Today's Hospitalist

MAY 9, 2025

OUR ENTIRE FIELD of hospital medicine grew out of the need to innovate to address the growing complexities of inpatient medicine. AI Implementation: key considerations Integrating new technology in a hospital requires careful planning and attention to detail. Clinician burnout and its impact on healthcare delivery: A narrative review.

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Patient-Centered Telemedicine Clinic Electronics 86

Physician's Weekly

JUNE 19, 2025

Patients with documented mental illness or substance use disorders (SUDs) continue to encounter a mixed—sometimes starkly divergent—quality of emergency department (ED) care when they present with chest pain, abdominal pain, or other non‑psychiatric complaints, according to a patient‑interview study published in Health Services Research.

Mental Health 52

Mental Health Physicals Patient-Centered Patients 52

Plum Health

MAY 22, 2023

As employees change their healthcare usage behavior, both primary and specialty care claims decrease. Easy access and relationship-driven care minimize long-term healthcare expenses and cut down on unnecessary urgent care and emergency room visits. We invite you to speak with a member of our team for more information.

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Primary Care PCP PCP Insurance 52

PEMBlog

OCTOBER 31, 2024

every year, leading to emergency department visits and hospitalizations. However, this large study shows that probiotics do not significantly shorten illness duration, improve symptoms, or reduce the need for additional medical visits. Introduction Acute gastroenteritis affects millions of children in the U.S.

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Hospital Illness Patients Provider 105

GeriPal

APRIL 27, 2023

The company has expanded its palliative care services through partnerships with hospitals and other managed care providers, according to AccentCare CEO Stephan Rodgers. Attendee 5: That we are so integrated into the very fabric of healthcare that it’s a no-brainer in every single discipline because you know what?

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Specialization Illness Healthcare Patient-Centered 93

GeriPal

MARCH 14, 2024

We talk with them about the epidemiology, assessment, and management of dysphagia, including the role of modifying the consistency of food and liquids, feeding tubes, and the role of dysphagia rehabilitation like tongue and cough strengthening. Eric: And why is it more common in hospitalized adults? This is Eric Widera. Alex: Yeah.

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IT Hospital Patient-Centered Individual 124

PEMBlog

JANUARY 21, 2025

Differentiating these pathogens based on clinical presentation is crucial for targeted management, minimizing unnecessary diagnostic tests, and optimizing healthcare resources. Managing acute gastroenteritis among children: oral rehydration, maintenance, and nutritional therapy. References Boktor SW, Hafner JW.

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Clinic Complication Diagnosis Illness 52

GeriPal

JANUARY 23, 2025

And our next guest is Amy Linsky, who’s a physician and researcher at the VA Boston Healthcare System and associate professor at Boston University University. Emily 06:11 Yeah, we definitely have a pill for every ill. I’m an internist, so when I hospitalize patients, 1 in 8 of my patients now takes pregabalin or gabapentin.

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Specialization IT Patient-Centered Medical 119

GeriPal

OCTOBER 13, 2022

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. Our first guest is a repeat guest.

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Complication Patient-Centered IT Patients 97

GeriPal

JUNE 8, 2023

And yet we’re also in a different place in diabetes monitoring and management. Should we use Ozempic (if we can find it) in patients with serious illness, which often results in undesirable and profound weight loss? Eric: And you can probably tell already, the topic at hand is diabetes management in late life. Happy to be here.

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Diabetes Management Patient-Centered Family 73

PEMBlog

SEPTEMBER 13, 2023

Recurrent epilepsy In children with known seizure disorders, a new seizure can be due to the seizure disorder itself as well as medication non-adherence, sub-therapeutic antiepileptic dosing, or a lowered seizure threshold due to an acutely ill state. Glucose We all need it.

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Patients Screening Illness Physicals 52

GeriPal

MAY 19, 2022

Dr. Akhila Reddy and colleagues study looking at converting hospitalized cancer patients from IV hydromorphone to PO morphine, PO hydromorphone, or PO oxycodone. And really, the best that had ever been looked at, especially in our population and sort of a cancer serious illness population. Landmark study. Is that right?

