Annals of Family Medicine

NOVEMBER 20, 2024

Context: For over 25 years, the burden of clinical administrative services has been cited as contributing to the stress and burnout experienced by family physicians. At the system level, participants underscored the need for compensation for administrative time and funding to increase clinic staff (e.g.

Primary Care 130

Primary Care Nurse Practitioner Referral Family Physician 130

Plum Health

SEPTEMBER 20, 2024

Life happens fast, and sometimes, so do medical issues. Understanding Its Role in Healthcare Urgent care clinics are designed to handle non-life-threatening situations that still require timely medical attention. After an evaluation, we were able to prescribe the right medication and suggest follow-up care with her gynecologist.

ER 52

ER Primary Care Primary Care Doctor Mental Health 52

GeriPal

JANUARY 12, 2023

Alex: And we’re delighted to welcome back to the GeriPal Podcast, Stephanie Rogers, who’s a geriatrician and medical director of UCSF’s, age-friendly health systems. Which patients are eligible to go to an ACE unit? What are the benefits of an ACE unit? If ACE units are so great, why are they not so common? . Alex: Yeah.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

GeriPal

MAY 5, 2022

Was there any mention about the impact that hearing loss has in communication or what we should do about it in clinical practice? Meg is a researcher and professor of Gerontological Nursing and a Geriatric Nurse Practitioner in the School of Nursing at UCSF. I’m guessing not. Transcript. Meg: Thank you very much.

IT 102

IT Screening Hospital Clinic 102

GeriPal

JUNE 8, 2023

When I’m on nursing home call, the most common page I receive is for a blood sugar value. When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. What are the risks and rewards of new classes of medications? Happy to be here.

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

NOVEMBER 9, 2023

Summary Transcript Summary Coaching is in. During the later stages of the pandemic, it seemed every other person, and particularly the junior faculty in our Division, were either being coached, in training to coach, or coaching others. When I was a junior faculty, coaching wasn’t a thing. We address: What is coaching? This is Eric Widera.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

Physician's Weekly

JUNE 19, 2025

Pregnant with her second child, she schleps a backpack instead of a traditional black bag to carry a laptop and essential medical supplies — stethoscope, blood pressure cuff, and pulse oximeter. ” Nurse practitioners are having those conversations more and more as their patient base trends older. .

Nurse Practitioner 52

Nurse Practitioner Family Families Primary Care 52

Mesa Family Physician

MARCH 13, 2025

In today’s fast-paced world, it’s easy to postpone medical appointments until something feels wrong. Preventive Care Strategies That Save Lives in Mesa, Arizona Our experienced team of physicians and nurse practitioners at Mesa Family Physicians understands the unique health challenges facing our local community.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

GeriPal

OCTOBER 24, 2024

Alex 00:30 And we are also delighted to welcome Eloise Theisen, who’s a palliative care nurse practitioner at Stanford and CEO and co- c ounder of Radical Health Clinician Network, which helps patients use cannabis to treat chronic and age related illness. Summary Transcript CME Summary Cannabis is complicated. Eric 01:34 Yeah.

Medical 98

Medical IT Patient-Centered Healthcare 98

Pamela Wible MD

MAY 22, 2025

Our Physician Support Groups Every Sunday Physician Peer Support (11 am PT) Suffering from bullying, betrayal, exhaustion, medical mistakes, grief, guilt, anxiety, or suicidal thoughts? Many physicians facing sensitive challenges such as board investigations, PHP enrollment, or medical errors prefer to remain anonymous. We can help. (90

Consulting 174

Consulting Medical Community Mental Health 174

GeriPal

JANUARY 25, 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 122

Patient-Centered IT Illness Patients 122

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. But watch out! Who will emerge victorious? Alex 01:06 Yeah, go in person.

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

APRIL 14, 2022

Our experts include Katie Fitzgerald Jones (palliative nurse practitioner and doctoral student at Boston College), Zachary Sager (palliative care physician at the Boston VA and Dana-Farber Cancer Institute), and Janet Ho (physician at UCSF in addiction medicine and palliative care). But does this drug really live up to the hype?

Illness 102

Illness Patient-Centered IT Patients 102

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 Family Families 119

GeriPal

DECEMBER 15, 2022

Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. Summary Transcript Summary.

IT 105

IT Patient-Centered Healthcare Illness 105

ABIM

JUNE 24, 2025

The group discussed policy shifts and potential implications for graduate medical education and health equity. Dr. McDonald acknowledged that recent executive orders have emphasized more competition in medical and legal education accreditation, but reaffirmed ABIM’s commitment to evidence-based practice and health equity.

Board-Certified 40

Board-Certified Board-Certified Physicians Government Community 40

GeriPal

MARCH 24, 2023

She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. We also have Joe Shega, who is a hospice physician, and he is a Chief Medical Officer and Vice President at VITAS Healthcare. Welcome back to GeriPal, Lauren. Lauren: Thanks for having me. Is it you, Ira?

