Annals of Family Medicine

NOVEMBER 20, 2024

Objectives: To explore and measure the outcomes of HTA organizations’ guidelines in family medicine. Population Studied: Family physicians, general practitioners, and patients. learning), the use of guideline-based information in clinical practice, and subsequent patient health outcomes.

General Practitioner 130

General Practitioner Lab Testing Relationship Family Physician 130

Common Sense Family Doctor

MAY 1, 2025

A patient with a history of headaches is brought by ambulance to the emergency department for the abrupt onset of weakness and decreased sensation in their left arm and leg. A code stroke is called. Are these symptoms of an acute stroke or a stroke mimic , such as a hemiplegic migraine ?

Primary Care 52

Primary Care Family Physician Clinical Practice Diagnosis 52

Annals of Family Medicine

NOVEMBER 20, 2024

The capacity to translate basic research discoveries to clinical application and to synthesize, disseminate, and integrate clinical research results into health care decision-making and clinical practice remain challenging.

Clinic 130

Clinic Family Doctor Chronic Disease Clinical Practice 130

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

CDOCS

APRIL 14, 2025

Whether it's with patients, colleagues, or mentors, that human connection is central to his philosophy — and it shows in every story he tells. This episode of Bonded isn't just about introducing a new faculty member — it's about welcoming a kindred spirit into the CDOCS family.

Relationship 52

Relationship Clinical Practice Family Families 52

ABIM

JUNE 12, 2025

Expanding ABIM’s engagement with stakeholder communities such as early career physicians, specialty societies and patient-focused organizations. For example, in specialties like cardiovascular disease and medical oncology with prevalent geriatric patient populations, concepts like frailty and falls may not be covered in assessment materials.

Board-Certified 52

Board-Certified Internal Medicine Government Community 52

PEMBlog

SEPTEMBER 27, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not. isolation for SARS-CoV-2).

Patients 52

Patients Hospital Illness Management 52

PEMBlog

AUGUST 30, 2023

This is a blog post and a podcast episode designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

Asthma 52

Asthma Electronics Utilities Clinical Practice 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. What hasn’t been shown, Eric, is that if you apply tools like this, clinical outcomes down the road are better for patients. Is that right, Soo? Soo 00:32 Thanks.

Screening 119

Screening Primary Care Patient-Centered IT 119

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. I’ll dive into the latest clinical practice guidelines and discuss evidence-based approaches to diagnosis and treatment.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

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? And so often we get consulted by teams that say, “I have this older patient and they’re pretty isolated and I think they have dementia. I’m guessing not. It’s amazing.

IT 102

IT Screening Hospital Clinic 102

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 DO 59

GeriPal

FEBRUARY 16, 2023

Summary Transcript Summary Think about the last time a patient yelled at you in anger. Dani and Kery present three steps for interacting with an angry patient: Look within: What is this anger bringing up in me? Ask why: What is underneath the anger for this particular patient? Taking care of the hateful patient.

Patients 109

Patients IT Families Family 109

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

OCTOBER 10, 2024

And it not only leads to better outcomes for patients, it leads to our better sustainability. For instance, a family meeting or an update or communication with families. And just to name a few of the more of those from the book, this is on the clinical education and training chapter. We can do this work longer.

Screening 119

Screening IT Families Family 119

GeriPal

APRIL 4, 2024

The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients. Other states set lower bars, including oral assignment of surrogate decision-makers. What words to use?

Family 112

Family Families Patient-Centered IT 112

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. And so when you have that, that’s so good for the family. That’s so good for us.

IT 102

IT Families Family Clinic 102

GeriPal

JUNE 27, 2024

How, though, do we navigate anxiety and help our patients who may end up in the anxiety spiral that becomes so hard to get out of? Something I’ll often point out to patients is, you know, how do you identify your emotions? The question I would ask is, how helpful is that in our clinical practice?