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IT Patients Individual Relationship 139

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. I didn’t know where they existed within the hospital. Eric 07:04 You actually created things like a curriculum for hospital medicine fellows in radiation oncology. Evie, welcome to GeriPal.

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Patient-Centered Referral Patients IT 102

GeriPal

MAY 8, 2025

We’ll discuss three recent clinical trials involving patients with serious illness, joined by our guests James Downar , Ali John Zarrabi , and Margaret Ross. We’re going to be talking about new research in psilocybin in serious illness. Vincent’s Hospital in Melbourne, Australia. This is Eric Widera.

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Illness IT Patient-Centered Patients 107

The Clinical Problem Solvers

MAY 2, 2022

Dr. Valtis is a 4th year Med-Peds Resident at Brigham & Women’s Hospital and Boston Children’s Hospital, and his research focuses on race and the utilization of security responses in the inpatient hospital setting. Yannis Valtis, Ebi Okah, and Carine Davila, about research in their respective fields.

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Healthcare Utilities Hospital Internal Medicine 52

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. These services go beyond treating illnesses; they aim to keep you healthy in the first place.

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Clinic Primary Care Doctor Primary Care Chronic Condition 52

GeriPal

JANUARY 18, 2024

In particular, we talk about Katie’s and Jesica’s paper in NEJM titled “ Juggling Two Full-Time Jobs — Methadone Clinic Engagement and Cancer Care ,” which described the difficulty in managing cancer pain and methadone for opioid use disorder. AMA PRA Category 1 credit(s) ™. Transcript Eric: Welcome to the GeriPal podcast. Jessie: Thank you.

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Illness Patient-Centered Screening IT 136

GeriPal

NOVEMBER 7, 2024

Summary Transcript CME Summary We recently published a podcast on palliative care for kidney failure, focusing on conservative kidney management. Today we’re going to focus upstream on the decision to initiate dialysis vs conservative kidney management. We also discuss (without trying to get too wonky!) Let it be (hint hint).

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Management Patient-Centered Patients IT 116

GeriPal

APRIL 14, 2022

On today’s podcast we talk with three experts on buprenorphine on why, when, and how to use it in serious illness. Adapting Palliative Care Skills to Provide Substance Use Disorder Treatment to Patients With Serious Illness . Management of chronic pain in the elderly: focus on transdermal buprenorphine. Transcript. Right, Katie?

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Illness Patient-Centered IT Patients 102

GeriPal

NOVEMBER 21, 2024

Alex 00:26 And we’re delayed to welcome Amanda Moment, who is a palliative care social worker at the Brigham and Women’s Hospital in Boston. Coping in the setting of serious illness. Coping in the setting of a serious illness about a patient encounter you had with somebody who used an. Amanda, welcome to GeriPal.

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Illness IT Patient-Centered Patients 125

GeriPal

DECEMBER 14, 2023

More recently Sharon Kaufman ‘s book And a Time to Die described the ways in which physicians, nurses, hospital systems, and payment mechanisms influenced the hour and manner of patient’s deaths. Today Liz Dzeng discusses her journey towards studying this issue in detail. I guess the VA is federal though. Liz: Right.

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Hospital IT Patient-Centered Patients 125

GeriPal

JANUARY 25, 2024

Summary Transcript Summary In a JAMA 2020 systematic review of palliative care for non-cancer serious illness, Kieran Quinn found many positives, as we discussed on our podcast and in our editorial. He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life.

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Patient-Centered IT Illness Patients 122

GeriPal

AUGUST 31, 2023

Summary Transcript Summary How do people react when they hear they have a serious illness? And some people, in addition or instead, engage in deep introspection on how to make meaning or live with or understand this experience of serious illness. Shock, “like a car is rushing straight at me” (says Bill Gardner on our podcast).

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GeriPal

SEPTEMBER 22, 2022

Coming off as rote and scripted during a serious illness conversation can have a similar off-putting impact on patients and families. One bump is just the classic pitfalls we often talk about in serious illness communication: being very jargony, very information focused, and just providing information. It flows very well. Eric: Yeah.

