Annals of Family Medicine

NOVEMBER 20, 2024

Context: The ability of healthcare professionals to assist transgender and gender diverse (TGD) people in accessing safe and effective care has been impacted by recent laws and policies imposed in many states, along with other public rights. members of one of the four CAFM organizations, selecting only active medical clinicians.

Healthcare 130

Healthcare Family Medicine DO Healthcare Professional 130

The Clinical Problem Solvers

APRIL 24, 2025

The episode highlights the importance of policy advocacy, culturally responsive therapy, and practicing cultural humility in mental health care. She served on the National Institute of Mental Health Advisory Council and the APA’s Council for Research. Dr. Kevin M.

Mental Health 52

Mental Health Community Hospital Appointment 52

The Clinical Problem Solvers

OCTOBER 18, 2022

Incarceration of BIPOC mothers 29:30 Health Impacts on Children and Young Adults with History of Parental Incarceration 35:24 Remedying Health of Women and Children Impacted by the Criminal Legal System 45:55 Key takeaways Episode Takeaways: Prisons are not places of healing.

Healthcare Professional 52

Healthcare Professional Healthcare Patient-Centered Mental Health 52

The Motivated MD

NOVEMBER 19, 2024

Last, but not least, I genuinely felt as if I was running out of ways to provide useful and entertaining financial content. Publishing post after post, week after week, while juggling my clinical burdens, family life, personal goals, my health… it just became too much. This has further eaten into my time. Catch you on the next post.

Finance 52

Finance Education Family Families 52

GeriPal

JULY 27, 2023

And very common symptom or coexists commonly with other health conditions and in medications that are used, impacted. But I’m also thinking about other health conditions and other medications that might be causing them trouble. Sometimes that’s medications. Cathy, what would you say? Eric: Yeah.

Illness 85

Illness IT Medical Clinic 85

GeriPal

OCTOBER 24, 2024

David is a physician who wrote the book “ Stoned: A Doctor’s Case for Medical Marijuana ” and gave a TED talk on “ A Doctor’s Case for Medical Marijuana ” that was watched over 3 million times. Eloise is a palliative care NP at Stanford and co-founder of The Radicle Health Clinician Network. Eric 01:34 Yeah.

Medical 98

Medical IT Patient-Centered Healthcare 98

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

My Green Doctor

JULY 2, 2025

Without closing this gap, healthcare systems everywhere will struggle to meet rising demands, especially in vulnerable communities where climate change is accelerating inequality and suffering. It is time to transform healthcare systems to be climate resilient. Sources: World Health Organization. Link European Investment Bank.

Healthcare 52

Healthcare Healthcare Professional Management Community 52

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

You’re independent, drive in and out, and the more help you need, so for example, now you need somebody to help with medication administration. People saw that there were people who needed to have supportive care, didn’t need to have the level of nursing that was provided in nursing homes, and there was money to be made.

Community 97

Community IT Mental Health Medical 97

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. Eric 00:51 And Alex, who do we have with us today?

Illness 101

Illness Mental Health IT Patient-Centered 101

GeriPal

JUNE 19, 2025

And so when I had decided to socially, medically, and surgically transition, I had to really sit down with members of the department and really did a lot of in services. Knowing that the community is really underrepresented in sort of our knowledge, what we do, how we provide care that’s truly inclusive and welcoming.

Individual 85

Individual Community IT Chronic Condition 85

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

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

APRIL 13, 2023

Check out some of their recent work, including: Dr. Holt-Lunstad’s and Dr. Perissinotto’s powerful perspective piece in the New England Journal of Medicine which provides a clinical framework for addressing loneliness and social isolation. We’ll talk about is it in medical practice yet? Eric: You’ve timed it perfectly.

IT 99

IT Community Patient-Centered Medical 99

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

APRIL 14, 2022

Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . Zachary: I mean, I did my med school and residency training in Louisville, Kentucky, and I had a second year med student lecture from Joe Rotella who was, I think the chief medical officer at Hospices at the time.

Illness 102

Illness Patient-Centered IT Patients 102

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. He is a pulmonologist and critical care physician. Brian: Thanks so much.

Illness 109

Illness IT Family Families 109

GeriPal

SEPTEMBER 7, 2023

So falls, mobility concerns, polypharmacy, comorbidities, nutrition, social support, and mental health. He had a very aggressive lymphoma, highly aggressive, with a lot of different medical conditions. I slowly introduced higher doses as he recovered from his medical conditions that were acute. And he did beautifully.

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 Family Families Physicals 137

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. AMA PRA Category 1 credit(s) ™. Katie: Yeah. Jessie: Right.

Illness 136

Illness Patient-Centered Screening IT 136

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

FEBRUARY 20, 2025

Summary Transcript CME Summary Trauma is a universal experience, and our approach as health care providers to trauma should be universal as well. And we often do, as healthcare providers, care for people who are going through traumatic events, through just being sick in the hospital or a home or dying at home.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

MARCH 30, 2023

This week we’ve invited three guests to share their stories about storytelling that’s written for healthcare providers. We’ve also love to hear from you on twitter and facebook your own experiences writing for the medical world (and please include links!) The first guest is Liz Salmi. This is Eric Widera.

IT 95

IT Patient-Centered Patients Healthcare 95

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.” Really important person, who later in his life got very interested in healthcare.

IT 99

IT Patient-Centered Family Families 99

GeriPal

FEBRUARY 13, 2025

Like, would you include the doctors that I work with, healthcare providers where I live in Marin? And then I’d also imagine from a quality of life perspective, like a one time visit by a palliative care provider, I can’t imagine it really significantly improving quality of life unless there was robust like the symptom.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

DECEMBER 7, 2023

What do we do to very concretely provide heat shelters and cool shelters? So it’s hard to know about individual practice when I think of geriatrics or geriatric nursing because a lot of the solutions are really broad scale public health initiatives are needed, don’t you think? Ruth: Right. And then access to those.

Healthcare 129

Healthcare IT Education Hospital 129

GeriPal

JULY 6, 2023

It was designed to really balance what Medicaid at the time was to provide nursing homes and Medicare is obviously health insurance. The long-term care is being actually provided in the community at a much higher rate than what the formal system provides. But, what you need is a community-based game there.

Community 89

Community Nurse Practitioner Provider IT 89

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. question used to screen for domestic violence.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

SEPTEMBER 19, 2024

So at our cancer center, we have physicians, advanced practice providers. They had access to the cancer center resources, but they didn’t have access to sort of regular contact with palliative care mental health professionals. As Pahlavi said, you could refer to other providers. Was that the same at MGH for.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

APRIL 20, 2023

When they think about homelessness, their mind goes to what I would call the individual risk factors, things like having a substance use disability or mental health disability. It is completely disconnected, like a scatter plot, between things like rates of substance use and mental health. Those are structural factors.

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. 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 105

Patient-Centered Physicals IT Patients 105

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

FEBRUARY 24, 2022

And it was really good for my mental and physical… Physical health, obviously, but mental health really. And then you can make a medical recommendation that matches with what they’ve told you. And I also think, we still operate under pay for… We get paid for the services we provide, right?

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.” Diane: Yeah.

Patient-Centered 125

Patient-Centered IT Family Families 125