Pamela Wible MD

JUNE 20, 2025

Characterized by cynicism, exhaustion, and reduced job satisfaction, physician burnout can lead to devastating personal and professional consequences, including strained relationships, substance abuse, early retirement, and even suicide. So why are physicians experiencing physical and mental collapse from overwork?

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Medical Student Diagnosis Physicals Medical 246

The Clinical Problem Solvers

DECEMBER 20, 2021

Content Warning: This episode contains themes of violence, trauma-induced mental health concerns, and brief mentions of suicide. Appreciate how intergenerational trauma may surface amongst Asian-Americans, and how these intergenerational relationships may also offer fertile ground for generating understanding.

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Community Patient-Centered Relationship Healthcare 52

The Clinical Problem Solvers

FEBRUARY 14, 2022

[link] CPSolvers: Anti-Racism in Medicine Series Episode 14: Race, Place, and Health: Clinician and Community Perspectives Show Notes by Alec Calac February 15th, 2022 Summary: This episode highlights how racism manifests in the built environment, and how community and individual-level efforts can mitigate these inequities. Be curious.

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Community Individual Mental Health IT 52

The Clinical Problem Solvers

MARCH 4, 2024

Episode Learning Objectives After listening to this episode, learners will be able to: Illustrate the relationship between narrative medicine and healing relationships. She discovered narrative medicine, and to her, it was about finding and retelling individual and structural stories in antiracist ways.

Community 52

Community Education Patient-Centered Relationship 52

The Clinical Problem Solvers

FEBRUARY 8, 2023

Between 2007 – 2019, Black individuals experienced a higher death rate for opioid overdose deaths than any other racial or ethnic group. These narratives have vilified individuals who would benefit from comprehensive, person-centered substance use treatment, rather than incarceration and other adverse harms.

Community 52

Community Patient-Centered Mental Health Board-Certified 52

The Clinical Problem Solvers

APRIL 5, 2022

This is the last of three episodes interrogating the relationships between race, place, housing, and health. Our guests remind us to ask our patients about their housing status using non-judgmental and non-stigmatizing language. Can you refer your patient there? 3. Calac, Victor A. Lopez-Carmen, MPH, Naomi F.

Community 52

Community Patient-Centered Emergency Room Medical 52

GeriPal

JUNE 19, 2025

Noelle Marie 01:24 I think it really speaks a lot to my own personal journey and I’m pretty sure a lot of trans and gender diverse individuals also resonate with and it really speaks about our transition, celebrating our authentic selves, how society views us and how we view ourselves when we stand in front of a mirror.

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Individual Community IT Chronic Condition 85

GeriPal

JANUARY 25, 2024

He also found gaps, including very few studies of patients with lung disease, and little impact of trials on quality of life. Panelists David Bekelman, Lyndsay DeGroot, and Diah Martina have no relationships to disclose. Your research is a lot in this patient population, right? Big randomized control study that came out.

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Patient-Centered IT Illness Patients 122

GeriPal

JANUARY 18, 2024

We start off the conversation by talking about whether patients with cancer and cancer pain are really that different, and their paper that was just published on January 11 th in JAMA Oncology showing that substance use disorder is not uncommon in individuals with cancer. And so, let’s help them.

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Illness Patient-Centered Screening IT 136

GeriPal

JULY 11, 2024

It’s a jampacked 50 minutes, filled with pearls on taking care of patients with liver disease. Widera and Smith have no relationships to disclose. Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. What’s the connection and why? Eric 04:50 Okay.

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Patient-Centered IT Patients Clinic 109

GeriPal

FEBRUARY 8, 2024

Our guests are BJ Miller, palliative care physician and c-founder of Mettle Health , and Naomi Saks, chaplain at UCSF. Panelists BJ Miller and Naomi Saks have no relationships to disclose. What do we mean by health? I think even the word patient, patient, I think, comes from the word suffer, the one who suffers.

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IT Family Families Physicals 137

GeriPal

APRIL 13, 2023

But, should we as clinicians care about the social lives of our patients? Are there meaningful ways of assessing loneliness and social isolation in clinical settings and connecting patients with interventions? But then recognizing that our relationships impact our health even outside the context of stress.

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IT Community Patient-Centered Medical 99

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. Some of them are really deeply individual experiences. Kate 07:35 Yeah.

