Louisville Lectures

MAY 5, 2023

Boot Camp: PHASE TWO Or, Emergencies and Assessing Them This week, we will look at two highly anticipated videos, Electrolyte Emergencies by Dr. Eleanor Lederer and Assessing the Seriously Ill Patient by Dr. David Nunley. Are you a resident or medical student looking to learn practical, evidence based approaches to your patients?

Internal Medicine 52

Internal Medicine Patient-Centered Hospital Education 52

The Direct Doctors Difference

DECEMBER 8, 2023

​The author highlights the fact that the business model of hospital owned primary care… ” emphasizes revenue maximization over patient well-being.” In addition, when patients have testing done at in-hospital labs and facilities, the costs are higher than stand-alone centers. His solution?

Primary Care 52

Primary Care Primary Care Doctor Hospital Referral 52

PEMBlog

MAY 20, 2025

Learning Objectives Demonstrate the ability to use shared decision-making strategies when discussing imaging options with families of pediatric patients presenting to the Emergency Department. Optimizing Advanced Imaging of the Pediatric Patient in the Emergency Department: Policy Statement. Pediatrics. 2024;154(1):e2024066854.

Family 102

Family Families Hospital Patient-Centered 102

GeriPal

MARCH 14, 2024

This simple challenge was focused on putting ourselves in the shoes of our patients with dysphagia who are prescribed thickened liquids. And I think that we’re at this kind of crossroads right now in dysphagia, and dysphagia management where our patients are suffering. We revisit it, and make things better for our patients.

IT 124

IT Patient-Centered Hospital Individual 124

FDA Law Blog

NOVEMBER 6, 2022

In its petition filed earlier this month, Pfizer challenges HHS’s interpretation of the AKS as “staggeringly overbroad,” contrary to the congressional intent behind the AKS, and a threat to “almost any activity that facilitates patient access to federally funded healthcare.” Background. Borrasi, 639 F.3d 3d 774 (7th Cir.

Manufacturing 83

Manufacturing Patient-Centered Healthcare Utilities 83

GeriPal

OCTOBER 13, 2022

When I’m on service these days there is inevitably a moment when a resident says “Patient so-and-so is on X” – and I have absolutely no idea what X is. Alex: And we are delighted to welcome Rasheeda Hall, who is a physician scientist in the division of nephrology at Duke University School of Medicine, and sees patients at the Durham VA.

Complication 97

Complication Patient-Centered IT Patients 97

Tiny Physician

FEBRUARY 15, 2022

A few days back, a video went viral on social media in which a resident doctor (a doctor who is undergoing post-graduation / PG doctor) was shouting at the bystander of a patient. For example, a PG doctor, while examining a case, will be asked to collect blood test results from the lab and to accompany a patient for a CT scan after that.

Patient-Centered 52

Patient-Centered Government Referral Hospital 52

FDA Law Blog

JANUARY 6, 2022

Wasserstein — “EKRA” refers to the Eliminating Kickbacks in Recovery Act, which was part of the Substance Use – Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018. These lab tests are performed for physicians, substance abuse treatment centers and other types of organizations.

Lab Testing 52

Lab Testing Individual Referral Patient-Centered 52

GeriPal

NOVEMBER 9, 2023

Summary Transcript Summary Coaching is in. During the later stages of the pandemic, it seemed every other person, and particularly the junior faculty in our Division, were either being coached, in training to coach, or coaching others. When I was a junior faculty, coaching wasn’t a thing. We address: What is coaching? This is Eric Widera.

Board-Certified 110

Board-Certified IT Primary Care Referral 110

FDA Law Blog

JANUARY 6, 2022

Wasserstein — “EKRA” refers to the Eliminating Kickbacks in Recovery Act, which was part of the Substance Use – Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act of 2018. These lab tests are performed for physicians, substance abuse treatment centers and other types of organizations.

