Consulting, Illness, Internal Medicine and Management

You don’t need to order comprehensive viral panels for most patients

PEMBlog

SEPTEMBER 27, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

Patients

Patients Hospital Illness Management

You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

PEMBlog

SEPTEMBER 13, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

Patients

Patients Screening Illness Physicals

What You Should Know About Radiation Oncology: Anish Butala, Emily Martin and Evie Kalmar

GeriPal

JUNE 12, 2025

There were a number of opportunities to be involved in medical oncology and doing medical oncology rotations as a medical student, as an internal medicine residential. But there are times that a primary care physician or an internal medicine physician may make the referral. So you have the consultation.

Patient-Centered

Patient-Centered Referral Patients IT

PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? Oh, my goodness.

Patients

Patients Clinic Patient-Centered Illness

Storycatching: Podcast with Heather Coats and Thor Ringler

GeriPal

DECEMBER 8, 2022

Unpacking characteristics of spirituality through the lens of persons of colour living with serious illness: The need for nurse-based education to increase understanding of the spiritual dimension in healthcare. What Mattered Then, Now, and Always: Illness Narratives From Persons of Color. Tell me about your illness.

Patient-Centered

Patient-Centered Illness Healthcare IT

Is it time for geriatricians to get on board with lecanemab? Jason Karlawish and Ken Covinsky

GeriPal

DECEMBER 15, 2022

So during the dissertation, that was a method for my PhD research and that’s related to… I was learning about African American elders experiences of psych-social-spiritual healing and serious illness. Tell me about your illness. So those questions we ask when we’re doing a palliative care consult.

IT

IT Patient-Centered Healthcare Illness

PC for People Experiencing Homelessness: Naheed Dosani

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. So we’re going to be today talking about serious illness palliative care in the homelessness population. I’ll just throw out there people with serious illness experiencing homelessness.

Healthcare

Healthcare IT Community Illness

Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And so there’s complexity in Understanding how each state manages this. Because I mean, California is different. They have an advance directive.

Patient-Centered

Patient-Centered IT Patients Healthcare

Nudges for Prognosis and Comfort Care in the ICU: Kate Courtright, Scott Halpern, & Jaspal Singh

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. What is sludge?

Patient-Centered

Patient-Centered Hospital IT Illness

Potentially Unsafe Low-evidence Treatments: Adam Marks, Laura Taylor, & Jill Schneiderhan

GeriPal

APRIL 24, 2025

If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Do elements of care that are often administered to seriously ill patients count? How does integrative medicine fit in with this? That could include a robust home care plan to manage his symptoms.

Patient-Centered

Patient-Centered IT Patients Illness

Influence of Hospital Culture on Intensity of Care: Liz Dzeng

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 I specifically chose hospitals that were at different intensities of care based on the Dartmouth Atlas around serious illness and end-of-life care.

Hospital

Hospital IT Patient-Centered Patients

RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

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. So that’s great. It was very simple. Absolutely.

Patient-Centered

Patient-Centered IT Hospital Patients

Prognosis Superspecial: A Podcast with Kara Bischoff, James Deardorff, and Elizabeth Lilley

GeriPal

JULY 25, 2024

The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old. So the palliative performance scale, or PPS, is essentially a tool to help clinicians with prognostication for seriously ill or palliative care populations.

Family

Family Families Patient-Centered Patients

Books on Becoming A Better Mentor (and Better Person): Bob Arnold

GeriPal

FEBRUARY 2, 2023

Bob: Well, it changed how I helped talk to people who are seriously ill and it acknowledged some of the feelings that I have and helped me be more aware of those feelings when I’m taking care of patients. Can I ask, how did it change you, how you think about talking to folks with serious illness? Eric: Yeah. Well it helps you.

IT

IT Medical Student Medical Families

Primary Care Digest

You don’t need to order comprehensive viral panels for most patients

You don’t need labs or CT scans in children who have recovered after a simple febrile or first time seizure

Trending Sources

What You Should Know About Radiation Oncology: Anish Butala, Emily Martin and Evie Kalmar

PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers

Storycatching: Podcast with Heather Coats and Thor Ringler

Is it time for geriatricians to get on board with lecanemab? Jason Karlawish and Ken Covinsky

PC for People Experiencing Homelessness: Naheed Dosani

Caring for the Unrepresented: A Podcast with Joe Dixon, Timothy Farrell, Yael Zweig

Nudges for Prognosis and Comfort Care in the ICU: Kate Courtright, Scott Halpern, & Jaspal Singh

Potentially Unsafe Low-evidence Treatments: Adam Marks, Laura Taylor, & Jill Schneiderhan

Influence of Hospital Culture on Intensity of Care: Liz Dzeng

RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

Prognosis Superspecial: A Podcast with Kara Bischoff, James Deardorff, and Elizabeth Lilley

Books on Becoming A Better Mentor (and Better Person): Bob Arnold

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