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IT Patient-Centered Screening Patients 66

GeriPal

APRIL 6, 2023

Today we have a star-studded lineup, including Lexy Torke of Indiana University, who discusses her RCT of a chaplaincy intervention for surrogates of patients in the ICU , published in JPSM and plenary presentation at AAHPM/HPNA. ” And you start entering into a conversation about support or relationships and things of that nature.

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IT Patient-Centered Family Families 99

GeriPal

JANUARY 11, 2024

In further contrast to the United States, MAID in Canada is almost entirely administered by a clinician, whereas in the United States patients must self administer. Panelists Bill Gardner, Sonu Gaind, Leonie Herx have stated they have no relationships to disclose. So being well and also potentially periods of dying.

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Illness IT Medical Provider 144

GeriPal

AUGUST 31, 2023

He studies the mental health system in the ways in which it has failed children and adolescents, and he writes about his experience with cancer in a blog, the Billgardner.substack.com, Billgardner, one word. One colleagues of mine in the Netherlands did just interviews with 30 cancer patients and this theme kept coming out.

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GeriPal

MARCH 6, 2025

link] PEACH Good Wishes Program A program that provides meaningful gifts for unhoused individuals who are terminally ill. He had this disseminated head and neck cancer and he had tried to get care before and due to his mental illness, he couldn’t follow up for cancer care. Health and health justice.

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Healthcare IT Community Illness 100

GeriPal

MARCH 30, 2023

Liz wrote a fabulous perspectives piece in the NEJM titled “ Deciding on My Dimples ” which talks about her experience as a patient doing shared decision making during neurosurgery for resection of an astrocytoma. But my piece in the New England Journal is about being a patient right before awake brain surgery. I could learn this.

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IT Patient-Centered Patients Healthcare 95

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? And so we worked closely with a community advisory group who, through focus groups, told us how it was that black and white individuals with serious illness had wanted to be treated.

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Consulting Community Patient-Centered Family 63

GeriPal

SEPTEMBER 19, 2024

Give too much, it may cause harm (even if the higher dose had no significant side effects, it would require patients to take a lot of unnecessary additional pills as well as increase the cost.) So, what is the effective dose of palliative care? Give too little – it may not work. Jennifer 04:25 I can take that on. Eric 05:32 Yeah.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

DECEMBER 7, 2023

was supported by the fossil fuel industry , because it shifted responsibility for change from industry to individuals. Today we find inspiration for my kids: there are adults who care deeply about this issue, particularly for older adults who are much more vulnerable to health effects of climate change. And then access to those.

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Healthcare IT Education Hospital 129

GeriPal

JULY 6, 2023

I have 24,500 veterans on our caseload, 14,000 individuals with diagnosed mental health issue, 8,500 with an alcohol and substance abuse. And just going back to that patient, I’ll tell you, before I started this role, I would have probably looked at the handout box in our clinic and been like, oh, okay.

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Community Nurse Practitioner Provider IT 89

Medical Xpress

JUNE 8, 2025

Although they make a vital contribution to saving lives, bystander rescues often expose untrained individuals to hazardous conditions without the training and equipment available to professionals. However, we do not guarantee individual replies due to the high volume of messages. Sometimes, bystanders become victims themselves.

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Provider Community Medical Diabetes 59

Mesa Family Physician

MARCH 6, 2025

At Mesa Family Physicians, we follow the CDC-recommended immunization schedules for all age groups and work with patients to ensure they’re up-to-date on all recommended vaccines. From childhood vaccinations to adult boosters and seasonal flu shots, immunizations prevent millions of illnesses annually.

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Preventive Care Preventative Care Family Physician Screening 100

GeriPal

DECEMBER 12, 2024

Surrogates often either dont know what patients would want, or think they know but are wrong, or make choices that align with their own preferences rather than the patients. The first one is that a lot of patients, particularly the end of life, probably the majority of them, can’t make their own decisions.

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Patient-Centered IT Patients Healthcare 108

The Clinical Problem Solvers

MAY 2, 2023

A lot of compounding trauma occurs at the border that has potential downstream mental health implications for individuals and their families. She also mentioned Dr. Mark Kuczewski’s sanctuary doctrine toolkit that focuses more on the individual level. References Morris JE, Saadi A.

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Healthcare Provider Clinical Practice Clinic 52

GeriPal

JUNE 2, 2022

So take a listen and if you want a deeper dive into some of the references we discuss on the podcast, here is a list: Medscape article on how “ COVID-19 Vaccines Work Better and for Longer Than Expected Across Populations, Including Immunocompromised Individuals”. So you plan on your geriatrician, older patients, getting it every year.

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