GeriPal

JANUARY 23, 2025

Summary Transcript CME Summary Its another deprescribing super special on today’s GeriPal Podcast, where we delve into the latest research on deprescribing medications prescribed to older adults. Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes.

Specialization 119

Specialization IT Patient-Centered Medical 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 5, 2022

COVID-19, masks, and hearing difficulty: Perspectives of healthcare providers. Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults. And nurses and other healthcare practitioners knew nothing about it. Over-the-counter hearing aids: What will it mean for older Americans?

IT 102

IT Screening Hospital Clinic 102

GeriPal

MAY 11, 2023

Then I went to medical school and I thought, “Well, should I go into psych? A lot of these are more vascular risk factors: hypertension, certainly; diabetes; obesity. Alex: [inaudible 00:21:37] diabetes, any comments on those? Kristine: Diabetes is a very important one. Should I do neuro? Should do medicine?”

Physicals 85

Physicals IT Hypertension Education 85

Mesa Family Physician

MARCH 13, 2025

In today’s fast-paced world, it’s easy to postpone medical appointments until something feels wrong. However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. We don’t believe in one-size-fits-all medicine.

Family Physician 100

Family Physician Preventative Care Preventive Care Families 100

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. Do you prefer a full-service medical center or a walk-in clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 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. These symptoms require immediate medical attention. This is a medical emergency where you should call 911.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JANUARY 16, 2025

These individuals may become unrepresented, meaning they lack the capacity to make a specific medical decision, do not have an advance directive for that decision, and do not have a surrogate to help. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

OCTOBER 17, 2024

Summary Transcript CME Summary When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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: But I would say to that, I mean our healthcare system is currently has a lot of biases. This is Eric Widera. I got another use question.

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

JUNE 19, 2025

And so when I had decided to socially, medically, and surgically transition, I had to really sit down with members of the department and really did a lot of in services. Is that because they have higher rates of chronic conditions like diabetes, coronary disease, tobacco use, things like that, or is there something else that’s going on?

Individual 85

Individual Community IT Chronic Condition 85

Adventures of a Sick Doctor

MARCH 24, 2020

These are the fears of the medical community, and they relate not just to the likelihood that our hospitals and clinics will soon be flooded with people, but that the staff working in those hospitals will be washed away, trampled over or blasted apart by the illness itself.

Healthcare 100

Healthcare GP Hospital Healthcare Professional 100

GeriPal

JANUARY 26, 2023

Alex: And we are delighted to welcome Sharon Brangman, who is a geriatrician and chair of the Department of Geriatrics at Upstate Medical University. It’s baked into people’s belief systems, who ultimately make laws and make policies, and it can influence healthcare. Then, of course, that falls into medical rules.

IT 91

IT Patient-Centered Healthcare Patients 91

GeriPal

JUNE 16, 2022

And so I trained as an epidemiologist before medical school, and started out studying prostate cancer. And in my medical training, becoming a primary care doctor, I realized that older adults, women and men were having a lot of these same symptoms. And so really am fascinated by tough medical decisions. Causative medications.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

SEPTEMBER 7, 2023

But I think if I were under normal constraints of the healthcare system, I wouldn’t have that time. He had a very aggressive lymphoma, highly aggressive, with a lot of different medical conditions. I slowly introduced higher doses as he recovered from his medical conditions that were acute. Well, I do it personally.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JANUARY 18, 2024

Lastly, we discuss Katie’s paper on substance use disorder in an aging population and how one can incorporate the 5 Ms (ie, matters most, medications, mind, mobility, and multicomplexity) into a framework for age-friendly care for older adults with substance use disorder. AMA PRA Category 1 credit(s) ™. Why would that be?

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

FEBRUARY 17, 2022

When we have a medication with up front harms and downstream benefits, it’s critical that we consider the time to benefit, or how long it will take an individual to benefit from a test or treatment. And really, the more important question is how quickly they would benefit from starting these medications. See screenshot below.

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Clinic IT Patients Medical 67

GeriPal

AUGUST 17, 2023

Alex: And we’re delighted to welcome Nate Chin, who is associate professor at the University of Wisconsin, where he is medical director of their Alzheimer’s Disease research center and runs a large study in Wisconsin called the RAP Study studying Alzheimer’s Disease. Welcome back to GeriPal podcast, Sharon. Eric: Yeah.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

FEBRUARY 6, 2025

We have two new FDA-approved medications that reduce that amyloid buildup and modestly slow down the progression of the disease. He is associate professor at the University of Wisconsin and medical director of their Alzheimer’s Disease Research Center. And I gotta manage their blood pressure and their diabetes meds.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

MAY 25, 2023

Van Scoy who is a pulmonary critical care advance care planning researcher at Penn State Hershey Medical Center in Pennsylvania. I see us measuring choice of a medical durable power of attorney. And then we were like, Well, what is a medical decision? Well, what’s a major medical decision? Eric: And we have L.J

Community 95

Community IT Patient-Centered Primary Care 95

GeriPal

OCTOBER 27, 2022

So if you can think about certain decisions like continuing to screen for certain cancers like colon cancer or breast cancer, or how strict you should control diabetes or blood pressures. But if they’re not going to live another 20 years, then there’s no point in giving them the extra medication for lowering their A1C.

IT 95

IT Clinic Screening Patients 95

GeriPal

JUNE 13, 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 133

Illness Patient-Centered Patients IT 133

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. And he’s also chaired the California Pacific Medical Center’s ethics committee since 1985.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

AUGUST 1, 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 116

IT Diabetes Chronic Disease Patient-Centered 116

BMJ

AUGUST 20, 2021

Increased health anxiety has been a feature of the pandemic, with fears around leaving the home, social distancing, hand hygiene, and shortages of goods and medications due to panic buying commonplace. Despite the spike in prescribing of insulins, oral antidiabetic medications were not similarly affected.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

AUGUST 15, 2024

We discuss: What is considered a hate incident, how is it tracked, what do we know about changes over time The wider impact of Anti-Asian hate on older Asians, who are afraid to go out, leading to anxiety, social isolation, loneliness, decreased exercise, missed appointments and medications. We do talk about healthcare policy.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

MAY 1, 2025

And I graduated from medical school in the early 80s. And I was working at the time at Yale in New Haven, and I became medical director of a facility which was initially created in New Haven as a hospice like facility for people with HIV, which is in late 1995 and in 1996 when the Protease inhibitors came along. Meredith 09:33 Yes.

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Primary Care IT Provider Clinic 94

GeriPal

DECEMBER 1, 2023

And the two were sort of intermeshed even to the point in the eighties, the thought was all dementia is Alzheimer’s or it’s some medical illness or combination of other stuff that’s not about it. Diabetes, you see the same thing. You have pre-diabetes now. If we didn’t, we’d be dead.

IT 115

IT Clinic Illness Hypertension 115

GeriPal

JUNE 2, 2022

But this was a family practice study where they randomized 500 healthcare providers to wear surgical masks in routine interactions, 500 to not wear masks, no difference in like anyone getting colds or anything. And all these tools I’m mentioning to you are medical. Oseltamivir isn’t that great. Eric: Yeah.

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Vaccination IT Hospital Management 100