The Clinical Problem Solvers

JUNE 15, 2023

Promise Lee @promiseflee Promise Lee is currently a 3rd year medical student at Loyola University Chicago Stritch School of Medicine. She is an aspiring internal medicine physician with interests in GI, obesity medicine, public health, and clinical reasoning.

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Medical Student Internal Medicine Hospital Medical 52

Boulder Medical Center

FEBRUARY 22, 2024

Boulder Medical Center - Longmont is expanding healthcare services The post Longmont Doctors Offer Expanded Services appeared first on Boulder Medical Center.

Healthcare 130

Healthcare Medical Internal Medicine Family Medicine 130

PEMBlog

SEPTEMBER 20, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

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Diagnosis Diagnose Hospital Clinic 122

Physicians Alliance of Connecticut

MARCH 28, 2025

Friends and family members who’ve seen a hormone doctor are another useful source of recommendations. After finishing medical school, they complete a three-year residency in internal medicine. Choosing a doctor who honors your insurance plan helps you control your out-of-pocket healthcare costs.

Board-Certified 52

Board-Certified Appointment Insurance Consulting 52

Mesa Family Physician

JUNE 24, 2025

The Role of Internal Medicine in Preventive Health Care Internal medicine plays a central role in adult health, especially when it comes to prevention, diagnosis, and long-term care. Let’s explore the meaning and function of internal medicine and its importance in keeping adults healthy through all stages of life.

Internal Medicine 130

Internal Medicine GP Family Doctor Primary Care 130

PEMBlog

SEPTEMBER 13, 2023

This is a blog post designed to disseminate the important work of Choosing Wisely , an initiative of the the American Board of Internal Medicine Foundation, the goal of which is the spark conversations between clinicians and patients about what tests, treatments, and procedures are needed – and which ones are not.

Patients 52

Patients Screening Illness Physicals 52

Mesa Family Physician

MARCH 6, 2025

Understanding how to prepare for this important appointment ensures you receive maximum benefit from your healthcare provider’s expertise. Dr. James Martínez, family medicine physician at Community Health Partners, explains: “Preventive care represents one of the most powerful tools we have in medicine.

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Preventive Care Preventative Care Appointment Screening 100

GeriPal

MAY 11, 2023

Should do medicine?” ” Because I loved internal medicine. I just thought there was so much we could learn and offer from every sense, from the clinical point of view, from the family point of view, from prevention, from treatment, epidemiology, et cetera. Should I do neuro? But something with behavior.

Physicals 85

Physicals IT Hypertension Education 85

The Clinical Problem Solvers

MAY 2, 2022

Dr. Okah is a family medicine clinician and NRSA research fellow at the University of North Carolina School of Medicine, and she studies the association between the use of race in medical decision-making and beliefs regarding the etiology of disparities in health outcomes.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

GeriPal

DECEMBER 8, 2022

Our loves, our triumphs, our failures, our work, our families. . VA “gets” the importance of storytelling in medicine, without the need for reams of research to back it up. My Life, My Story: VA’s healthcare improvements through deliberate storytelling – YouTube. It’s since spread to over 70 VAs. Wonderful work.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And there are no default pathways of family or friends to rely on and no known people who could potentially represent this person from within their inner circle.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

DECEMBER 15, 2022

So I think as palliative care clinicians, we use narrative as we try to understand more about the persons that we’re caring for and their families. Been in the hospital four times, vented, been told the story to her family, she won’t live. And so I really gain that and I love the chorus words that she uses in this song.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MAY 22, 2025

And we got all into his family stuff and how he’d been suffering with cancer and his goal. Just encourage patients and families to bring music into their healthcare experience. We introduce it to families and patients and explain how it works and show them. And it was like the lights came on. This guy came alive.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

AUGUST 11, 2022

Susan led the Project on Death in America’s Faculty Scholars program , used her dual training in internal medicine and psychiatry to shine a light on psychosocial aspects of palliative care, and founded the Department of Psychosocial Care at the Dana Farber Cancer Institute and Brigham and Women’s Hospital. . That was one thing.

Illness 109

Illness IT Family Families 109

GeriPal

JUNE 27, 2024

Alex is a triple-boarded (palliative care, internal medicine, and psychiatry) assistant professor of medicine at Stanford. I think I certainly have had a lot of friends and colleagues in internal medicine who are so fearful that, oh, if I get this definition wrong, I’m going to cause some harm.

Illness 129

Illness IT Diagnosis Patient-Centered 129

GeriPal

DECEMBER 14, 2023

On this podcast we talk about her paper in JAMA Internal Medicine which studied three hospitals that varied in the intensity of care they provided to seriously ill patients. For example, here’s a quote from somebody at a high intensity hospital, “There’s a culture from the top of the healthcare system down.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MARCH 6, 2025

-Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. Michael’s Hospital in the Department of Family and Community Medicine. Canadian Press Feature A powerful and widely shared piece on our work.