Lab Testing 40

Lab Testing Individual Referral Patient-Centered 40

Permanente Medicine

JUNE 3, 2025

They candidly discuss the unique challenges and opportunities health care organizations face in meeting patient expectations. Today we are talking about the patient care experience specifically here at Kaiser Permanente, but also in general. I trained near you at Arrowhead Regional Medical Center, if you’re familiar with it.

IT 52

IT Patient-Centered Patients Medical 52

PEMBlog

OCTOBER 2, 2024

I’ll make the important distinction between gastritis – which is diagnosed only via endoscopy – and dyspepsia, the term best used to describe the symptoms many patients experience. Gastroesophageal reflux disease is when the patients have severe symptoms that persist and cause long term issues.

Diagnosis 52

Diagnosis Management IT Patient-Centered 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. Emily, welcome to GeriPal.

Patient-Centered 102

Patient-Centered Referral Patients IT 102

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

JANUARY 30, 2025

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Summary Transcript CME Summary It is a battle royale on this weeks GeriPal podcast. But watch out!

Telehealth 105

Telehealth Patient-Centered IT Patients 105

GeriPal

SEPTEMBER 7, 2023

Does it improve outcomes that patients, caregivers, and clinicians care about? hint: 80% can be done in advance by patients or caregivers) Why is it that some oncologists are resistant to conducting a geriatric assessment, yet have no problem ordering tests that cost thousands of dollars? But does the geriatric assessment do anything?

Patient-Centered 129

Patient-Centered IT Patients Clinic 129

GeriPal

FEBRUARY 15, 2024

Going into patient’s homes was eye opening. They were stunned by the number of calls for lift assistance for older adults who had fallen. There were trip hazards, loose carpets, some people were hoarders. And yet, after assisting the older adult to their feet, the EMS providers would leave. Their job was done. Alex: That is true.

Community 115

Community Transportation IT PCP 115

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. ABIM MOC credit will be offered to subscribers in November, 2024.

Illness 136

Illness Patient-Centered Screening IT 136

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. Then, “Keep your hand up if you frequently refer patients with cancer pain to a psychologist?” That rings true to me. All hands go down.

Mental Health 122

Mental Health Patient-Centered Illness Screening 122

GeriPal

JULY 11, 2024

It’s a jampacked 50 minutes, filled with pearls on taking care of patients with liver disease. (or should we call it HepatoPal?) Guests Kirsten Engel, Sarah Gillespie-Heyman, Brittany Waterman, & Amy Johnson have no relationships to disclose. ABIM MOC credit will be offered to subscribers in November, 2024. Excited to be here.

Patient-Centered 109

Patient-Centered IT Patients Clinic 109

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. He’s in Boston. Parag 01:06 Thank you.

Primary Care 113

Primary Care Patient-Centered IT Patients 113

GeriPal

JUNE 9, 2022

The National Palliative Care Research Center (NPCRC)and Palliative Care Research Cooperative (PCRC)were founded in part to meet this need. Should eligibility and access be determined by clinician referral? She’s also a member of the PAIR Center, which stands for Palliative Advanced Illness Research Center.

Consulting 99

Consulting Patient-Centered Diagnosis IT 99

GeriPal

FEBRUARY 6, 2025

He is associate professor at the University of Wisconsin and medical director of their Alzheimer’s Disease Research Center. To start things off, Nate’s a returning guest. Nate, welcome back to the GeriPal Podcast. Nate 00:25 Thanks for having me. Great to be back. And my wife went to over, I want to say, 20 concerts. I loved it.

Primary Care 96

Primary Care Diagnosis Screening IT 96

GeriPal

OCTOBER 20, 2022

And, who within ASPE guides aging policy and connects policy to every day health challenges experienced by patients and clinicians? Alex: And we are delighted to welcome Rasheeda Hall, who is a physician scientist in the division of nephrology at Duke University School of Medicine, and sees patients at the Durham VA. Welcome back Lona.

Complication 52

Complication Patient-Centered IT Patients 52

ABIM

JUNE 24, 2025

Expanding ABIM’s engagement with stakeholder communities such as early career physicians, specialty societies and patient-focused organizations. A representative from the American Society of Hematology (ASH) joined for a portion of the meeting*. The following is a summary of the spring meeting. Above all, ABIM remains focused on its mission.

