GeriPal

NOVEMBER 9, 2023

If they’re a beginning fellow, that’s a very different coaching situation than coaching the chief medical officer or the president of a medical center. Medicine’s a tough road for everybody, and we put all kinds of barriers in the way in addition. Greg: … this is an internal medicine audience ultimately.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

GeriPal

MAY 11, 2023

Then I went to medical school and I thought, “Well, should I go into psych? Should do medicine?” ” Because I loved internal medicine. We had diabetes, hypertension, risky medications. So, medications that… Like sort of Bier’s criterium. Should I do neuro?

Physicals 86

Physicals IT Hypertension Education 86

GeriPal

JUNE 12, 2025

I was really fascinated not only with the medical side of things, but some of the. I knew I wanted to do palliative medicine pretty early Even in medical school. There were a number of opportunities to be involved in medical oncology and doing medical oncology rotations as a medical student, as an internal medicine residential.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

MAY 18, 2023

Summary Transcript Summary Hot off the press is a brand spanking new updated 2023 AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. The Beers Criteria is one of the most frequently cited reference tools in geriatrics, detailing potentially inappropriate medications to prescribe to older people.

Medical 97

Medical IT Patients Clinic 97

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

OCTOBER 17, 2024

Summary Transcript CME Summary When treating heart failure, how do we distinguish between the expanding list of medications recommended for “Guideline Directed Medical Therapy” (GDMT) and what might be considered runaway polypharmacy? He’s a medical director of H ebrew S enior L ife outpatient clinic at Newbridge.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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. . Brian: Thanks so much.

Illness 109

Illness IT Family Families 109

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. We’re going to be talking about the American Geriatric Society position statement on making medical treatment decisions.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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. Susan 01:36 To reflect continuing medical management versus starting dialysis, which is what Maria’s wonderful paper goes through.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

MAY 22, 2025

You can hear Tyler and I having a great time singing together and sharing stories around his podcast My Medical Mixtape. Alex 00:53 And we’re delighted to welcome Tyler Jorgensen, who’s a palliative care doc, emergency medicine doc, at the University of Texas, Austin. Tyler 01:12 AHPM. We were in Denver. Alex 01:15 AHPM.

IT 97

IT Patient-Centered Patients Board-Certified 97

GeriPal

FEBRUARY 27, 2025

Inspired by Dani Chammass paper in Annals of Internal Medicine titled, Wishing for a no show we talk about countertransference: start by asking yourself, Why am I having difficulty? 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.

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . Nathan: I have drawn for my entire life, but I gave up cartoons because I thought I had to during medical school and residency. But if you look at my lecture notes from medical school, it’s just plastered with cartoons and doodles. Eric: Very cute by the way.

IT 145

IT Hospital Patients Illness 145

GeriPal

DECEMBER 5, 2024

Alex 00:23 All right, first, we’re welcoming back Ricky Le it er, who’s a palliative care doc at Dana Farber Cancer Institute in Brigham Women’s Hospital and Harvard Medical School and is co-founder of the Palliative Story Exchange. I’ve been running a medical storytelling program called the Nocturnus.

IT 107

IT Community Patients Family 107

GeriPal

DECEMBER 8, 2022

So we have community volunteers who often they have a background in writing or background in healthcare, certainly an interest in interviewing and an interest in writing. And then we also have another Vas, many of the interviews are done by medical students or other healthcare trainees as part of their clinical rotation at the VA.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

APRIL 24, 2025

And so this term was developed by our group to capture either non traditional therapies or really conventional medical therapies that patients may be pursuing with little hope of reaching a goal of care and significant risk. Eric 04:02 Jill, you practice alternative and integrated medicine. Did I say that correctly? Eric 09:30 Okay.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

DECEMBER 15, 2022

So we have community volunteers who often they have a background in writing or background in healthcare, certainly an interest in interviewing and an interest in writing. And then we also have another Vas, many of the interviews are done by medical students or other healthcare trainees as part of their clinical rotation at the VA.

IT 105

IT Patient-Centered Healthcare Illness 105

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: Bye everybody.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

FEBRUARY 20, 2025

So thinking about addressing trauma as part of our management of other symptoms can be really helpful or at least taking a trauma informed lens to our medical approach. Much of my training has been in, in sort of the medical management and symptom management of a patient at the end of their life and thinking about how we do that.