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Healthcare IT Community Illness 100

GeriPal

DECEMBER 5, 2024

And it was born when I was a medical resident at UCSF Internal Medicine. There’s obviously a lot of flaws in the healthcare system. Emily 10:22 We are, we were very happy to receive a grant from the ABIM American Board of Internal Medicine to develop a podcast series on the topic of uncertainty in medicine.

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IT Community Patients Family 107

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. Alex 06:20 Can I what’s the healthcare equivalent to the Starbucks coffee? Inside or outside of healthcare? Prior-auth forms? Examples of nudges, some based in health care, others in coffee. Eric 06:19 Oh yeah.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . And so here’s a picture of four healthcare providers behind bars. ” The first healthcare provider said, “I said withdrawal of care. I was just thinking back to yesterday, we were in a family meeting. And at the top it says, “Pali-Jail.”

IT 145

IT Hospital Patients Illness 145

GeriPal

MAY 29, 2025

Today we talk about lucid episodes and what they might mean to the person with dementia, their family and loved ones, to philosophers, to clinicians, to neuroscientists. Particularly patients, families. Alex 06:05 And, oh, for that family, it was so meaningful. That their loved one is in there. Eric 01:34 Yeah. Eric 06:07 Yeah.

Family 93

Family Families IT Patient-Centered 93

GeriPal

FEBRUARY 13, 2025

Like, would you include the doctors that I work with, healthcare providers where I live in Marin? And so it was really the patients, you know, the caregivers, the family members were the ones who were sort of the closest in observing. And my community and about my family and those kinds of things. Our consultation.

Consulting 63

Consulting Community Patient-Centered Family 63

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. How does integrative medicine fit in with this? Jill Schneiderhan, a family medicine and integrative medicine doc, helps us think through this.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

MARCH 3, 2022

And Lauren Ferrante has found in a study published in JAMA Internal Medicine that trajectories of disability in the year prior to ICU admission were highly predictive of disability post-ICU, on the same order of magnitude as mechanical ventilation. It was this slow build, I would say. Alex: What happens when people survive?

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. The Lived Experience of Providing Feeding Assistance to a Family Member with Dementia. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. Rehabbed to Death. Ruth: Aw, thanks. My question is, why this study, and why now?

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Nurse Practitioner Hospital Family Families 60

GeriPal

OCTOBER 17, 2024

A pill organizer, having family. The challenge is, it’s easy to say, oh, yeah, talk to them in a few days, talk to them in a week, have them come back every other week, because the time constraints and the way our, our healthcare system is built, the people at the greatest risk are these more vulnerable people.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. But once I got into medicine, I found myself attracted to the field of psychiatry.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

NOVEMBER 7, 2024

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. As the caregiver or as a family member of the patient? And so are the patients. Are you okay? Eric 41:53 Great. I love that.

Management 116

Management Patient-Centered Patients IT 116

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 Hospital IT Patients 77

GeriPal

FEBRUARY 20, 2025

And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home. But I think there’s less nuance and understanding in the general population or even in healthcare providers, honestly. Annals of Internal Medicine.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

GeriPal

OCTOBER 3, 2024

You can find her illustrations online at her Twitter account, particularly those about the anti-asian hate study that we did recently and had a podcast about, as well as in annals of internal medicine. And I think up until the time when my aunt was passing, I had been very afraid of the idea of death in my family. That was it.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

MARCH 20, 2025

Alex 00:48 And we’re delighted to welcome back Josh Briscoe, who’s a palliative care doc at the Durham VA Medical center in Duke and blogs at Notes from a Family Meeting. And it was very clear, and she could now no longer recognize her family members. And the family says, dad would never want to live like this.

IT 87

IT Patient-Centered Patients Medical 87

GeriPal

MARCH 31, 2022

Marilyn: Well, I lived in a three generation family and my grandmother was an English teacher, and my mother was a teacher and everybody read. And so poetry was just part of the family discourse. Oh, is emeritus professor at UCSF, internal medicine. Have you always been interested in poetry? Since a kid? And I loved that.

IT 70

IT Patients Medical Illness 70

GeriPal

JULY 6, 2023

Administration on Aging connecting you to services for older adults and their families California’s Master Plan for Aging New York’s Master Plan for Aging Transcript Eric: Welcome to the GeriPal Podcast. To learn more about what we talked about, check out the following links: Eldercare Locator, a public service of the U.S.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 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.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

APRIL 11, 2024

This podcast was initially sparked by Josh’s “Note From a Family Meeting” Substack post titled “ Ambivalence in Clinical Decision-Making ,” which discussed Bryanna’s and Jenny’s 2022 article titled “ Two Minds, One Patient: Clearing up Confusion About Ambivalence.” AMA PRA Category 1 credit(s) ™. Josh, welcome back to GeriPal.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 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 119

Patient-Centered IT Patients Consulting 119