The Clinical Problem Solvers

MARCH 14, 2025

She served on the National Institute of Mental Health Advisory Council and the APA’s Council for Research. Simon, MD, MPH , is Boston’s inaugural Chief Behavioral Health Officer, appointed by Mayor Michelle Wu.  Academically, he has won multiple awards for research on structural violence, health equity, and mental health.

Mental Health 52

Mental Health Community Patient-Centered Hospital 52

The Clinical Problem Solvers

APRIL 24, 2025

The episode highlights the importance of policy advocacy, culturally responsive therapy, and practicing cultural humility in mental health care. She served on the National Institute of Mental Health Advisory Council and the APA’s Council for Research. Dr. Kevin M.

Mental Health 52

Mental Health Community Hospital Appointment 52

StorytellERdoc

FEBRUARY 12, 2019

One of the largest problems in our ER, it seems, is that there is a subset of patients who visit us on a routine basis. Commonly known as "the regulars," these familiar faces are sprinkled throughout our day between all our other patient visits. It seems like most of these patients simply exist in our society without participation.

ER 100

ER Patient-Centered Patients Management 100

Annals of Family Medicine

NOVEMBER 20, 2024

Having more consultation time and establishing a relationship of trust with people helped to address their unmet social needs. Creating community partnerships may help to overcome the limited capacity of case managers in assisting patients in their personal or administrative procedures, e.g. employment, immigration, or housing.

Integrated Care 130

Integrated Care Primary Care Management Healthcare 130

Pamela Wible MD

MAY 21, 2025

Contact Dr. Wible to save your spot for the ultimate Oregon coast physician retreat—and become the author your patients are searching for. Join our private physician entrepreneur retreat where you’ll receive 1:1 guidance to build a coaching or consulting practice that reflects your passions and expertise. Ready to be your own boss?

Private Practice 180

Private Practice Consulting Medical Student Engineering 180

Plum Health

SEPTEMBER 25, 2024

Direct primary care (DPC) is a membership-based healthcare model that offers patients unlimited access to a primary care physician for a fixed monthly fee. Key features of DPC include: Unlimited access to a primary care physician: Patients can see their doctor as often as needed, without worrying about insurance limitations.

Primary Care 52

Primary Care Preventative Care Preventive Care Primary Care Physician 52

Center for Family Medicine

APRIL 21, 2025

Sleep apnea leads to poor sleep quality and potential health hazards like cardiovascular disease. Stress, alcohol use, caffeine, mental health challenges, or unhealthy work hours are typical risk factors. Some devices can provide helpful tips, leading to overall improvements in health and sleep.

Consulting 52

Consulting Individual Physicals Chronic Disease 52

PEMBlog

SEPTEMBER 6, 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.

Lab Testing 52

Lab Testing Medical Patients Mental Health 52

Tiny Physician

FEBRUARY 15, 2022

A few days back, a video went viral on social media in which a resident doctor (a doctor who is undergoing post-graduation / PG doctor) was shouting at the bystander of a patient. Nevertheless, PG doctors have to work 80 to 100 hours a week without any holidays and this tiring schedule does affect their physical and mental health.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

Edge Family Medicine

FEBRUARY 10, 2025

Healthcare has evolved, and patients now have more choices than ever for medical consultations. Telemedicine allows you to consult with a doctor remotely via video, phone, or online messaging. Accessibility – Ideal for patients in rural areas or with mobility challenges. But how do you decide which option is best for you?

Telemedicine 130

Telemedicine Family Medicine DO Chronic Disease Management 130

GeriPal

JANUARY 25, 2024

He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. Your research is a lot in this patient population, right? The article we discuss today, also published in JAMA , addresses these two gaps. Big randomized control study that came out. Important implications.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

The Clinical Problem Solvers

FEBRUARY 8, 2023

Ashley delineates that methadone has been disproportionately prescribed in predominantly Black communities, as a means to drive down crime, whereas white patients undergoing substance use treatment are more likely to receive buprenorphine.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. Eric 00:51 And Alex, who do we have with us today?

