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. So the system drives the providers to deliver age friendly care. And that model just made sense. And so there’s not a lot of added cost. Kellie: So ideally, yes.

Hospital 101

Hospital Patient-Centered IT Nurse Practitioner 101

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. This is Eric Widera. Alex Smith: This is Alex Smith. Is that your experience?

Diabetes 74

Diabetes Management Patient-Centered Families 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?). Eric 00:42 So on this podcast, we’re gonna be talking about what every healthcare provider should know about radiation oncology.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. And yet, after assisting the older adult to their feet, the EMS providers would leave. I think, as providers, we don’t get to see that.

Community 116

Community Transportation IT PCP 116

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 21, 2022

If they’re in a major car crash, they’re going to have more long-term complications probably than a 20-year-old would. But I think then the other factor in this that makes it complicated is the decision for someone in Manhattan might be very different than the decision for someone in, like, rural Wyoming. Is this our role?

IT 102

IT Families Family Diagnosis 102

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

OCTOBER 24, 2024

Summary Transcript CME Summary Cannabis is complicated. Eloise 10:29 Yeah, I think what we saw in California was, prior to legalization, there was curiosity, but also a lot of their healthcare professionals didn’t know enough about it, so they didn’t discuss it with them. Is that your feeling, too? David 12:34 Yeah.

Medical 100

Medical IT Patient-Centered Healthcare 100

GeriPal

OCTOBER 20, 2022

This office is tasked with providing aging policy research and recommendations within ASPE, including long term care and the National Alzheimer’s Project Act. And that led to many specialists doing work and advancing their fields within their professional societies, providing guidance and so on for older adults.

Complication 52

Complication Patient-Centered IT Patients 52

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

OCTOBER 26, 2023

It’s very challenging from a hospitalist standpoint because I think there’s definitely a population of people who are not educated well about what are the outcomes when people go to subacute rehab, who benefits from that. We provide critical education. Sarguni: I hear what you’re saying and I struggle.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

NOVEMBER 7, 2024

And I think the question for our field is, is that because the estimates that we have of GFR based on creatinine provide misrepresentation or an inaccurate representation of someone’s kidney function. Or is it just this lingering practice of starting dialysis early before really severe complications develop?

Management 117

Management Patient-Centered Patients IT 117

GeriPal

NOVEMBER 21, 2024

And so I let him educate me. So when we think about our learners, when we think about us as providers trying to assess coping and engage with coping, we always have to make sure that we’re thinking about multiple layers of context. And until we get to a place where we can provide more supports, we need to get them through.

Illness 126

Illness IT Patient-Centered Patients 126

GeriPal

MAY 22, 2025

Relationships are usually more complicated. It is the CME activity providers responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. You’ve done research on caregivers, too, and the engagement of music and caregivers. There are lots of people involved.

IT 98

IT Patient-Centered Patients Board-Certified 98

GeriPal

NOVEMBER 17, 2022

The songs about how saving lives is actually a pretty complicated business. People saw that there were people who needed to have supportive care, didn’t need to have the level of nursing that was provided in nursing homes, and there was money to be made. And I also think it’s a little bit topical. Alex: Yeah. Eric: Nice.

Community 97

Community IT Mental Health Medical 97

GeriPal

AUGUST 29, 2024

And for many years, I think there was a focus on physicians and then providers. We’ve done work with medical improvised, we’ve done work in museum based education. Gordon 12:01 One absolute right answer to all these questions, and we will provide that. This is a complicated case. Anne 11:57 Scenario uno.

IT 133

IT Illness Families Family 133

GeriPal

FEBRUARY 23, 2023

And so the family is there in much more of an advisory role rather than providing say, cognitive scaffolding that they might provide in supported decision making. This is not a process where they can see into the future around what complications or challenges may arise, but this is the world that we live in and we can anticipate that.

