The Motivated MD

SEPTEMBER 12, 2024

We each have our own story to tell, and the decision to complicate that more with real estate is not one to be made lightly. Though you will find platforms I have an affiliate relationship with, I only recommend them because I have personally interacted with them and feel they genuinely offer investments worthy of your time.

Management 52

Management Finance Individual Education 52

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 Family 74

Annals of Family Medicine

NOVEMBER 20, 2024

Context: Complications contribute to significant type 2 diabetes mellitus (T2DM) morbidity. While preventable, many fail to receive timely treatment in primary care, leading the most vulnerable to accumulate complications. Results: We included 49,843 individuals in model 1.

Complication 130

Complication Diabetes Primary Care Utilities 130

GeriPal

JUNE 12, 2025

But now that at least at the University of Pennsylvania, the radiation oncology department is sort of well integrated into the cancer center here, and we have a really strong relationship with the palliative care team and even the internal medicine residents whom we give talks to. Widera and Smith have no relationships to disclose.

Patient-Centered 103

Patient-Centered Referral Patients IT 103

Plum Health

OCTOBER 11, 2024

This guide will help you understand the different types of clinics and services they offer, so you can make an informed decision about where to seek medical care. Your ongoing appointments help foster a strong patient-doctor relationship , making it easier to discuss your concerns and receive personalized care.

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

Vida Family Medicine

JUNE 29, 2022

I care deeply about each and every one of my patients, and I do not want a difference in opinion to create a wedge in our relationship. 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

FEBRUARY 23, 2023

Rather, most of us live and make decisions in relationship to one another. And several times now, I read the notes and it’s just that someone has copied the contact information for someone into that note, but no one has actually contacted them or confirmed that they would want that person present.

Family 98

Family Families Patient-Centered IT 98

GeriPal

FEBRUARY 15, 2024

Panelists Carmen Quatman and Katie Quatman-Yates have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. They may not think to ask or provide that information. Sometimes it’s unskilled things.

Community 116

Community Transportation IT PCP 116

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? And then be quiet and listen.

IT 133

IT Illness Family Families 133

GeriPal

JUNE 27, 2024

Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Eric 24:51 Yeah.

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

FEBRUARY 8, 2024

** Claim your CME credit for EP297 “The Nature of Suffering” [link] Note : If you have not already registered for the annual CME subscription ( cost is $100 for a year’s worth of CME podcasts ), you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose.

IT 137

IT Family Families Physicals 137

The Clinical Problem Solvers

FEBRUARY 8, 2023

One example that is presented involves the complicated relationship between the United States and Chinese immigrants and farmworkers in California. She also discusses the importance of the patient-provider relationship and shared-decision making, which helps ensure that a full range of services are being offered to patients.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

NOVEMBER 21, 2024

Potentially harmful elements of that coping mechanism for your relationship with your four year old. As much information and control I can give, I’m going to give because I think that this coping is helping them stay rooted. What are you seeing in terms of the relationship between this patient and their family?

Illness 126

Illness IT Patient-Centered Patients 126

GeriPal

JULY 11, 2024

Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Patient-Centered 110

Patient-Centered IT Patients Clinic 110

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. Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

JUNE 15, 2023

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. And what we are seeing in our research is that, we’re working on GPT four, is volunteering information that we didn’t ask for. The information there and you limit it in that way.

IT 100

IT Patient-Centered Patients Healthcare 100

GeriPal

JANUARY 25, 2024

Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. 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

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. Relationships are usually more complicated. Widera and Smith have no relationships to disclose. Summary Transcript CME Summary As you know, dear listeners, I love music.

IT 98

IT Patient-Centered Patients Board-Certified 98

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

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. By the time he got into us, the tumor grew, he had experienced, he was experiencing significant pain and so trauma, informed care and building a relationship with him was such a big part of the care. On bias and trauma as you.

Healthcare 102

Healthcare IT Community Illness 102

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. The emergency physician knows it’s not new information. Yeah, that’s a more complicated story. But yeah, it’s complicated. And it was like 29eds.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

FEBRUARY 13, 2025

And then we incorporated that information into the consultation process. Later on, of course, we added health professionals to, you know, give us more information. We gave these tools to oncology and fusion room N that was complicated. You just email them or email them information on prepare for your care.

