GeriPal

JUNE 12, 2025

But there are times that a primary care physician or an internal medicine physician may make the referral. Even if it’s a discussion that is involving the primary care physician, the geriatrician, the medical oncologist, the surgical oncologist. Eric 09:13 Do you ever get it from a hospice agency?

Patient-Centered 103

Patient-Centered Referral Patients IT 103

Doctor On Demand

APRIL 28, 2025

Most sore throats heal on their own, but severe cases may require urgent care. Learn more about which symptoms mean you should go to urgent care or the ER, as well as when to use telehealth or see a primary care doctor. If your symptoms get worse before your appointment, you may need to go to urgent care.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

Vida Family Medicine

JUNE 29, 2022

The healthcare system must provide care in a just way so that those who need care have access to it. This is relatively easy for straightforward medical decisions like taking an antibiotic for an infection, but becomes complicated during more complex situations.

Family Physician 52

Family Physician Families Family Healthcare Professional 52

GeriPal

JANUARY 25, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. David: We used the VA specific care assessment needs score, which- Eric: Oh, the CAN score. It used to be a much more complicated model. Eric: How about you, David? David: Right.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

FEBRUARY 15, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. I mean, we work at a different part of the health system a lot of times, although we have acute care therapists who do the same thing, but the gap in information flow is similar.

Community 116

Community Transportation IT PCP 116

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

NOVEMBER 14, 2024

And the big things that we think about as far as complications, so there, obviously the thing that comes to everybody’s mind is like fractures. You know, I wonder how much, because it’s probably not brought up a lot in primary care settings. Alex 20:55 How about in nursing home or long term care settings?

IT 125

IT Screening Patient-Centered Community 125

GeriPal

JUNE 27, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. How do you think about non pharmacological approaches, or maybe even in the people who just have a shorter, maybe less complicated anxiety, but it’s still impacting their sleep?

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

JUNE 30, 2022

Should she have an operation, and risk the pain, potential complications, and attendant delirium associated with the operation? And I came to the now I think naive conclusion that fixing and avoiding complications was the secret. But they don’t really have a lot of condition-specific or procedure-specific information at all.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

JUNE 15, 2023

Alex: And joining us via Zoom, we have Charlotta Lindvall, who is a palliative care physician researcher who studies the intersection of natural language processing and communication data at Dana Farber Cancer Institute, where she also works in clinical informatics. The information there and you limit it in that way. Practically?

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

SEPTEMBER 7, 2023

And it’s with this information from the geriatric assessment that we can really create interventions, and so that’s something that Alex and I strongly believe that we should move forward with. We have the chemo talks tool posted, so people can go there and click and immediately get the information about this.

Patient-Centered 130

Patient-Centered IT Patients Clinic 130

GeriPal

JUNE 16, 2022

And in my medical training, becoming a primary care doctor, I realized that older adults, women and men were having a lot of these same symptoms. I appreciate that information. Eric: So this is a complicated pathway, right? Lots of information in there. And so that was one, very interesting to me. Chrissy: Right.

Management 123

Management IT Medical Patient-Centered 123

GeriPal

MAY 25, 2023

We additionally have a debate/discussion about which outcomes of ACP matter most, including Terri Fried’s commentary in JAGS that caregiver outcomes matter more than goal concordant care (the “holy grail”), completion of advance directives, or changes in health care services use. Complicated grief? Did they have PTSD?

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

MARCH 6, 2025

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. We have world class primary care, cancer care, palliative care. On bias and trauma as you.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

MARCH 24, 2022

I worry, as a ex-primary care doctor, how much time I have. 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. I think it’s all about how important. And the reality is they don’t.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

OCTOBER 26, 2023

One thing I’m wondering about though is that we have all these wonderful services, and as we educate teams, both hospital medicine teams, primary care teams, palliative care teams about these services, there’s still that push to get people, if we’re talking about inpatient, get people out. Do you know those?

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

APRIL 10, 2025

But we felt like we want to give like the primary thing about clinical decision support is to give the provider information they don’t already have. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? The emergency physician knows it’s not new information.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

MAY 26, 2022

It means that we’re still having those one-on-one conversations between primary care providers and individuals who are vaccine hesitant to try to educate them and understand and respond to their concerns. And just trying to figure out when somebody got a vaccination for me is exceedingly confusing, it takes a while.

Vaccination 88

Vaccination Individual IT Healthcare 88

GeriPal

AUGUST 11, 2022

And so my first introduction to the field came with my first job in 1982, when I went to the Cambridge Hospital to do primary care and internal medicine. And the hardest stuff that we deal with in palliative care is the psychosocial stuff. I mean, I’ve been in the field for 12, 13, 14 years by the time PDIA came along.

Illness 110

Illness IT Families Family 110

GeriPal

MARCH 28, 2024

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. It’s complicated because right now there’s no mechanism other than cost avoidance. I don’t want to misspeak because now I forget.

Consulting 116

Consulting Patient-Centered IT Patients 116

GeriPal

JUNE 9, 2022

They need, they need some, a little bit of information and probably a little more than that, what we like to call an edge. Because we know information provision, I think it was the support trial, even giving them information about poor prognoses didn’t change their practice. That gets really complicated as well.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

MARCH 7, 2024

Whenever I take care of a patient, I see myself as a family practice doctor, but I’ve been a hospitalist, I’ve been a primary care doctor, and I’ve done palliative. ” I spent 32 years in information technology, would you believe, and switched over to this full time a few years ago. Alex: Yeah.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

MARCH 3, 2022

I am wondering whether it’s the conversations and preparation that’s primary care providers and outpatient providers are having with a lot of these patients and families to either prevent an ICU admission or potentially address their goals, such that they don’t go into the ICU. Julien: I like this question.

Patient-Centered 96

Patient-Centered Patients IT Illness 96

GeriPal

SEPTEMBER 5, 2024

Alex 00:27 And we’re delighted to welcome for the first time, guest Bill Ander e ch, who’s a primary care internist and senior scholar in Sutter Health’s program in M edicine and Human Values, a program that he co-founded with a former UCSF faculty member, Al Johnson. Alex 15:13 This is really complicated.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

MARCH 27, 2025

Today we are delighted to welcome Jennifer Wolff, Sydney Dy, and Danny Scerpella, who conducted a pragmatic trial of advance care planning (ACP) in primary care practices; and Jasmine Santoyo-Olsson, who wrote an accompanying commentary in JAMA Internal Medicine. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 80

Primary Care IT Clinic Illness 80

GeriPal

JUNE 6, 2024

Don 13:50 Well, you know, I think one of the issues, though, when you ask about prevalence data, especially, say, in the oncology world, not only does it matter about how you ask the questions, but because it’s such a complicated topic, people may infer very different things as to what you’re talking about. Sharon 15:21 Right.

Illness 131

Illness IT Physicals Patients 131