GeriPal

JANUARY 23, 2025

Summary Transcript CME Summary Its another deprescribing super special on today’s GeriPal Podcast, where we delve into the latest research on deprescribing medications prescribed to older adults. Eric 00:04 And Alex, we ve got another deprescribing super special with us today. This is Eric Widera. Alex 00:03 This is Alex Smith.

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Specialization IT Patient-Centered Medical 119

GeriPal

AUGUST 4, 2022

A year ago we did our first “Deprescribing Super Special”. Next up, we chat with Liz Bayliss about her JAMA IM article that studied whether increasing awareness about deprescribing prior to primary care visits can reduce the use of potentially inappropriate long-term medications for individuals with cognitive impairment.

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Specialization Medical Patient-Centered Provider 104

GeriPal

JULY 19, 2024

Lastly, Soo Borson is a self-described primary care leaning geriatric psychiatrist, developer of the Mini-Cog, and co-leads the CDC-funded BOLD Center on Early Detection of Dementia. Alex 00:09 We are delighted to welcome S oo Borson, who is a primary care oriented geriatric psychiatrist. Who do we have with us today?

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Screening Primary Care Patient-Centered IT 119

GeriPal

NOVEMBER 9, 2023

Today we learn more about coaching from 3 coaches: Greg Pawlson, coach and former president of the American Geriatrics Society, Vicky Tang, geriatrician-researcher at UCSF and coach , and Beth Griffiths, primary care internist at UCSF and coach. Eric: … in geriatrics as a primary care doctor? Beth: Thank you.

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Board-Certified IT Primary Care Referral 110

Mesa Family Physician

MARCH 13, 2025

However, at Mesa Family Physicians , we believe that preventive healthcare is the cornerstone of long-term wellness for our Mesa, Arizona community. Regular visits to your primary care physician at Mesa Family Physicians provide opportunities for early detection of potential health issues before they become serious problems.

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Family Physician Preventive Care Preventative Care Family 100

Plum Health

OCTOBER 11, 2024

Have you ever found yourself in need of medical attention but overwhelmed by the myriad of clinics and healthcare options out there? Navigating the healthcare system can be daunting, especially when you're unwell or caring for someone who is. Building a relationship with your primary care doctor should be a priority.

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Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

MAY 11, 2023

It’s just another example of, I think, that there’s a little extra special sauce there in the Beeson program. We also worked a little bit with the primary care team certain of the risk factors. Did they want to do classes; did they want to do an app? And they would set goals. Then it was two years, like FINGER.

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Physicals IT Hypertension Education 85

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. However, for many high-income healthcare professionals, investing in more than just one’s employer retirement plan will be commonplace. So yes, humans make mistakes.

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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.

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Patient-Centered IT Illness Patients 122

GeriPal

OCTOBER 17, 2024

Because I think we have someone special, a guest host. Alex 00:12 We have a guest host who has requested this episode, Matt Shuster, who’s a geriatrician and palliative care doc. And also I was in the HVMA primary care program. So kind of from a primary care point of view, the guys are doing okay.

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Primary Care Patient-Centered IT Patients 113

GeriPal

OCTOBER 10, 2024

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

Screening 119

Screening IT Family Families 119

GeriPal

MAY 25, 2023

And, you know, I really leaned in from my perspective as a primary care geriatrician to hearing from what my patients and their family caregivers are asking me for and asking me about, and they’re asking me about how they can prepare. Hillary: I certainly agree lots to think about. Hillary: So those all differ.

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Community IT Patient-Centered Primary Care 95

GeriPal

SEPTEMBER 7, 2023

So I make the point, they often say, “Oh, you have this special population,” like pediatrics, where it’s 10% or something. To start with assessing all these syndromes and palliative care related problems and geriatric syndromes, so that we can create interventions that allow people to receive the cutting edge therapies.

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Patient-Centered IT Patients Clinic 129

GeriPal

APRIL 4, 2024

Arguing for the state of Missouri against the Cruzan’s was Ken Starr, who would later be assigned the role of special prosecutor in the investigation of the Clintons (Whitewater, Lewensky, etc). The hospital refused without a court order, and the case eventually made its way to the Supreme Court. AMA PRA Category 1 credit(s) ™. Alex: Bernie.

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Family Families Patient-Centered IT 112

GeriPal

JUNE 5, 2025

Despite these substantial needs, specialized palliative care beyond hospice is rare in nursing homes. Furthermore, only about half of nursing home residents nearing the end of life receive hospice care. So, how can we improve palliative care for individuals in nursing homes? What do we know about. Go ahead, Alex.

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GeriPal

JUNE 16, 2022

We’ve invited some very special guests to talk about the lower urinary tract – Christine Kistler and Scott Bauer. . And in my medical training, becoming a primary care doctor, I realized that older adults, women and men were having a lot of these same symptoms. On today’s podcast, we are gonna bust some of those myths.

Management 122

Management IT Medical Patient-Centered 122

GeriPal

DECEMBER 5, 2024

So has a special resonance for, I think, a lot of people who are Tragically H ip fans. There’s obviously a lot of flaws in the healthcare system. And I turned to my dad and I said, I think mom needs palliative care. And she did have a primary care doctor. It was my first concert without my parents.