Consulting 64

Consulting Community Patient-Centered Family 64

GeriPal

MAY 4, 2023

Patients that remind us of loved ones, patients that are often younger, really hard stories, complicated issues. Part of that, as you’re alluding to, Eric, is this relationship with authority and with rules and word association, teenage rebellion. What are the patients that we remember? Nick: Such a good question. Abby: Yeah.

IT 83

IT Family Families Illness 83

GeriPal

MAY 29, 2025

Andrew complicates this definition , stating it raises more questions than answers. This is, you know, has to do with our personal relationship. And then I think the flip side of that is we don’t deal with it as clinicians and help them understand how to interpret that information. And she names it correctly.

Family 94

Family Families IT Patient-Centered 94

GeriPal

JULY 28, 2022

But the palliative care clinicians didn’t have the time or opportunity to foster and develop a longitudinal relationship with patients and their families. So their practices were really collaborative and informed. And so how do you actually facilitate coping with that information? And those two are closely aligned.

Illness 111

Illness Hospital Patient-Centered Patients 111

GeriPal

NOVEMBER 7, 2024

Or is it just this lingering practice of starting dialysis early before really severe complications develop? One is they’re defining the intervention using future information, which Maria always tells me is a big no, no. Widera and Smith have no relationships to disclose. Eric 06:16 To it in our show.

Management 117

Management Patient-Centered Patients IT 117

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. All of this really turns into an emotional partnership with someone. John: Yeah. I would add, too.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

AUGUST 11, 2022

We didn’t really have any available information about changing from one opioid to the other, about… Medicines were used in a very unsophisticated way because we just didn’t know any stuff. And so people were just doing whatever they wanted, whatever moved them to do. She’s so responsive.”

Illness 110

Illness IT Family Families 110

GeriPal

JANUARY 11, 2024

** Claim your CME credit for EP293 “What’s Up With MAID in Canada” [link] Note : If you have not already registered for CME, you can register here [link] For more info on the CME credit, go to [link] Disclosures: Moderators Drs Widera and Smith have no relationships to disclose.

Illness 144

Illness IT Medical Provider 144

GeriPal

JUNE 13, 2024

Widera and Smith have no relationships to disclose. Guest Eduardo Bruera has no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 134

Illness Patient-Centered Patients IT 134

GeriPal

DECEMBER 14, 2023

And I think this is something that I’m continuing to think about and excited to work with other people who are thinking about this as well because it’s very complicated and challenging. And this paper means so much to me because of what it meant about my relationship with Randy. Alex: We’re running out of time.

Hospital 126

Hospital IT Patient-Centered Patients 126

Family Medicine Initiative

APRIL 10, 2024

This graph illustrates that the benefit of long-term GP-patient relationships is even dose-dependent (longer GP-patient-relationship = lower risk of dying prematurely): Why do long-term GP-patient relationships improve health and reduce costs? GPs improve chronic disease management, which prevents complications.

Family Physician 130

Family Physician Families Family GP 130

GeriPal

SEPTEMBER 5, 2024

Alex 15:13 This is really complicated. And it’s not the same, but it does provide information. And in fact, after a complicated ethics issue, we will oftentimes go in and try and debrief them. Widera and Smith have no relationships to disclose. This shouldn’t have happened. We can make this better.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Eric 13:29 I love that.

Family 108

Family Families Patient-Centered Patients 108

GeriPal

NOVEMBER 3, 2022

What I often hear, grief, that normal, often, and we just had Holly Prigerson on the podcast talk about complicated grief, but grief in itself, that reaction, that is often triggered by loss. There were legal issues so we had to take out some of the information. Eric: And how does that differ from grief? Eric: Yeah.

Healthcare Professional 103

Healthcare Professional Healthcare IT Relationship 103

GeriPal

MARCH 27, 2025

But the process of implementing this project across two big health systems in our area was very complicated and had its share of both challenges and rewards. It was information about our ACP facilitator. So we have to collect what information we have available from Health Information exchange and electronic health records.

Primary Care 80

Primary Care IT Clinic Patient-Centered 80

GeriPal

JUNE 6, 2024

There is a patient caregiver relationship that evolves over time, and there’s less of a focus on intimacy in that relationship. We have a lot of loss of libido, loss of physical intimacy as a result of the changing dynamic in the relationship. So cancer.net has information on this. Sharon 15:21 Right.

Illness 131

Illness IT Physicals Patients 131