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

MARCH 9, 2023

FDA is considering approval, shifting away from Schedule I restrictions, paving the way for use in clinical practice. Early data on efficacy in patients with anxiety and demoralization are promising. And some people in studies and just in clinical use have found that to be helpful, including for patients with serious illness.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. And so, let’s help them.

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. But, should we as clinicians care about the social lives of our patients?

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JUNE 13, 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.

Illness 133

Illness Patient-Centered Patients IT 133

GeriPal

FEBRUARY 9, 2023

For example, we spend the first half talking about a RCT simulation study of clinician verbal and non-verbal communication with a seriously ill patient with cancer. In one room the physician under study interacts with a white patient-actor, and in another room interacts with a Black patient-actor. Amber: Thank you guys.

Patient-Centered 111

Patient-Centered Patients IT Healthcare 111

GeriPal

FEBRUARY 29, 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. Alex: Okay.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

OCTOBER 19, 2023

Caveat as well that RCTs should not be placed on pedestal as the only answer- often patients enrolled in RCTs do not represent real world patients – observational studies do. For a trial to have value, it should not exclude patients over age 80, or those with dementia, or patients residing in nursing homes.

Patient-Centered 126

Patient-Centered IT Patients Illness 126

GeriPal

MARCH 28, 2024

What we did was ask clinicians earlier in the ICU stay for very sick patients to document prognosis, and for those who they thought would survive, to document six-month functional prognosis. Eric: And who are the patients including in this trial, again? Kate: These are very sick patients. And that’s it. Kate: Sure.

Consulting 115

Consulting Patient-Centered IT Patients 115

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. If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Think chemotherapy to imminently dying patients, or CPR.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

FEBRUARY 6, 2025

That screening influences kind of further treatment, actually, probably more importantly, patient outcomes. And when I asked the patient, well, what happened, the test was sprung on them. And then the family tells me they can’t keep an appointment, they can’t manage their finances. Nate 06:04 Right.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

SEPTEMBER 12, 2024

Eric 04:44 Could just make you a little bit more resilient, you can increase your Rvus so you can see more patients. It’s really not about helping the patient or physician. So people are not so excited about this idea of resilience in the old fashioned way, this idea that it’s up to you. If you were just. Eric 17:16 Right.

IT 110

IT Healthcare Healthcare Professional Patient-Centered 110

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. Scientific American Letter to the Editor: Response to Downar et al.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MAY 25, 2023

And, you know, I really leaned in from my perspective as a primary care geriatrician to hearing from what my patients and their family caregivers are asking me for and asking me about, and they’re asking me about how they can prepare. Hillary: I certainly agree lots to think about. And that’s also kind of where I leaned in.

Community 95

Community IT Patient-Centered Primary Care 95

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. And also of course this, the psychosocial support we can, can give.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Whereas the home with the low rate of feeding tube use involved families in decision making. Whereas the high-intensity nursing homes tended not to have a process or did not include families. There was a hesitancy to engage black families.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MARCH 20, 2025

Recently, discussion has emerged about how these issues intertwine in caring for patients with advancing dementia who have stated that they would not want to continue living in that condition: for those with an advanced directive to stop eating and drinking, how do we balance caring for their rational past self and their experiential current self?

IT 87

IT Patient-Centered Patients Medical 87

Physician's Weekly

JUNE 11, 2025

Factors Associated With Higher MACE Risk Among 7,769 participants, the median age was 50 years, with 31% of patients identified as assigned female sex-at-birth. Patients had a median 10-year pooled cohort equations ASCVD risk score of 4.5%. 2.76) and 2.53 (95% CI: 1.60-4.01), 4.01), respectively. 2.76) and 2.53 (95% CI: 1.60-4.01),

Hypertension 52

Hypertension Individual Clinical Practice Diagnosis 52

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

On that podcast he and collaborators tested a combined patient and clinician facing communication priming intervention to promote goals of care conversations. ” 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.

Patient-Centered 83

Patient-Centered IT Patients Hospital 83