Physician's Weekly

JUNE 11, 2025

The second piece is getting folks to be successful at restricting their calories, which works well when nutrition education and behavioral counseling strategies are combined—and even better when provided in a group setting.

Management 52

Management Primary Care Physicals Telehealth 52

Physician's Weekly

JUNE 19, 2025

In those instances, Medicare pays first if they or their family member works at a company with fewer than 100 employees. Those big claims “seem to get on the insurer’s radar,” said Casey Schwarz, senior counsel for education and federal policy at the Medicare Rights Center.

Insurance 52

Insurance Patient-Centered Government Provider 52

GeriPal

JUNE 8, 2023

-@AlexSmithMD Additional Links: – Fingerstick monitoring in VA nursing homes (too common!) – Improving diabetes management in hospice – Continuous Glucose Monitoring complicating end of life care Transcript Eric: Welcome to the GeriPal podcast. What is the role of the family caregiver system, how they play a role?

Diabetes 74

Diabetes Management Patient-Centered Families 74

33 Charts

OCTOBER 2, 2021

This thread from a 2015 post illustrates how varying needs of a child with ulcerative colitis call for different ways to connect: Take Luke, a school-aged child with moderate ulcerative colitis complicated by sclerosing cholangitis. The local family doctor wants to use antibiotics and we need to know whether we should fly to Dubai.

Patients 75

Patients IT Provider Family Doctor 75

GeriPal

MAY 11, 2023

I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. Certainly education, quality of education is extremely important. One might argue they still are. Physical activity is a big one.

Physicals 86

Physicals IT Hypertension Education 86

CDOCS

MAY 4, 2021

Being able to communicate our patient's problems in the third dimension always breaks down barriers to case acceptance as the information gleaned via a CT scan is invaluable for both planning and educating the patient. The possible complications were communicated so that the patient could make an informed decision and proceed with treatment.

Patient-Centered 52

Patient-Centered Patients Manufacturing Clinic 52

PEMBlog

OCTOBER 2, 2024

Red flags that you should always ask about include hematemesis, melana, dysphagia, and Unintentional weight loss, these all need further investigation for complications like esophagitis or another diagnosis such as EOE or peptic ulcer disease. So in the odd, rare scenario where you have a family member being treated for H.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Diabetic retinopathy (DR) is the most common complication of diabetes mellitus and is the leading cause of blindness in working age Americans. Conclusions: Economic, social, and geographic factors are associated with diabetic adults receiving an annual eye exam.

Diabetes 130

Diabetes Screening Insurance Healthcare 130

Vida Family Medicine

MARCH 28, 2024

As a primary care physician, I am asked about these medications at least once a day, either by a patient, a colleague, a family member, friend, or acquaintance. Diabetes, cardiovascular disease, and metabolic associated fatty liver disease all have the potential to cause life-altering complications and premature death.

Diabetes 52

Diabetes Primary Care Physician Medical Patients 52

GeriPal

FEBRUARY 23, 2023

The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. And the sort of the ask was, “Oh yeah, you can talk to the family, right?

Families 98

Families Family Patient-Centered IT 98

GeriPal

AUGUST 29, 2024

It feels nearly impossible if you add another degree of difficulty, whether it be a crying interpreter or a grandchild from another state who shows up at the end of a family meeting yelling how you are killing grandma. We’ve done work with medical improvised, we’ve done work in museum based education. Alex 19:04 Yep.

IT 133

IT Illness Families Family 133

GeriPal

JULY 11, 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 110

Patient-Centered IT Patients Clinic 110

GeriPal

SEPTEMBER 28, 2023

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. Eric: Well, this is the part that I love about your article, too, is that it’s not just these big, big family meetings where miscommunication happens. Simple, right?

Families 144

Families Family Patient-Centered IT 144

GeriPal

FEBRUARY 15, 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.

Community 116

Community Transportation IT PCP 116

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

IT 102

IT Families Family Diagnosis 102

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 123

Patient-Centered IT Illness Patients 123

GeriPal

FEBRUARY 8, 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.

IT 137

IT Families Family Physicals 137

GeriPal

NOVEMBER 21, 2024

But if we’re going to have a family meeting, that’s a different circumstance. And so I let him educate me. It’s amazing how often when we’re taking care of somebody in the hospital, if you have Say, you know, a family member who is not showing up for visits with the medical team or who is.

