GeriPal

OCTOBER 10, 2024

Today we talk with DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace about the notion that we should revolutionize our education programs, training programs, teams, incentive structures, and practice to be intentionally interprofessional in all phases. For instance, a family meeting or an update or communication with families.

Screening 119

Screening IT Family Families 119

GeriPal

FEBRUARY 15, 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.

Community 114

Community Transportation IT PCP 114

GeriPal

JULY 21, 2022

Often the work of the certified driving rehab specialist is to assess the older drivers goals, assess prognosis for driving, and help the family navigate discussions around driving cessation (hmmm…sounds like an approach to family meetings). Were those people self referring, or family members calling you asking? Eric: Yeah.

IT 102

IT Family Families Diagnosis 102

GeriPal

JANUARY 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.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

JUNE 19, 2025

Alex 00:41 And we’re delighted to welcome Noelle Marie Javier, who goes by “she” “her” and is a geriatrician and palliative care doc professor, newly minted – c ongratulations – And a clinician educator at Mount Sinai in New York City. If we think of discrimination, how people are treated by their biological family.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

OCTOBER 17, 2024

Alex 00:12 We have a guest host who has requested this episode, Matt Shuster, who’s a geriatrician and palliative care doc. And also I was in the HVMA primary care program. So kind of from a primary care point of view, the guys are doing okay. He’s in Boston. And Matt brought today’s topic to us.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

APRIL 4, 2024

Today, we talk with Bernie Lo, prominent bioethicist and practicing primary care internist, and Laurie Dornbrand, geriatrician at the IOA On Lok PACE, about the legacy of Nancy Curzan. ICU care was pretty rudimentary. We use Bernie’s NEJM Perspective as a springboard for discussion. AMA PRA Category 1 credit(s) ™.

Family 112

Family Families Patient-Centered IT 112

GeriPal

OCTOBER 26, 2023

That’s why we do this podcast- to address real world issues in palliative care, geriatrics, and bioethics. Within hours of recording this podcast, I joined a family meeting of an older patient who had multiple medical problems including cancer, and a slow but inexorable decline in function, weight, and cognition. Tamra: For sure.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JUNE 27, 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 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

NOVEMBER 2, 2023

So the data relating to the number of geriatricians in this country, salaries in comparison to hospitalists or primary care physicians. Graduated in 2013, did a two-year clinician educator track. How do we train primary care doctors to do geriatrics? And finally the big thing was the match. How long ago?

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

MARCH 24, 2022

And especially for those who may have nontraditional families. I think if you’re from a nontraditional family, it’s very important to make sure that people understand who you would want to talk to. I worry, as a ex-primary care doctor, how much time I have. Bob: So I think it’s important.

Illness 72

Illness IT Healthcare Patient-Centered 72

GeriPal

AUGUST 11, 2022

There was no conversation with the patient or the family about this. And so my first introduction to the field came with my first job in 1982, when I went to the Cambridge Hospital to do primary care and internal medicine. And the families were part of it, which is not what it was like in the hospital. Susan: Great.

Illness 109

Illness IT Family Families 109

GeriPal

SEPTEMBER 7, 2023

So my family is from Maui and were impacted by the wildfires, so I really appreciate this. Alex: How is your family doing? My family’s also from Maui. And her dad’s family, the Makekaus family, which is based in Lahaina, and we actually visited their grave sites there, when we were there a few years ago.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JUNE 5, 2025

Kathleen 03:47 I think any of us who’ve spent any time in nursing homes have spent time working in a nursing home setting, have visited, had family members in nursing homes and looked around and seen the population there. That can’t go out for specialty care all the time, like pain management. That’s a big question.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

JANUARY 18, 2024

Alex: We are delighted to welcome back to the GeriPal podcast, Katie Fitzgerald Jones, who’s a nurse scientist at the New England Geriatric Research Education and Clinical Center, and a palliative and addiction nurse practitioner at the VA in Boston. Have you had a family history of substance use disorder?

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

AUGUST 17, 2023

And I think that’s what’s important for families to know because everyone wants to stop this disease and roll back the clock to make their loved one better. But all of this has to be understood by the patient and the families and so that they’re comfortable of that. Remember, family member. Before you go on it.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

MARCH 7, 2024

We’ve invited two death doulas, Jane Euler and John Loughnane (who is also a family doc and palliative care physician), to talk about the role of a doula at the end of life. And then John, I’d love to hear from you starting off, you’re a palliative care doc, right? That dawned on me. This is what I saw and heard.

