Common Sense Family Doctor

MARCH 18, 2025

Smith, a general internist and professor of medicine and psychiatry at Michigan State University, explains why our medical system consistently prioritizes physical over emotional health and presents some ambitious proposals for how to rectify this harmful disparity. This relatively slim volume is divided into three parts.

Mental Health 52

Mental Health IT Primary Care Primary Care Physician 52

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design: The Enhancing Antibiotic Stewardship in Primary Care (EAST-PC) was prospective observational study of adults in the outpatient setting presenting with acute cough. Patients believed that receiving an antibiotic would reduce the duration of their illness by nearly 4 days. vs 7.6%, p < 0.001).

Primary Care 130

Primary Care Illness Patients 130

The Clinical Problem Solvers

OCTOBER 24, 2023

[link] In this Infectious Disease Rafael Medina Subspecialty Episode, Dr. Navila Sharif presents a case to Dr. Natasha Spottiswoode of a patient presenting for fevers and chills.

Internal Medicine 52

Internal Medicine Primary Care Education Diagnose 52

Barton Associates

JUNE 19, 2025

In fact, hospitals, clinics, and other facilities are already reeling from a shortage of providers and it’s hurting patients— according to the United States Department of Health and Human Services (HHS) , tens of millions of Americans live in areas with shortages of primary care, dental, and mental health professionals.

Healthcare 52

Healthcare Healthcare Professional Provider Community 52

The Clinical Problem Solvers

JANUARY 18, 2021

Focus on the Community While the health sector is where illness and ailments are often treated, a person’s health largely manifests outside of the health sector and is impacted by their community and environment. Harvard Medical School Primary Care Blog. Published December 2, 2020. Accessed December 9, 2020. 16:20 Jones, CP.

Community 52

Community Medical Individual IT 52

GeriPal

AUGUST 4, 2022

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. Because we bring it up a lot. Ariel, you want to take that question?

Specialization 105

Specialization Medical Patient-Centered Provider 105

Annals of Family Medicine

NOVEMBER 20, 2024

Primary care practices are often the first location a patient seeks treatment for substance use disorder (SUD). This intervention used a primary care addiction consultation service model including education, an addiction medicine consultant, and practice facilitation to increase capacity for opioid use disorder (OUD) treatment.

Primary Care 130

Primary Care Consulting Medical Illness 130

GeriPal

OCTOBER 13, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Eric: That’s pretty impressive.

Complication 97

Complication Patient-Centered IT Patients 97

PEMBlog

OCTOBER 2, 2024

Understanding dyspepsia and its clinical presentation. Both conditions can present with similar symptoms. Adolescents with GERD often present similarly to adults with heartburn and regurgitation as the primary complaints. And the presentation for GERD varies by age. Now there are some risk factors for GERD.

Diagnosis 52

Diagnosis Management IT Patient-Centered 52

GeriPal

JUNE 27, 2024

I have so many questions, and I promise we’re going to get to the management of anxiety and serious illness. Because one of the things I think is so interesting, you know, as we go on experiencing more people having the experience of serious illness and traversing that landscape is that they don’t all have the same experience.

Illness 130

Illness IT Diagnosis Patient-Centered 130

GeriPal

FEBRUARY 6, 2025

So, the question becomes, what, if anything, should we do differently in the primary care setting to diagnose the disease? On todays podcast, weve invited Nathaniel Chin back to the GeriPal podcast to talk about what primary care needs to manage this new world of Alzheimers disease effectively. Great to be back.

Primary Care 97

Primary Care Diagnosis Screening IT 97

Mesa Family Physician

MARCH 13, 2025

The Hidden Benefits of Regular Check-ups You Might Be Missing Many residents of Mesa and the surrounding Arizona communities don’t realize that preventive care goes far beyond just “checking the box” for your annual physical.

Family Physician 100

Family Physician Preventive Care Preventative Care Family 100

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).

Illness 129

Illness IT Diagnose Medical 129

Physician's Weekly

JUNE 16, 2025

MONDAY, June 16, 2025 (HealthDay News) — In a policy statement issued by the American Academy of Pediatrics and published online June 16 in Pediatrics , updated recommendations are presented for providing adolescent patients with contraceptive counseling and methods.

Patient-Centered 52

Patient-Centered Education Electronics Insurance 52

GeriPal

MARCH 24, 2022

Then listen to these prior podcasts with Sean Morrison and Rebecca Sudore about this issue, and we recently discussed differences between Advance Care Planning and Serious Illness Communication with Juliet Jacobsen and Rachelle Bernacki. . Completion of advance directives and billing codes for advance care planning as quality metrics.

Illness 73

Illness IT Healthcare Patient-Centered 73

GeriPal

MARCH 7, 2024

In addition to being a palliative and hospice RN, she is the Executive Director for Goodwin Hospice , a large non-profit hospice that added end-of-life doula care to their services in collaboration with Jane and John’s doula organization, Present for You. He looked very ill. Jane, welcome to the GeriPal podcast.

Provider 119

Provider Illness IT Healthcare 119

GeriPal

JULY 21, 2022

Love to talk about also in the serious illness population. Emmy: So that older person or person with maybe terminal illness or developing impairments, it might make sense for them to just keep driving because they don’t have a good replacement. It’s like breaking bad news in palliative care. Absolutely.

IT 102

IT Families Family Diagnosis 102

GeriPal

MAY 25, 2023

Summary Transcript Summary Our guests today present an important rejoinder to the argument that we should refocus away from advance care planning (ACP). Am I measuring it for my health system or even within that, we’re part of primary care first value based payment program. Hillary: So those all differ.

Community 96

Community IT Patient-Centered Primary Care 96

GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. link] Kensington Hospice & ‘Radical Love’ Equity-Oriented Hospice Palliative Care Naheed Dosani also serves as the Medical Director of Kensington Hospice, Torontos largest hospice.

