The Clinical Problem Solvers

OCTOBER 18, 2022

Lurie Children’s Hospital of Chicago. Incarceration negatively affects the physical and mental health of people who are incarcerated as well as their family members and loved ones, and limits access to healthcare before, during, and after incarceration. The Harmful Effects of Policing—From the Neighborhood to the Hospital.

Healthcare Professional 52

Healthcare Professional Healthcare Patient-Centered Mental Health 52

Barton Associates

MAY 29, 2025

When you think of healthcare, you likely think of doctors first. One way to increase access to care to patients who need it—especially those who live in rural areas with a higher shortage of healthcare professionals—is for current physicians to take locum tenens positions. Why become a locum tenens physician?

Private Practice 52

Private Practice Healthcare Internal Medicine Family Medicine 52

The Clinical Problem Solvers

APRIL 24, 2025

She is the Psychiatrist-in-Chief and Chair of the Department of Child and Adolescent Psychiatry and Behavioral Sciences at the Children’s Hospital of Philadelphia (CHOP). A Culturally Informed Approach to Supporting Suicidal Minoritized Patients. Disclosures The hosts and guests report no relevant financial disclosures. References 1.

Mental Health 52

Mental Health Community Hospital Appointment 52

GeriPal

MARCH 14, 2024

And then when you look long-term care facilities, more between that like 35 to 50%, and then much higher estimates in hospitalized older adults. Eric: And why is it more common in hospitalized adults? Nicole: Yeah, I think definitely delirium, but there are also a lot of medical conditions that can be specific to hospitalizations.

IT 124

IT Hospital Patient-Centered Individual 124

GeriPal

APRIL 27, 2023

The company has expanded its palliative care services through partnerships with hospitals and other managed care providers, according to AccentCare CEO Stephan Rodgers. Eric: Here’s our contact information. We’ve got a very large palliative care practice,” Rodgers told PCN. Attendee 3: Oh. Eric: Buying GeriPal podcasts.

Specialization 93

Specialization Illness Healthcare Patient-Centered 93

GeriPal

JANUARY 23, 2025

I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin. You’re in the hospital right now, we can write you a taper, just mention to your doctor, mention to the team that you got this brochure and here’s even a suggestion for how to do it. 1 in 8 in the U.S.

Specialization 119

Specialization IT Patient-Centered Medical 119

GeriPal

MAY 5, 2022

And when you think about that, they’re hearing pieces of the information and their brain is trying to make sense of it. Including more hospital utilization or healthcare utilization, maybe cognitive impairment issues. My own work focuses on hospitalization and health utilization over time. Is that right?

IT 102

IT Screening Hospital Clinic 102

GeriPal

JULY 27, 2023

But I do think people can give you pretty specific information. Eric: Are you also talking to their significant others, getting other information about how things are going at night? Brienne: It’s just that the reliability of getting the information back, that’s the problem. And all the time in the hospital.

Illness 85

Illness IT Medical Clinic 85

GeriPal

JULY 19, 2024

So we measure things like hospitalizations and ed visits and the like, and those data are a bit weaker, but they’re also, you know, I think they need to be contextualized in what, why we would even want to reduce hospitalizations right. And either of those could be given to the patient or an informant.

Screening 119

Screening Primary Care Patient-Centered IT 119

GeriPal

JUNE 8, 2023

Alex Lee: And I think there’s a dearth of information about what proportion of nursing home residents have diabetes. This hasn’t floated into our hospital systems yet, but at least in the real world, people are using these to make insulin dosing decisions without needing to poke their fingers. ” Tamryn: I love it.

Diabetes 73

Diabetes Management Patient-Centered Family 73

GeriPal

MAY 19, 2022

Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. Part of my proposal is, again, that we can actually use very similar information. Pallimed post on “ Simplifying Opioid Conversions ”. I think it’s time to do that.

IT 139

IT Patients Individual Relationship 139

The Medical Futurist

JUNE 21, 2025

There are widely varying figures, ranging from 66% to 90% depending on the source of information.) As, based on the results of my whole genome sequencing , I have a moderate risk for melanoma, a reliable and easily accessible source of information could be incredibly useful for me, too, thus I tried to find the best tools possible.

Patients 111

Patients Healthcare Board-Certified Telemedicine 111

GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Today Liz Dzeng discusses her journey towards studying this issue in detail. I guess the VA is federal though.

Hospital 125

Hospital IT Patient-Centered Patients 125

Plum Health

OCTOBER 11, 2024

Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. This guide will help you understand the different types of clinics and services they offer, so you can make an informed decision about where to seek medical care. Frequently Asked Questions What is the definition of a clinic?

Clinic 52

Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JUNE 12, 2025

I didn’t know where they existed within the hospital. Eric 07:04 You actually created things like a curriculum for hospital medicine fellows in radiation oncology. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

FEBRUARY 20, 2025

Thats my main take-home point after learning from our three guests today when talking about trauma-informed care, an approach that highlights key principles including safety, trustworthiness, peer support, collaboration, empowerment, and cultural sensitivity. Eric 00:15 And we have three guests to help us talk about trauma informed care.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

FEBRUARY 15, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. So it’s just a wide-opening lens that most of us never really get to see if we’re on the hospital-based side. They may not think to ask or provide that information.

Community 114

Community Transportation IT PCP 114

The Motivated MD

SEPTEMBER 19, 2024

In medicine, it is commonly agreed that ‘to err is human’ Most healthcare professionals would agree that humans make mistakes. ’ Though it often does not come with the attending salary, medical trainees are getting paid to perform a service, and hospitals provide retirement plans to these individuals.