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

OCTOBER 24, 2024

If you believe the evidence for efficacy to manage symptoms like neuropathic pain, how do you even start to think about recommending these products to patients? And then I met a patient in clinic once who asked me a lot of really intelligent questions about medical cannabis, what it does. Eloise, welcome to the GeriPal podcast.

Medical 99

Medical IT Patient-Centered Healthcare 99

GeriPal

APRIL 14, 2022

Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . And if you want to learn more about buprenorphine from these amazing palliative care clinicians and others, check out of some of these articles: Learn more about caring for those with substance use disorder: . So here we go.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. And so, let’s help them.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

FEBRUARY 13, 2025

How to be sensitive to the risks of stereotyping based on recommendations from the few members of the board to the many heterogeneous patients served? You did a rural tele-palliative care consultation study. And so the video consult was what became the mode. NCP guideline, standard consultation. Three different articles.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

JUNE 22, 2023

Through a series of events, I started working as a consultant to the Department of Corrections in around 2006, and I was assigned to the California Medical Facility. Healthcare staff were afraid of patients with HIV because there wasn’t clarity on how it was transmitted. We have about 450 inpatient mental health beds.

Families 132

Families Family IT Community 132

PEMBlog

JANUARY 16, 2025

Formulate effective strategies for identifying, managing, and preventing inhalant misuse in pediatric patients. Patients that use these will repeatedly use it throughout the day. Stabilization, you have to ensure that the patient is removed from the exposure source and administer 100 percent oxygen if theyre hypoxic.

Complication 52

Complication Patient-Centered Management Patients 52

GeriPal

JANUARY 11, 2024

In further contrast to the United States, MAID in Canada is almost entirely administered by a clinician, whereas in the United States patients must self administer. And importantly the patient has to have capacity and they have to be able to take the drug themselves. So being well and also potentially periods of dying.

Illness 144

Illness IT Medical Provider 144

GeriPal

JUNE 19, 2025

And also kind of highlights, you know, part of what we try to do in geriatrics and palliative care is really individualize how we care for individual, like, the people in front of us, the patients, the caregivers, their family members, their friends. And then the other thing is really partnering with your patient or your clients in terms of.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

APRIL 13, 2023

But, should we as clinicians care about the social lives of our patients? Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? And so I began to think about the training that I had and that there was no mental health condition that was diagnosed.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

MARCH 6, 2025

And I wonder if that is key in patients, people who are experiencing homelessness as well. A lot of the principles that are talked about in core topics in substance use health, I definitely do extend. It might have to do with a sensitivity around mental health. Or as we said in the podcast, abandonment.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

SEPTEMBER 19, 2024

Give too much, it may cause harm (even if the higher dose had no significant side effects, it would require patients to take a lot of unnecessary additional pills as well as increase the cost.) So, what is the effective dose of palliative care? Give too little – it may not work. Jennifer 04:25 I can take that on. Eric 05:32 Yeah.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

BMJ

AUGUST 20, 2021

By John Scott Frazer, Glenn Ross Frazer Reference : Frazer JS , Frazer GR, Analysis of primary care prescription trends in England during the COVID-19 pandemic compared against a predictive model, Family Medicine and Community Health 2021; 9: e001143.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. We see our patients and our families throughout the illness trajectory into the hospital. And maybe we should have more patient-centered conversations. Eric: Well, how about just with the debate?

Illness 98

Illness Patient-Centered IT Families 98

GeriPal

DECEMBER 12, 2024

Surrogates often either dont know what patients would want, or think they know but are wrong, or make choices that align with their own preferences rather than the patients. The first one is that a lot of patients, particularly the end of life, probably the majority of them, can’t make their own decisions.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

Physician's Weekly

JUNE 13, 2025

” Hospitals that do stay afloat likely will do so by cutting services that are particularly dependent on Medicaid reimbursements, such as labor and delivery units, mental health care, and emergency rooms. Nearly half of rural hospitals are operating in the red and 432 are vulnerable to closure.

Finance 52

Finance Hospital Community Emergency Room 52