GeriPal - A Geriatrics and Palliative Care Podcast - podcast cover

GeriPal - A Geriatrics and Palliative Care Podcast

Alex Smith, Eric Widerawww.geripal.org
A geriatrics and palliative medicine podcast for every health care professional. Two UCSF doctors, Eric Widera and Alex Smith, invite the brightest minds in geriatrics, hospice, and palliative care to talk about the topics that you care most about, ranging from recently published research in the field to controversies that keep us up at night. You'll laugh, learn, and maybe sing along. CME and MOC credit available (AMA PRA Category 1 credits) at www.geripal.org
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Episodes

Songs that Inspire, Move, or Make Us Think about Geriatrics or Palliative Care

Back in 2009, Pallimed created one of my favorite posts titled "Top 10 Contemporary Palliative Care Songs". In it, they made a list of "contemporary" songs from many different genres that have palliative themes. For todays podcast, we aim to update this list with songs that inspire, move, or make us think about geriatrics or palliative care. As with the Pallimed post, this is all personal preference. So we would love to hear from you. What one song would you have included in this podcast if you ...

Sep 11, 201717 min

Sarah Hooper on Medical Legal Practice Clinics for Seniors

On this weeks podcast, we have Sarah Hooper, J.D., the Executive Director of the UCSF/UC Hastings Consortium on Law, Science and Health Policy, an interprofessional partnerships in education, research, and clinical training and service. We talk with Sarah about her work creating the Medical-Legal Partnership for Seniors Clinic (MLPS) in which law students and faculty provide free legal assistance to low-income older patients at the UCSF Medical Center and at the San Francisco VA.

Sep 06, 201733 min

The Battle For Veterans' Healthcare: An Interview with Suzanne Gordon

The Veterans Healthcare System is the largest integrated healthcare system in the United States and one that trains the majority of physicians who practice in the US. We interview journalist and author Suzanne Gordon about the battle that is going on for the $70 billion spent on Veterans health every year.

Aug 01, 201736 min

Optimizing Aging Collaborative: An Interview with Anna Chodos

We interview Anna Chodos, Assistant Professor in the Department of Medicine and Division of Geriatrics at UCSF, about her work in creating the Optimizing Aging Collaborative. The collaborative's goal is to enhance and unify care of older adults in the community by creating a unique partnerships between public, human service, and academic organizations. The Optimizing Aging Collaborative at UCSF, which was founded in July 2015 as a Geriatric Workforce Enhancement Program (GWEP) by the U.S. Health...

Jul 22, 201730 min

Life After the Diagnosis: A Podcast with Steve Pantilat

On today's podcast, we interview Steve Pantilat about his new book "Life After the Diagnosis: Expert Advice on Living Well with Serious Illness for Patients and Caregivers." Steve is a Professor of Medicine, the Department of Medicine at UC San Francisco, Kates-Burnard and Hellman Distinguished Professor in Palliative Care, and Founding Director, the UCSF Palliative Care Program. In his book, Steve writes to patients and family members coping with serious illnesses about the difficult decisions ...

Jul 10, 201727 min

Making Friends with the Enemies of the People: an Interview with NY Times Reporter Paula Span

This week's GeriPal Podcast features NY Times journalist Paula Span about what we can do as educators, as researchers, and as clinicians, to collaborate with the media. During Paula's extensive career as a reporter, she has written for the Washington Post, Philadelphia Inquirer, the Boston Globe, the Wall Street Journal, Newsweek, New York Magazine, Esquire, Parenting, Glamour, Ms and several city magazines. Paula currently writes at The New York Times for The New Old Age, and trains the next ge...

Jun 22, 201724 min

How to Recommend to Stop Cancer Screening: An Interview with Nancy Shoenborn

What should you say to your older patient when it's time to stop cancer screening? This week's GeriPal Podcast features Nancy Shoenborn, Assistant Professor of Medicine at Johns Hopkins. Dr. Shoenborn published a paper in JAMA Internal Medicine this week on older adults perspectives on cancer screening cessation, and using life expectancy to justify stopping screening.

Jun 17, 201724 min

Vanessa Grubbs on Hundreds of Interlaced Fingers

Today's GeriPal Podcast features Vanessa Grubbs, a nephrologist and Associate Professor of Medicine at UCSF. Vanessa talks with us about her forthcoming book titled, "Hundreds of Interlaced Fingers," to be released June 13, but available for pre-order now. Dr. Grubbs' book tells the story of her journey from primary care to nephrology to palliative care, of falling in love with a man to donating a kidney to him to marriage, and of the journeys of the diverse, older, complex patients she's cared ...

Jun 09, 201731 min

Sandra Moody on Palliative Care in Japan

For this week's GeriPal podcast we talk with Sandra Moody, MD, about her experiences in geriatrics and palliative care in Kamogawa City, Japan. Sandra helped to start the hospice and palliative care service at the San Francisco Veterans Affairs Medical Center prior to moving to Japan. We spoke with Sandra about differences between geriatrics and palliative care as practiced in the US vs. Japan.

May 31, 201723 min

Rebecca Sudore on Advance Care Planning: The Prepare Trial

We talked with Rebecca about the results of The Prepare Trail, a randomized controlled trial of an easy-to-read advance directive PLUS a web-based decision aid vs the easy-to-read advance directive alone in 414 older veterans with chronic disease

May 18, 201720 min

Samir Sinha: Redesigning Health Care Systems to Be Elder Friendly

On todays podcast, we interview Dr. Samir K. Sinha, MD on how he has influenced local and national policy to redesign the care we give to older adults. Dr. Sinha is the Director of Geriatrics at the Sinai Health System, an Associate Professor of Medicine at the University of Toronto, and Assistant Professor of Medicine Johns Hopkins University School of Medicine. Among his many accomplishments is that he lead Ontario's “seniors care strategy" and is now involved in the development of a National ...

