GeriPal

JUNE 8, 2023

When I’m on nursing home call, the most common page I receive is for a blood sugar value. When I’m on palliative care consults and attending in our hospice unit we have to counsel patients about deprescribing and de-intensifying diabetes medications. What are the risks and rewards of new classes of medications? Happy to be here.

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

MAY 5, 2022

Meg is a researcher and professor of Gerontological Nursing and a Geriatric Nurse Practitioner in the School of Nursing at UCSF. COVID-19, masks, and hearing difficulty: Perspectives of healthcare providers. Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults.

IT 102

IT Screening Hospital Clinic 102

GeriPal

OCTOBER 24, 2024

David is a physician who wrote the book “ Stoned: A Doctor’s Case for Medical Marijuana ” and gave a TED talk on “ A Doctor’s Case for Medical Marijuana ” that was watched over 3 million times. laughter] Alex 01:39 Material here for songs related to medical marijuana or marijuana in general. David 00:26 Thanks.

Medical 98

Medical IT Patient-Centered Healthcare 98

ABIM

JUNE 24, 2025

The group discussed policy shifts and potential implications for graduate medical education and health equity. Dr. McDonald acknowledged that recent executive orders have emphasized more competition in medical and legal education accreditation, but reaffirmed ABIM’s commitment to evidence-based practice and health equity.

Board-Certified 40

Board-Certified Board-Certified Physicians Government Community 40

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. So this is applicable to anybody in healthcare and actually any kind of team.

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 IT Illness Patients 122

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. All right, and finally we have Yael Zweig, who is a geriatric nurse practitioner at NYU. Yael, welcome to GeriPal.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

NOVEMBER 2, 2023

Alex: Today we’re delighted to welcome Jerry Gurwitz, who is a geriatrician and professor of medicine at the UMass Chan Medical School. I talked about lack of prestige and respect, and I talked about how healthcare system leaders and medical school deans don’t always seem to value the field of geriatrics.

Board-Certified 91

Board-Certified IT Community Medical Student 91

GeriPal

APRIL 14, 2022

Our experts include Katie Fitzgerald Jones (palliative nurse practitioner and doctoral student at Boston College), Zachary Sager (palliative care physician at the Boston VA and Dana-Farber Cancer Institute), and Janet Ho (physician at UCSF in addiction medicine and palliative care). This was the hot topic at AHPM. Katie: Thank you.

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

DECEMBER 8, 2022

Heather Coats is hard at work establishing the evidence base for the power of capturing patient stories in healthcare settings, for those health systems that need a little more convincing. . My Life, My Story: VA’s healthcare improvements through deliberate storytelling – YouTube. Wonderful work. Every Veteran has a story.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

FDA Law

NOVEMBER 29, 2022

Patient education and discussion are critical before initiating therapy. Only clinicians familiar with dosing and absorption of ER/LA opioid transdermal fentanyl who educate their patients about it should consider prescribing it. Expected clinical benefits should be weighed against risks before beginning therapy. Recommendation 4. .

Patients 52

Patients Patient-Centered ER Individual 52

GeriPal

JUNE 5, 2025

And assisted living doesn’t offer the same level of medical supportive services as nursing homes. But to come back to just nursing homes, when you think about what a nursing home is and the range of people that they take care of, you can see why it’s so tricky to think about how do we get the right services in there.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

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) ™. Katie, welcome back to GeriPal.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

JANUARY 20, 2023

As somebody who works in a nursing home, I can barely read a nursing home note anymore because if it’s on electronic medical record, it’s usually a bunch of check boxes, several pages. We might evaluate that in a small number of nursing homes and go from there. Eric: I’m going to push you on that.

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. And now my program of research is around testing that person-centered narrative intervention or PCNI because you have to give them an acronym in healthcare. This is Eric Widera.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

SEPTEMBER 28, 2023

Summary Transcript Summary Medical communication is tough, although fundamentally at its most basic unit of delivery, it includes really only three steps. First, a clinician’s thoughts must be encoded into words, then transmitted often via sounds, and finally decoded back to thoughts by a patient or family member. Simple, right?

Family 144

Family Families Patient-Centered IT 144

GeriPal

FEBRUARY 27, 2025

Alex 00:27 And we’re delighted to welcome S a ch Kale, who is a palliative care doc at the Ohio State University Wexner Medical Center. But my medical training kicked in. Or they might, you know, they might sell their medication, which this population is also prone to. Janet, welcome back to the GeriPal Podcast.

