The Clinical Problem Solvers

OCTOBER 18, 2022

Incarceration negatively affects the physical and mental health of people who are incarcerated as well as their family members and loved ones, and limits access to healthcare before, during, and after incarceration. All healthcare professionals will have patients who are directly or indirectly impacted by the carceral system.

Healthcare Professional 52

Healthcare Professional Healthcare Patient-Centered Mental Health 52

ABIM

JUNE 12, 2025

The American Board of Family Medicine (ABFM) is a cosponsoring board for geriatric medicine, which means physicians certified by ABFM who have completed accredited training can also qualify for the Geriatric Medicine Certification Exam administered by ABIM and obtain ABFM Board Certification in Geriatric Medicine.

Board-Certified 52

Board-Certified Internal Medicine Government Community 52

GeriPal

JULY 19, 2024

Alex 00:20 And she’s professor of family medicine at USC, deputator at JAGS, and co lead of the bold center of Excellence in early detection of dementia. Are there, though, populations that it may be helpful in, or should that change with the advent of the new amyloid antibodies? Should it? If so, how do we screen and who do we screen?

Screening 119

Screening Primary Care Patient-Centered IT 119

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? Lastly, I also just want to give a shout out to the last article above which also includes this lovely checklist of methods to address hearing loss in clinical encounters. I’m guessing not.

IT 102

IT Screening Hospital Clinic 102

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. Does this child have pneumonia?

Asthma 52

Asthma Electronics Utilities Clinical Practice 52

PEMBlog

SEPTEMBER 27, 2023

Messaging for patients and families When children have a viral respiratory illness, it is usually pretty self evident based on their symptoms e.g. runny nose, cough, congestion. Reasons to not order a comprehensive respiratory viral panel (i.e., A positive test does not exclude a secondary bacterial infection or co-infection.

Patients 52

Patients Illness Hospital Management 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

Objectives: To encourage communication about social justice issues including reproductive health and abortion in the family medicine residency setting and to foster an environment of inclusive and open discussion about social justice in medicine. Population Studied: Mayo Clinic family medicine residents.

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 120

Screening IT Families Family 120

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

GeriPal

JUNE 27, 2024

Summary Transcript Summary “Anxiety is a lot like a toddler. It never stops talking, tells you you’re wrong about everything, and wakes you up at 3 a.m.” I’m not sure who wrote this quote, but it feels right to me. Brianna is one of UCSF’s palliative care fellows who just completed her psychiatry residency. Alex Gamble, do you have a song?

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

APRIL 4, 2024

In case you miss the introductions at the start of the podcast, Bernie and Laurie are married, and offer wonderful reminiscence of their clinical practice over the last several decades. The hospital refused without a court order, and the case eventually made its way to the Supreme Court. I really don’t know life at all.”

Families 112

Families Family Patient-Centered IT 112

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

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Legalization is moving forward in several states , following the lead of Oregon and Colorado. Potential use in palliative care , chronic pain , and for mood disorders is tantalizing. Eric: No, I did a little psilocybin.

Patient-Centered 91

Patient-Centered Community IT Medical 91

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.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

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. Jessie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening Clinic 136

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. Eric: Now, it’s interesting.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

FEBRUARY 16, 2023

And I felt like I could have done a better job clinically in responding to their anger instead of becoming my usual defensiveness. As Keri put it in the podcast, we must go beyond “a hammer and a nail” philosophy to approaching anger by developing a toolkit for anger that is vast and varied. Is that you Dani? Dani: It is me. I can tell.

Patients 109

Patients IT Families Family 109

GeriPal

MAY 25, 2023

Others cited the call from communities to meet them where they are – be they senior centers, Black-owned businesses, or churches (we have a podcast planned in the fall with Fayron Epps and Karen Moss on the church setting). In a group visit there is a social norming effect – “if my neighbor is doing it, perhaps I should be doing it to?”

Community 96

Community IT Patient-Centered Primary Care 96

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 111

IT Healthcare Healthcare Professional Patient-Centered 111

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 96

Primary Care Diagnosis Screening IT 96

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. Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. I feel like I recognize it when I see it, but I struggle to give a clear definition or provide effective ways to address it. MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Eduardo 00:57 Thanks.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

MARCH 28, 2024

I’m just stunned even writing that! We’ve come so far as a field. This isn’t to say we’ve “made it” – more to say that we’ve reached a new stage of maturation of the field – in which the evidence we are discussing is frequently high quality randomized trial level data. -@AlexSmithMD Transcript Eric: Welcome to the GeriPal podcast.

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

AUGUST 24, 2023

And although it wasn’t a conscious decision, or connection, in my mind between entering medicine and the experience of having grown up in a family with Ellen. Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. Harvey: I feel welcome.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

MARCH 20, 2025

Alex 00:48 And we’re delighted to welcome back Josh Briscoe, who’s a palliative care doc at the Durham VA Medical center in Duke and blogs at Notes from a Family Meeting. Eric 00:13 And Alex, who do you have with us today? Alex 00:14 We have a very full house today. Hope Wechkin brought this topic to us. Thaddeus 00:46 Thank you.

IT 88

IT Patient-Centered Patients Medical 88

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

JULY 13, 2023

” And I saw Randy run family meetings before I knew he was famous, before I knew he was this legendary researcher. He really practiced what he preached. And I think that his research was informed by his clinical practice, his clinical practice was informed by his research. Is 4% meaningful?

Patient-Centered 84

Patient-Centered IT Hospital Patients 84

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 Illness 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

GeriPal

DECEMBER 1, 2023

Heather: I’m requesting the song Don’t You Forget About Me, which is one of the things that I think matters most to patients and families living with Alzheimer’s disease. He’s been on several podcasts about this issue. Jason, welcome back to GeriPal. Jason: It’s great to be back, Alex and Eric. Eric: Wonderful.

IT 116

IT Clinic Illness Hypertension 116

Common Sense Family Doctor

MARCH 23, 2025

The proliferation of clinical practice guidelines of varying quality and conflicting recommendations has led to calls to systematically evaluate guidelines for their impact on patient outcomes. Now the Department of Government Efficiency is trying again, threatening 90% staff reductions that would decimate the agency.

Healthcare 52

Healthcare Patient-Centered Primary Care Illness 52