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Illness IT Patient-Centered Patients 101

GeriPal

DECEMBER 19, 2024

Still, we havent talked about integrating palliative care into psychiatry or in the care of those with severe mental illness. What does it look like to take a palliative approach to severe mental illness? Is “terminal” mental illness a thing? For more details, please click here. (AP AP Recruit Job No.

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Illness Mental Health IT Patient-Centered 101

GeriPal

JUNE 13, 2024

Summary Transcript Summary I always find cachexia in serious illness puzzling. In today’s podcast, we had the opportunity to learn from a renowned expert in palliative care, Eduardo Bruera, about cachexia and anorexia in serious illness. AMA PRA Category 1 credit(s) ™. Who do we have with us today? The Venn concept is wonderful.

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Illness Patient-Centered Patients IT 133

GeriPal

DECEMBER 8, 2022

As Thor notes, capturing patient stories has face validity as positively impacting the patients who share their stories and have them documented, and for the clinicians who get to truely and deeply know their patients in far greater depth than “what brought you to the hospital?” Wonderful work. Every Veteran has a story. Bennett, C.R.,

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Patient-Centered Illness Healthcare IT 115

GeriPal

FEBRUARY 22, 2024

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Today we talk with two psychologists who are deeply invested in addressing psychological aspects of care for people living with serious illness. That rings true to me.

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Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 28, 2022

GeriPal post on “fast food” style palliative care in chronic critical illness. Alex: And we are also delighted to welcome Areej El-Jawahri, who is an oncologist at Massachusetts General Hospital as well, who specializes in blood cancers. Additional links: Editorial on Areej’s study. Palliative care in lung and GI cancers. Transcript.

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Illness Hospital Patient-Centered Patients 110

GeriPal

OCTOBER 6, 2022

Earlier this year palliative care was the correct response to the following clue on the game show Jeopardy: From a Latin word for “to cloak”, it’s the type of care given to seriously ill patients to provide comfort without curing. We had tried to actually select people who didn’t have a serious illness. Marian: Thank you.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

GeriPal

DECEMBER 15, 2022

So during the dissertation, that was a method for my PhD research and that’s related to… I was learning about African American elders experiences of psych-social-spiritual healing and serious illness. Been in the hospital four times, vented, been told the story to her family, she won’t live.

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IT Patient-Centered Healthcare Illness 105

GeriPal

AUGUST 29, 2024

Summary Transcript CME Summary Serious illness communication is hard. During the podcast, we reference a newly released second-edition book that our guests published titled “ Navigating Communication with Seriously Ill Patients: Balancing Honesty with Empathy and Hope.” Eric 01:42 So we’ ve got an exciting topic today.

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GeriPal

OCTOBER 26, 2023

Today we talk with Sarguni Singh, hospitalist-researcher at the University of Colorado, Ann Henshaw, Occupational Therapist who teaches at George Washington and works clinically at Georgetown, and Tamra Keeney, Physical Therapist-researcher at Mass General Hospital and Harvard Medical School. Tamra, welcome to the GeriPal podcast.

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Patient-Centered Hospital Patients IT 132

GeriPal

FEBRUARY 27, 2025

Today we talk with experts Janet Ho, Sach Kale, and Julie Childers about opioid use disorder and serious illness. Eric 00:51 So we’re gonna be talking about caring for people with serious illness and substance abuse. Who has a song request for Alex before we talk about substance use disorder and serious illness?

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Patients Clinic Patient-Centered Illness 72

GeriPal

MAY 15, 2025

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Many were community hospitals. Participants were critically ill and intubated. What is sludge? The prognosis nudge did nothing.

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Patient-Centered Hospital IT Illness 116

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Alex End Well Talk [link] Resources on the PEACH Program Program Review Paper A recent publication in Longwoods Healthcare Quarterly reviewing the PEACH model. Michael’s Hospital in the Department of Family and Community Medicine.

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Healthcare IT Community Illness 100

GeriPal

JANUARY 16, 2025

Summary Transcript CME Summary Many older adults lose decision-making capacity during serious illnesses, and a significant percentage lack family or friends to assist with decisions. And so there’s complexity in Understanding how each state manages this. But they also did not do the DPOA for healthcare form.

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