Rural Palliative Care isn't urban care in a smaller town. It's "MacGyver medicine" — champions cobbling care together with what exists. We dig into equity, telehealth, AI, and dying close to home. #medsky 👉 Post: bit.ly/GeriPalEp399 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Researchers from UCLA and UCSF join GeriPal to discuss a Pragmatic Trial using EHR nudges and navigators to increase #AdvanceCarePlanning. Guest Anne Walling, Neil Wenger, & Rebecca Sudore. #medsky   👉 Post: bit.ly/GeriPalEp398 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

CMS is rolling out a new Age-Friendly Hospital Measure to improve care for older adults. We discuss the 4Ms and how this aims to move hospitals from disease-centric care to person-centered care. #medsky 👉 Post: bit.ly/GeriPalEp397 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

We discuss guest Athanase Benetos's study that found no difference in mortality between deprescribing antihypertensives and usual care in frail nursing home residents. We also interview Mike Steinman. #medsky 👉 Post: bit.ly/GeriPalEp396 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Is Alzheimer's a clinical symptom or just a biomarker? We’re diving into the "A-words"— #amyloid, antibodies, and #Alzheimers — with three top experts - Halima Amjad, Barak Gaster, & Heather Whitson. #medsky 👉 Post: bit.ly/GeriPalEp395 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

We dive deep into Leadership, Quality, & the Future of Hospice & Palliative Care with TCNtalks' Chris Comeaux & Cordt Kassner. - leadership challenges, mission vs money, fraud, research funding + more! #medsky 👉 Post: bit.ly/GeriPalEp394 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

We discuss the challenges of Deprescribing at the End of Life, from the "easy" calls (statins) to the hard ones (anticoagulants), and how to align meds with a patient's true goals. #medsky   👉 Post: bit.ly/GeriPalEp393 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Should hospitals allow Unilateral DNR orders? We dive into this and the silent practice of assent DNRs, ethics, the legal "wild west" of state statutes, and bias in end-of-life care. #medsky   👉 Post: bit.ly/GeriPalEp392 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Join us at the GeriPal Pub Crawl The GeriPal pub crawl in San Diego during the Annual Assembly of #hospice and #palliativecare. We start at 8pm on Thursday night, March 5th. Details are on the link below: geripal.org/geripal-pubc...

Shoutout to @lsgeriatricem.bsky.social and @lizgoldbergmd.bsky.social for their fantastic @geripal.bsky.social podcast episode! www.youtube.com/watch?v=u1no... podcasts.apple.com/us/podcast/e... @saemonline.bsky.social #emergencymedicine #saem #agem #geriatricmedicine #emergencydepartment

We discuss how Embedding Care (PTs, pharmacists, & social services) directly in the ED can reduce repeat fall-related visits by 66% and connect vulnerable seniors with life-saving community resources. #medsky 👉 Post: bit.ly/GeriPalEp391 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Great discussion with Dr. Bob Wachter about his new book on AI and Healthcare, "A Giant Leap." We discuss using AI for diagnosis, job loss concerns, risks of direct-to-patient chatbots, ethics + more! #medsky 👉 Post: bit.ly/GeriPalEp390 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Surprise: Routine perioperative #PalliativeCare may NOT improve outcomes for curative-intent cancer surgery. Lead authors of the SCOPE & PERIOP-PC trials join us to discuss these null results. #medsky 👉 Post: bit.ly/GeriPalEp389 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Is the future of #PalliativeCare moving into the community? 🏡 We dive into #ValueBasedCare, the risks of "Palliative Lite," and how innovation is expanding access for patients with #SeriousIllness. 🩺 #medsky 👉 Post: bit.ly/GeriPalEp388 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social l

Today we explore Uncertainty in Medicine, and the need to rethink & embrace uncertainty to better manage complexities of medicine & build confidence in the face of the unknown. #medsky 👉 Post: bit.ly/GeriPalEp387 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Why we need quality improvement (QI) collaboratives, registries, and benchmarking, and the immense potential this has to enhance #PalliativeCare. Guests Steve Pantilat, David Currow, and Arif Kamal. #medsky   👉 Post: bit.ly/GeriPalEp386 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

