The Motivated MD

NOVEMBER 19, 2024

Publishing post after post, week after week, while juggling my clinical burdens, family life, personal goals, my health… it just became too much. When Passion Loses to Productivity Adjusting to Life’s Cadence Anyone Can Do It Plans Moving Forward Lessons Learned From My Hiatus Where Have I Been? So, lets start by addressing my absence.

Finance 52

Finance Education Family Families 52

GeriPal

JULY 27, 2023

Summary Transcript Summary Insomnia. We’ve all had it. Lying in bed at 2 am staring at the ceiling, getting anxious every hour that you’re not falling asleep as you have a busy day coming up. Insomnia sucks. Chronic insomnia sucks even more. For those with serious illness, sleep problems and insomnia are all too common. singing) Eric: Wonderful.

Illness 85

Illness IT Medical Clinic 85

The Clinical Problem Solvers

AUGUST 25, 2020

Trainees may use this foundation to question how this might impact their medical education and think about this educational legacy may be reformed through curricular and structural changes at their institutions. It impacts the health of our colleagues who constantly have to witness this injustice play on television, often without consequence.

Community 52

Community Patient-Centered Education Relationship 52

GeriPal

OCTOBER 24, 2024

Eloise is a palliative care NP at Stanford and co-founder of The Radicle Health Clinician Network. laughter] Alex 01:39 Material here for songs related to medical marijuana or marijuana in general. Summary Transcript CME Summary Cannabis is complicated. Eloise 00:59 Thank you so much. Eric 01:34 Yeah. Eric 01:43 Eloise, what to pick?

Medical 98

Medical IT Patient-Centered Healthcare 98

My Green Doctor

JULY 2, 2025

They will occur where health systems are weakest and climate impacts are harshest—through malnutrition, malaria, diarrhea, respiratory failure, and heat stress. The EIB developed a first-of-its-kind tool to quantify how climate hazards like heatwaves, floods, and poor air quality will drive up healthcare demand across Europe.

Healthcare 52

Healthcare Healthcare Professional Management Community 52

BMJ

FEBRUARY 8, 2021

Department of Health and Human Services declared a public health emergency in 2017 and announced a 5-Point Strategy to Combat the Opioid Crisis , 4 the Surgeon General also released a Spotlight on Opioids. misuse of prescription medications). 2 Opioids contribute a large share of this overdose crisis.

Medical 40

Medical Holistic Care Healthcare Healthcare Professional 40

GeriPal

FEBRUARY 22, 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.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

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

MARCH 9, 2023

Today we largely focus on reasons for caution, including: We know almost nothing about psychedelics in older adults – only about 1% of patients in published trials were older adults, much less older adults with multiple chronic conditions, multiple medications, and frailty. There is a marked lack of diversity in published trials.

Patient-Centered 91

Patient-Centered Community IT Medical 91

GeriPal

NOVEMBER 17, 2022

And which journal again? Ken Covinsky: JAMA Network Open. Eric: JAMA Network Open. Kenny Lam: Yeah, yeah. JAMA Network Open. Eric: But before we do, we have a song request. Luckily, it’s not going to go to Ken Covinsky, because he would do a Chicago Cubs song. Alex: Kenny Lamb. Eric: Kenny, do you have a song request? Kenny Lam: Yeah.

Community 97

Community IT Mental Health Medical 97

GeriPal

JUNE 19, 2025

Eric and I remember him from that time and he’s now at the University of Nevada, Las Vegas, where he is associate professor in the department of social and behavioral health. Jace, welcome to the GeriPal Podcast. Jace 00:37 Thank you so much, Alex and Eric, it’s nice to be here with you. And I’m happy to share my story.

Individual 85

Individual Community IT Chronic Condition 85

GeriPal

SEPTEMBER 7, 2023

Summary Transcript Summary The comprehensive geriatric assessment is one of the cornerstones of geriatrics. But does the geriatric assessment do anything? Does it improve outcomes that patients, caregivers, and clinicians care about? We talk about: What is a practical geriatric assessment and how can busy oncologists actually do one? Thank you.

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

FEBRUARY 8, 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 137

IT Families Family Physicals 137

GeriPal

DECEMBER 19, 2024

We invited Dani Chammas , a palliative care physician and psychiatrist at UCSF (and a frequent guest to the GeriPal podcast), as well as Brent Kious , a psychiatrist at the Huntsman Mental Health Institute, focusing on the management of severe persistent mental illnesses. Is “terminal” mental illness a thing?

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

APRIL 14, 2022

It’s been around for a long time but is acting like the hot new kid in town. Just look at this year’s AAHPM meeting, where it felt like every other session was talking about how hot buprenorphine is right now. But does this drug really live up to the hype? Eric: And why Under Pressure. Alex: So we’ll see what these come out like. Right, Katie?

Illness 102

Illness Patient-Centered IT Patients 102

GeriPal

JULY 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 109

Patient-Centered IT Patients Clinic 109

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? Alex: And we’re delighted to welcome Sonu Gaind, who is a Chief of psychiatry and professor at the Sunnybrook Health Sciences Center at the University of Toronto.

Illness 144

Illness IT Medical Provider 144

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. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 136

Illness Patient-Centered Screening IT 136

GeriPal

AUGUST 11, 2022

He’s assistant professor of medicine at UCSF, and he’s one of my former research mentees, and he’s very interested in medical ethics and decision making in the ICU. I was a medical and psychiatric resident between 1977 and 1982. She is one of my earliest mentors. Welcome to the GeriPal podcast, Susan.

