GeriPal

JANUARY 23, 2025

The intervention involved mailing medication-specific brochures to patients before their primary care appointments (click here for the brochure ). And our next guest is Amy Linsky, who’s a physician and researcher at the VA Boston Healthcare System and associate professor at Boston University University. Alex 01:23 Yeah.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

AUGUST 4, 2022

Next up, we chat with Liz Bayliss about her JAMA IM article that studied whether increasing awareness about deprescribing prior to primary care visits can reduce the use of potentially inappropriate long-term medications for individuals with cognitive impairment. Alex: No, I think we did one other super special. One in JAMA Network.

Specialization 104

Specialization Medical Patient-Centered Provider 104

GeriPal

OCTOBER 13, 2022

In this context, we’re excited to hear from infectious disease experts and nephrologists about updates in the care of older adults. It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

JUNE 20, 2024

Alex 00:30 And we’re delighted to welcome Alison Huang, who’s a primary care doc and researcher and professor of medicine, urology, and epi-biostats at UCSF in the division of General Internal Medicine. On our last podcast about urinary incontinence the song request was, “Let it go.” George, welcome to the GeriPal podcast.

IT 120

IT Patient-Centered Patients Clinic 120

GeriPal

MAY 11, 2023

The beautiful thing about it, it’s more than just having a career development award; it’s a community of aging researchers. One of the highlights really is the networking and the community that it fosters and highlighted, in some ways, by the meeting, which of course you often lead the sing along at. Alex: Recollection.

Physicals 85

Physicals IT Hypertension Education 85

The Medical Futurist

JUNE 21, 2025

In the continent-sized country, approximately 11,000 skin care specialists are working, which means less than one dermatologist for 100,000 people. It’s complete in its descriptions and treatments which can also be used by medical professionals of all types. Cureskin aims to help alleviate the situation.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Regular visits to your primary care physician at Mesa Family Physicians provide opportunities for early detection of potential health issues before they become serious problems.

Family Physician 100

Family Physician Preventative Care Preventive Care Families 100

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. Great to be back.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

FEBRUARY 15, 2024

So Carmen and Katie developed an EMS Community Partnership program. They created a seamless link between this Community Partnership program and 911 calls for falls. Eric and I enjoyed talking with Carmen and Katie about this innovative and common sense approach to addressing falls in the community. Their job was done.

Community 114

Community Transportation IT PCP 114

GeriPal

JUNE 19, 2025

Alex 00:41 And we’re delighted to welcome Noelle Marie Javier, who goes by “she” “her” and is a geriatrician and palliative care doc professor, newly minted – c ongratulations – And a clinician educator at Mount Sinai in New York City. Jace, welcome to the GeriPal Podcast. Noelle Marie 01:19 Cyndi Lauper’s True Colors.

Individual 81

Individual Community IT Chronic Condition 81

GeriPal

JANUARY 25, 2024

Alex: And we’re also delighted to welcome Diah Martina, who’s a palliative care doc and physician researcher in Indonesia, who wants to start a podcast in Indonesia about palliative care, and she’s primarily observing today and also attending the ASCO GI conference here in San Francisco. In their communities?

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

NOVEMBER 14, 2024

If you want to do a deeper dive into some of the articles we discuss, take a look at the following: An awesome JAMA review by Sarah on fall risk assessment and prevention in community-dwelling adults. Sarah 03:57 Yeah, it’s a pretty big problem for older adults, I’d say in community dwellers. Alex 00:41 Free Fall in’?

IT 124

IT Patient-Centered Screening Community 124

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. Talking about group advance care planning, a lot of stuff around it.

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

NOVEMBER 2, 2023

But, it’s also hard not to be bullish on the future of the field to see the consistent strides geriatrics has made in the last two decades in improving care for older adults. I’ve seen this question come up a lot since finishing fellowship nearly two decades ago. Mike, welcome to GeriPal. Mike: Great to be here. It was JAMA, right?

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

OCTOBER 10, 2024

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

Screening 119

Screening IT Families Family 119

GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen?

IT 102

IT Families Family Diagnosis 102

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? She did a palliative care fellowship, then she did hematology oncology fellowship at UCSF, and did a T32 research fellowship in aging with us in the division of geriatrics at UCSF. But does the geriatric assessment do anything? Mazie, welcome to GeriPal.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

Vida Family Medicine

JUNE 29, 2022

I care deeply about each and every one of my patients, and I do not want a difference in opinion to create a wedge in our relationship. The healthcare system must provide care in a just way so that those who need care have access to it.

Family Physician 52

Family Physician Family Families Healthcare Professional 52

GeriPal

MARCH 6, 2025

What makes palliative care for people experiencing homelessness challenging? What is unique about the practice of palliative care for people experiencing homelessness? We discuss the principles of harm reduction, social determinants of health, and trauma informed care. Today we discuss: What is the best terminology?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

OCTOBER 20, 2022

How HHS and ASPE solicit input from clinicians, community leaders, and older adults and how much it impacts policy decisions (spoiler alert: this involvement is CRUCIAL). We also touch briefly on topics discussed in prior podcasts such as loneliness and federal responses to the pandemic in relation to long-term care. Welcome back Lona.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 22, 2023

We start off part one by interviewing Michele DiTomas, who has been the longstanding Medical Director of the Hospice unit and currently is also the Chief Medical Executive for the Palliative care Initiative with the California Correctional Healthcare Services. Afterwards, we chat with the prison’s chaplain, Keith Knauf. Eric: Yeah.