Finance 52

Finance Education Individual Healthcare Professional 52

GeriPal

JANUARY 25, 2024

You can also listen to an audio interview with Alex and JAMA Deputy Editor Preeti Malani about this study and the other RCT of default palliative care for hospitalized older adults with noncancer serious illness published in the same issue. People had to be in the top 20th percentile of risk for being hospitalized or dying in the next year.

Patient-Centered 122

Patient-Centered IT Illness Patients 122

GeriPal

FEBRUARY 23, 2023

Imagine her hearing for the first time that you’re sick, that you’re hospitalized, that you’re in the ICU, and that you can’t make your own decisions? The supporter might offer note-taking or they might come and help with interpreting information or they might help in doing some comparative reasoning exercises. Eric: Lynn or Anne?

Families 97

Families Family Patient-Centered IT 97

GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

Patient-Centered 132

Patient-Centered Hospital Patients IT 132

GeriPal

JULY 21, 2022

I’ve worked in hospital settings as an occupational therapist, inpatient rehab and outpatient rehab. Emmy: I was seeing people in the hospital setting, saying they had had a massive brain injury. Emmy: Ended up starting a program, outpatient at our hospital at the time. I can get you guys that information.

IT 102

IT Family Families Diagnosis 102

GeriPal

AUGUST 29, 2024

We must often deliver complex medical information that carries heavy emotional weight in pressured settings to individuals with varying cultural backgrounds, values, and beliefs. And one of the hardest things is to distill it down to a sentence or two about what is information, what does it mean? And then be quiet and listen.

IT 132

IT Illness Family Families 132

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. The intervention was a negative study for the primary outcome, hospital length of stay. What is sludge?

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

GeriPal

FEBRUARY 2, 2024

This week, we talk about the other major palliative care trial of default palliative care consults for hospitalized older adults with COPD, kidney disease, or dementia, published in the same issue of JAMA. So, Alex, imagine you’re a seriously-ill hospitalized patient and I’m your doctor, unluckily for you.

Consulting 120

Consulting Hospital Patient-Centered IT 120

GeriPal

FEBRUARY 22, 2024

It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. While everyone says we should be doing this to the best science available, every hospital has a different interpretation of that. ” Some say, “Everyone gets a PHQ-9.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

Adventures of a Sick Doctor

MARCH 24, 2020

I have consumed so much information in the past two weeks that whatever comes out of my head now is simply a mish-mash of other people's words, advice and opinions. We are aware that many of the people who have died from Covid19 around the world have been healthcare workers. I am no longer the master of my own thoughts.

Healthcare 100

Healthcare GP Hospital Healthcare Professional 100

GeriPal

JANUARY 16, 2025

So it defines unrepresented as someone who lacks decisional capacity to provide informed consent to a particular medical treatment. And that can really inform what your own institutional policy is. Patient just got discharged from the hospital, just coming back from the skilled nursing facility. This is Eric Widera.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

JULY 28, 2022

Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. Jennifer: They have a meaningful impact on what happens to them during the hospitalization and after. They all self-identified as a hospital based practice.

Illness 110

Illness Hospital Patient-Centered Patients 110

GeriPal

APRIL 4, 2024

The hospital refused without a court order, and the case eventually made its way to the Supreme Court. The Cruzan ruling led to a flood of interest in Advance Directives, and eventually to the Patient Self Determination Act, which mandates provision of information about advanced directives to all hospitalized patients.

Family 112

Family Families Patient-Centered IT 112

GeriPal

MAY 22, 2025

We start each podcast with a song in part to shift the frame, taking people out of their academic selves and into a more informal conversation. When we started doing more music stuff for our patients in the hospital, a lot of people started to think, hmm, what would I want to listen to? Like, it’s like a hospital.

IT 96

IT Patient-Centered Patients Board-Certified 96

GeriPal

SEPTEMBER 7, 2023

And it’s with this information from the geriatric assessment that we can really create interventions, and so that’s something that Alex and I strongly believe that we should move forward with. We have the chemo talks tool posted, so people can go there and click and immediately get the information about this.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

APRIL 10, 2025

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. hospice use). Tammie 02:56 It usually doesn’t work no matter what. Corita 04:32 Yep.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

Doctor On Demand

APRIL 28, 2025

In fact, most sore throat symptoms resolve in three days for 60-70% of patients, according to March 2025 UpToDate, an evidence-based clinical decision support system used by healthcare professionals. Paramedics can provide life-saving treatment on the way to the hospital.

ER 52

ER Telehealth Primary Care Doctor Appointment 52

GeriPal

JUNE 15, 2023

” And Bing responded, I should ask about how AI can help identify patients who need palliative care and reduce hospitalizations, what are the benefits and challenges of using AI in decision-making, communication, palliative care, and how could AI support the quality of life and dignity of patients for those who are receiving palliative care?

IT 99

IT Patient-Centered Patients Healthcare 99

GeriPal

APRIL 3, 2025

I believe the age range was over 80 hospitalized patients and showed that relatively light level physical activity, often with weights, improved hospital outcomes. So Tim Anderson did a wonderful study looking at hypertensive management in the hospital. And very frail. Eric 29:17 Yeah, so. Alex 29:26 Exactly. But it matters.

IT 64

IT Hospital Screening Patients 64

GeriPal

MARCH 28, 2024

We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. Kate: It was done in 10 hospitals, 17 ICUs in Atrium Health down in North Carolina. Also the same hospital system? Eric: Okay. Kate: 3,500.

Consulting 115

Consulting Patient-Centered IT Patients 115