To what extent is it our job as consultants to manage or attend to clinician distress? What happens when that clinician distress leads to conflict? #medsky Guests Sara Johnson, Yael Schenker, & Anne Kelly. 👉 Post: bit.ly/GeriPalEp385 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Link to the JAGS article “Rehab and Death: Improving End-of-Life Care for Medicare Skilled Nursing Facility Beneficiaries.” #medsky agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

Rehab & Death in Skilled Nursing Facilities is a vicious cycle: Sarguni Singh, Christian Furman, & Lynn Flint explain how hope, policy gaps, & payment rules shape these transitions—and why change is needed. #medsky 👉 Post: bit.ly/GeriPalEp384 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Inflammaging—chronic, low-grade inflammation that rises with age—may be a key driver behind many chronic and acute diseases. We talk with 3 experts: Brian Andonian, Sara LaHue, & Joe Hippensteel. #medsky 👉 Post: bit.ly/GeriPalEp383 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

The Chaplain and the Doctor: A Podcast with Betty Clark and Jessica Zitter ⁦‪ @geripal.bsky.social geripal.org/the-chaplain...

A chaplain (Betty Clark) and a doctor (Jessica Zitter) reflect on their new documentary, The Chaplain and the Doctor, and the ways personal stories and biases shape our interactions in healthcare. #medsky   👉 Post: bit.ly/GeriPalEp382 😀 Hosts: @alexsmithmd.bsky.social | @ewidera.bsky.social

Hospice & Palliative Care leaders reflect on the past 50 years—and the urgent need to raise standards, ensure access, & lead with love in a profit-driven system. Ira Byock, Kristi Newport, Brynn Bowman. #medsky   👉 Post: bit.ly/GeriPalEp381 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

Sickle cell disease brings lifelong challenges—from severe pain to systemic inequities. Today our guests share how palliative care supports patients through compassion, trust, and whole-person care. 💜 #medsky 👉 Post: bit.ly/GeriPalEp380 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

Join us! @ewidera.bsky.social & @alexsmithmd.bsky.social are giving UCSF Geriatrics Grand Rounds on Wed., Nov 5, 4-5pm PT. The topic is "What we've learned from nearly 400 GeriPal podcasts." Join via zoom or in person. Via zoom: ucsf.zoom.us/webinar/regi... See graphic for more info. #medsky

Join us! @ewidera.bsky.social & @alexsmithmd.bsky.social are giving UCSF Geriatrics Grand Rounds on Wed., Nov 5, 4-5pm PT. The topic is "What we've learned from nearly 400 GeriPal podcasts." Join via zoom or in person. Via zoom: ucsf.zoom.us/webinar/regi... See graphic for more info. #medsky

Billing in geriatrics doesn’t have to be confusing—or undervalued. Our guests share how to get paid fairly for the complex, team-based work geriatricians do—while supporting quality care for older adults. #medsky 👉 Post: bit.ly/GeriPalEp379 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

Are Slow Codes ever ethical? We dive into the gray area of CPR, shallow compressions, walk don't run, compassion with deceit, outcomes vs values, bioethics vs real world, trust, + more. #medsky 👉 Post: bit.ly/GeriPalEp378 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

GeriPal Live at NPCRC Foley Retreat! We talk with Prasanna Ananth, Dio Kavalieratos, & Alexi Wright about why palliative care clinicians get fired, global care equity, and cancer treatment behind bars. #medsky   👉 Post: bit.ly/GeriPalEp377 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

#GeriPal #hospice #palliativecare #medsky #hapc #hpm

GeriPal Live! at CAPC: Matt Gonzales on AI & #palliativecare, Kim Curseen on outpatient training gaps, Karen Bullock on equity in #hospice and palliative care. Plus a fun sing-along finale! #medsky #hpm #hapc 👉 Post: bit.ly/GeriPalEp376 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

A response to a thought-provoking conversation on @geripal.bsky.social familymeetingnotes.substack.com/p/whats-a-go... #medsky #hapc

And the episode of @geripal.bsky.social ! geripal.org/what-makes-a...

