The Motivated MD

NOVEMBER 19, 2024

True we have a fulltime nanny, but we still both work full-time clinically and still wish to have a steady hand in our children’s lives. Second, we have had some unexpected transitions at my job, and this has left me to cover extra clinical obligations with some consistency. So, lets start by addressing my absence.

Finance 52

Finance Education Family Families 52

GeriPal

JULY 27, 2023

Alex: And we have Cathy Alessi, who is a geriatrician, Director of the Geriatrics Research Education and Clinical Care Center at the VA, greater Los Angeles and Professor of Medicine at UCLA. Sleep is a focus of your academic and clinical career. Summary Transcript Summary Insomnia. We’ve all had it. Insomnia sucks. Cathy: Thank you.

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Illness IT Medical Clinic 85

The Clinical Problem Solvers

AUGUST 25, 2020

Camara Phyllis Jones , is credited for creating the framework many healthcare professionals and researchers use to think about systemic racism’s impacts on Black health. It impacts the health of our colleagues who constantly have to witness this injustice play on television, often without consequence.

Community 52

Community Patient-Centered Relationship Education 52

Physician's Weekly

JUNE 11, 2025

U=U is a very relevant and necessary message that should be part of any intervention that addresses ART adherence, viral load suppression, stigma, and mental health. This message should be incorporated into counseling during routine clinic visits, especially for people recently diagnosed with HIV.

Mental Health 114

Mental Health Healthcare Professional Community Healthcare 114

GeriPal

FEBRUARY 22, 2024

Alex: Today we are delighted to welcome Elissa Kozlov, who’s a geropsychologist and assistant professor in the Department of Health, Behavior Society and Policy at Rutgers School of Public Health, and is also director of a newly developed MPH in Public Population Aging. Des, welcome to the GeriPal podcast. Eric: Oh, wow.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JANUARY 25, 2024

David: Similarly informed by my clinical experience, really, actually, beginning in residency when I took care of a lot of sick folks in the hospital, particularly those with cancer and heart and lung diseases like these. MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 24, 2024

And then I met a patient in clinic once who asked me a lot of really intelligent questions about medical cannabis, what it does. Summary Transcript CME Summary Cannabis is complicated. It can mean many things, including a specific type of plant, the chemicals in the plant, synthetic analogs, or products that have these components.

Medical 98

Medical IT Patient-Centered Healthcare 98

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. It’s broader than just psychedelic assisted psychotherapy because there’s non-psychotherapists often involved, and it’s different from what we do in conventional mental health. Theora: It is.

Patient-Centered 91

Patient-Centered Community IT Medical 91

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. Alex: Thank you.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

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. ABIM MOC credit will be offered to subscribers in November, 2024. Who do we have with us today?

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JULY 11, 2024

Summary Transcript Summary In May we did a podcast on KidneyPal (the integration of palliative care in renal disease) , which made us think, hmmm… one organ right next door is the liver. Maybe we should do a podcast on LiverPal? (or or should we call it HepatoPal?) ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

GeriPal

NOVEMBER 17, 2022

And which journal again? Ken Covinsky: JAMA Network Open. Eric: JAMA Network Open. Kenny Lam: Yeah, yeah. JAMA Network Open. Eric: But before we do, we have a song request. Luckily, it’s not going to go to Ken Covinsky, because he would do a Chicago Cubs song. Alex: Kenny Lamb. Eric: Kenny, do you have a song request? Kenny Lam: Yeah.

Community 97

Community IT Mental Health Medical 97

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

JUNE 19, 2025

Eric and I remember him from that time and he’s now at the University of Nevada, Las Vegas, where he is associate professor in the department of social and behavioral health. Jace, welcome to the GeriPal Podcast. Jace 00:37 Thank you so much, Alex and Eric, it’s nice to be here with you. And I’m happy to share my story.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. Is “terminal” mental illness a thing?

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

FEBRUARY 8, 2024

MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. ABIM MOC credit will be offered to subscribers in November, 2024. Alex: Yeah.

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IT Family Families Physicals 137

BMJ

FEBRUARY 8, 2021

The proximity to campus health clinics may also afford college students greater accessibility to healthcare providers for prescription medications such as stimulants which could end up being misused. We also need to expand barrier-free access to mental health services, including behavioral interventions.

