GeriPal

JUNE 27, 2024

Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. I think I certainly have had a lot of friends and colleagues in internal medicine who are so fearful that, oh, if I get this definition wrong, I’m going to cause some harm.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . That was one thing.

Illness 109

Illness IT Families Family 109

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Or is it just this lingering practice of starting dialysis early before really severe complications develop?

Management 116

Management Patient-Centered Patients IT 116

GeriPal

AUGUST 24, 2023

Had multiple physical, psychological complications as a result of that. And although it wasn’t a conscious decision, or connection, in my mind between entering medicine and the experience of having grown up in a family with Ellen. .” My oldest sister who I’ve written a little bit about, her name was Ellen.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. And so one of the things that I felt as a resident was moral distress around some of the treatments that we provide near the end-of-life.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MAY 22, 2025

Relationships are usually more complicated. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. It is the CME activity providers responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. They can’t believe it, but we come back again and again and again gently to provide that support. And so the attitude has unfortunately become like, we just don’t provide care to folks.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. We weren’t randomizing providers or patients.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. It was this slow build, I would say.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. Because it’s complicated and we don’t want to over complicate prayer listeners.

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

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 63

Consulting Community Patient-Centered Families 63

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 93

Families Family IT Patient-Centered 93

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. The intervention itself is very straightforward. This is what I do here.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 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.

Families 106

Families Family Patient-Centered Patients 106

GeriPal

JUNE 2, 2022

NIH study about long COVID published the day before in Annals of Internal Medicine. And then maybe KN95s, FFP2s and KF94s, if you wear them, at least in physical science studies, if you’re inside in a crowded where Warrior stadium or something, that should provide you some self protection. Our World in Data COVID graphs.

Vaccination 100

Vaccination IT Hospital Management 100