GeriPal

AUGUST 4, 2022

Next up, we chat with Liz Bayliss about her JAMA IM article that studied whether increasing awareness about deprescribing prior to primary care visits can reduce the use of potentially inappropriate long-term medications for individuals with cognitive impairment. Eric: So an educational component potentially going on there.

Specialization 104

Specialization Medical Patient-Centered Provider 104

The Medical Futurist

JUNE 21, 2025

Their success is understandable : they offer a fast and easy method to check any skin conditions, typically for a fraction of the cost of a traditional healthcare appointment. Self-surveillance solutions, disease guides, educational apps as well as telehealth platforms appeared naturally in dermatology in the past decade.

Healthcare 111

Healthcare Patients Board-Certified Telemedicine 111

GeriPal

OCTOBER 13, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. And number two, maybe we should allow gentle occasional use of NSAIDs for chronic pain management if it means keeping somebody off of opioids.

Complication 97

Complication Patient-Centered IT Patients 97

GeriPal

JUNE 12, 2025

During my training, I didn’t receive much education about radiation oncology, and I’m not entirely sure what some of the terms mean (hypofractionated means fewer sessions, right?). Anish 07:54 I would say sort of echoing what Emily was just referring to is education is key. So I think education is key.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. Great to be back.

Primary Care 95

Primary Care Diagnosis Screening IT 95

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

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. In other words, in addition to being a specialist (e.g. Alex 22:05 Yeah.

Screening 119

Screening IT Family Families 119

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

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. People’s goals are often much more than, you know, perfect management or heart failure, even living as long as possible. Eric 12:21 Yeah.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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

JULY 21, 2022

Eric: But before we jump into talking to your patients about driving retirement cessation, let’s talk about what is the role of the healthcare professional in this at all? Certainly my bias is that healthcare professionals really do have a role in this discussion. And what should we be doing as far as assessment?

Family 102

Family Families IT Diagnosis 102

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. Noelle Marie, welcome to the GeriPal Podcast. Noelle Marie 00:57 Hi, everyone.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. AMA PRA Category 1 credit(s) ™. Who do we have with us today? Katie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening Clinic 136

GeriPal

OCTOBER 26, 2023

It’s very challenging from a hospitalist standpoint because I think there’s definitely a population of people who are not educated well about what are the outcomes when people go to subacute rehab, who benefits from that. We provide critical education. Sarguni: I hear what you’re saying and I struggle.

Hospital 132

Hospital Patient-Centered Patients IT 132

GeriPal

JUNE 5, 2025

And so I tried to get her actually to pain management, and I couldn’t. Pain management wouldn’t come to the facility, and she was bedbound. And so it really got me interested in how we improve symptom management. Not just pain, but symptom management, then for people that are in a nursing home and that.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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. Alex 00:07 Today we are honored to welcome Naheed Dosani, who is a palliative care doc and health justice advocate. Today we discuss: What is the best terminology?

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MAY 18, 2023

But there’s also studies that show they don’t because people end up being put back on the medications when they get back to their primary care or wherever they’re getting cared for out of the hospital within a certain period of time. So that comports with a lot of other guidelines.

Medical 97

Medical IT Patients Clinic 97

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. We have our social workers and our psychologists and we know how to manage these symptoms. They were licensed in all of the states, but they delivered the care from NYU. Eric: Okay.

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

AUGUST 17, 2023

We invited three geriatricians and memory care doctors, Nate Chin, Sharon Brangman, and Jason Karlawish, to talk about this question and many others swirling around on how to safely prescribe these drugs and manage patients on them (like what to do about anticoagulation). There’s a lot of stops along the way for education.

Patient-Centered 98

Patient-Centered IT Clinic Patients 98

GeriPal

APRIL 10, 2025

It was like this patient is on hospice and call the case manager to figure out how the patient ended up here. So we did have a clinical decision support pop up that said, hey, this patient has serious illness, why don’t you go have a goals of care discussion? No difference in their primary outcome. No, no, no.

Patient-Centered 77

Patient-Centered Hospital IT Patients 77

GeriPal

AUGUST 11, 2022

In particular, she reminds us that when we think about the most challenging of our patient encounters, they almost always involve a complex psychosocial dynamic, and this has received far less attention than communication and symptom management issues. . I don’t even remember pain management teaching. AlexSmithMD . Eric: Okay.

Illness 109

Illness IT Family Families 109

GeriPal

SEPTEMBER 7, 2023

So I would say that a lot of the education we received were on cutting edge research and the latest drugs in clinical trials, the latest cellular therapies that are coming out. Or is it the primary care document, who’s busy doing other things too, who probably won’t have the time to do a comprehensive geriatric assessment?

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

MAY 26, 2022

Emily: I would say too that nothing in our framework is inconsistent with and I think we would actually very strongly encourage, but we’re told we didn’t have a word count to elaborate upon the point that there’s still an important role for outreach and education of individuals, right?

Vaccination 87

Vaccination Individual IT Healthcare 87

GeriPal

OCTOBER 20, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. And number two, maybe we should allow gentle occasional use of NSAIDs for chronic pain management if it means keeping somebody off of opioids.

Complication 52

Complication Patient-Centered IT Patients 52

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.

Patient-Centered 66

Patient-Centered IT Screening Individual 66

GeriPal

APRIL 24, 2025

And we were able to engage in a conversation about providing him the best care possible while he continues to engage in this therapy. That could include a robust home care plan to manage his symptoms. And that’s how it segued into this hospice conversation. AMA PRA Category 1 credit(s) .

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 7, 2024

Whenever I take care of a patient, I see myself as a family practice doctor, but I’ve been a hospitalist, I’ve been a primary care doctor, and I’ve done palliative. At what point were you engaged with the patients either as a geriatrician, primary care, or a palliative care or hospice?

Provider 117

Provider Illness IT Healthcare 117

GeriPal

MARCH 10, 2022

It improves symptom management. That’s what nursing and nursing homes should be really, really good at: is providing nursing care that creates comfort. Caroline: Again, just further educating on the front lines and families in particular, I think is really important as well as these policy implications.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

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

Older adults may not have received AIDS education. I mean, treatment is really best done in a chronic or continuity setting, whether it’s in a primary care setting or some other. But I think primary care clinicians, geriatricians, should be able to do at least the basic management and HIV care.

Primary Care 94

Primary Care IT Provider Clinic 94

GeriPal

APRIL 20, 2023

You add to that employment discrimination, criminal justice discrimination, and of course educational system discrimination, and of course, we pay for our public schools based on local taxes. But nothing in healthcare. But I don’t go in as, “I’ve got an agenda” as much as, “Let me educate you.

Mental Health 123

Mental Health Community IT 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. So, and actually, all of this is actually document, I think what you guys are looking for is more practical advice on sort of management. Alex 43:18 Okay, educate us.

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

And the thought of a huge number of our patients who had really come to rely on being able to do their visits from home or from a place that was close to home and getting medications that they’ve really come to rely on for symptom management was just really kind of terrifying for us and for them. It may have come to a care manager.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73