The Medical Futurist

JUNE 2, 2025

For centuries, we have administered medical aid through a pill bottle or, in more serious instances, an IV drip. Defining DTx Digital therapeutics deliver evidence-based therapeutic interventions driven by high-quality software programs to prevent, manage, or treat a medical disorder or disease. It’s a fascinating question.

Healthcare Professional 69

Healthcare Professional Patients Management Mental Health 69

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. Pearls “Prisons and jails are not healing spaces [.]

Healthcare Professional 52

Healthcare Professional Healthcare Patient-Centered Mental Health 52

The Motivated MD

NOVEMBER 19, 2024

I want to see where this goes and I want to create a helpful work that is short, efficient, digestible, and helps any and all healthcare professionals master the basics of personal finance in a single read. These include my marriage, my family, my career, and my physical and mental health. Catch you on the next post.

Finance 52

Finance Education Family Families 52

The Clinical Problem Solvers

AUGUST 25, 2020

Hardeman on police brutality and a public health agenda 24:00 Understanding this moment (COVID-19 and George Floyd) 29:00 The #SayHerName campaign and police brutality’s effects on women 33:00 Emmett and Mamie Till 44:00 Policing in healthcare settings 54:00 What can we start doing tomorrow? Stolen Breaths.

Community 52

Community Patient-Centered Education Relationship 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

My Green Doctor

JULY 2, 2025

Green Practice News The Climate Issue June 2025 In This Issue : Once a year, Green Practice News focuses on the health consequences of global climate change. Here we suggest steps that healthcare managers and clinicians can take to protect their patents. It is time to transform healthcare systems to be climate resilient.

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. Or is that your medications causing that? Or does it?

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. But why I decided to look at medical and mental health care and assisted living. With rich, white people who want to have their medications given to them.

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. Jace 29:36 We see higher rates of mental health challenges that I think are due to overcoming adversity. Eric 04:53 How is it public? Noelle Marie 04:57 Yeah.

Individual 85

Individual Community IT Chronic Condition 85

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

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

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 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 Clinic 136

GeriPal

SEPTEMBER 7, 2023

So falls, mobility concerns, polypharmacy, comorbidities, nutrition, social support, and mental health. But I think if I were under normal constraints of the healthcare system, I wouldn’t have that time. He had a very aggressive lymphoma, highly aggressive, with a lot of different medical conditions. William: 80%.

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

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. The social determinants of health and what community well being was a big part of. those experiencing homelessness).

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

APRIL 13, 2023

Julianne: It’s interesting because I think I read somewhere that a finding in science often takes about, on average, 17 years to make it into medical practice. We’ll talk about is it in medical practice yet? She tried to extend conversations beyond what was medically, I think, necessary for the encounter.

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IT Community Patient-Centered Medical 99

GeriPal

APRIL 14, 2022

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. This delineation of you can use the same medication for one indication without training. Janet: Great question.

Illness 102

Illness Patient-Centered IT Patients 102

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!) What motivated you to reach out to the healthcare audience in this way?

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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.” These hick pick codes are available to any chaplain in a healthcare system.

IT 99

IT Patient-Centered Family Families 99

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

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. So we all went through a pandemic.

Patient-Centered 66

Patient-Centered IT Screening Patients 66

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.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

DECEMBER 7, 2023

So our elders who are people of color, people who live in places that are already challenged by poor air quality and those things and access to healthcare, they also have greater risks. So the things that Karl mentioned, but also access to healthcare during a disaster or even heat. Why is it up to the healthcare system?

Healthcare 129

Healthcare IT Education Community 129

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. We do talk about healthcare policy.

Mental Health 116

Mental Health Community Screening IT 116

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. 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.

Community 89

Community Nurse Practitioner Provider IT 89

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 Community IT Individual 123

GeriPal

SEPTEMBER 19, 2024

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. And then we also didn’t give them access to palliative care social work on the stepdarmouse. Was that the same at MGH for. So there’s some trade offs there.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

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

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