GeriPal

NOVEMBER 9, 2023

Because all of us understand how much the healthcare professions, and especially public health, just got whacked big time by a whole bunch of stuff, including COVID. 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.

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Board-Certified IT Primary Care Referral 110

GeriPal

MAY 11, 2023

Should do medicine?” ” Because I loved internal medicine. The post Prevention of Dementia: Kristine Yaffe appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. I was a psychobiology major, surprise, surprise, one of the first at Yale. Should I do neuro?

Physicals 85

Physicals IT Hypertension Education 85

GeriPal

JUNE 12, 2025

Eric 00:42 So on this podcast, we’re gonna be talking about what every healthcare provider should know about radiation oncology. 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. Evie, welcome to GeriPal.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

DECEMBER 8, 2022

Heather Coats is hard at work establishing the evidence base for the power of capturing patient stories in healthcare settings, for those health systems that need a little more convincing. . My Life, My Story: VA’s healthcare improvements through deliberate storytelling – YouTube. Wonderful work. Every Veteran has a story.

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Patient-Centered Illness Healthcare IT 115

GeriPal

JANUARY 16, 2025

So like as an example, in New York State, if someone has no healthcare proxy that they’ve designated, there is a legal structure by which we can assign a surrogate, whereas other states don’t have that same structure. But they also did not do the DPOA for healthcare form. So there’s no healthcare surrogate.

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

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

DECEMBER 15, 2022

Tell me how your illness has impacted your relationships with others, your healthcare team, your family, friends, your beliefs, your values, your preferences. And now my program of research is around testing that person-centered narrative intervention or PCNI because you have to give them an acronym in healthcare.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

MAY 22, 2025

Just encourage patients and families to bring music into their healthcare experience. There’s a small book called Music and Creativity in Healthcare Settings written by Hilary Moss. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. I was going to.

IT 96

IT Patient-Centered Patients Board-Certified 96

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. . That was one thing.

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Illness IT Family Families 109

GeriPal

MARCH 6, 2025

-Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. I always knew that I wanted to get into healthcare, to use healthcare as a springboard for social change in our communities. Have you thought about that?

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Healthcare IT Community Illness 100

GeriPal

DECEMBER 5, 2024

And it was born when I was a medical resident at UCSF Internal Medicine. There’s obviously a lot of flaws in the healthcare system. Emily 10:22 We are, we were very happy to receive a grant from the ABIM American Board of Internal Medicine to develop a podcast series on the topic of uncertainty in medicine.

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IT Community Patients Family 107

GeriPal

OCTOBER 17, 2024

The challenge is, it’s easy to say, oh, yeah, talk to them in a few days, talk to them in a week, have them come back every other week, because the time constraints and the way our, our healthcare system is built, the people at the greatest risk are these more vulnerable people.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . And so here’s a picture of four healthcare providers behind bars. ” The first healthcare provider said, “I said withdrawal of care. Alex: And you published in Washington Post, Annals of Internal Medicine. Like, oh no, I said it.

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IT Hospital Patients Illness 145

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. For example, here’s a quote from somebody at a high intensity hospital, “There’s a culture from the top of the healthcare system down.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

MAY 18, 2023

First is we had a podcast recently about gabapentin, and I know we’d mentioned Mike’s prior study in Annals of Internal Medicine on off-label use of gabapentin. Alex: I have two more questions before Eric gets to his magic wand. Where does gabapentin fall out on the Beers criteria? Eric: I think it was under the renal.

Medical 97

Medical IT Patients Clinic 97

GeriPal

MAY 15, 2025

This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. Alex 06:20 Can I what’s the healthcare equivalent to the Starbucks coffee? Inside or outside of healthcare? Prior-auth forms? Examples of nudges, some based in health care, others in coffee. Eric 06:19 Oh yeah.

Patient-Centered 116

Patient-Centered Hospital IT Illness 116

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? The general clinic is called the Internal Medicine Recovery Engagement Program, and our clinic is the Palliative Recovery engagement Program, or PrEP.