Families 132

Families Family IT Community 132

GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. The instructor, Fran Cook , gave all the students a survey without explanation.

IT 107

IT Community Patients Families 107

GeriPal

MAY 26, 2022

The basis of their argument is the ethical notion of “reciprocity” – people who are vaccinated have done something to protect the public health, and we owe them something for taking that action. Eric and I attempt to poke holes in their arguments, resulting in a spirited discussion. Evusheld is the latest case in point. . Alex: Love this.

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

AUGUST 31, 2023

We’re also delighted to welcome back to the GeriPal podcast, Juliet Jacobsen, who’s a palliative care doctor. Juliet, last time we talked to you, you were talking about shifting from advanced care planning to serious illness conversations. We have a Canadian theme going. We just had Harvey Chochinov on. Was it April 1st?”

Illness 128

Illness IT Diagnose Medical 128

BMJ

MAY 10, 2022

Introductory article to İkİIşik H, Sezerol MA, Taşçı Y, et alCOVID-19 vaccine hesitancy and related factors among primary healthcare workers in a district of Istanbul: a cross-sectional study from TurkeyFamily Medicine and Community Health 2022;10:e001430. 150 (54.3) p<0.001 Doctor 83 (65.9) 126 (45.7) 162 (58.7) 228 (82.6)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

MARCH 24, 2022

Completion of advance directives and billing codes for advance care planning as quality metrics. Links to a few couple items mentioned on the podcast: Objectives for Advance Care Planning. Eric: We’ve got a lot talk to about out around advance care planning and serious illness communication. Among other topics.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

OCTOBER 26, 2023

We’re both in my mind, and I’m biased, great team players, the palliative care team, the chaplain is a great, everybody’s super. So I’ve always worked in coronary care units and cardiac step-downs. Eric: And probably, you didn’t have to twist Alex’s arm for a Neil Diamond song. Here we go.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

APRIL 10, 2025

I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. Today we focus on an intervention , published in JAMA, that gave emergency clinicians basic palliative care knowledge, training, and skills. They got a decision support tool that identified hospice patients or those who might benefit from a goals of care discussion.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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. We’ve come so far as a field.

Consulting 115

Consulting Patient-Centered IT Patients 115

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. No problem.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JUNE 23, 2022

Today we talk with Mara Schonberg, who has been tackling this issue from a variety of angles: building an index to estimate prognosis for older adults, writing about how to talk with older adults about stopping screening, a randomized trial of her decision aid , and how to talk to older adults about their long term prognosis. AlexSmithMD.

Screening 99

Screening PCP PCP IT 99

GeriPal

JUNE 30, 2022

Maybe I can turn to both of you about how you got interested in thinking about decision-making and surgical care for those with dementia. Really, a smart and caring woman. So, that was maybe 20 years ago at this point and it really got me down the road thinking about advance care planning, end-of-life care, and similar consequences.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

MARCH 7, 2024

And then second, I was someone who was a Parrot Head for years and years and it was just amazing how the community came together. That was really the theme song of how the community came together. But before we jump into that topic, John, do you have the song request for Alex? John: I do. It was on his last album. You were a what?

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MARCH 3, 2022

And I noticed that I was taking care of older adults more and more, or maybe I just noticed it more. Alex: And we’re delighted to welcome you to the GeriPal Podcast, Julien Cobert, who is an intensivist and aging researcher GeriPal Podcast, Julien. Julien: Thanks Alex, thanks Eric. It’s great to be here. Alex: (Singing).

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

FEBRUARY 20, 2025

Alex 00:41 And returning we have Ashwin Kotwal, who is a palliative care doc and geriatrician and assistant professor at UCSF. Mariah discussed her JAGS paper on applying a trauma-informed approach to home visits. Mariah, welcome to the GeriPal Podcast. Mariah 00:29 Glad to be here. Kate, welcome to the GeriPal Podcast. Here we go.

IT 66

IT Patient-Centered Individual Screening 66

GeriPal

MARCH 10, 2022

This came from a JAMA IM study that Ruth just published, the Advanced Study of Association of Nursing Home Organizational Culture and Staff Perspectives with Variability in Advanced Dementia Care. Welcome to the GeriPal Podcast, Caroline. Caroline: Thanks, Alex. I know it’s a mouthful. It’s exciting to be here. Thanks, Alex.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

BMJ

AUGUST 20, 2021

By John Scott Frazer, Glenn Ross Frazer Reference : Frazer JS , Frazer GR, Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model, Family Medicine and Community Health 2021; 9: e001143.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40