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 120

IT Patient-Centered Patients Clinic 120

GeriPal

MAY 11, 2023

Then I went to medical school and I thought, “Well, should I go into psych? But I would say that in terms of education, it’s really complicated because it’s so confounded by socioeconomic status and so many social determinants of health. We had diabetes, hypertension, risky medications. Should I do neuro?

Physicals 85

Physicals IT Hypertension Education 85

Plum Health

OCTOBER 11, 2024

Have you ever found yourself in need of medical attention but overwhelmed by the myriad of clinics and healthcare options out there? Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. Do you prefer a full-service medical center or a walk-in clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Mesa Family Physician

MARCH 13, 2025

In today’s fast-paced world, it’s easy to postpone medical appointments until something feels wrong. However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community.

Family Physician 100

Family Physician Preventative Care Preventive Care Families 100

GeriPal

JUNE 12, 2025

I was really fascinated not only with the medical side of things, but some of the. I knew I wanted to do palliative medicine pretty early Even in medical school. And I was particularly drawn to the cancer patient population and really thinking about that integration into standard care. Anish 04:13 Yeah. Thank you.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

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. These symptoms require immediate medical attention.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

Vida Family Medicine

JUNE 29, 2022

When I was a medical student at Baylor College of Medicine, I participated in their Ethics track. This included additional classes in medical ethics as well as a scholarly project examining the medical ethics of a specific clinical situation. There is no easy or "correct" answer in these situations.

Family Physician 52

Family Physician Family Families Healthcare Professional 52

GeriPal

NOVEMBER 14, 2024

This is Sarah Berry, who is at the Hebrew Senior Life and Beth Israel Deaconess Medical center and Harvard Medical School. 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. Looking at medications, I think is a really big one.

IT 124

IT Screening Patient-Centered Community 124

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 122

Patient-Centered IT Illness Patients 122

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 129

Illness IT Diagnosis Patient-Centered 129

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. Emmy: But we know that physiologic changes with aging, like decreasing night vision and so forth, as well as medications, as well as medical conditions, can all affect whether you can drive.

IT 102

IT Family Families Diagnosis 102

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 114

Community Transportation IT PCP 114

GeriPal

OCTOBER 20, 2022

Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

JUNE 16, 2022

And so I trained as an epidemiologist before medical school, and started out studying prostate cancer. 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. And so really am fascinated by tough medical decisions.

Management 122

Management IT Medical Patient-Centered 122

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. They were more likely to have a major inpatient surgical complication. She falls and breaks her hip.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

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 95

Community IT Patient-Centered Primary Care 95

GeriPal

MARCH 24, 2022

I worry, as a ex-primary care doctor, how much time I have. And I don’t think necessarily, that appointment needs to be a medicalized process. So it’s an example of something that can start outside of the healthcare system and move its way in. I think it’s all about how important. I need structure.”

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

AUGUST 11, 2022

He is a pulmonologist and critical care physician. He’s assistant professor of medicine at UCSF, and he’s one of my former research mentees, and he’s very interested in medical ethics and decision making in the ICU. Susan: Well, I think first of all, there was no palliative care back then. What was that story?

Illness 109

Illness IT Family Families 109

GeriPal

SEPTEMBER 7, 2023

To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies. He had a very aggressive lymphoma, highly aggressive, with a lot of different medical conditions. Eric: Whose job, though, is it?

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

MAY 26, 2022

First we have Emily Largent who is a bioethicist in the Department of Medical Ethics and Health Policy at the University of Pennsylvania Perelman School of Medicine, welcome to the GeriPal podcast, Emily. Eric: And Alex, who do we have on the show with us today? Alex: Today, we are delighted to welcome two bioethicists. Emily: I do.

Vaccination 87

Vaccination IT Individual Healthcare 87

GeriPal

MARCH 7, 2024

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. That’s probably too medical. I’m using my medical brain. Jane: Right.

Provider 117

Provider Illness IT Healthcare 117

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. Welcome to the GeriPal podcast, Charlotta. Charlotta: Thank you.

IT 99

IT Patient-Centered Patients Healthcare 99

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. But rarely does the podcast and clinical reality meet in the same day. Very excited to be here. Tamra, welcome to the GeriPal podcast.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

MARCH 6, 2025

[link] Promising Practice Recognition PEACH was named a Promising Practice in equity-oriented palliative care as part of a national initiative funded by Health Canada, operated by Healthcare Excellence Canada & the Canadian Partnership Against Cancer. We have world class primary care, cancer care, palliative care.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

JUNE 9, 2022

How did you get interested in palliative care research and the stuff that you’re doing right now? I was always critical care bound since medical school. I’m controlling everything your placebo versus medication trials. We have palliative care who gets what, what goes, where. It increases consult rates.

Consulting 99

Consulting Patient-Centered Diagnosis Referral 99

GeriPal

APRIL 10, 2025

Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? Yeah, that’s a more complicated story. But yeah, it’s complicated. No difference in their primary outcome. The primary care intervention did not work well. And it was like 29eds.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 28, 2024

Tom: So we did this study because patients who go through the stem cell transplant process face a lot of misery in terms of physical symptoms, psychological distress, anxiety, depression, and even a risk of PTSD afterwards, sort of like a medical trauma, you might think of it. So the question is, how do you pay for it?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

MARCH 3, 2022

Julien: He basically had an end of life care discussion with this patient. I think it’s really, really complicated. So at least in my practice, that’s often how this has happened, unless these conversations have taken place beforehand, either in the emergency room or with primary care providers.

Patient-Centered 96

Patient-Centered Patients IT Hospital 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

MAY 1, 2025

Have been now a care provider for people with HIV for over 40 years. And I graduated from medical school in the early 80s. I mean, treatment is really best done in a chronic or continuity setting, whether it’s in a primary care setting or some other. Meredith 09:33 Yes.

Primary Care 94

Primary Care IT Provider Clinic 94

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 79

Primary Care IT Clinic Illness 79

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 130

Illness IT Physicals Patients 130

GeriPal

SEPTEMBER 14, 2023

We had, since the late seventies, a home-based primary care program. And we would provide ongoing longitudinal care to them in the home, much like the Mount Sinai Visiting Doctors programs, and other programs like that. We relied on our clinical experience as geriatricians, that home-based primary care experience.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115