Provider 117

Provider Illness IT Healthcare 117

GeriPal

APRIL 24, 2025

Daneila Lamas wrote about this issue in the New York Times this week -after we recorded – in her story, a family requested an herbal infusion for their dying mother via feeding tube. Do elements of care that are often administered to seriously ill patients count? Ivermectin to treat cancer. Stem cell treatments.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 6, 2025

Just out of fellowship, Naheed built a palliative care program for homeless persons called the Palliative Education and Care for the Homeless (PEACH) Program. He’s the founder and leader of the Palliative Education and Care for the Homeless program in Toronto, Palliative care physician at St.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

DECEMBER 5, 2024

I can remember two instances of storytelling in training or in education, I guess. And I was interviewing candidates for our clinical fellowship and interviewed Alexis, who had been like family medicine doc before, done all kinds of cool things. Alex 07:35 Can I interject here? Ricky 11:23 Yeah. So rewind a few years.

IT 107

IT Community Patients Family 107

GeriPal

MARCH 10, 2022

The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. Palliative Care in Nursing Homes: Discussion of a Multinational Trial with Lieve Van den Block. A Podcast with Caroline Stephens about her publication in JAGS where she studied palliative care-eligibility and POLST completion.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MAY 26, 2022

To that point, in your article, you note that vaccination rates among blacks and Latinx individuals have been higher than whites according to a Kaiser Family Health news report. But it would be an abdication of responsibility not to still have those educational pieces in tandem with a policy that incorporated reciprocity.

Vaccination 87

Vaccination IT Individual Healthcare 87

GeriPal

MARCH 28, 2024

Kate: Yeah, some of the thoughts I’ve had in thinking about this: we did not require communication, training and education of the clinicians. I am part of some other work in the ICU world looking at time-limited trials and trying to better define what those are, how we talk about them, how we talk about them with patients and families.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

APRIL 10, 2025

And it’s very traumatic obviously for the family and all of that and the team really. The one thing that we know is that education alone will not actually deliver behavior change. No difference in their primary outcome. The primary care intervention did not work well. So let’s just start there.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

FEBRUARY 20, 2025

So thinking about, you know, if you are in sort of a home where you’re more likely to Experience childhood abuse that may potentially limit your education trajectory and your ability to attend school. And I think as an educator it’s been really important in particular to focus on that final, that last one.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

SEPTEMBER 5, 2024

Alex 00:27 And we’re delighted to welcome for the first time, guest Bill Ander e ch, who’s a primary care internist and senior scholar in Sutter Health’s program in M edicine and Human Values, a program that he co-founded with a former UCSF faculty member, Al Johnson. She entertained her family.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

APRIL 18, 2024

And the actors were blinded to whether this was a primary care doctor or a chat bot answering them. It’ll certainly write the letter summarizing your visit to the primary care doc, and then, write another version of it in patient language, both their language and their reading level, if you want, to the patient.

IT 139

IT Electronics Patients Healthcare 139

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. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

MAY 1, 2025

Alex 00:07 We are delighted to welcome Peter Selwyn, who is a family medicine and palliative medicine doctor and chairman of the Department of Family and Social Medicine and director of the Palliative Care Program at Montefiore E instein and author of Surviving the the Personal Journey of an AIDS Doctor. Who are our guests?

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

APRIL 20, 2023

A huge portion of that difference in wealth you can trace back to the fact that their families were not able to get into the housing market. So there’s this myth out there like, “Oh, homeless folks are just disconnected from their friends or family, and if only we connected them by Facebook, all would be good.”

Mental Health 123

Mental Health IT Community Individual 123

GeriPal

JUNE 6, 2024

And that really is what prompted me to get certified as a sexual education provider. So most of us in primary care, it’s probably even worse. Alex 43:18 Okay, educate us. And then I subsequently entail, yeah, it was interesting. I learned nothing. We just don’t have time. You may have 30 minutes. Don 43:21 No.

Illness 130

Illness IT Physicals Patients 130

GeriPal

SEPTEMBER 14, 2023

We had, since the late seventies, a home-based primary care program. And we would provide ongoing longitudinal care to them in the home, much like the Mount Sinai Visiting Doctors programs, and other programs like that. We relied on our clinical experience as geriatricians, that home-based primary care experience.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 20, 2023

She sought me out to come and tell me a story because about 10 years earlier, she and her family, their loved one was dying in a hospital in Florida and they tried to access palliative care and they couldn’t get the doctor to refer them to palliative care. I think you’re a loving family doing the best you can.”

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73