The Clinical Problem Solvers

JUNE 14, 2021

[link] Sue Ellen presents a clinical unknown to Nick, Jennifer, and Dan Schema Episode Quiz Nicholas Hornstein Nicholas Hornstein is a PGY-3 at UCLA Ronald Reagan Medical Center. He will be furthering his education next year with a Fellowship in Hematology Oncology at MD Anderson Cancer Center and couldn’t be more excited.

Internal Medicine 52

Internal Medicine Patient-Centered Primary Care Education 52

The Clinical Problem Solvers

OCTOBER 23, 2019

Redfield is a third-year internal medicine resident at Thomas Jefferson University Hospital. She is a graduate of University of Maryland and received her MD from University of Texas Health Science Center in San Antonio. Outside of the hospital, he enjoys cooking, podcasting, and escape rooms.

Internal Medicine 52

Internal Medicine Hospital Mental Health Education 52

The Clinical Problem Solvers

JANUARY 18, 2023

She obtained her medical degree from the University of Virginia School of Medicine and completed internal medicine residency at the Massachusetts General Hospital. She then completed both her Cardiovascular Disease and Advanced Heart Failure and Transplant Cardiology fellowships at the University of Pennsylvania.

Clinic 52

Clinic Internal Medicine Patient-Centered Healthcare 52

The Clinical Problem Solvers

APRIL 19, 2020

Download CPSolvers App here Patreon website Human Dx case Schema Dr. Alec Rezigh Alec Rezigh is a third-year internal medicine resident at The University of Colorado. Dr. Austin Rezigh Austin Rezigh is a third-year internal medicine, primary care track resident at the University of Colorado. Alec and Austin Rezigh.

Internal Medicine 52

Internal Medicine Medical Student Patient-Centered Primary Care 52

The Clinical Problem Solvers

MAY 7, 2019

Lev Malevanchik completed medical school at Thomas Jefferson University and is finishing his third year of internal medicine residency at the University of California, San Francisco. She completed medical school at the Johns Hopkins University School of Medicine.

Clinic 52

Clinic Internal Medicine Patient-Centered Education 52

The Clinical Problem Solvers

MAY 10, 2020

Dereck Paul Dereck Paul is a 4th-year medical student at the University of California, San Francisco School of Medicine and applying into residency this fall. He studies the relationships between homelessness and health under Dr. Margot Kushel at the UCSF Center for Vulnerable Populations.

Medical Student 52

Medical Student Patient-Centered Internal Medicine Primary Care 52

The Clinical Problem Solvers

APRIL 24, 2024

Driven by a deep desire to understand patient concerns, Hans wanted to go beyond pharmaceutical care. While in medical school, the virtual morning reports, Clinical Problem Solvers, unleashed his passion for solving complex patient cases. The blend of medicine and pharmacy will markedly benefit patients.

Patient-Centered 52

Patient-Centered Internal Medicine Education Hospital 52

ABIM

JUNE 12, 2025

Expanding ABIM’s engagement with stakeholder communities such as early career physicians, specialty societies and patient-focused organizations. Looking at ABIM physicians, 11,374 physicians have been certified in geriatric medicine since it was first offered in 1988, with 4,740 currently maintaining a valid certification.

Board-Certified 52

Board-Certified Internal Medicine Government Community 52

The Clinical Problem Solvers

JUNE 26, 2023

Dr. Saha’s research focuses broadly on the influence of race and racism in the doctor-patient relationship, its relation to disparities in the quality of health care, and its implications for diversity in the healthcare workforce. He subsequently worked at OHSU and the Portland VA for 2 decades before moving to Johns Hopkins University.

Electronics 52

Electronics Internal Medicine Patient-Centered Healthcare 52

Medical Xpress

NOVEMBER 8, 2022

Researchers from the RTI-University of North Carolina (UNC) Evidence-based Practice Center, Research Triangle Park, NC developed a 3-step process to help health care systems identify high-need, high-cost (HNHC) patients. Identifying these patients at early stages can help control hospital and clinic costs.