Patients 72

Patients Clinic Patient-Centered Illness 72

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. Turns out, in summary people who initiate dialysis have mildly longer lives, but spend more time in facilities, away from home.

Management 116

Management Patient-Centered Patients IT 116

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

APRIL 10, 2025

It was really at the level of the ED across 33 EDs in random order, and then tried to see if we could make a difference in healthcare utilization, primarily the primary outcome was admission to the hospital, acute care admission. Do they have documents in the record like medical orders for life sustaining treatment or a healthcare proxy?

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

GeriPal

FEBRUARY 20, 2025

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. But I think there’s less nuance and understanding in the general population or even in healthcare providers, honestly. Annals of Internal Medicine.

IT 66

IT Patient-Centered Screening Patients 66

GeriPal

APRIL 24, 2025

And that was the last time that he’d been seen by our healthcare system. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program. And the note reflects a very angry response. I can’t believe we’d give up on being. I’m going to beat this thing.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

FEBRUARY 13, 2025

Like, would you include the doctors that I work with, healthcare providers where I live in Marin? They do the homework they talk about then with their doctor or their healthcare provider. It’s a lot easier to look in the medical record and see what healthcare utilization looked like at the end of life. Yael 21:10 Yeah.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

AUGUST 24, 2023

And it’s a bit of a hokey title, but what I try and impress on readers there is that, the reflection that patients see of themselves, at least metaphorically in the eye of the healthcare provider, needs to be one that is affirming of patient dignity. I mean, we all give lip services saying, “Person-centered care is important.”

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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. Caroline: And I love how you highlight the importance of these staff biases, perhaps implicit bias that is driving some of these healthcare decisions. Rehabbed to Death.

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Nurse Practitioner Hospital Family Families 60

GeriPal

MAY 29, 2025

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.

Family 93

Family Families IT Patient-Centered 93

GeriPal

MARCH 31, 2022

Oh, is emeritus professor at UCSF, internal medicine. The post Poetry about Aging: Marilyn McEntyre and Guy Micco appeared first on A Geriatrics and Palliative Care Podcast for Every Healthcare Professional. I’ve thought Steve can do it. Steve had a very special ability in that. So Guy go on.

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IT Patients Medical Illness 70

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. She has illustrations of clinician moral distress and coping. Lingsheng, welcome back to GeriPal.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

MARCH 20, 2025

Yeah, but I mean, in healthcare you need to appreciate the risks, benefits and alternatives of the proposed intervention. It’s a, it’s a, it’s a past self directing healthcare for a future self. MOC points per podcast in the American Board of Internal Medicines (ABIM) Maintenance of Certification (MOC) program.

IT 87

IT Patient-Centered Patients Medical 87

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. AMA PRA Category 1 credit(s) ™. Great to be here.

IT 116

IT Diabetes Chronic Disease Patient-Centered 116

GeriPal

JULY 6, 2023

Eric: Which is, so let’s say I am a provider, a healthcare provider taking, let’s say a nurse practitioner working in an older, a clinic that’s mainly caring for older adults. Really, to be a bridge between whether it’s a health plan on the healthcare side, Greg mentioned a hospital discharge, which is so common.

Community 89

Community Nurse Practitioner Provider IT 89

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

APRIL 21, 2022

Then it really wasn’t until I got into medicine, medical school and residency, that I discovered poetry per se, and a mentor commented, I think to a number of us on this podcast, Steve McKee introduced me to poetry. ” Alex: Mm-hmm (affirmative). ” Mike: So very often, I use poems with trainees, with clinicians in general.

Patient-Centered 93

Patient-Centered IT Community Illness 93

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

JULY 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.

Family 106

Family Families Patient-Centered IT 106

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. So ultimately, you know, we had to get buy in at. Is that right?

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

AUGUST 15, 2024

Lingsheng (and I) recently published studies on this in JAMA Internal Medicine , and JAGS. We do talk about healthcare policy. Eric 41:38 Well, I wonder if my last question, all three of you, if you had a magic wand around this issue, you can change one thing that clinicians do, healthcare systems do. Anybody do.

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Mental Health Community Screening IT 116