prognostic information can be just as valuable, really, to patients and their families planning as time-based information. So I’m just going to share on my screen. Like, should we be doing advance care planning?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

DECEMBER 21, 2023

I could walk down the hall and get information. So I thought… And I was doing this for the United States Preventive Services Task Force because we were looking at the evidence to what’s the benefit and harm of screening, and I had to look all over. I found it to be an incredibly hard journey. I had a supportive spouse.

Patient-Centered 125

Patient-Centered IT Families Family 125

GeriPal

JULY 20, 2023

So recognizing that the public health emergency was going to be declared over and all those temporary waivers were going to expire, the DEA actually put out a request for information about should it go back to life as it was, or should they potentially have some new rules or new flexibilities? Eric: Yeah. Go ahead Eric. I’m sorry.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73

GeriPal

JULY 16, 2024

We talk about positive aspects of aging, cognitive screening, the line between legitimate concerns and ageism, ableism, advice for a geriatrician asked to comment on TV, frailty and physical disability, images in the press , historical situations including , and an upper age limit for the Presidency, among other issues.

Diagnosis 141

Diagnosis Diagnose IT Physicals 141