Internal Medicine 73

Internal Medicine Patients Patient-Centered Hospital 73

GeriPal

JANUARY 23, 2025

Today, we explore four fascinating studies highlighting innovative approaches to reducing medication use and improving patient outcomes. Patients received brochures detailing the risks of gabapentinoids, nonpharmacologic alternatives, and a proposed deprescribing regimen (see here for the brochure ). in the usual care group.

Specialization 119

Specialization IT Patient-Centered Medical 119

Physician's Practice

JUNE 20, 2025

Reynolds Blog Article Innovative medical practices thrive by embracing change, prioritizing patient care and learning from setbacks to enhance success and satisfaction. Neil Baum, MD Successful practices do not follow others; rather, they make their own paths and follow their own pathways and agendas.

Management 52

Management Patient-Centered Appointment Patients 52

GeriPal

JUNE 12, 2025

Summary Transcript CME Summary If you’re anything like me, you might find the process of what happens to patients when they visit a radiation oncologist somewhat mysterious. Anish 01:02 Well, I speak, you know, from a physician lens of some of the patients that I get referred, and by the time there’s. This is not a good option.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

GeriPal

NOVEMBER 9, 2023

If they’re a beginning fellow, that’s a very different coaching situation than coaching the chief medical officer or the president of a medical center. I was coaching someone this morning, who really wanted to know, what does your clinic template look like, and how do you respond to patient messages? Beth: Yeah.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

Concierge Choice Physicians

APRIL 23, 2025

The Concierge Choice by CCP is a unique concierge medicine style that allows physicians to offer patients an exclusive membership program while maintaining their entire patient panel. Membership is simply an option for those patients who want the assurance they will always see their chosen physician for appointments.

Healthcare 130

Healthcare Internal Medicine Primary Care Appointment 130

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.

Hospital 125

Hospital IT Patient-Centered Patients 125

GeriPal

DECEMBER 8, 2022

Clinicians “catching” patient life stories. . Our patients aren’t “the 76 year old with heart failure in room 202,” as Heather Coats astutely noted. VA “gets” the importance of storytelling in medicine, without the need for reams of research to back it up. Journal of Palliative Medicine , 23 (6), [link]. Bennett, C.R.,

Patient-Centered 115

Patient-Centered Illness Healthcare IT 115

GeriPal

MAY 22, 2025

Jenny Chen is a palliative care fellow at Yale who regularly sings for her seriously ill patients. Jenny reached out to us because she plays music regularly for her patients, and she said, you should do a podcast about music. And I performed for many palliative patients, and that’s when I started to understand.

IT 97

IT Patient-Centered Patients Board-Certified 97

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. This specific study , published in JAMA Internal Medicine, was conducted in 17 ICUs in North Carolina. What is sludge?

Patient-Centered 117

Patient-Centered Hospital IT Illness 117

ABIM

JUNE 11, 2025

Expanding ABIM’s engagement with stakeholder communities such as early career physicians, specialty societies and patient-focused organizations. SHEA is developing an infectious disease fellows healthcare epidemiology curriculum that will be published in Infection Control & Hospital Epidemiology within the next few months.

Board-Certified 52

Board-Certified Government Community Education 52

ABIM

JUNE 24, 2025

Expanding ABIM’s engagement with stakeholder communities such as early career physicians, specialty societies and patient-focused organizations. Many hematologists maintain multiple certifications, the most common combination being hematology-medical oncology (9,280) and hematology-hospice and palliative medicine (176).

Board-Certified 40

Board-Certified Board-Certified Physicians Government Community 40

GeriPal

OCTOBER 17, 2024

We talk about what is heart failure, particularly HFpEF, how we treat it (including the use of sodium–glucose cotransporter-2 inhibitors (SGLT2’s), and how we should apply guidelines to individual patients, especially those with multimorbidity who are taking a lot of other medications. When I see a patient? Matthew, I get the lyrics.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

DECEMBER 15, 2022

Along the way we address: Is this degree of slowed cognitive decline meaningful to patients or care partners? Eric: So patient narrative storytelling, independent of what we call it, I’d like to turn to both of you and just how you got interested in this as a subject. She was a heart failure patient.

IT 105

IT Patient-Centered Healthcare Illness 105

GeriPal

JANUARY 16, 2025

So I think the first reason that we saw and felt the opportunity was ripe for updating was that some of us had come across some anecdotal examples of patients expressing some offense to that terminology. And I was asking this patient about if he had filled out an advanced directive. Is the patient in your descriptor?