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IT Community Patients Family 107

GeriPal

AUGUST 11, 2022

And so my first introduction to the field came with my first job in 1982, when I went to the Cambridge Hospital to do primary care and internal medicine. I think that we have focused on completely the wrong desired outcomes for advanced care… Well, let me start all over on that one. Was before the Medicare hospice benefit.

Illness 109

Illness IT Family Families 109

GeriPal

APRIL 10, 2025

Yael Shenkers negative study of primary palliative care for cancer , Randy Curtiss negative study of a Vital Talk-ish intervention , Lieve Van den Blocks negative study of primary PC in nursing homes. Should we give up on primary palliative care? Whats next for primary palliative care interventions in the ED?

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Patient-Centered IT Hospital Patients 77

GeriPal

MARCH 28, 2024

The idea is, if it works at MGH, that’s a special kind of a place, maybe they do palliative care differently, maybe they have better resources, would this work at other transplant centers that have different kinds of clinicians or that serve different kinds of patients; so we wanted to have diversity of sites and clinicians and patients.

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Consulting Patient-Centered IT Patients 115

GeriPal

AUGUST 31, 2023

What happened is we’re in the serious illness care business and so we were busy rolling out our serious illness conversations at Mass General and we were getting resistance, which we expected from oncology and primary care, but then we started getting resistance from the geriatricians.

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Illness IT Diagnose Medical 128

GeriPal

JUNE 9, 2022

Kate’s journey is in a way emblematic of the lack of centralized funding for palliative care: she’s received funding from three separate NIH institutes, the NPCRC, and been involved in the PCRC. And we keep on bringing up primary palliative care. Alex: We did one on patient care Centers for patients with cancer.

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Consulting Patient-Centered Diagnosis IT 99

GeriPal

FEBRUARY 20, 2025

You know, we may have known people, we may have cared for people who were dying. 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. So we all went through a pandemic. I guess that’s an event.

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IT Patient-Centered Screening Patients 66

GeriPal

SEPTEMBER 5, 2024

And Bill Andereck is still haunted by the decision he made to have the police break down the door to rescue his patient who attempted suicide in the 1980s, as detailed in this essay in the Cambridge Quarterly of HealthCare Ethics. They have a special skill, and when they see someone who needs it, they need to use it. And I was.

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Patients IT Patient-Centered Hospital 98

GeriPal

MARCH 10, 2022

She’s a geriatric nurse practitioner specializing in palliative care, and assistant professor at the University of Maryland School of Nursing. Caroline: And I love how you highlight the importance of these staff biases, perhaps implicit bias that is driving some of these healthcare decisions. Joan: Thanks.

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Nurse Practitioner Hospital Family Families 60

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. Jennifer, welcome to the GeriPal Podcast. Sydney 00:41 Thank you.

Primary Care 79

Primary Care IT Clinic Illness 79

GeriPal

MAY 1, 2025

I mean, treatment is really best done in a chronic or continuity setting, whether it’s in a primary care setting or some other. But I think primary care clinicians, geriatricians, should be able to do at least the basic management and HIV care. In San Francisco, HIV care was more specialized in that.

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Primary Care IT Provider Clinic 94

GeriPal

JUNE 6, 2024

On today’s podcast Areej El-Jawahri, oncologist specializing in blood cancers at MGH, says that sexual health is one of the top if not the top issue among cancer survivors. Alex 00:06 We are delighted to welcome back Areej El-Jawahri, who’s an oncologist at Massachusetts General Hospital who specializes in blood cancers.

Illness 130

Illness IT Physicals Patients 130

GeriPal

JULY 7, 2022

Haider: Yeah, this is a special song. So Eric Cassell, for folks who don’t know, was a primary care physician. But really was a seminal pioneering figure in the field of bioethics, palliative care, et cetera. Eric: I don’t think we’re going to mention the cardiovascular system during this podcast.

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Patient-Centered Physicals IT Patients 105

GeriPal

APRIL 20, 2023

Alex: But the longer title’s Ethno-Geriatrics and Special Populations. ” I take care of a lot of patients where I’m like, “Gosh, this person needs a geriatrician, but they’re 52.” So they need mainstream healthcare, and they need housing support. But nothing in healthcare. Margot: Yes.

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Mental Health IT Community Individual 123

GeriPal

SEPTEMBER 14, 2023

We had, since the late seventies, a home-based primary care program. And we would provide ongoing longitudinal care to them in the home, much like the Mount Sinai Visiting Doctors programs, and other programs like that. We relied on our clinical experience as geriatricians, that home-based primary care experience.

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Hospital Patient-Centered Supply Chain IT 115

GeriPal

JULY 20, 2023

I’ll just add one other thing that we would ask for, and it really was in the Ryan Haight Act and that is that there was supposed to be a mechanism to get a special certificate that would allow you to prescribe through telehealth without a face-to-face that was supposed to happen before the pandemic was never implemented. Joe: Yeah.

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Telemedicine Telehealth Patient-Centered Board-Certified 73