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Episode 232: Anti-Racism in Medicine Series – Episode 15 – Housing is Health: Racism and Homelessness – Clinician + Community Perspectives

The Clinical Problem Solvers

Dr. Margot Kushel is a Professor of Medicine and Division Chief at the Division of Vulnerable Populations at Zuckerberg San Francisco General Hospital and Trauma Center and Director of the UCSF Center for Vulnerable Populations and UCSF Benioff Homelessness and Housing Initiative.

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

GeriPal

We are fortunate to have Tammie Quest, emergency and palliative trained and long a leader in this space, to help us unpack and contextualize these findings. Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital.

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Surrogate Decision Making: Bernie Lo and Laurie Dornbrand

GeriPal

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Asking clinicians to document prognosis did not change the primary outcome of hospital length of stay or really any of the secondary outcomes, which I’ll get into. Also the same hospital system? That’s when they got enrolled.

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Palliative Care in Liver Disease: A Podcast with Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson

GeriPal

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.

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Assisted Living Communities: Podcast with Sheryl Zimmerman, Kenny Lam, and Ken Covinsky

GeriPal

I mean, people who used to be in hospitals are now with quicker DRGs. Others take care of people less so, a more hospitality model, if you will. So that whether it’s a pulse form or whether it’s knowing what’s important to your residents and what makes your residents tick of, do hospitals scare you?

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Surgical Communication: A Podcast with Gretchen Schwarze, Justin Clapp and Alexis Colley

GeriPal

” And he says, “It’s in the emergency room.” You may not see the big picture, like treating somebody with advanced dementia by hospitalizing them and starting antibiotics for aspiration pneumonia and potentially a peg tube. And the blue stripey bear says to the red stripey bear, “I have a fracture.

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