Patient-Centered 109

Patient-Centered IT Patients Healthcare 109

GeriPal

NOVEMBER 7, 2024

If the purpose of initiating dialysis is improving function – our complex, frail, older patients are likely to be disappointed. 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.

Management 116

Management Patient-Centered Patients IT 116

GeriPal

FEBRUARY 27, 2025

We address: Why is caring for patients with this overlap so hard? 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? Who follows the patient once the cancer goes into remission?

Patients 73

Patients Clinic Patient-Centered Illness 73

GeriPal

APRIL 10, 2025

I asked emergency medicine clinicians what they thought when a patient who is seriously ill and DNR comes to the ED, and some responded, (paraphrasing), what are they doing here? This is not why I went into emergency medicine. I went into emergency medicine to act. I went into emergency medicine to act.

Patient-Centered 77

Patient-Centered IT Hospital Patients 77

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. .

Illness 109

Illness IT Family Families 109

GeriPal

MARCH 3, 2022

A little over a decade ago, Ken Covinsky wrote a GeriPal post about a Jack Iwashyna JAMA study finding that older adults who survive sepsis are likely to develop new functional and cognitive deficits after they leave the hospital. Shunichi Nakagawa’s Tweet that went viral on responding a patient request to drink ice water before death.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

FEBRUARY 13, 2025

How to be sensitive to the risks of stereotyping based on recommendations from the few members of the board to the many heterogeneous patients served? I’m Marie Bakitas, and I’m a professor at the University of Alabama at Birmingham and also the associate Director of the center for Palliative and Supportive Care.

Consulting 63

Consulting Community Patient-Centered Family 63

GeriPal

FEBRUARY 20, 2025

If you want a deeper dive, check out the following resources: Our Nature of Suffering podcast with BJ Miller and Naomi Saks Dani Chammas Annals paper on countertransference and why we shouldnt say that the patient was difficult rather than that I felt frustrated. You know, we may have known people, we may have cared for people who were dying.

IT 67

IT Patient-Centered Individual Patients 67

GeriPal

AUGUST 24, 2023

Harvey is probably best known for his work in developing dignity therapy, a psychological intervention designed specifically to address many of the psychological, existential, and spiritual challenges that patients and their families face as death approaches. So I identified myself, and was working in our local cancer center.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

GeriPal

APRIL 24, 2025

We and our guests have noticed that in our clinical practices, patients and caregivers seem to be asking for such treatments more frequently. If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Think chemotherapy to imminently dying patients, or CPR. Think chemo.

Patient-Centered 77

Patient-Centered IT Patients Illness 77

GeriPal

OCTOBER 3, 2024

Alex 00:08 UCSF’s Division of Palliative Medicine are looking to build on their research and clinical programs and are interviewing candidates for the associate chief of research position and for full time physician faculty to join them in the in-patient and out-patient settings. Lingsheng, welcome back to GeriPal.

IT 122

IT Patient-Centered Patients Relationship 122

GeriPal

MARCH 6, 2025

Michaels Hospital in Toronto, and health justice activist. Michael’s Hospital in the Department of Family and Community Medicine. You didn’t have to walk many blocks down the street to a hospital or another facility where people were getting world class care. Naheed, welcome to the GeriPal Podcast.

Healthcare 100

Healthcare IT Community Illness 100

GeriPal

MAY 29, 2025

Particularly patients, families. Eric 05:30 And Andrew, I remember when I was a med student, I had a patient with a diffuse brain injury in the ICU on a ventilator. People are patients, families are wondering if their loved one is still in there. You know, I’ve been trying to think of metaphors for thinking about this.

Family 93

Family Families IT Patient-Centered 93

GeriPal

APRIL 11, 2024

This podcast was initially sparked by Josh’s “Note From a Family Meeting” Substack post titled “ Ambivalence in Clinical Decision-Making ,” which discussed Bryanna’s and Jenny’s 2022 article titled “ Two Minds, One Patient: Clearing up Confusion About Ambivalence.” Welcome to the GeriPal podcast. Mary, welcome to GeriPal.

Patient-Centered 128

Patient-Centered IT Patients Consulting 128