Medical 40

Medical Holistic Care Healthcare Healthcare Professional 40

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. But, should we as clinicians care about the social lives of our patients? Welcome back, Ashwin.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

AUGUST 11, 2022

And then I immediately realized that I was fighting going into a mental health discipline because of my parents’ background in mental health as psychologists. She is one of the founders of the field and has worked to develop it over the last 25 to 30 years. She is one of my earliest mentors. Brian: Thanks so much.

Illness 109

Illness IT Family Families 109

GeriPal

JANUARY 11, 2024

Alex: We’re delighted to welcome Leonie Herx, who’s a palliative care physician and clinical professor at the University of Calgary. Alex: And we’re delighted to welcome Sonu Gaind, who is a Chief of psychiatry and professor at the Sunnybrook Health Sciences Center at the University of Toronto. Four percent.

Illness 144

Illness IT Medical Provider 144

GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. Afterwards, we chat with the prison’s chaplain, Keith Knauf. Eric: Yeah.

Family 132

Family Families IT Community 132

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. Mariah, welcome to the GeriPal Podcast. Mariah 00:29 Glad to be here. Kate, welcome to the GeriPal Podcast. Kate 00:40 Great to be here. Here we go. Kate 03:29 Yeah.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

APRIL 6, 2023

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 meets in-person, once a month, over nine sessions. First, the lyrics, that’s the main reason why I chose it. The theme is death. Lexy: JPSM.

IT 99

IT Patient-Centered Family Families 99

GeriPal

MARCH 30, 2023

Today we’re going to be talking about narrative writing specifically for healthcare professionals. What motivated you to reach out to the healthcare audience in this way? My entree into healthcare is not in the academic space at all. So unlike academic journals and elsewhere. Liz: That’s right. Lovely song.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

FEBRUARY 13, 2025

Another interpretation is that clinicians avoided telling the parents prognosis in order to bolster their ratings of trust and communication quality. Which is it? Garfunkel says Simon was writing about Garfunklels friend and college roomate Sandy, who was blind. Whos got the right of it? Na 01:01 Yes, I requested the song. We’ll see.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

SEPTEMBER 19, 2024

Summary Transcript CME Summary If palliative care was a drug, one question we would want to know before prescribing it is what dose we should give. Give too little – it may not work. But before we jump into that topic, Jennifer, do you have a song request for Alex? Jennifer 01:20 I do have a song request for Alex. Saw them play a couple times.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

DECEMBER 7, 2023

Today we find inspiration for my kids: there are adults who care deeply about this issue, particularly for older adults who are much more vulnerable to health effects of climate change. Summary Transcript Summary To my teenagers, climate change is an existential crisis. It’s the end of the world as we know it. Ruth: Thank you.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

AUGUST 15, 2024

We discuss: What is considered a hate incident, how is it tracked, what do we know about changes over time The wider impact of Anti-Asian hate on older Asians, who are afraid to go out, leading to anxiety, social isolation, loneliness, decreased exercise, missed appointments and medications. Jessica, welcome back to GeriPal. So here is a little bit.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 20, 2023

How has the history of redlining and the federal tax subsidy of wealthy (mostly white) people in the form of a mortgage interest deduction contributed to racial inequalities in homelessness? What can we do about it? What are the highest yield interventions and policy changes? What should we call it – homeless or unhoused? Eric: I love this.

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

JULY 7, 2022

We discussed the nature of pain, what makes chronic pain different from acute pain, what’s the difference between proprioception, pain, and suffering, and so much more. Haider is a physician at the Brigham and Women’s Hospital, and the VA in Boston. Welcome back to the GeriPal podcast, Haider. It’s just such a pleasure to be back.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

FEBRUARY 24, 2022

But the consequences are real, from research funding dollars to health systems investment. . And I’m worried about all of us as healthcare workers, but particularly… And when I say particularly those in the hospital, because they are just tired. Welcome back to GeriPal, Rachelle. Rachelle: Thank you. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

DECEMBER 21, 2023

Too many people do because it’s really hard to keep their loved ones at home for the cost, the enormous financial, mental and physical strain for the family. We’ll cover why the GUIDE model is important (hint – it all comes down to funding), how it was developed, what components will it include, and how it will be evaluated.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

DECEMBER 12, 2024

Butstay with us heremight AI help to address some of the major issues present in surrogate decision making? Or does it raise more issues than it solves? Algorithms using millions of direct observations of a persons behavior to provide an authentic portrait of the way a person lived? Alex and I don’t make anything on it. Not always anyway.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108