GeriPal

JUNE 20, 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 121

IT Patient-Centered Patients Clinic 121

GeriPal

MAY 11, 2023

If we focused on prevention, from a public health standpoint, we would achieve far more than spending millions billions on treatment. Kristine: Well, I did have a song, but I was negligent at giving it to him. So, he tried to read my mind… Eric: What was your song? Alex: (singing) Eric: That was wonderful. Kristine: Yeah, yeah, yeah.

Physicals 86

Physicals IT Hypertension Education 86

GeriPal

JANUARY 12, 2023

After coming out of residency and taking care of lots of complicated older adults as of now, a brand new physician attending, I really needed that team to help me out. Which patients are eligible to go to an ACE unit? What are the benefits of an ACE unit? If ACE units are so great, why are they not so common? . I think Kellie, do you have it?

Hospital 101

Hospital Patient-Centered IT Nurse Practitioner 101

GeriPal

JUNE 8, 2023

We debate the merits of use of CGM in the nursing home and other late life settings (Eric and I argue against CGM and lose). Ozempic is a new fancy med that, by the way, leads to weight loss among celebrities, resulting in shortages of the drug from people using it off-label for that purpose. Listen in to learn more! This is Eric Widera.

Diabetes 74

Diabetes Management Patient-Centered Family 74

GeriPal

JUNE 12, 2025

During my training, I didn’t receive much education about radiation oncology, and I’m not entirely sure what some of the terms mean (hypofractionated means fewer sessions, right?). Well, today’s podcast aims to clear up all these uncertainties. Anish 00:24 Thanks so much for having me. Emily, welcome to GeriPal. Evie, welcome to GeriPal.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

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

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

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. It can mean many things, including a specific type of plant, the chemicals in the plant, synthetic analogs, or products that have these components. Eric 00:49 And I just want a big shout out to Alex Gamble, who said, we have to get Eloise on a podcast to talk about this topic.

Medical 100

Medical IT Patient-Centered Healthcare 100

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

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

MAY 22, 2025

This is not highly scripted orchestral music, people, its Jazz. -S And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? Tyler 01:12 AHPM. We were in Denver. Alex 01:15 AHPM. So check that episode out. Check all the episodes out. It’s a terrific podcast, Tyler. Welcome, Tyle r.

IT 98

IT Patient-Centered Patients Board-Certified 98

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? I like that song.

Family 102

Family IT Families Diagnosis 102

GeriPal

AUGUST 29, 2024

Gordon 02:12 So I think it speaks to one of the big lessons we’ve learned, which is that docs and other health professionals often sort of give way too much information and spend a lot of time talking. That’s a hard enough task, given that most of us have never had any communication skills training. Gordon 02:02 I do. Elise 03:53 Nice.

IT 133

IT Illness Family Families 133

GeriPal

OCTOBER 20, 2022

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. And they should be forced by doing research, followed by translating research into practice and continued education of a wide variety of individuals to then care for our aging population.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

SEPTEMBER 7, 2023

Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Does it improve outcomes that patients, caregivers, and clinicians care about? We talk about: What is a practical geriatric assessment and how can busy oncologists actually do one? Thank you.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

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 Family Families Physicals 137

GeriPal

MARCH 9, 2023

Eric, did you take your ketamine before this podcast? Eric: No, I did a little psilocybin. Eric: Thanks to our Ira Byock podcast. I forget how long ago that was. Alex: Yeah, it’s time to update, psilocybin is having a moment. We’re going to talk about that. Welcome back to GeriPal, Stacy. Stacy: It’s great to be here. Alex: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

NOVEMBER 21, 2024

Acceptance. All of these are ways we cope with stressful situations. Some we may consider healthy or unhealthy coping strategies, but are they really that easy to categorize? Isn’t it more important to ask whether a particular coping behavior is adaptive or not for a particular person,in a particular time or situation? Amanda, welcome to GeriPal.

Illness 126

Illness IT Patient-Centered Patients 126

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. And this time everybody’s joining in.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

NOVEMBER 17, 2022

The songs about how saving lives is actually a pretty complicated business. And which journal again? Ken Covinsky: JAMA Network Open. Eric: JAMA Network Open. Kenny Lam: Yeah, yeah. JAMA Network Open. Eric: But before we do, we have a song request. Luckily, it’s not going to go to Ken Covinsky, because he would do a Chicago Cubs song.

