GeriPal

MAY 5, 2022

COVID-19, masks, and hearing difficulty: Perspectives of healthcare providers. Association of Sensory and Cognitive Impairment With Healthcare Utilization and Cost in Older Adults. Think about the last time you attended a talk on communication skills or goals of care discussions. I’m guessing not. Alex: (Singing).

IT 102

IT Screening Hospital Clinic 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. And yet, after assisting the older adult to their feet, the EMS providers would leave. Going into patient’s homes was eye opening. Their job was done.

Community 116

Community Transportation IT PCP 116

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 Individual Education Healthcare Professional 52

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 123

Patient-Centered IT Illness Patients 123

GeriPal

SEPTEMBER 1, 2022

In day-to-day practice, It’s hard to imagine providing excellent hospice or palliative care services without access to a team social worker. Summary Transcript Summary. Whether in direct practice or in research and academia, we should work together to help Hospice and Palliative Care Social Work meet its full potential. . Transcript.

IT 102

IT Family Families Clinic 102

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. And this time everybody’s joining in.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

JANUARY 20, 2023

He’s a geriatrician and Chair of Public Policy for the California Association of Long-Term Care Medicine. Welcome back to the GeriPal podcast, Mike. I hope I got that right. Mike: You got it right. Great to be back. Alex: And we have Jasmine Travers who’s joining us from Israel. Jasmine: Yes. Eric: Can I ask why?

Finance 95

Finance Board-Certified IT Provider 95

GeriPal

APRIL 14, 2022

Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . 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. So here we go.

Illness 103

Illness Patient-Centered IT Patients 103

GeriPal

APRIL 28, 2022

Graphic Novels. Graphic Medicine. I’m not sure what to title this podcast but I’ve been looking forward to it for some time. Heck, I’m not even sure to call it a podcast, as I think to get the most out of it you should watch it on YouTube. Why, because today we have Nathan Gray joining us. Transcript. Eric: Welcome to the GeriPal podcast.

IT 145

IT Hospital Patients Illness 145

GeriPal

JUNE 5, 2025

Cari 01:42 I would like to request Hallelujah, one of my favorite songs. And I love hearing you sing, and so it’s an excuse to have you sing a beautiful song. And it’s, I think, a very uplifting song. And I’m so pleased with Connie and that she’s doing so well, and so it’s a celebration of her, too. No problem.

Nurse Practitioner 78

Nurse Practitioner Referral Consulting Board-Certified 78

GeriPal

OCTOBER 19, 2023

Summary Transcript Summary What level of evidence do we need for POLST to use it ourselves, to advocate for wider usage, and for establishing POLST completion as a quality metric? The answers to these questions will vary. Reasonable people will disagree. And today, on our podcast, our guests disagree. But is it a tiny, meaningless, fraction?

Patient-Centered 127

Patient-Centered IT Patients Illness 127

GeriPal

AUGUST 25, 2022

And then secondly, around some of our quality measures, there’s been differences found in multiple papers by many teams around hospice disenrollment, higher rates of hospice disenrollment in for-profit hospices, and higher rates of healthcare utilization. We’re going to be talking about each one of these papers. Here we go.

Family 107

Family Families IT Patients 107

GeriPal

MAY 15, 2025

At one end of the spectrum you can provide decision makers with information that doesn’t work very well in most contexts. The nudge toward offering comfort care led to more hospice and early comfort-care orders. Is this due to chance alone, given the multiplicity of secondary outcomes examined? Where was it? We also had a podcast with.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

APRIL 10, 2025

Most emergency providers wanted to do the right thing for seriously ill patients, but they didnt have the knowledge, skills, or experience to do it. I went into emergency medicine to act. I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. They got training in Vital Talk and ELNEC. They got feedback. So did it matter?

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

JUNE 9, 2022

How do we move from efficacy (works in highly controlled settings) from effectiveness (works in real world settings? What’s the role of implementation science? What is a pragmatic trial ? What outcomes should we measure? We cover a lot of ground! Working on a mystery. Going wherever it leads. “Runnin down a dream…” -@AlexSmithMD.

Consulting 100

Consulting Patient-Centered Diagnosis IT 100

GeriPal

FEBRUARY 2, 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.