Board-Certified 40

Board-Certified Board-Certified Physicians Government Community 40

GeriPal

AUGUST 24, 2023

We talk with Harvey about how he defines “dignity” and how we can understand what it means to our patients. Fox gives patients hope there may be a place that illness doesn’t touch Depression is a Liar Why is Being a Patient Such a Difficult Pill to Swallow Better Patient Care Calls for a ‘Platinum Rule’ to Replace the Golden One.

Patient-Centered 98

Patient-Centered Patients IT Illness 98

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. So what do we do about it? Why is this different from clinical communication skills? Transcript. Marian: I do.

Illness 101

Illness Patient-Centered IT Nurse Practitioner 101

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. These studies are important. It meets in-person, once a month, over nine sessions. The theme is death.

IT 99

IT Patient-Centered Family Families 99

PEMBlog

JANUARY 16, 2025

Formulate effective strategies for identifying, managing, and preventing inhalant misuse in pediatric patients. Inhalant misuse reported to Americas Poison Centers, 2001-2021. Patients that use these will repeatedly use it throughout the day. References Perry H, Burns MM. Inhalant misuse in children and adolescents.

Complication 52

Complication Patient-Centered Management Patients 52

GeriPal

MARCH 6, 2025

Today we discuss: What is the best terminology? Homelessness? Marginally housed? What makes palliative care for people experiencing homelessness challenging? What makes it rewarding? What is unique about the practice of palliative care for people experiencing homelessness? And I gonna choose Bryan Adams, summer of 69. Naheed 03:48 Yeah, for sure.

Healthcare 100

Healthcare IT Community Illness 100

New South Family Medicine and MedSpa

NOVEMBER 24, 2022

Direct primary care offers you and your family top-notch health care, and so much more.like a high patient and provider satisfaction with an improved quality of care. Providers at New South Family Medicine and MedSpa can address the patient's deeper needs, rather than trying to rush through a hectic day full of too-brief appointments.

DO 40

DO Family Medicine Family Families 40

GeriPal

MARCH 20, 2025

Recently, discussion has emerged about how these issues intertwine in caring for patients with advancing dementia who have stated that they would not want to continue living in that condition: for those with an advanced directive to stop eating and drinking, how do we balance caring for their rational past self and their experiential current self?

IT 88

IT Patient-Centered Patients Medical 88

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 01:20 I do have a song request for Alex.

Patient-Centered 119

Patient-Centered IT Patients Hospital 119

GeriPal

JULY 6, 2023

Summary Transcript Summary You may have heard of Area Agencies on Aging, but do you really know what they do or how they do it? What about State Departments of Aging or state master plans for aging? Do you know how these agencies fit in with programs like Meals-on-Wheels or other nutritional support programs? Susan: It is my anthem.

Community 89

Community Nurse Practitioner Provider IT 89

GeriPal

FEBRUARY 24, 2022

Since then there has been a lot of back and forth, with even a couple of podcasts from us, several JAMA viewpoints, and most recently a series of published replies from leaders in the field on why ACP is still valuable (see below for references). . Despite all of these publications, I’m still left at a loss of what to think about it all.

Illness 98

Illness Patient-Centered IT Patients 98

GeriPal

MARCH 27, 2025

Only 5% of intervention patients received the facilitator-led component of the intervention (there were other components, facilitator-led was the most engaged component). Was there really a causal connection between the intervention, new advance directives, and higher rates of potentially burdensome interventions? Jasmine, is it you?

Primary Care 79

Primary Care IT Clinic Patient-Centered 79

GeriPal

JULY 20, 2023

Clinicians could care for patients across state lines, could prescribe opioids without in person visits, could bill at higher rates for telemedicine than previous to the pandemic. Many patients benefited, not only those isolating due to covid, but also patients in rural areas, patients who are homebound, and many others.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73