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

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. Widera and Smith have no relationships to disclose. Guests Alex Gamble and Brianna Williamson have no relationships to disclose. AMA PRA Category 1 credit(s) ™. Eric 24:51 Yeah.

Illness 129

Illness IT Diagnosis Patient-Centered 129

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. Relationships are usually more complicated. Widera and Smith have no relationships to disclose. So it, it really goes any direction.

IT 96

IT Patient-Centered Patients Board-Certified 96

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.

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

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?

Healthcare 100

Healthcare IT Community Illness 100

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

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.

Illness 109

Illness IT Families Family 109

GeriPal

DECEMBER 5, 2024

So I think just as much as we focus on the science and the evidence, it’s important to think about the art of how we apply that to people and the relationships and all of the great fun stuff, the stories that unfold in the exam room alongside the science itself. And it was born when I was a medical resident at UCSF Internal Medicine.

IT 107

IT Community Patients Families 107

GeriPal

OCTOBER 17, 2024

Because sometimes they have much more longstanding relationships with these patients than me meeting them for a slice in time and trying to shuffle the deck, so to speak. They may have a long relationship with that cardiologist, so it requires some collaboration. But another layer I would add to it is also maybe more patient centric.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

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

MAY 18, 2023

I feel like geriatricians have a, maybe it’s more of a hate/hate relationship with NSAIDs right now. Ruining the patient doctor relationship because you get into a fight about what anti-coagulants should be on. But it doesn’t mean avoid it in all situations. In many situations it might be a great choice.

Medical 97

Medical IT Patients Clinic 97

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. Widera and Smith have no relationships to disclose. AMA PRA Category 1 credit(s) ™.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

APRIL 28, 2022

Times , The BMJ , and Annals of Internal Medicine. . Because just like in the bedside space, if you are using humor in a way that builds bonds and relationships with the patient can be really beautiful, and normalizing. And so here’s a picture of four healthcare providers behind bars. Like, oh no, I said it.

IT 145

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

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 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

APRIL 24, 2025

And that was the last time that he’d been seen by our healthcare system. And so often, like, if you have a good relationship with them and you can understand what that root is, there’s so many other ways to come at it and they’re willing to back away. Widera and Smith have no relationships to disclose.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

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. Much more about relationships has been my experience. And so we have to teach clinicians the art of relationship.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

MAY 29, 2025

This is, you know, has to do with our personal relationship. And there’s like the emphasis on the relational component and what that means in terms of the relationship between the caregiver and the patient and the person. Widera and Smith have no relationships to disclose. Like, you’re really feeling yourself today.

Family 93

Family Families IT Patient-Centered 93

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 Individual Screening 66

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. Widera and Smith have no relationships to disclose. But it’s a risk, right? AMA PRA Category 1 credit(s) .

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. Widera and Smith have no relationships to disclose. Guests Anna Pleet, Elizabeth Eckstrom, and Emily Johnston have no relationships to disclose. Great to be here.

IT 116

IT Diabetes Patient-Centered Chronic Disease 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 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. So my only question is what my relationship will be to suffering. Mike: Yeah. Thank you.

Patient-Centered 93

Patient-Centered IT Community Illness 93

GeriPal

APRIL 11, 2024

Widera and Smith have no relationships to disclose. Guests Joshua Briscoe, Bryanna Moore, Jennifer Blumenthal-Barby & Olubukunola Dwyer have no relationships to disclose. Designation University of California, San Francisco, designates this enduring material for a maximum of 0.75 AMA PRA Category 1 credit(s) ™.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128

GeriPal

APRIL 26, 2024

Widera and Smith have no relationships to disclose. Guest Betty Ferrell has no relationships to disclose. I don’t know if you all saw, but there was a beautiful essay today in JAMA Internal Medicine by Randy Curtis’s wife and daughter about his end-of-life experiences. AMA PRA Category 1 credit(s) ™.

Patient-Centered 119

Patient-Centered IT Patients Consulting 119

GeriPal

JULY 25, 2024

Widera and Smith have no relationships to disclose. Guests Kara Bischoff, James Deardorff, and Elizabeth Lilley have no relationships to disclose. Eric 19:11 Yeah, I love that, too, because I always think about healthcare systems, too. AMA PRA Category 1 credit(s) ™. And, Liz, this is why I really liked your paper.

Family 106

Family Families Patient-Centered Patients 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. Widera and Smith have no relationships to disclose. Is that right?

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 7, 2022

Well, Haider has an intimate relationship with pain, having experienced chronic pain himself and now having dove deep into the latest research on pain for his new book The Song of Our Scars: The Untold Story of Pain. . And I was an internal medicine resident. This is a tough situation. It puts patients at risk. Alex: Yeah.

Patient-Centered 105

Patient-Centered Physicals IT Patients 105

GeriPal

FEBRUARY 2, 2023

” And it’s about her relationship to her therapist at the same time, she’s also a therapist, so it’s about the people that she saw in therapy. Bob: Because they did it as an internal medicine residents do it all the time. ” But her book is really about, “My boyfriend broke up with me.

IT 104

IT Medical Student Medical Families 104

GeriPal

DECEMBER 12, 2024

Ill end this intro with a quote from Deb Grady in an editors commentary to our thought piece in JAMA Internal Medicine about this topic: Voice technology that creates a searchable database of patients every encounter with a health care professional? Jenny, welcome back to GeriPal. Jenny 01:27 Thanks. Good to be here.

Patient-Centered 108

Patient-Centered IT Patients Healthcare 108

GeriPal

JUNE 2, 2022

NIH study about long COVID published the day before in Annals of Internal Medicine. But this was a family practice study where they randomized 500 healthcare providers to wear surgical masks in routine interactions, 500 to not wear masks, no difference in like anyone getting colds or anything. Our World in Data COVID graphs.

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Vaccination IT Hospital Management 100