Illness 109

Illness IT Family Families 109

GeriPal

APRIL 13, 2023

Summary Transcript Summary Social connections impact our health in profound ways, whether it is the support we receive from family and friends in navigating serious illness, the joy from shared social activities, or connecting with our community. Welcome back, Ashwin. Ashwin Kotwal: Excited to be back. Eric: Now, it’s interesting.

IT 99

IT Community Patient-Centered Medical 99

GeriPal

JUNE 22, 2023

Summary Transcript Summary In the early 1990’s, California Medical Facility (CMF) created one of the nation’s first licensed hospice units inside a prison. Alex: We are in the California Medical Facility and we will ask our guest about that. I’ve known Michele a long time, since the Joint Medical Program. Michele: Yep.

Family 132

Family Families IT Community 132

GeriPal

AUGUST 31, 2023

We have a wide ranging conversation that touches on how to place aging, disability, and multimorbidity in the context of serious illness conversations, “striving toward normal,” stoicism, existentialism, psychedelics, the goals of medicine, medical aid in dying and more. We could have talked for hours! We have a Canadian theme going.

Illness 128

Illness IT Diagnose Medical 128

GeriPal

MARCH 30, 2023

We’ve also love to hear from you on twitter and facebook your own experiences writing for the medical world (and please include links!) Today we’re going to be talking about narrative writing specifically for healthcare professionals. Transcript Eric: Welcome to the GeriPal podcast. This is Eric Widera. Eric: Lucky Strike.

IT 95

IT Patient-Centered Patients Healthcare 95

GeriPal

MARCH 6, 2025

We discuss the principles of harm reduction, social determinants of health, and trauma informed care. link] Kensington Hospice & ‘Radical Love’ Equity-Oriented Hospice Palliative Care Naheed Dosani also serves as the Medical Director of Kensington Hospice, Torontos largest hospice. Homelessness? Marginally housed?

Healthcare 100

Healthcare IT Community Illness 100

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.” It meets in-person, once a month, over nine sessions. The theme is death. Lexy: JPSM.

IT 99

IT Patient-Centered Family Families 99

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. Mariah discussed her JAGS paper on applying a trauma-informed approach to home visits. Mariah, welcome to the GeriPal Podcast. Mariah 00:29 Glad to be here. Here we go.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

FEBRUARY 13, 2025

Another interpretation is that clinicians avoided telling the parents prognosis in order to bolster their ratings of trust and communication quality. Which is it? Garfunkel says Simon was writing about Garfunklels friend and college roomate Sandy, who was blind. Whos got the right of it? Na 01:01 Yes, I requested the song. We’ll see.

Consulting 63

Consulting Community Patient-Centered Families 63

GeriPal

DECEMBER 7, 2023

Today we find inspiration for my kids: there are adults who care deeply about this issue, particularly for older adults who are much more vulnerable to health effects of climate change. Summary Transcript Summary To my teenagers, climate change is an existential crisis. It’s the end of the world as we know it. Ruth: Thank you.

Healthcare 129

Healthcare IT Education Community 129

GeriPal

SEPTEMBER 19, 2024

Summary Transcript CME Summary If palliative care was a drug, one question we would want to know before prescribing it is what dose we should give. Give too little – it may not work. But before we jump into that topic, Jennifer, do you have a song request for Alex? Jennifer 01:20 I do have a song request for Alex. Saw them play a couple times.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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. Jessica, welcome back to GeriPal.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

APRIL 20, 2023

How has the history of redlining and the federal tax subsidy of wealthy (mostly white) people in the form of a mortgage interest deduction contributed to racial inequalities in homelessness? What can we do about it? What are the highest yield interventions and policy changes? What should we call it – homeless or unhoused? Eric: I love this.

Mental Health 123

Mental Health IT Community Individual 123

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. We discussed the nature of pain, what makes chronic pain different from acute pain, what’s the difference between proprioception, pain, and suffering, and so much more. Welcome back to the GeriPal podcast, Haider.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

FEBRUARY 24, 2022

But the consequences are real, from research funding dollars to health systems investment. . And I’m worried about all of us as healthcare workers, but particularly… And when I say particularly those in the hospital, because they are just tired. Welcome back to GeriPal, Rachelle. Rachelle: Thank you. What is it?

Illness 98

Illness Patient-Centered IT Patients 98

BMJ

AUGUST 20, 2021

Increased health anxiety has been a feature of the pandemic, with fears around leaving the home, social distancing, hand hygiene, and shortages of goods and medications due to panic buying commonplace. Despite the spike in prescribing of insulins, oral antidiabetic medications were not similarly affected.

Primary Care 40

Primary Care Supply Chain General Practitioner Vaccination 40

GeriPal

DECEMBER 21, 2023

Too many people do because it’s really hard to keep their loved ones at home for the cost, the enormous financial, mental and physical strain for the family. We’ll cover why the GUIDE model is important (hint – it all comes down to funding), how it was developed, what components will it include, and how it will be evaluated.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

DECEMBER 12, 2024

We are delighted to welcome back returning guest Jenny Blumenthal-Barb y , who’s a philosopher and bioethicist and associate director of the center for Medical Ethics and Health Policy at the Baylor College of Medicine. You may be thinking the same. Or does it raise more issues than it solves? Alex 00:28 It’s a hobby.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108