IT 67

IT Patient-Centered Individual Patients 67

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. And so for me, I started off at one particular institution for medical school and went to another and noticed quite a few differences.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MARCH 31, 2022

Marilyn is joined by Guy Micco to talk about why poetry is important in general, why it’s important in medical or nursing education, and why it’s important for people who care for older adults. So we are delighted today to welcome Marilyn McEntyre, who’s a longtime teacher of literature and medical humanities. Guy: Thank you.

IT 70

IT Patients Medical Illness 70

GeriPal

AUGUST 24, 2023

Summary Transcript Summary I hear the word dignity used a lot in the medical setting, but I’m never sure what people mean when they use it. Medical Assistance in Dying and Palliative Care: Shared Trajectories Transcript Eric: Welcome to the GeriPal Podcast. And we published in the Journal of the American Medical Association.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

MARCH 6, 2025

[link] Promising Practice Recognition PEACH was named a Promising Practice in equity-oriented palliative care as part of a national initiative funded by Health Canada, operated by Healthcare Excellence Canada & the Canadian Partnership Against Cancer. To medical directors, chiefs, and some were really cool to talk to me.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MARCH 20, 2025

Summary Transcript CME Summary Eric and Alex have featured discussions about complex bioethical concepts around caring for people at the end of life, including voluntarily stopping eating and drinking ( VSED ), and multiple episodes about the ethical issues surrounding medical aid in dying ( MAID ). Alex 00:14 We have a very full house today.

IT 88

IT Patient-Centered Patients Medical 88

GeriPal

APRIL 10, 2025

Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy? MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. So we know these patients are really, really sick. That’s not news to us.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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. What is it about the images of the dying that helps teach medical students? Lingsheng, welcome back to GeriPal.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

MARCH 10, 2022

Archives of Internal Medicine 2010. One of them is Karen Steinhauser’s Annals of Internal Medicine paper on, In Search of a Good Death. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia. Rehabbed to Death. Ruth: Aw, thanks.

Nurse Practitioner 60

Nurse Practitioner Hospital Family Families 60

GeriPal

MAY 29, 2025

Did you have a different medication? MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. The post Lucid Episodes: Andrea Gilmore-Bykovskyi & Andrew Peterson appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional.

Family 93

Family Families IT Patient-Centered 93

GeriPal

FEBRUARY 13, 2025

It’s a lot easier to look in the medical record and see what healthcare utilization looked like at the end of life. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. Gets back to this debate in our field about what the important outcomes are.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

AUGUST 1, 2024

Anna Pleet is an internal medicine resident at Allegheny Health Network who has a collection of amazing YouTube videos on aging and the Mediterranean diet. Elizabeth Eckstrom is a geriatrician, professor of medicine at OHSU, and author of a new book, the Gift of Aging. Yeah, I was in my fourth year of medical school.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

JULY 6, 2023

Not just with our aging and independent services, but also with our behavioral health services, with our public health services, with our medical care services, to really have everyone see older people as part of their work. 60% of all medical costs have nothing to do with your health diagnosis.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

JULY 7, 2022

And then one day when I was in my third year of medical school, I was in the gym and I hurt my back in a really horrific way. I was helped into a wheelchair kind of rushed to the emergency room, which was not far away because I was on the medical school campus. I thought I couldn’t finish medical school.

Patient-Centered 106

Patient-Centered Physicals IT Patients 106

GeriPal

APRIL 11, 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 128

Patient-Centered IT Patients Consulting 128

GeriPal

AUGUST 15, 2024

We discuss: What is considered a hate incident, how is it tracked, what do we know about changes over time The wider impact of Anti-Asian hate on older Asians, who are afraid to go out, leading to anxiety, social isolation, loneliness, decreased exercise, missed appointments and medications. Eric 14:41 You mentioned the study.

Mental Health 116

Mental Health Community IT Screening 116

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

GeriPal

FEBRUARY 2, 2023

And you’re supposed to read the medical literature and basically I have sort of found that the medical literature are not the books that have helped me get better or smarter. So it’s all about what are the books outside of medicine that really help you be better at your job? About medical writing. Bob: Right.

IT 104

IT Medical Student Medical Family 104

GeriPal

APRIL 21, 2022

We talk not only about reading poetry, but also writing poetry, and using poetry in medical education as a healing modality. Mike: It was really then it was when I was a internal medicine resident that I heard a Mary Oliver poem, and it really connected to where I was at. I love the way in which it operates on that level.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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. Did it matter if you had dementia or if you had.

Primary Care 79

Primary Care IT Clinic Patient-Centered 79