GeriPal

JUNE 12, 2025

Eric 00:42 So on this podcast, we’re gonna be talking about what every healthcare provider should know about radiation oncology. I’m sort of seeing them in clinic for consideration of palliative radiation, they have a lot going on. Evie, welcome to GeriPal. Evie 00:41 Thank you. Do you have the song request for Alex?

Patient-Centered 103

Patient-Centered Referral Patients IT 103

ABIM

JUNE 4, 2025

Representatives from the American Association of Clinical Endocrinology (AACE), the Association of Program Directors in Endocrinology, Diabetes and Metabolism (APDEM) and the Endocrine Society joined for a portion of the meeting*.

Diabetes 52

Diabetes Board-Certified Telehealth Government 52

GeriPal

JUNE 27, 2024

Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. AMA PRA Category 1 credit(s) ™. And so bathe is an acronym.

Illness 130

Illness IT Diagnosis Patient-Centered 130

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. But you worry that the advance directive does not provide enough guidance for the specific decision at Yael Jo, do you.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110

GeriPal

FEBRUARY 27, 2025

Substance use disorder is one of those complex issues in which clinical practice is changing rapidly. Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? What is making this hard for me?

Patients 74

Patients Clinic Patient-Centered Illness 74

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. But you’re right, there has been a shift in policy to incentivize patients and providers to choose home therapies.

Management 117

Management Patient-Centered Patients IT 117

GeriPal

MAY 18, 2023

Alex: And we’re delighted to welcome Todd Semla, who is a clinical pharmacist and associate professor at the Feinberg School of Medicine at Northwestern University. But it does kind of provide that caution, it kind of slows things down to make sure you’re really paying attention. Mike: Thanks for having me.

Medical 97

Medical IT Patients Clinic 97

GeriPal

DECEMBER 8, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. And which of those experiences would you like to share with us that we could then write into a story that we’ll share with providers? Tell me about your illness.

Patient-Centered 116

Patient-Centered Illness Healthcare IT 116

GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. And which of those experiences would you like to share with us that we could then write into a story that we’ll share with providers? Tell me about your illness.

IT 106

IT Patient-Centered Healthcare Illness 106

GeriPal

MAY 22, 2025

Relationships are usually more complicated. Eric 34:49 And Jenny, how are you planning to involve music once you’re done with fellowship in your clinical work? Widera and Smith have no relationships to disclose. Guests Jenny Chen, Tyler Jorgensen, & Theresa Allison have no relationships to disclose. Oh, my gosh.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. And then we had clinical decision support. Long overdue.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

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. Because sometimes they have much more longstanding relationships with these patients than me meeting them for a slice in time and trying to shuffle the deck, so to speak.

Primary Care 114

Primary Care Patient-Centered IT Patients 114

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . What are your thoughts about using humor to convey ideas, thoughts, clinical work? Because just like in the bedside space, if you are using humor in a way that builds bonds and relationships with the patient can be really beautiful, and normalizing.

IT 145

IT Hospital Patients Illness 145

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . That was one thing.

Illness 110

Illness IT Family Families 110

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. It’s just that he was foregoing things that we think would have provided him more benefit. And in addition, my work in palliative care, I also am a clinical ethicist.

Patient-Centered 79

Patient-Centered IT Patients Illness 79

GeriPal

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home. Like, does that indirect?

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

DECEMBER 14, 2023

Similarly Jessica Zitter, an intensivist and palliative care doctor analogized the inevitable clinical momentum toward highly aggressive intensive care in US hospitals as a conveyor belt. Liz: Well, some aspects of this paper around clinical momentum and things around defaults and that sort of thing. Liz: I do, indeed. Proud Mary.

Hospital 126

Hospital IT Patient-Centered Patients 126

GeriPal

FEBRUARY 13, 2025

Like, would you include the doctors that I work with, healthcare providers where I live in Marin? And we had a greater decrease in symptom intensity at day seven versus the usual care group by both a clinically meaningful and a statistically significant difference. And it was both statistically and clinically significant on that scale.

Consulting 64

Consulting Community Patient-Centered Family 64

GeriPal

MAY 29, 2025

And I think this just hasn’t made it into, like, our academic clinical training space. This is, you know, has to do with our personal relationship. And there’s like the emphasis on the relational component and what that means in terms of the relationship between the caregiver and the patient and the person.

Family 94

Family Families IT Patient-Centered 94

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. Much more about relationships has been my experience. And so we have to teach clinicians the art of relationship.

IT 123

IT Patient-Centered Patients Relationship 123

GeriPal

MARCH 20, 2025

And is there a middle path to provide some degree of comfort while also hastening the end of life? I was part of a writing group that wrote clinical guidelines for VSET for voluntarily stopping eating and drinking. And then finally you have the moral distress of the providers. Why did you write this paper? Well, how can I be.

IT 89

IT Patient-Centered Patients Medical 89

GeriPal

APRIL 11, 2024

This podcast was initially sparked by Josh’s “Note From a Family Meeting” Substack post titled “ Ambivalence in Clinical Decision-Making ,” which discussed Bryanna’s and Jenny’s 2022 article titled “ Two Minds, One Patient: Clearing up Confusion About Ambivalence.” What about ambivalence on the part of the provider?

Patient-Centered 129

Patient-Centered IT Patients Consulting 129

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. But, what you need is a community-based game there. They deal with that.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 26, 2024

Some numbers to back it up: ELNEC has trained more than 48,000 providers in a train the trainer model Over 1.5 Widera and Smith have no relationships to disclose. Guest Betty Ferrell has no relationships to disclose. I was a clinical ethics fellow at Baylor College of Medicine. AMA PRA Category 1 credit(s) ™.

Patient-Centered 121

Patient-Centered IT Patients Consulting 121

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

GeriPal

AUGUST 1, 2024

Anna Pleet is an internal medicine resident at Allegheny Health Network who has a collection of amazing YouTube videos on aging and the Mediterranean diet. Widera and Smith have no relationships to disclose. Guests Anna Pleet, Elizabeth Eckstrom, and Emily Johnston have no relationships to disclose. Great to be here.

IT 118

IT Diabetes Chronic Disease Patient-Centered 118

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. Eric 04:39 Yeah, I see it used on inpatient, side on consult clinics in hospices. Eric 07:03 And those classic studies, were those done in the hospital and PALP care units and clinic?

Family 108

Family Families Patient-Centered Patients 108

GeriPal

JULY 7, 2022

Well, Haider has an intimate relationship with pain, having experienced chronic pain himself and now having dove deep into the latest research on pain for his new book The Song of Our Scars: The Untold Story of Pain. . And I was an internal medicine resident. Very, very few centers are providing those services.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

GeriPal

APRIL 21, 2022

To the deeper emotions – of loss and grief, of wonder and transcendence – that are at the heart of the complex care we provide. Mike: It was really then it was when I was a internal medicine resident that I heard a Mary Oliver poem, and it really connected to where I was at. AlexSmithMD . Mike: Yeah. Thank you.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

DECEMBER 12, 2024

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? Does this issue ring true to you clinically? Jenny, welcome back to GeriPal.

Patient-Centered 110

Patient-Centered IT Patients Healthcare 110