Consulting 122

Consulting Hospital Patient-Centered IT 122

GeriPal

MARCH 7, 2024

We are delighted to welcome Jane Euler, who is lead doula and co-founder of Present for You, which is a benefit LLC company that provides doula support at the end-of-life. Who do we have on with us today? Alex: End-of-life doulas. Jane, welcome to the GeriPal podcast. Jane: Thank you for having me. John: I do. It was on his last album.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

MARCH 28, 2024

Kate: The problem is we communicate late, we share prognosis late, we elicit goals and values late, so all the time while they’re in the ICU getting prolonged intensive care, we don’t really know that we’re providing goal concordant care, so we wanted to nudge it a little upstream. I’m just stunned even writing that!

Consulting 116

Consulting Patient-Centered IT Patients 116

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. You’d imagine that as a seasoned palliative care doc, I’d have a pretty good definition by now of what “maintaining dignity” or “loss of dignity” means, but you’d be sadly wrong. Harvey: I feel welcome.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

DECEMBER 19, 2024

This episode of the GeriPal Podcast is sponsored by the Zuckerberg San Francisco General Hospital Division of Hospital Medicine , which is committed to providing outstanding, compassionate care to all patients, advancing health equity, and fostering excellence in hospital medicine. Is “terminal” mental illness a thing?

Illness 102

Illness Mental Health IT Patient-Centered 102

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 64

Consulting Community Patient-Centered Family 64

BMJ

MAY 10, 2022

Two hundred seventy-six of the healthcare professionals were reached (response rate: 85.4%). 276 (100) *Column % ** The P-Value was calculated by Chi-square test Suggestions regarding vaccination: 60.1% (n=166) of healthcare professionals considered COVID-19 disease as a threat to their health. 150 (54.3) 126 (45.7)

Vaccination 40

Vaccination Healthcare Professional Healthcare Primary Care 40

GeriPal

APRIL 6, 2023

To provide context, we are joined by Karen Steinhauser, a social scientist at Duke who has been studying spirituality for years (and published one of the most cited papers in palliative care on factors considered important at the end of life , as well as one of my favorite qualitative papers to give to research trainees ). The theme is death.

IT 99

IT Patient-Centered Family Families 99

FDA Law Blog

AUGUST 21, 2023

Further, FDA has utilized a variety of strategies to call attention to safety issues through Dear Doctor letters or other forms of communication, even if directing changes to labeling is difficult. Koblitz & Deborah L. Agency officials estimated that it took at least 6 years to complete the required rulemaking process.”

Manufacturing 40

Manufacturing Consulting Healthcare Professional Vaccination 40

GeriPal

SEPTEMBER 19, 2024

So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. 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. Saw them play a couple times.

Patient-Centered 120

Patient-Centered IT Patients Hospital 120

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

JUNE 26, 2025

-Alex Smith Additional links mentioned by Tsai-Chin Cho: – Wealth shocks and mortality in the US – Change in marital status as a risk for wealth shock ** NOTE: To claim CME credit for this episode, click here ** Transcript Eric 00:11 W elcome to the GeriPal p odcast. This is Eric Widera. Alex 00:12 This is Alex Smith. Is it you, Rebecca?

Illness 63

Illness Hospital IT Patient-Centered 63

GeriPal

JULY 13, 2023

Today we discuss a new paper in JAMA that tests a stripped down version of the clinician only facing intervention in a pragmatic randomized trial for older adults with serious illness and those 80+. They found a difference of 4% in documented goals of care discussions. Is 4% meaningful? I think it’s you, Bob. Alex: I love that song.

Patient-Centered 84

Patient-Centered IT Hospital Patients 84

GeriPal

FEBRUARY 24, 2022

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. 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.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

DECEMBER 21, 2023

Don’t get me wrong, the evidence points to cost savings, but as Chris Callahan and Kathleen Unroe pointed out in a JAGS editorial in 2020 “in comprehensive dementia care models, savings may accrue to Medicare, but the expenses accrue to a fluid and unstable network of local service providers, patients, and their families.” Malaz: I love it.

Patient-Centered 126

Patient-Centered IT Family Families 126

FDA Law Blog

JUNE 1, 2025

While FDA has historically looked at manufacturer promotion, the language in the Federal Food, Drug, and Cosmetic Act (FDCA) provides that it is a prohibited act to cause the misbranding of a drug in interstate commerce. Its unclear whether there are truly regulatory gaps that require new legislation.

Healthcare Professional 59

Healthcare Professional Manufacturing Healthcare Utilities 59

GeriPal

JULY 20, 2023

Before we do, I think, Joe, you have a song request for Alex. Joe: I do. I would like to hear Space Oddity and it’s because I can’t imagine being more lonely and isolated than being in a tin can orbiting around the earth by myself and just how comforting it is even to hear that scratchy little voice from ground control. Joe: Right.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73