GeriPal

JULY 19, 2024

Summary Transcript Summary The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. Are there, though, populations that it may be helpful in, or should that change with the advent of the new amyloid antibodies? Should it?

Screening 120

Screening Primary Care Patient-Centered IT 120

GeriPal

MARCH 14, 2024

Some of our healthcare systems are hard, and challenging, and I think that it’s time that we have a change. Some of our healthcare systems are hard, and challenging, and I think that it’s time that we have a change. Eric: Alex, we got a great show today on Dysphagia Revisited. Who do we have on with us today? Eric: Oh boy.

IT 125

IT Hospital Patient-Centered Individual 125

FDA Law Blog

JULY 7, 2022

The first was to develop labeling beyond the DFL and the second was to propose “additional conditions that a consumer must fulfill” with the examples self-selection tests utilizing a mobile app or a requirement for the consumer to affirm they have watched a video or read text about use of the drug. This brings us back to the ANDAs.

Utilities 52

Utilities Healthcare Professional Provider IT 52

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. Before we discuss each individual savings account, let us first highlight exactly what it means to ‘automate’ your savings. So yes, humans make mistakes. Fight this temptation.

Finance 52

Finance Individual Education Healthcare Professional 52

GeriPal

FEBRUARY 15, 2024

Going into patient’s homes was eye opening. There were trip hazards, loose carpets, some people were hoarders. And yet, after assisting the older adult to their feet, the EMS providers would leave. Their job was done. It’s not surprising that the number of repeat calls for falls is alarmingly high. Alex: I think this is a first.

Community 116

Community Transportation IT PCP 116

GeriPal

JANUARY 25, 2024

MOC Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 MOC points per podcast in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. ABIM MOC credit will be offered to subscribers in November, 2024.

Patient-Centered 123

Patient-Centered IT Illness Patients 123

GeriPal

SEPTEMBER 1, 2022

Barbara highlights social workers’ inherent leadership qualities and tasks us to consider whether our own team and organizational structures are allowing for optimal social work engagement and influence. by: Anne Kelly, LCSW, APHSW-C. Transcript. Eric: Welcome to the GeriPal Podcast. This is Eric Widera. Alex: This is Alex Smith. Is that right?

IT 102

IT Families Family Clinic 102

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 103

Illness Patient-Centered IT Patients 103

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

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

FEBRUARY 2, 2024

First, in our editorial, we expressed concern about the length of stay metric not being patient centric, though important for health systems focused on cost savings. It was refreshing to hear Scott and Kate express similar sentiments. Much more to come. And I get to play Phish, who Scott has seen about 100 times in concert. I saw them only twice.

Consulting 122

Consulting Hospital Patient-Centered IT 122

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

MAY 15, 2025

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? We’ve done a podcast already on nudging. Where was it? Alex 01:13 The nudging podcast We’ve done a couple I think. We also had a podcast with. Eric 02:08 Great.

Patient-Centered 118

Patient-Centered Hospital IT Illness 118

GeriPal

APRIL 10, 2025

I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. 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. They got training in Vital Talk and ELNEC. They got feedback. So did it matter? Fernanda 01:16 I do have a song request.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

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

MARCH 28, 2024

I’m just stunned even writing that! We’ve come so far as a field. This isn’t to say we’ve “made it” – more to say that we’ve reached a new stage of maturation of the field – in which the evidence we are discussing is frequently high quality randomized trial level data. -@AlexSmithMD Transcript Eric: Welcome to the GeriPal podcast.

Consulting 116

Consulting Patient-Centered Patients IT 116

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.

Families 107

Families Family IT Patients 107

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

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

Practice-PC is an intentionally interprofessional and cutting edge year-long group continuing education course in palliative care for working professionals from all disciplines, in the Bay Area. It meets in-person, once a month, over nine sessions. First, the lyrics, that’s the main reason why I chose it. The theme is death. Lexy: JPSM.

IT 99

IT Patient-Centered Families Family 99

GeriPal

MARCH 7, 2024

But before we jump into that topic, John, do you have the song request for Alex? John: I do. It’s Jimmy Buffett’s song, Bubbles Up. It was on his last album. As you may know, Jimmy Buffett passed away in August of a rare skin cancer. When I heard Bubbles Up, I was really struck by two things. How do you see the light? You were a what?

Provider 119

Provider Illness IT Healthcare 119

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. What does it look like to take a palliative approach to severe mental illness?

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 Families 64

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

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 Patients Hospital 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

Summary Transcript Summary We’ve talked a lot about comprehensive dementia care on the GeriPal podcast but while the evidence is clear that these programs work, the uptake has been limited largely because there hasn’t been a strong financial case for it. It requires a fight. It’s been going on for many decades now. Malaz: I love it.

Patient-Centered 126

Patient-Centered IT Families Family 126

FDA Law Blog

JUNE 1, 2025

Getting back to manufacturer-sponsored DTC promotion, this was clearly a focus of OPDP enforcement in 2024: four out of the five Untitled Letters issued dealt with DTC promotion and three of these letters specifically targeted advertising that utilized a celebrity. Healthier populations are more productive.

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