May 02, 201737 min

Palliative Care in Rural America: An Interview with Michael Fratkin

On this weeks podcast, we interview Michael D. Fratkin, a palliative care clinician and founder of ResolutionCare, a palliative care service for rural and resource poor areas in Northern California. We discuss the barriers and benefits of providing specialty level palliative care for areas that generally have no access to these services. We also discuss novel approaches, including in-home video conferencing.

Apr 25, 201731 min

Sean Morrison on the Current State of Palliative Care

Today's GeriPal podcast features Sean Morrison, Geriatrician and Palliative Medicine physician, director of the National Palliative Care Research Center and the Hertzberg Palliative Care Institute at Mount Sinai in New York. We talk with Sean about a new report titled, "How We Work: Trends and Insights in Hospital Palliative Care." This report was co-produced by the National Palliative Care Research Center and the Center to Advance Palliative Care. The report summarizes the current state of pall...

Apr 18, 201722 min

Laura Hanson on Improving Advanced Dementia Care in Nursing Homes

Today's GeriPal podcast features Laura Hanson, Geriatrician and Palliative Medicine physician at the University of North Carolina, Chapel Hill. Laura discusses her recent JAMA RCT of a goals of care intervention for nursing home residents with advanced dementia.

Apr 03, 201726 min

Mark Supiano Podcast - How Low Should We Go with Blood Pressure in Older Adults

In this GeriPal Podcast we talk with Dr. Mark A. Supiano about a blood pressure management in older adults in the light of new evidence from the Systolic Blood Pressure Intervention Trial (SPRINT). In particular, we talk about a recent paper he co-author with Jeff Williamson in the Journal of the American Geriatrics Society (JAGS) titled "Applying the Systolic Blood Pressure Intervention Trial Results to Older Adults."

Feb 28, 201730 min

Jessica Zitter on Palliative Care in the ICU

We talk with Dr. Jessica Zitter, a pulmonary critical care and palliative medicine physician, and author of Extreme Measures: Finding a Better Path to the End of Life. We talk with Jessica about her experience transitioning from being an ICU doctor to an ICU/Palliative doctor, how she is treated differently when she sees patients as an ICU attending vs a palliative care attending, the Big 3 (CPR, mechanical ventilation, and feeding tubes), and most importantly WHO she is wearing to the Oscars!

Feb 20, 201729 min

Nate Goldstein - The Role of Palliative Care in Heart Failure

On todays podcast we interview Nathan Goldstein, MD, Chief of the Division of Palliative Care for Mount Sinai Beth Israel. We discuss his experiences and research focused on improving communication and the delivery of palliative care to patients with advanced heart failure.

Feb 01, 201722 min

Vicki Jackson on Building the Evidence Base for Palliative Care

On todays podcast, we talk with Vicki Jackson, Chief of the Palliative Care Division at Massachusetts General Hospital and Associate Professor of Medicine at Harvard Medical School, about her work in building the evidence base for palliative care.

Jan 22, 201723 min

Rejecting Neutrality - Reducing Burdensome Hospitalizations For Nursing Home Residents

Nursing home residents are often sent to the hospital for care that often offers little hope of improving quality of life or changing the course of illness. Some facilities though seem to do much better in preventing these "potentially burdensome hospitalizations". We discuss with Andrew Cohen, the lead author of a recent JAMA IM paper on this subject, to learn a little about what is in the secret sauce of these exceptional nursing homes.

Dec 15, 201620 min

Improving Serious Illness Communication By Developing Formulations

Clinical formulations, something that few of us outside of mental health providers know about, but are critical in improving communication skills, especially around serious illness. Learn about them from our special guest, Dani Chammas, who makes the case that the single most valuable thing clinicians can do to improve communication is to get into the practice of developing a formulation.

Dec 08, 201621 min

Cranberries and Urinary Tract Infections

Just in time for Thanksgiving, we are having an episode dedicated to the humble cranberry. We discuss the use of cranberries to preventing urinary tract infections with Dr. Manisha Juthani-Mehta. In addition to hearing about something called proanthocyanidin, we discuss her recent publication in JAMA on whether cranberry capsules decrease the presence of bacteriuria plus pyuria in older women living in nursing homes.

Nov 22, 201622 min

Hallelujah: Integrating Primary Palliative Care In The ICU

There are a lot of ways one can imagine on how to integrate palliative care into the intensive care unit (ICU). Today, we talk with ICU doctor and researcher, Bill Ehlenback, about his recent study of a proactive palliative care rounding intervention.

Nov 19, 201625 min

Sweet Little Lies: When Is It Ok To Lie To Patients?

Truth telling is an ethical pillar of medicine. But, are there instances when it is ever ok to lie? In this episode of the GeriPal podcast we explore the use of deception and lies in modern healthcare, including those sweet little “therapeutic lies” commonly used in dementia care. For more about this topic, and some good articles about it, visit GeriPal.org.

Nov 02, 201627 min

Keep Your Hands To Yourself - Mechanical ventilation in Advanced Dementia

This week’s GeriPal podcast is all about mechanical ventilation in nursing home residents with advanced dementia. In particular, we discuss a new finding that use of mechanical ventilation doubled for these individuals from 2000 to 2013 without a substantial improvement in survival.

Oct 27, 201615 min
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