GeriPal

JULY 27, 2023

Alex: And we have Cathy Alessi, who is a geriatrician, Director of the Geriatrics Research Education and Clinical Care Center at the VA, greater Los Angeles and Professor of Medicine at UCLA. Summary Transcript Summary Insomnia. We’ve all had it. Insomnia sucks. Chronic insomnia sucks even more. Welcome to the GeriPal podcast, Brienne.

Illness 85

Illness IT Clinic Medical 85

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. Show me your scars.” Scars, really? I’ve been there. You probably have too.

Screening 119

Screening IT Family Families 119

GeriPal

JUNE 23, 2022

Cancer screening is designed to detect slow growing cancers that on average take 10 years to cause harm. The benefits of mammography breast cancer screening rise with age, peak when women are in their 60s, and decline thereafter. Summary Transcript Summary. Mara keeps working at it, and the more she works, the closer we are to fine.

Screening 99

Screening PCP PCP IT 99

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

JANUARY 18, 2024

After discussing screening options for substance use disorder, we go on to talk about both the treatments for it and the issues that arise. Summary Transcript Summary The CDC’s Guideline for Prescribing Opioids for Chronic Pain excludes those undergoing cancer treatment, palliative care, and end-of-life care. AMA PRA Category 1 credit(s) ™.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

JUNE 27, 2024

We then walk through how we should screen for anxiety and how we should think about a differential. Summary Transcript Summary “Anxiety is a lot like a toddler. It never stops talking, tells you you’re wrong about everything, and wakes you up at 3 a.m.” I’m not sure who wrote this quote, but it feels right to me. I forgot my guitar.

Illness 129

Illness IT Diagnosis Patient-Centered 129

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 Illness IT Patients 122

GeriPal

FEBRUARY 22, 2024

Analyzing the Health and Retirement Study, she found 60% of older adults screened positive for depression in the last year of life (related study here ). She conducted a systematic review and meta-analysis of 38 palliative care trials, finding that many excluded people with serious illness, and a lack of impact on psychological outcomes.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

FEBRUARY 6, 2025

How should we screen for cognitive impairment? Nate also wrote a NEJM piece last year on Alzheimers Disease, Biomarkers, and mAbs What Does Primary Care Need? We address the following questions with Nate: Has anything changed for the primary care doctor when diagnosing Alzheimers? Does a good history matter anymore? Okay, Non Sequitur.

Primary Care 95

Primary Care Diagnosis Screening IT 95

GeriPal

SEPTEMBER 7, 2023

Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Does it improve outcomes that patients, caregivers, and clinicians care about? We talk about: What is a practical geriatric assessment and how can busy oncologists actually do one? Thank you.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

JULY 21, 2022

Because I don’t think we think about that so much in palliative care, but we do in geriatrics. But I believe before we start, somebody has a song request for Alex. Is it you, Emmy? Emmy: It is. Eric: What’s the song? Emmy: I just forgot the name of the song… [laughter]. Alex: Pink Cadillac by Bruce Springsteen? I like that song.

Family 102

Family Families IT Diagnosis 102

GeriPal

MAY 22, 2025

This is not highly scripted orchestral music, people, its Jazz. -S And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? Tyler 01:12 AHPM. We were in Denver. Alex 01:15 AHPM. So check that episode out. Check all the episodes out. It’s a terrific podcast, Tyler. Welcome, Tyle r.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

FEBRUARY 8, 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 137

IT Family Families Physicals 137

GeriPal

JANUARY 16, 2025

We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions. Alex 02:21 For Eric 02:21 For unrepresented older adults. But before we go into that topic, Tim, I think you have a song request. Tim 02:29 Yeah, it’s such an honor to make a song request. Can you guys do that one?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

APRIL 3, 2025

We covered: The first parody song I wrote, for AGS 2018 in Orlando , about this article by Nancy Schoenborn on how to discuss stopping cancer screening. We discuss our favorite articles, parody songs, and memories from AGS meetings past, with a little preview of a song for this years meeting. So this is something. It is a sold out crowd.

IT 64

IT Hospital Screening Patients 64

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We begin with a refresher on psilocybinwhat it is, how it might work, what conditions it may help treat (including demoralization), and how its typically administered. It’s there.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

MARCH 9, 2023

Eric, did you take your ketamine before this podcast? Eric: No, I did a little psilocybin. Eric: Thanks to our Ira Byock podcast. I forget how long ago that was. Alex: Yeah, it’s time to update, psilocybin is having a moment. We’re going to talk about that. Welcome back to GeriPal, Stacy. Stacy: It’s great to be here. Alex: Yeah.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

APRIL 28, 2022

He uses comics and other artwork to share his experiences in palliative care and educate others about topics like empathy and communication skills. I’m going to share my screen and we can talk about that. And I’m just going to explain it to our listeners, what I’m seeing on my screen. Graphic Novels.

IT 145

IT Hospital Patients Illness 145

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Eric: Now, it’s interesting. Alex: Great.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

APRIL 6, 2023

Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. It is a screening? It meets in-person, once a month, over nine sessions. The theme is death. Alex: That is wonderful context.