Geriatricians Houman Javedan & Vicky Tang discuss Preoperative Assessments for Older Adults, emphasizing CGAs, frailty screening, and the Geriatric Surgery Verification program to optimize outcomes. #medsky 👉 Post: bit.ly/GeriPalEp375 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

What makes a "good death"? We dive into landmark studies: Karen Steinhauser on pain, peace & awareness; Edison Vidal & Rasa Mikelyte on UK/Brazil dementia views—choice vs. faith. Key: Listen to patients! #medsky   👉 Post: bit.ly/GeriPalEp374 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

A podcast on medical billing & coding? Yes! Billing isn’t hard. Know your worth & bill for it, even if the visit doesn't FEEL hard as it can help pay for team members who often can't bill, and it benefits the patients.   👉 Post: bit.ly/GeriPalEp373 😀 Hosts: Drs. Alex Smith and Eric Widera

GeriPACTs bring specialized team-based care to older veterans with complex needs - smaller panels, geriatric training & more social work/pharmacy support. But are they better than standard care? #medsky 👉 Blog post: bit.ly/GeriPalEp372 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

GeriPACTs bring specialized team-based care to older veterans with complex needs - smaller panels, geriatric training & more social work/pharmacy support. But are they better than standard care? #medsky 👉 Blog post: bit.ly/GeriPalEp372 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

Do Dementia Care Management Programs Work? We’ve invited David Reuben & Greg Sachs to talk about their two respective trials, published in JAMA — D-CARE and IN-PEACE. #medsky 👉 Full episode: bit.ly/GeriPalEp371 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social #dementia #dementiacare

(1/3) In this podcast, Drs @ericwongmd.bsky.social (geriatrician, researcher, and KT Program grad student) & Thiago Silva, geriatrician-researcher (@uspoficial.bsky.social) discuss the comprehensive geriatrics assessment with the @geripal.bsky.social. Listen: bit.ly/4lZckxH

This was too much fun!!! Listen to the episode (there is some great music in it) and find out about our movement for care @patientrevolution.org

@ericwongmd.bsky.social, a geriatrician and researcher at St. Michael’s Hospital, recently joined to the @geripal.bsky.social podcast to explain what exactly a comprehensive geriatrics assessment is and to discuss his team’s recent study. #ResearchSky #UnityHealthResearch

We discuss the Comprehensive Geriatric Assessment, what it is, benefits, JAGS study showing it's more cost-effective vs usual care, & who it helps the most. #medsky    👉 Full Ep: bit.ly/GeriPalEp370 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guests: Eric Wong & Thiago Avelino-Silva

Please listen to this recording 2x. Thank you @geripal.bsky.social. Looking forward to reading Dr. Montori's text care-fully.

We talk with Todd Semla & Mike Steinman about their new recommendations of Alternative Treatments to the AGS Beers Criteria published recently in JAGS. #medsky   We start with Todd's new pothole analogy😂   👉 Full episode: bit.ly/GeriPalEp369 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

Art in Medical Education: How art museums can enhance empathy & awareness, and create deeper team bonds for health care professionals. #medsky   👉 Full episode: bit.ly/GeriPalEp368 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guests: Amy Klein, Laura Morrison, and Gordon Wood

Guest Victor Montori's book, "Why We Revolt," decries the Industrialization of #healthcare. Clinicians become busier & patients are tasked with more work to self manage. #medsky 👉 Full episode at bit.ly/GeriPalEp367 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guest: Victor Montori

Providence Health Care System increased their Goals of Care conversation documentation from 7% to 85%. How did they achieve this? And how can you? #medsky 👉 Full episode bit.ly/GeriPalEp366 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guests: Ira Byock, Chris Dale, and Matt Gonzales

How can we best manage #DeathAnxiety? While some don't worry about it, others, including patients and clinicians, grapple with its impact. #medsky   👉 Full episode at geripal.org/death-anxiet... 😀 Hosts @alexsmithmd.bsky.social | @ewidera.bsky.social 😀 Guests: Dani Chammas & Keri Brenner

Il y a 50 ans, Balfour Mount et Sue Britton ouvraient le premier service de soins palliatifs au Québec. Pour souligner l'événement, excellente conversation sur les racines des #soinspalliatifs avec @geripal.bsky.social, Sue Britton, Michael Kearney & Justin Sanders #50ansSoinsPalliatifsQC #santeqc