The Clinical Problem Solvers

OCTOBER 21, 2019

Her clinical interests include primary care and medical education. His clinical interests include cardiology and medical education. He is an aspiring Interventional Cardiologist with interests in cardiac critical care, mechanical support, medical education, provider wellness, and quality improvement projects.

Internal Medicine 52

Internal Medicine Board-Certified Education Hospital 52

Vida Family Medicine

JUNE 28, 2024

One of the most rewarding parts of being a primary care physician is when I am able to work with a patient to help them find answers to unexplained symptoms they have been dealing with, sometimes for years! They do not hold an educational credential that qualifies them to diagnose and treat you.

Patients 52

Patients Primary Care Appointment Diagnose 52

BMJ

FEBRUARY 18, 2022

Staying psychologically and physically healthy in this environment will be a challenge. It is imperative that we are intentional in how we look after our psychological and physical health. This is not a failure on our part, and we need to ensure we treat ourselves with the same care as we would our patients.

Family Medicine 40

Family Medicine DO Mental Health Family Doctor 40

Vida Family Medicine

JUNE 26, 2025

If you didn’t receive education about nutrition growing up, or if you’ve experienced food insecurity or difficulty with meal planning, a dietitian can help create realistic strategies that work for your life. These changes support both your physical health and your mental well-being, and can often help prevent the need for medication.

Management 52

Management Diabetes Family Medicine DO 52

Physician's Weekly

JUNE 19, 2025

We need to better understand the guardrails around safe cannabis use and educate the healthcare community and patients. Approach them with a non‑judgmental, ongoing dialogue about their reasons for use, which can reveal underlying mental or physical health concerns. Exercise caution when treating young adults who use cannabis heavily.

Community 52

Community Healthcare Diagnosis Medical 52

33 Charts

OCTOBER 19, 2021

This is the discovery of problems during physical exam and endoscopy. This usually involves taking elements of a patient’s story, applying wisdom and experience and then offering a really educated guess about what’s happening. Alot of chronic and primary care is responding and reacting to changes in the status quo.

Healthcare 80

Healthcare Clinic Patients Education 80

GeriPal

JANUARY 23, 2025

Next, we turn to Emily McDonald, the director of the Canadian Medication Appropriateness and Deprescribing Network , to discuss her study on the impact of direct-to-consumer educational brochures on gabapentin deprescribing. Additionally, clinicians participated in monthly educational sessions. in the usual care group.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

MAY 11, 2023

Certainly education, quality of education is extremely important. Physical activity is a big one. Some of them, like education, definitely social determinants of health. If we focused on prevention, from a public health standpoint, we would achieve far more than spending millions billions on treatment.

Physicals 86

Physicals IT Hypertension Education 86

GeriPal

JUNE 20, 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 120

IT Patient-Centered Patients Clinic 120

PEMBlog

OCTOBER 2, 2024

You just got to take a good history and do a physical examination, especially when the symptoms are typical, like regurgitation, heartburn, or epigastric pain in an older child or adolescent. Again, otherwise the diagnosis is based on history and physical examination. You want to take a good history on feeding or dietary habits.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

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 so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes.

Complication 97

Complication Patient-Centered IT Patients 97

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 96

Primary Care Diagnosis Screening IT 96

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?). The physics and mathematics that went into radiation therapy planning. Eric 04:49 Drew me to the field physics and math. So I think education is key.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

FEBRUARY 15, 2024

The insight started when Carmen, an orthopedic surgeon-researcher, and Katie, a physical therapist- researcher participated in ride-alongs with EMS providers to patient’s homes. But thankfully, I think the osteoporosis edge that has kind of come out is we do spend a lot of time educating about bone health optimization. Carmen: Yeah.

Community 115

Community Transportation IT PCP 115

The Motivated MD

SEPTEMBER 19, 2024

From the moment you start post-graduate education (internship and residency), this is seen as a physician’s first ‘real job.’ According to the latest Medscape Physician Compensation Report for 2024 , the average physician salary was approximately $363,000 ($277,000 for primary care and $394,000 for specialists).