Illness 126

Illness IT Patient-Centered Patients 126

GeriPal

MAY 22, 2025

And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience. We introduce it to families and patients and explain how it works and show them. Relationships are usually more complicated. I had no idea.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

OCTOBER 12, 2023

And, what if your surgeon openly discussed the expected ‘bad stuff’ of post-operative recovery, instead of rotely reciting a list of possible complications? What I need to navigate with that patient and their family, is it valuable to you? I did it before and this guy, he was 85, but he was climbing Mount Everest.” Every time.

IT 129

IT Families Family Patient-Centered 129

GeriPal

OCTOBER 26, 2023

Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. We provide critical education. We provide critical conversations with colleagues and families to coordinate transition planning.”

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

AUGUST 11, 2022

There was no conversation with the patient or the family about this. And the medical approach to these patients was very limited, but people were treated in their homes, with their families, with enormous compassion and care, which is what was really the antithesis. And that did not seem right to me. And the focus was on their comfort.

Illness 110

Illness IT Families Family 110

GeriPal

JUNE 27, 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 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

MARCH 24, 2022

And especially for those who may have nontraditional families. I think if you’re from a nontraditional family, it’s very important to make sure that people understand who you would want to talk to. Assigning a surrogate decision maker is important for everyone, including those who do don’t have a serious illness.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Andrew complicates this definition , stating it raises more questions than answers. Particularly patients, families. That their loved one is in there.

Families 94

Families Family IT Patient-Centered 94

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

MAY 15, 2025

And so we simply asked clinicians, have you offered this patient and, or their family the option of care focused on comfort? And especially that requires a lot of education. Because it’s complicated and we don’t want to over complicate prayer listeners. Justification has been used in multiple other contexts.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

JANUARY 26, 2023

And again, that can create a food desert, which can create health issues for patients and their families, so that’s an example of structural racism, but again, it’s baked into laws. It can influence education systems. Eric: And it’s even more complicated, right? We just haven’t looked at it.

IT 92

IT Patient-Centered Healthcare Patients 92

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 134

Illness Patient-Centered Patients IT 134

GeriPal

MARCH 9, 2023

Alex: It’s complicated. We, for very complicated reasons, ended up with niacin. One of the headlines there was about a family medicine doc, not to pick on family medicine, a doc, who was prescribing mail order psychedelics at really high volumes around the country. So, creating a- Alex: Control condition.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

NOVEMBER 17, 2022

The songs about how saving lives is actually a pretty complicated business. And that’s the complication here is there’s so many things that the staff can be trained on. For those of you who do family meetings, doesn’t that take a lot of time? And family members should know that this needs to go on.”

Community 97

Community IT Mental Health Medical 97

GeriPal

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. David 33:56 Well, yeah, you definitely lose some in the first pass effect, but its not like opioids, where that first pass effect really takes out a lot of effectiveness because the cascade of metabolism for cannabis cannabinoids is pretty complicated. Eric 45:24 Yeah.

Medical 100

Medical IT Patient-Centered Healthcare 100

GeriPal

FEBRUARY 13, 2025

And so it was really the patients, you know, the caregivers, the family members were the ones who were sort of the closest in observing. And my community and about my family and those kinds of things. And they had to have a family caregiver. Their family members could not come in. Our consultation. Marie 11:03 Yes.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

MAY 26, 2022

To that point, in your article, you note that vaccination rates among blacks and Latinx individuals have been higher than whites according to a Kaiser Family Health news report. But it would be an abdication of responsibility not to still have those educational pieces in tandem with a policy that incorporated reciprocity.

Vaccination 88

Vaccination Individual IT Healthcare 88

Family Medicine Initiative

APRIL 10, 2024

Family medicine is neither the most prestigious nor the highest paid medical profession. GPs Are the Backbone of Effective Healthcare Systems Countries with a stronger focus on primary care and family medicine, rather than on hospitals and specialists, enjoy better health, 1 , 2 lower health inequalities, 2 , 3 and prevent hospitalizations.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. John: I am what I am, which is a family practice doctor. ” I think the family would like you to consider how to work with that.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

APRIL 10, 2025

And it’s very traumatic obviously for the family and all of that and the team really. Yeah, that’s a more complicated story. But yeah, it’s complicated. The one thing that we know is that education alone will not actually deliver behavior change. This is what gets to be complicated for standardization.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78