Community 97

Community IT Mental Health Medical 97

GeriPal

FEBRUARY 23, 2023

Today we talk with Anne Rohlfing, Lynn Flint, and Anne Kelly, authors of a JGIM article on the reasons we shouldn’t stop at “no.” We owe it to the patient to explore the reasons behind the “no,” commonly not wanting to be a burden to their family. And I’m worried that there may come a time when you have trouble making decisions for yourself.

Family 98

Family Families Patient-Centered IT 98

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 88

Vaccination Individual IT Healthcare 88

GeriPal

NOVEMBER 7, 2024

Or is it just this lingering practice of starting dialysis early before really severe complications develop? Do target trials differ from randomized trials and “ordinary” observational studies, or do they differ?!? Eric is skeptical. Bottom line: if faced with the decision to initiate dialysis, waiting is generally better. Well, I got.

Management 117

Management Patient-Centered Patients IT 117

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? Often, the way surgeons communicate about these decisions doesn’t make things any easier for themselves or their patients. Justin, welcome to GeriPal. Justin: Hello. Eric: Okay.

IT 129

IT Family Families Patient-Centered 129

GeriPal

SEPTEMBER 28, 2023

Summary Transcript Summary Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. 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. Simple, right? Alex: (Singing).

Family 144

Family Families Patient-Centered IT 144

GeriPal

JANUARY 26, 2023

Like a lot of organizations, corporations, professionals, societies, we put out a statement that basically said we stood against violence and other forms of discrimination following his murder. Ramona: I do. It’s called A Change Is Gonna Come by Sam Cooke. Eric: And can you describe why you picked that song? Alex: Thank you.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

MARCH 24, 2022

All decisions are made in advance, the question that we are debating is how far in advance and what to call it. Completion of advance directives and billing codes for advance care planning as quality metrics. Among other topics. We can work it out! Links to a few couple items mentioned on the podcast: Objectives for Advance Care Planning.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

APRIL 10, 2025

I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. They got training in Vital Talk and ELNEC. They got feedback. So did it matter? Fernanda 01:16 I do have a song request.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

MAY 15, 2025

The nudge toward offering comfort care led to more hospice and early comfort-care orders. Is this due to chance alone, given the multiplicity of secondary outcomes examined? We’ve done a podcast already on nudging. Where was it? Alex 01:13 The nudging podcast We’ve done a couple I think. We also had a podcast with. Eric 02:08 Great.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

AUGUST 11, 2022

Alex: Today, we are truly honored to welcome Susan Block, who is the founder of the department of psychosocial oncology at the Dana-Farber Cancer Institute in the Brigham and Women’s Hospital in Boston. She is one of the founders of the field and has worked to develop it over the last 25 to 30 years. She is one of my earliest mentors.

Illness 110

Illness IT Family Families 110

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 116

Consulting Patient-Centered IT Patients 116

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

JANUARY 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.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 6, 2025

Just out of fellowship, Naheed built a palliative care program for homeless persons called the Palliative Education and Care for the Homeless (PEACH) Program. He’s the founder and leader of the Palliative Education and Care for the Homeless program in Toronto, Palliative care physician at St. Homelessness? Marginally housed?

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

MAY 29, 2025

Andrew complicates this definition , stating it raises more questions than answers. Summary Transcript CME Summary Have any of you watched the movie The Notebook ? At the end, one of the characters, who has dementia, experiences an episode of lucidity. When I watched it, between tears (Im a complete softie) I remember thinking, Oh no!

Family 94

Family Families IT Patient-Centered 94

GeriPal

DECEMBER 19, 2024

Here are a couple of articles if you want to do a deeper dive: Dani and colleagues article on Psychiatry and Palliative Care: Growing the Interface Through Education. We discuss the following: What is Palliative Psychiatry (and how is it different from Palliative Care Psychiatry)? Is “terminal” mental illness a thing?

Illness 102

Illness Mental Health IT Patient-Centered 102

GeriPal

JULY 28, 2022

Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. . Areej’s study is remarkably novel in that it is, to our knowledge, the first study of palliative care during curative treatment. . Alex: (singing). Areej: Wow.

Illness 111

Illness Hospital Patient-Centered Patients 111