Finance 52

Finance Individual Education Healthcare Professional 52

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

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. But how about you!

Screening 120

Screening IT Families Family 120

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

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

OCTOBER 26, 2023

Physical therapy had walked with him that day and noted improvement compared to previous walks, suggesting that he should be discharged to a skilled nursing facility for rehabilitation on discharge. At the end of the day, I lamented that physical, occupational, and speech therapists aren’t more tightly integrated with palliative care teams.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JULY 21, 2022

Or somebody who has other physical cognitive problems at any age. This is something we’ve heard from people: that if you just bring it up every year as part of your routine physical, like, “Any concerns about driving?” And the primary care provider had assumed he was no longer driving, I think.

Families 102

Families IT Family 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 82

Individual Community IT Chronic Condition 82

GeriPal

FEBRUARY 20, 2025

Kate and Ashwin talked about their research on the prevalence of lifetime trauma and its association with physical and psychosocial health among adults at the end of life. So we took a look at three different domains of quality of life that are relevant to end of life care. Well, being a pretty comprehensive definition.

Patient-Centered 67

Patient-Centered IT Individual Screening 67

GeriPal

MAY 26, 2022

Eric: But if we’re using organ donation example, there are really no physical benefits for the organ donor. It means that we’re still having those one-on-one conversations between primary care providers and individuals who are vaccine hesitant to try to educate them and understand and respond to their concerns.

Vaccination 88

Vaccination Individual IT Healthcare 88

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

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

MARCH 10, 2022

We found their physical environment was drastically different; where those with low feeding tube rates had really a rather beautiful physical environment. Ruth: Also in a few short words, we found similar to our initial study that there were differences in physical environment. Eric: … there was care processes.

Nurse Practitioner 60

Nurse Practitioner Hospital Families Family 60

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 so to develop that equation, they use the cohort of individuals and their data, their blood samples, creatine and other physical attributes.

Complication 52

Complication Patient-Centered IT Patients 52

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. There is a lot of literature suggesting that standard transplant care doesn’t really meet the needs of these patients and their caregivers. Eric: Okay. Why did you do this study, Tom?

Consulting 115

Consulting Patient-Centered IT Patients 115

GeriPal

APRIL 24, 2025

It’s like a third of people need chemical or physical restraints to keep that in. You can talk all you want about the lack of benefit, but if you don’t talk about risk, risk, it’s not gonna go like, what are you most worried about is honestly, it’s not the lack of benefit. All of these risks for.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

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. Louise, welcome back to GeriPal. Eric 46:49 Yeah.

Patients 98

Patients IT Patient-Centered Hospital 98

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

JUNE 6, 2024

And that really is what prompted me to get certified as a sexual education provider. It sits at the intersection of emotion, interpersonal, physical, psychological, cultural. All guests agree that clinicians feel they need to have something they can do if they open Pandora’s box. And sexuality is exactly the opposite of that.

Illness 130

Illness IT Physicals Patients 130

GeriPal

APRIL 20, 2023

These were usually very physically demanding, low paid, often usually non-union work, that they worked their whole lives and were hanging on by their fingernails. We said, “Reframe the debate,” because what we saw, for instance, in this permanent housing trial is that people started to use primary care.

Mental Health 123

Mental Health IT Community Individual 123

Mesa Family Physician

MARCH 6, 2025

Annual Physical Examinations The comprehensive annual physical remains one of the cornerstone examples of preventive care services. Preventive Care for Adults Adult preventive care focuses on maintaining health during the productive years and preventing chronic disease.

Preventative Care 100

Preventative Care Preventive Care Family Physician Screening 100

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 so I’m not sure if this is true for Joe or for Brooke, but even before the pandemic in our practice here, we saw somewhere around 40 to 50% of our patients via telemedicine anyway, because we have a catchment area of patients who live very far away, many of whom have a lot of physical disability and other limitations to coming in person.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73