Patients 72

Patients Clinic Patient-Centered Illness 72

GeriPal

APRIL 6, 2023

A friend of GeriPal, and prior guest, Guy Micco commented today that we need an RCT for chaplaincy is like the idea that the humanities need to justify their value in medical training: “It’s like being told to measure the taste of orange juice with a ruler.” In addition to that long list, I was also a chaplain educator.

IT 99

IT Patient-Centered Family Families 99

GeriPal

JANUARY 11, 2024

Summary Transcript Summary Four percent of deaths in Canada are due to Medical Assistance in Dying (MAID). What’s up with Medical aid in dying in Canada? Eric: So again, the topic is going to be medical aid in dying in Canada. Four percent. AMA PRA Category 1 credit(s) ™. Transcript Eric: Welcome to the GeriPal Podcast.

Illness 144

Illness IT Medical Provider 144

GeriPal

MARCH 24, 2023

She’s a hospice and palliative care nurse practitioner and Assistant Professor in the School of Nursing at UCSF. We also have Joe Shega, who is a hospice physician, and he is a Chief Medical Officer and Vice President at VITAS Healthcare. Welcome back to GeriPal, Lauren. Lauren: Thanks for having me.

IT 113

IT Provider Patients Family 113

GeriPal

MARCH 10, 2022

While we like to think about how our goals and preferences will influence what that life looks like, including whether you will get potentially burdensome interventions, your fate is probably influenced more by factors like where you live and what nursing home you happen to end up in. . Eric: And Alex, we got a full house today. Ruth: Sure.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

APRIL 10, 2025

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

JULY 6, 2023

It could be in housing, it could be a standalone senior center, home delivered meals, nutrition counseling and nutrition education done by registered dieticians. Really, to be a bridge between whether it’s a health plan on the healthcare side, Greg mentioned a hospital discharge, which is so common. Do I have access to good food?

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

DECEMBER 29, 2022

So many times, family caregivers have to argue with their loved ones about getting more help in the home or moving them to a place that has safety, has close proximity to medical care. But that’s something that we never get taught in medical school, and it’s not a bad thing to negotiate with somebody.

Family 96

Family Families IT Patient-Centered 96

GeriPal

JULY 13, 2023

But I think that as Ruth was saying, while the prior Jumpstart was quite effective at both increasing frequency of and quality of both care conversations in the outpatient space, it was just too labor-intensive to think about implementing widely across a healthcare system. It doesn’t have to take more than five or 10 minutes to open it.

Patient-Centered 83

Patient-Centered IT Hospital Patients 83

GeriPal

JUNE 6, 2024

And that really is what prompted me to get certified as a sexual education provider. I actually went to planned parenthood of Rhode island, and as a practicing oncologist, sat with folks, some of who had just graduated high school, others who were nurse practitioners, and they started from the very, very basics of pelvic anatomy.

Illness 130

Illness IT Physicals Patients 130

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. I had the tenacity and education to try to figure this out. As you know the healthcare system right now, we struggle.

Patient-Centered 125

Patient-Centered IT Family Families 125

Mesa Family Physician

MARCH 6, 2025

Preventive care encompasses a wide range of healthcare services designed to maintain wellness, identify risk factors, and detect disease early when treatment is most effective. Each plays a crucial role in a comprehensive approach to healthcare.

Preventative Care 100

Preventative Care Preventive Care Family Physician Screening 100

Pamela Wible MD

JUNE 19, 2025

Published 2/5/19, updated 6/19/25) Rowdiest audience ever (at a medical conference at least). Read transcript and/or download & listen to MP3 below:  Physician burnout—symptom of a broken system “Burnout” has become one of the most talked-about issues in healthcare—but behind the buzzword lies a deeper crisis.

Clinic 246

Clinic Nurse Practitioner IT Medical 246

GeriPal

JULY 14, 2022

Imagine that you are the medical director of a large (>150 bed) nursing home. The other physicians who previously saw patients in the nursing home are no longer coming to your facility because you have COVID positive patients. You’re short on nurses and nurse aids so now you have to help deliver meals.”.

Nurse Practitioner 136

Nurse Practitioner Patient-Centered Vaccination Emergency Room 136

GeriPal

SEPTEMBER 14, 2023

And we then did a bunch of work to develop medical criteria, to choose the right patients for hospital-at-home. For the most part, programs are doing, twice a day, nursing visits. They’re doing, once a day, either MD, or MP, or nurse practitioner visits in the home as well. Eric: Virtual or in person, for the MD?

Hospital 115

Hospital Patient-Centered Supply Chain IT 115