Patient-Centered 99

Patient-Centered IT Family Families 99

GeriPal

JUNE 5, 2025

Cari 01:42 I would like to request Hallelujah, one of my favorite songs. And I love hearing you sing, and so it’s an excuse to have you sing a beautiful song. And it’s, I think, a very uplifting song. And I’m so pleased with Connie and that she’s doing so well, and so it’s a celebration of her, too. No problem.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

FEBRUARY 2, 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.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

FEBRUARY 20, 2025

We also explored several questions with them, including how to define trauma, its prevalence in older adults, the impact of past traumatic experiences, the potential triggers of trauma screening, and the application of trauma-informed principles in clinical practice. Mariah, welcome to the GeriPal Podcast. Mariah 00:29 Glad to be here.

Patient-Centered 66

Patient-Centered IT Screening Individual 66

GeriPal

DECEMBER 5, 2024

One final note on the song request: About 20 years ago I took an epidemiology course as part of a Masters program. The instructor, Fran Cook , gave all the students a survey without explanation. We answered the survey and handed it in. One of the questions was, “Can you name a song by the Tragically Hip?” Eric 00:18 Throwing us off.

IT 107

IT Community Patients Family 107

GeriPal

JULY 28, 2022

I had it on my screen. Jennifer’s study is most widely known for the “kicker” – not only did it improve quality of life, palliative care was associated with a couple months longer survival. . Areej’s study is remarkably novel in that it is, to our knowledge, the first study of palliative care during curative treatment. . Areej: Wow.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

MAY 29, 2025

Summary Transcript CME Summary Have any of you watched the movie The Notebook ? At the end, one of the characters, who has dementia, experiences an episode of lucidity. When I watched it, between tears (Im a complete softie) I remember thinking, Oh no! This will give people false hope! That their loved one is in there. Andrew 00:42 Hey, everyone.

Family 93

Family Families IT Patient-Centered 93

GeriPal

MARCH 10, 2022

Welcome to the GeriPal Podcast, Caroline. Caroline: Thanks, Alex. I know it’s a mouthful. It’s exciting to be here. Alex: And welcoming back to the GeriPal Podcast for, like, her 10th time, we have Lauren Hunt, who is nurse researcher and assistant professor at the UCSF School of Nursing. Welcome back to the GeriPal Podcast, Lauren.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

FEBRUARY 13, 2025

Another interpretation is that clinicians avoided telling the parents prognosis in order to bolster their ratings of trust and communication quality. Which is it? Garfunkel says Simon was writing about Garfunklels friend and college roomate Sandy, who was blind. Whos got the right of it? Na 01:01 Yes, I requested the song. We’ll see.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

DECEMBER 7, 2023

Summary Transcript Summary To my teenagers, climate change is an existential crisis. It’s the end of the world as we know it. They decry the lack of serious attention and prioritization this issue has in the US. My kids ask – why don’t adults care about this issue the same way that they and their friends care about it? This is Eric Widera.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

APRIL 18, 2024

Skepticism on the ability of predictive models to transform healthcare Consolidation of EHR’s into the hands of a very few companies, and potential for the drug and device industry to influence care delivery by tweaking AI in ways that are not transparent and already a sort of magical black box. .” Bob: I’ll give it a try.

Electronics 139

Electronics IT Patients Healthcare 139

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

GeriPal

AUGUST 15, 2024

Ongoing reports from patients about anti-Asian hate experiences Should clinicians screen for Anti-Asian hate? question used to screen for domestic violence. Lingsheng (and I) recently published studies on this in JAMA Internal Medicine , and JAGS. Add to this, “do you feel safe outside the home?” Jessica, welcome back to GeriPal.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

APRIL 21, 2022

We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. She’s a palliative care nurse educator and a writer, and she’s joining us from the great state of Hawaii. The impossiblity which is life, which is everything, and death, which is the end of life.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. They found a difference of 4% in documented goals of care discussions. Is 4% meaningful? I think it’s you, Bob. Alex: I love that song.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

MAY 1, 2025

Meredith wore a shirt that said Silence=death. Eric gave me the hook during my live cover of One, by U2, a song released in 1992 whose proceeds went entirely to AIDS research. I couldnt help it, forgive me dear listeners, I had to do a longer than usual cut at the start! But this song was actually a fundraiser for AIDS when it was released.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

APRIL 20, 2023

How has the history of redlining and the federal tax subsidy of wealthy (mostly white) people in the form of a mortgage interest deduction contributed to racial inequalities in homelessness? What can we do about it? What are the highest yield interventions and policy changes? What should we call it – homeless or unhoused? Eric: I love this.

Mental Health 123

Mental Health Community IT Individual 123

GeriPal

DECEMBER 21, 2023

This model will give participating programs a per-member-per-month payment to offer care management, care coordination, and other services such as caregiver training, disease education, and respite. It requires a fight. It’s been going on for many decades now. And we’re seeing some hope the first time in a long time.

Patient-Centered 125

Patient-Centered IT Family Families 125