GeriPal

JULY 19, 2024

But the thing that really motivates me is seeing, you know, and trying to manage later stage, you know, we can call them complications of people who haven’t had a diagnosis are now really in, you know, a world of complexity around other conditions, around managing life and managing practical things. It’s closer to 80.

Screening 119

Screening Primary Care Patient-Centered IT 119

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 19, 2022

I know this is like, we’re talking about math and so that makes it all a little complicated, but think about it this way. The chart that I have in my book and that I use in practice and so many healthcare systems have adopted already, is the very best, cutting edge data we have. The old table, 1.5 Mary Lynn: I can tell you why.

IT 139

IT Patients Individual Relationship 139

GeriPal

MARCH 14, 2024

Some of our healthcare systems are hard, and challenging, and I think that it’s time that we have a change. I think there’s maybe a little bit of debate as to when those turn from being just normal age related changes to then being something more, but it happens in many different areas of healthcare. Eric: Lovely.

IT 124

IT Hospital Patient-Centered Individual 124

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. ” And the environment that we worked in, in geriatrics, was more of this sharing information and different groups or calling. And that model just made sense.

Hospital 100

Hospital Patient-Centered IT Nurse Practitioner 100

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 73

Diabetes Management Patient-Centered Family 73

GeriPal

MAY 11, 2023

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. There’s not that much information on smoking and cognition. Or is it going to get worse because they’re now having these complications from lecanemab?

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. Your insights could help someone else in their healthcare journey!

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Rao Doctor

APRIL 3, 2025

This information can help pinpoint possible causes of illness and guide further investigations. During the examination, healthcare providers assess vital signs, such as heart rate and blood pressure, and look for physical signs of infection or illness. Using these methods can reduce temperature discomfort and minimize complications.

Diagnosis 130

Diagnosis Management Illness Diagnose 130

GeriPal

JUNE 12, 2025

Eric 00:42 So on this podcast, we’re gonna be talking about what every healthcare provider should know about radiation oncology. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Evie, welcome to GeriPal. Evie 00:41 Thank you.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

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 Family Families Healthcare Professional 52

Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. Infections or allergic reactions can block your airway and lead to life-threatening complications.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

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 98

Medical IT Patient-Centered Healthcare 98

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 Family Families Diagnosis 102

GeriPal

FEBRUARY 23, 2023

Eric: Well, I feel like just hearing about this case, so on one hand it feels like our healthcare system really only cares about caregivers and family members when decisions need to be made and especially if the patient doesn’t have capacity, or we’re now talking about discharge. Eric: Yeah, I love that too.

Family 97

Family Families Patient-Centered IT 97

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. David: Right.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 15, 2023

Rethinking Automation and Inequity in Healthcare [link] [link] [link] MD Calc approach to inclusion of race [link] —— Transcript Eric: Welcome to the GeriPal podcast. Charlotta: Yeah, I think it will be in reducing the need to spend so many hours on documentation and looking through the EHR for information. Practically?

IT 99

IT Patient-Centered Patients Healthcare 99

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

NOVEMBER 14, 2024

Summary Transcript CME Summary Falls are very common among older adults but often go unreported or untreated by healthcare providers. 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. There may be lots of reasons behind this.

IT 124

IT Patient-Centered Screening Community 124

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 109

Patient-Centered IT Patients Clinic 109

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. And one of the hardest things is to distill it down to a sentence or two about what is information, what does it mean? This is a complicated case.

IT 132

IT Illness Family Families 132

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

MAY 26, 2022

I’d also think, is it reciprocity if we prioritize frontline healthcare workers or is it like that instrumental value where actually, we don’t care what they did in the past, we care that they’re able to work in the future. Govind: Yeah. Govind: So you’re right that those often go together. Govind: Yeah.

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

MARCH 24, 2022

Susan: I’ll just say, I think that could happen outside of the healthcare setting pretty easily and frequently does. 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. Rebecca: Agreed.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. Canadian Press Feature A powerful and widely shared piece on our work.

Healthcare 100

Healthcare IT Community Illness 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. But I think if I were under normal constraints of the healthcare system, I wouldn’t have that time. Well, I do it personally.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

MARCH 9, 2023

Alex: It’s complicated. We, for very complicated reasons, ended up with niacin. Brian: I mean, bottom line in clinical research or psychedelic medicines, we don’t have a lot of information on safety anyway, and we definitely don’t have it in older adults. So, creating a- Alex: Control condition. Eric: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

MAY 22, 2025

We start each podcast with a song in part to shift the frame, taking people out of their academic selves and into a more informal conversation. Just encourage patients and families to bring music into their healthcare experience. There’s a small book called Music and Creativity in Healthcare Settings written by Hilary Moss.

IT 96

IT Patient-Centered Patients Board-Certified 96

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

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

NOVEMBER 21, 2024

As much information and control I can give, I’m going to give because I think that this coping is helping them stay rooted. There are other people who say, in this time of uncertainty for these next few hours, I think I just need to avoid the worst case scenarios and just wait for the information to come back. Is this adaptive?

Illness 125

Illness IT Patient-Centered Patients 125

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. Alex 06:20 Can I what’s the healthcare equivalent to the Starbucks coffee? Inside or outside of healthcare? We didn’t make them do anything with that information, just document it.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

APRIL 10, 2025

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

SEPTEMBER 28, 2023

To me, that feels hard because I guess my inclination is that I want communication to be fixable, and there’s so much medical information and there’s a lot of reasons for families to feel like they’re struggling to understand. Abby: I’m going to use Alex’s words from before, that’s really complicated.

Family 144

Family Families 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? I think the two spaces it comes out of, one is informed consent, which is this idea that people need to have an understanding of their disease and treatment. Gretchen: Absolutely.

IT 128

IT Family Families Patient-Centered 128

GeriPal

OCTOBER 26, 2023

Tamra: It’s incredibly complicated because to date, there’s not really a validated tool that’s mandated to be used across all settings. We need that information. This information is so vital. Hospitals should routinely collect functional information in the same way. Do you know those?

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 16, 2022

I appreciate that information. Eric: So this is a complicated pathway, right? You’re trying to include information from symptoms in a population, also in a geriatric population that may have multiple reasons going on. Lots of information in there. Eric: Did that information change your practice at all?

Management 122

Management IT Medical Patient-Centered 122