Families 98

Families Family Patient-Centered IT 98

GeriPal

MAY 26, 2022

Govind: And there again, compared to certainly being a frontline health provider, many people who were in trials were there because they really wanted the vaccine, they didn’t necessarily perceive being in a trial as burdensome, but is still thought to be by a lot of people important to recognize their contribution by way of reciprocity.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

MARCH 9, 2023

Alex: It’s complicated. We, for very complicated reasons, ended up with niacin. We’re going to work with training up the providers that already work in these clinical settings to make it a little bit more, essentially, ask this question of how is this going to work in the real world? Eric: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

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

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

APRIL 10, 2025

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. We weren’t randomizing providers or patients. Yeah, that’s a more complicated story. But yeah, it’s complicated. I went into emergency medicine to act.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

JANUARY 26, 2023

It’s baked into people’s belief systems, who ultimately make laws and make policies, and it can influence healthcare. It can influence education systems. So I think you can see how there’s a lot of work to do among multiple sectors within healthcare, including education and training.

IT 92

IT Patient-Centered Healthcare Patients 92

GeriPal

MARCH 7, 2024

We are delighted to welcome Jane Euler, who is lead doula and co-founder of Present for You, which is a benefit LLC company that provides doula support at the end-of-life. We are doulas for those with serious illness and those at end-of-life, just a longitudinal relationship, nonmedical support to provide presence. Jane: Right.

Provider 119

Provider Illness IT Healthcare 119

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. link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. Today we discuss: What is the best terminology?

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

SEPTEMBER 7, 2023

So I would say that a lot of the education we received were on cutting edge research and the latest drugs in clinical trials, the latest cellular therapies that are coming out. But I mean, I would also add that not all of the responses to the PGA, and to the provider part that is completed, are coming from the patient.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

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. Is hospice appropriate for people with serious mental illness (and does hospice have the skills to meet their needs?)

Illness 102

Illness Mental Health IT Patient-Centered 102

GeriPal

MARCH 24, 2022

Although, certainly when you start facing complications of serious illness, it is increasingly important to engage as individuals and conversations about goals, values, and preferences. So it’s an example of something that can start outside of the healthcare system and move its way in. Rebecca: I think I’ll also add too.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

SEPTEMBER 28, 2023

Before we talk about miscommunication, would love to hear briefly from each of you, how or why did you get interested in this topic at all just around patient communication, patient-doctor communication, patient-provider communication. Abby: I’m going to use Alex’s words from before, that’s really complicated.

Families 144

Families Family Patient-Centered IT 144

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? Wasn’t that the Provide Your Opinion, Don’t Hide It? We hope you enjoy this episode. So dad asked, “Oh, great. When can I see again?” Because I read that.

IT 129

IT Families Family Patient-Centered 129

GeriPal

AUGUST 11, 2022

Brian: I guess I’m thinking about hearing all this as a more recent product of medical education here. And learners were excited about it and interested in it because a lot of these people were fantastic educators. The things that I’m most proud of are my people, the people who I’ve educated and trained.

Illness 110

Illness IT Families Family 110

GeriPal

MAY 15, 2025

At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. And especially that requires a lot of education. Because it’s complicated and we don’t want to over complicate prayer listeners. I think it’s good to place nudges in context.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

JUNE 13, 2024

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. I hope that in the future we’ll have the ability to detect who are the patients who are at elevated risk for those complications beyond the events that we see. AMA PRA Category 1 credit(s) ™.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

FEBRUARY 13, 2025

Like, would you include the doctors that I work with, healthcare providers where I live in Marin? And then I’d also imagine from a quality of life perspective, like a one time visit by a palliative care provider, I can’t imagine it really significantly improving quality of life unless there was robust like the symptom.

Consulting 64

Consulting Community Patient-Centered Families 64

GeriPal

JULY 28, 2022

And so when we’ve tried to scale and implement the early palliative care model to other institutions, that’s the area where we’ve had to do a lot of teaching, mentoring, and education with palliative care clinicians, because for many of them, it is a brand new skill. Jennifer: I think it’s such a complicated question.

Illness 111

Illness Hospital Patient-Centered Patients 111

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. Eric: Nudge it. Kate: Nudge it. Eric: Okay.

Consulting 116

Consulting Patient-Centered Patients IT 116

GeriPal

MAY 29, 2025

Andrew complicates this definition , stating it raises more questions than answers. Any depictions of paradoxical acidity that you’ve seen in media or movies that strike you as accurate, or any links we could provide to YouTube videos or anything like that. Okay, I’ll ask a different question. AMA PRA Category 1 credit(s)

Families 94

Families Family IT Patient-Centered 94