Healthcare 102

Healthcare IT Community Illness 102

GeriPal

OCTOBER 26, 2023

Ann: Well, I think teamwork is key in this space and I am a big baseball fan, big Red Sox fan, which is not a good thing to be right now, but I really think it’s indicative of how we should all be working together on this team to help our seriously ill patients. Ann: No, he was very excited. So we used a lot of rehab to death.

Patient-Centered 133

Patient-Centered Hospital Patients IT 133

GeriPal

JUNE 19, 2025

Eric 01:04 So we’re going to be talking about transgender health in older adults and those with serious illness. You present your. And then if, let’s say they plan to switch to you as their primary care provider, then there are a few steps that you can take. And great to meet Jace on here. So that’s how.

Individual 82

Individual Community IT Chronic Condition 82

GeriPal

APRIL 24, 2025

If its potentially unsafe, but has robust evidence, well thats most of the treatments we offer seriously ill patients! Do elements of care that are often administered to seriously ill patients count? If its low evidence but not unsafe, not generally an issue. Think vitamins. Think chemo. What counts as potentially unsafe?

Patient-Centered 79

Patient-Centered IT Patients Illness 79

GeriPal

APRIL 4, 2024

Today, we talk with Bernie Lo, prominent bioethicist and practicing primary care internist, and Laurie Dornbrand, geriatrician at the IOA On Lok PACE, about the legacy of Nancy Curzan. They were seriously ill and had a chance to get to know. We use Bernie’s NEJM Perspective as a springboard for discussion. What words to use?

Families 113

Families Family Patient-Centered IT 113

GeriPal

MARCH 3, 2022

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. And certainly we can take care of patients at more advanced ages.

Patient-Centered 96

Patient-Centered Patients IT Hospital 96

GeriPal

MARCH 28, 2024

Well, as a kick off to this year’s first in-person State of the Science plenary, held in conjunction with the closing Saturday session of the AAHPM/HPNA Annual Assembly, 3 randomized clinical trials were presented. Alex: Recently you talked about the other trial, also with a nudge, and that was non-cancer, serious illness.

Consulting 116

Consulting Patient-Centered Patients IT 116

GeriPal

OCTOBER 20, 2022

As you know, our population is aging at a rapid speed and older, adult older persons is no longer cared for only by a geriatrician or a primary care physician. There’s the complications associated with immune senescence, comorbidities, atypical clinical presentations. Eric: That’s pretty impressive.

Complication 52

Complication Patient-Centered IT Patients 52

GeriPal

FEBRUARY 20, 2025

And this is, I’m going to go a little wonky just for a second because like looking at the 11 things that you looked at for trauma events, some seem like pretty universal trauma events, like having a life threatening illness, a child of yours who died being physically abused when you were young. Trauma informed care approach.

IT 67

IT Patient-Centered Individual Screening 67

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? I cant do the primary thing Ive been trained to do: ABC, ABC, ABCs. No difference in their primary outcome. I went into emergency medicine to act.

Patient-Centered 78

Patient-Centered IT Hospital Patients 78

GeriPal

DECEMBER 5, 2024

And so I think one thing we really like about not having it scripted word for word is the opportunity to kind of flex into that moment and just be present and kind of try that out. And for about five years, my mom was declining from a dementia illness, we think something Parkinsonian. And she did have a primary care doctor.

IT 108

IT Community Patients Families 108

GeriPal

SEPTEMBER 5, 2024

Alex 00:27 And we’re delighted to welcome for the first time, guest Bill Ander e ch, who’s a primary care internist and senior scholar in Sutter Health’s program in M edicine and Human Values, a program that he co-founded with a former UCSF faculty member, Al Johnson. Louise, welcome back to GeriPal.

Patients 98

Patients IT Patient-Centered Hospital 98

GeriPal

JUNE 6, 2024

Eric 01:13 So we got a lot to cover today on sexuality, sexual health and serious illness. So we got a lot to cover on sexuality, sexual health, and serious illness. I think this is a topic we don’t talk about as much in the context of serious illness. So most of us in primary care, it’s probably even worse.

Illness 131

Illness IT Physicals Patients 131

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 80

Primary Care IT Clinic Patient-Centered 80

GeriPal

MAY 1, 2025

And again, if you were to go to, you know, AIDS in terms of transmission is primarily a sexually transmitted disease of young adults, which is why it presented the way it did in the pre treatment era, really all over the world. But I think primary care clinicians, geriatricians, should be able to do at least the basic management and HIV care.

Primary Care 96

Primary Care IT Clinic Provider 96

Mesa Family Physician

MARCH 6, 2025

Primary Prevention: Preventing Disease Before It Occurs Primary preventive care focuses on avoiding the development of disease entirely. These measures are taken before any evidence of disease or injury is present and are designed to prevent health problems from occurring in the first place.

Preventive Care 100

Preventive Care Preventative Care Family Physician Screening 100

GeriPal

SEPTEMBER 14, 2023

If you are interested in learning more and meeting a community of folks interested in hospital-at-home, check out the hospital-at-home user group at hahusersgroup.org or some of these publications: Hospital-Level Care at Home for Acutely Ill Adults: A Randomized Controlled Trial. We have home-based primary care.

Hospital 115

Hospital Patient-Centered Supply Chain IT 115

PEMBlog

APRIL 4, 2025

This episode of PEM Currents: The Pediatric Emergency Medicine Podcast focuses on the approach to unvaccinated or undervaccinated children aged 336 months presenting to the ED with fever. The episode emphasizes thoughtful, individualized care in the context of rising vaccine hesitancy and declining immunization rates.

Vaccination 66

Vaccination Illness IT Clinic 66