IT 113

IT Provider Patients Family 113

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. Katie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. Yael, welcome to GeriPal.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

NOVEMBER 2, 2023

Alex: Today we’re delighted to welcome Jerry Gurwitz, who is a geriatrician and professor of medicine at the UMass Chan Medical School. I’ve seen this question come up a lot since finishing fellowship nearly two decades ago. Eric: And Alex, who do we have with us today? Jerry, welcome to GeriPal. Jerry: Great to be here.

Board-Certified 91

Board-Certified IT Community Medical Student 91

FDA Law

MARCH 17, 2022

Proposed 2022 CDC Clinical Practice Guideline for Prescribing Opioids, 87 Fed. et al, CDC Clinical Practice Guideline for Prescribing Opioids-United States, 2022, CDC. CDC Clinical Practice Guideline, 10. (We blogged on the final 2016 guideline here on March 17, 2016). 7,838 (Feb. 10, 2022); Dowell, Deborah, MD.,

Patient-Centered 75

Patient-Centered Clinical Practice Patients Management 75

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 72

Patients Clinic Patient-Centered Illness 72

GeriPal

SEPTEMBER 28, 2023

Summary Transcript Summary Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Simple, right? Eric: Yeah?

Family 144

Family Families Patient-Centered IT 144

GeriPal

DECEMBER 8, 2022

Alex: Today we are delighted to welcome Heather Coats, who’s a palliative care nurse practitioner and scientist and Director of Research at the Hospice and Palliative Nurses Association, or HPNA, an Assistant Professor at the University of Colorado and Schutz College of Nursing. Summary Transcript Summary.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

Maine Academy of Family Physicians

OCTOBER 22, 2023

6-week Medical Student Externship - Medical Student Externship Report – Molly Mann, MS2 2023 July – August "My externship experience consisted of shadowing Dr. Der Simonian at the Falmouth Family Medicine office and at the Maine Medical Center Mother Baby Unit. Der Simonian and her patients.

Medical Student 40

Medical Student Family Medicine DO Patient-Centered 40

GeriPal

JUNE 5, 2025

And so as you think about the conditions that mean that you need care and support in a nursing home, it’s easy to see why many of us feel that palliative care, there are a lot of palliative care needs of nursing home residents just because of the nature of the conditions and reasons that got you there. Alex 02:09 Well, oops.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

SEPTEMBER 22, 2022

Alex: Today, we’re delighted to welcome Josh Briscoe, who is assistant professor of medicine and psychiatry at Duke, and a palliative care physician at the Durham VA Medical Center. Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. All the time. ;).

Illness 101

Illness IT Patient-Centered Patients 101

FDA Law

NOVEMBER 29, 2022

CDC Clinical Practice Guideline for Prescribing Opioids for Pain — United States, 2022. Expected clinical benefits should be weighed against risks before beginning therapy. By Larry K. Dowell D, Ragan KR, Jones CM, Baldwin GT, Chou R., MMWR Recomm Rep 2022;71(No. RR-3):1–95. 2022 Guideline”). RR-3):1–95. 2022 Guideline”).

Patients 52

Patients Patient-Centered ER Individual 52

GeriPal

APRIL 10, 2025

Why this study was a success due to the sheer size (nearly 100,000 patients in about 30 EDs) of the study, and the fact that, as far as the investigators know, all study sites continue to employ the clinical decision support tool. I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. They got training in Vital Talk and ELNEC.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). What’s up with Medical aid in dying in Canada? Alex: We’re delighted to welcome Leonie Herx, who’s a palliative care physician and clinical professor at the University of Calgary. Four percent.

Illness 144

Illness IT Medical Provider 144

GeriPal

OCTOBER 6, 2022

Why is this different from clinical communication skills? Alex: And we’re so delighted to welcome to the GeriPal Podcast Marian Grant, who is a palliative care nurse practitioner and marketing consultant, and she is at the University of Maryland Medical Center in Baltimore. So what do we do about it? Transcript.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” It meets in-person, once a month, over nine sessions. The theme is death. Lexy: JPSM.

IT 99

IT Patient-Centered Family Families 99

GeriPal

MARCH 10, 2022

While we like to think about how our goals and preferences will influence what that life looks like, including whether you will get potentially burdensome interventions, your fate is probably influenced more by factors like where you live and what nursing home you happen to end up in. . Eric: And Alex, we got a full house today. Thanks, Alex.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

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

DECEMBER 29, 2022

For an ever deeper dive into the subject of negotiation and dispute resolution, check out the following links (and for any caregivers interested in participating in the randomized clinical trial of the NegotiAge training, feel free email the NegotiAge Research Team at negotiage@northwestern.edu ): . Journal of Patient Experience. Transcript.

Family 96

Family Families IT Patient-Centered 96

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. Clearly this issue is important to patients. Is that an issue for you? I’m happy to talk about it at any time.” This is Eric Widera. Ra ra ra ra.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 13, 2023

And I think that his research was informed by his clinical practice, his clinical practice was informed by his research. Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. Is 4% meaningful?

Patient-Centered 83

Patient-Centered IT Hospital Patients 83