PEMBlog

AUGUST 30, 2023

System level innovations such as the electronic health platform, including order entry, were intended to improve efficiency but may result in the unintended consequence of making it easier to order a chest radiograph without substantiating the need or in conflict with best clinical practice guidelines.

Asthma 52

Asthma Electronics Utilities Clinical Practice 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. Join me as I scope out the nuances of gastroesophageal reflux and gastritis and provide practical insights for clinicians in the emergency setting.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Annals of Family Medicine

NOVEMBER 20, 2024

Jackson Supreme Court decision has made it disproportionately difficult for people of lower socioeconomic status and members of the BIPOC community to access safe and legal abortion services. Setting or Dataset: Data was gathered by surveying the 15 family medicine residents at Mayo Clinic family medicine residency - Mankato.

Family Medicine 130

Family Medicine DO Families Family 130

Common Sense Family Doctor

MAY 30, 2025

The US Preventive Services Task Force , the American Academy of Family Physicians , and the American College of Chest Physicians recommend annual low-dose computed tomography (CT) screening for adults 50 to 80 years of age who have at least a 20 pack-year smoking history and currently smoke or have smoked within the past 15 years.

Primary Care 59

Primary Care Screening Family Physician Family Medicine 59

GeriPal

OCTOBER 10, 2024

Show me your scars.” Scars, really? I’ve been there. You probably have too. On the one hand, I don’t think interprofessional teamwork needs to be scarring. On the other hand, though it goes against my middle-child “can’t we all get along” nature, disagreement is a key aspect of high functioning teams. Alex 02:38 Love it.

Screening 119

Screening IT Families Family 119

GeriPal

SEPTEMBER 1, 2022

Social workers augment a team’s ability to provide whole-person care, often aiding to identify and meaningfully address the wide variety of challenges and unmet needs faced by individuals and families facing serious illness. But are we really taking full advantage of ALL social workers have to offer our field? by: Anne Kelly, LCSW, APHSW-C.

IT 102

IT Families Family Clinic 102

The Clinical Problem Solvers

MAY 2, 2022

Dr. Okah is a family medicine clinician and NRSA research fellow at the University of North Carolina School of Medicine, and she studies the association between the use of race in medical decision-making and beliefs regarding the etiology of disparities in health outcomes. Essien MD, MPH, Jazzmin Williams, Alec J. Calac, Victor A.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Psychedelics have been used by communities around the globe for hundreds of years (or more). Legalization is moving forward in several states , following the lead of Oregon and Colorado.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

MAY 25, 2023

Sarah Nouri, Hillary Lum, and LJ Van Scoy argue that diverse communities are asking for ACP. Sarah Nouri gives an example from her work in the LGBTQ+ community of a trans woman who was buried as a man because existing laws/rules did not protect her wishes. But before we jump into that topic, I think somebody has a song request.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

FEBRUARY 29, 2024

The hot sauces progressed from mild to extreme (and I mean extreme) heat. Can I just say…it works? Being asked a question with your mouth on fire, sweat streaming down your face, feeling the most awake and terrified you have ever been in your life, forces you to give an unadorned answer, straight from the heart. Lynn: Okay. Anne: GeriPal edition.

IT 126

IT Patient-Centered Illness Education 126

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. Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Alex: Great. All right.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 6, 2025

And my wife went to over, I want to say, 20 concerts. Eric 00:58 Have you been to a concert? Nate 00:59 I went one in Milwaukee, Wisconsin, and I’m so glad I did. I loved it and this was his favorite song and so I wanted to do it. Alex 01:07 And Bruce Springsteen did a stage dive. We were talking about this before. Nate 01:11 Very healthy man.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

OCTOBER 19, 2023

It’s like how liberating it is to eliminate resentments, regrets and envy from our lives and how great it is in our clinical practice when we’re able to help families reconcile after an estrangement, how much relief that brings. The answers to these questions will vary. Reasonable people will disagree. Good to know.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

SEPTEMBER 12, 2024

Well-being committees are popping up at every level of an organization. And C-suites now have chief wellness officers sitting at the table. Eric 01:54 Why’d you pick this song, Naomi? Naomi 01:57 Because it really talks about this beautiful experience of our beloved, which is ourselves, the part that we often cut out of the equation.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

JUNE 13, 2024

We need this type of push to make us feel that we are part of a community and we are part of a movement and things are changing because we are around. Summary Transcript Summary I always find cachexia in serious illness puzzling. ABIM MOC credit will be offered to subscribers in November, 2024. Eduardo, welcome to the GeriPal podcast.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. I’m just stunned even writing that!

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

FEBRUARY 9, 2023

Alex: We are delighted to welcome Amber Barnato, who’s a palliative care physician and health service researcher, and she’s director of the Dartmouth Institute for Health Policy and Clinical Practice. Amber: Well, simulation is pretending, so I think of the way I use simulation is in trying to simulate clinical care.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. For a deeper dive, check out some of these other studies and resources we talked about in the podcast: The Influence of Nursing Home Culture on the Use of Feeding Tubes. Archives of Internal Medicine 2010. Rehabbed to Death. Caroline: Thanks, Alex.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Mariah, welcome to the GeriPal Podcast. Kate 00:40 Great to be here.

IT 66

IT Patient-Centered Individual Screening 66

BMJ

JUNE 25, 2021

Findings from a longitudinal study using primary care records, Family Medicine and Community Health 2021; 9: e000780. 1 Clinical guidelines internationally recommend statin therapy for both primary and secondary prevention of CVD, making statins one of the most frequently prescribed drugs in industrialised countries.

Primary Care 40

Primary Care Clinical Practice Electronics Clinic 40

GeriPal

MARCH 27, 2025

Summary Transcript CME Summary A pragmatic trial evaluates the effectiveness of a treatment or intervention in real-world clinical practice. But before we dive into the study and the implications it has for the practice that we do, I believe someone has a song request. Outcomes are typically assessed from available records.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JUNE 6, 2024

We are also delighted to welcome Sharon Bober, who’s a clinical psychologist and founding director of the sexual health program at Dana Farber Cancer Institute. And it actually came up during a clinical encounter that I had. 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

Common Sense Family Doctor

MARCH 23, 2025

Nonetheless, its work has often been politically unpopular and unheralded outside of a small community of health services researchers and patient advocates. Now the Department of Government Efficiency is trying again, threatening 90% staff reductions that would decimate the agency. spends on health care more wisely or efficiently.

Healthcare 52

Healthcare Patient-Centered Primary Care Illness 52

The Clinical Problem Solvers

MAY 2, 2023

Naweed Hayat, a child and adolescent psychiatry fellow at the University of California San Diego, who applies his own lived experience of resettlement to his clinical practice. A lot of compounding trauma occurs at the border that has potential downstream mental health implications for individuals and their families.

Healthcare 52

Healthcare Provider Clinical Practice Clinic 52