Harry Han

Reading Room This essay describes the importance of trainees and young physicians building a relationship with radiologists.

Once upon a time, radiology rounds were a daily part of the work flow of the inpatient medical team. What has been lost with its demise?
Nice essay @JAMAInternalMed
Reading Room jamanetwork.com/journals/jam...

Buprenorphine for Cancer Pain This Viewpoint discusses the use of buprenorphine to treat cancer pain and difficulties in affordability and access despite its efficacy and safety compared with full-agonist opioids.

Buprenorphine for Cancer Pain—The Safest Opioid, and Patients With Cancer Cannot Get It
jamanetwork.com/journals/jam...

Thank you, Simone, for pointing out that our academic institutions should support, provide, and encourage Advance Practice Providers (APP) opportunities for scholarship. Many hands not only make like work but better work #hapc25

If all patients meet #PalliativeCare early in serious illness, in my experience probably...

1/3 who won't/don't find it helpful

1/3 who are uncertain early, but see/get the benefit later

1/3 who get benefit from the start

So let PC meet everyone and let patients vote with their feet.

#Hapc25

Ed Martin- regulatory burden does nothing to address fraud! “It is like the bank is being robbed but the security is outside looking for parked cars over meter time to pass out tickets” #hapc25

Re: new hospice regulations “these regulations do nothing to target fraud. The bank is being robbed and the police are outside giving parking tickets. These auditors find a missing signature and they celebrate back at the office.” #hapc2025

Lots of folks at the @earlycareersig.bsky.social session this morning at #hapc25! Super excited to welcome the early career clinicians, trainees, and students!
#HaPC established folks - please say “Hi” and welcome people with a “Mentor Me” ribbon!

Hello everyone, please consider donating to next GEN scholars. We are doing a matching gift up to $10,000. We are working to expand our workforce !!!! #hapc25

Hospice Workers Share Advice from Their Patients (Gift Article) Hospice workers share their insights.

Try this: www.nytimes.com/2025/01/31/w...

One of the best events at @aahpm.bsky.social #hapc25. Looking forward to it. #pallonc #supponc

Wait, what?? Is this from official channels???

Question’s on cancer pain & SUD Is buprenorphine your go-to for pain and SUD? What do you do about prn opioids? Do you do pill counts and UDTs on everyone? How many days of opioids do you give out? When should PC refer to addiction medicine? What does the palliative care clinic do when cancer is cured, but they still have SUD needs?

We are doing a GeriPal podcast on caring for people with serious illness and substance use this Thursday with some amazing palliative care & addiction medicine providers. What burning questions do you have (some of mine are below)
#medsky #palliative #hospice

Wish I could be there to learn!

Getting excited for a 4-hour pre-conference workshop at #hapc25 on outpatient #palliative care. I have some great co-presenters (Skavinski, Finlay, Goodlev). We will be covering clinical, operations, leadership and education topics. #hapc

Sign up if you haven’t already!

"Pts want to live as long as possible, but do not want to waste valuable life time with futile treatments. This leaves patients with the central questions whether now is the time to stop interventions...both pts and their health care providers want "a good death," but not a minute too soon." #hapc

What other departments or divisions are doing faculty sessions on teaching how to get on BlueSky? @ucsfgeriatrics.bsky.social is! Thanks @lwaltermd.bsky.social for setting this up! #geriatrics #gerisky

#HPMParty is returning to Denver during the 2025 AAHPM/HPNA Annual Assembly

The #HPMParty is returning to Denver during the 2025 AAHPM/HPNA Annual Assembly. We will be doing our traditional Pub Crawl, this time starting at 8 pm on Thursday, February 6th at the Celtic. Details here: geripal.org/hpmparty-is-... #hapc25 #HAPC #palliative

All NIH study sections canceled indefinitely. This will halt science and devastate research budgets in universities.

Great piece by Dani Chammas

@ewidera.bsky.social @pallipsych.bsky.social is she on Bsky to tag??

Congrats to @aahpm.bsky.social on the selection of Dr. Kristi Newport as the next Chief Medical Officer!

She is a top tier choice who will bring a lot to the field in this role. Her co-leadership of the "Oncologist In Your Pocket" lectures is fundamental to my outpatient #PalliativeCare work.

The number of patient scheduled hours resulting in a 40-hour work week by physician specialty and setting: a cross-sectional study using electronic health record event log data AbstractObjective. To quantify how many patient scheduled hours would result in a 40-h work week (PSH40) for ambulatory physicians and to determine how PSH

Medicine subspecialists are spending 15-30 additional minutes working in the EHR for every hour spent seeing patients... not surprising per se but easy to understand why full time outpatient practice feels so untenable right now academic.oup.com/jamia/articl...

Home-based palliative care has grown in popularity, but expertise lags, report finds Medicare Advantage plans increasingly have offered home-based palliative care as a supplemental benefit in recent years.

The next educational challenge is, how do we educate and assessed competencies specifically for homebase palliative care in training programs? #hapc

www.mcknightshomecare.com/news/home-ba...

complete with portable card reader!

Do conversations about prognosis (defined as "conversation with your hepatologist about the likely outcome of your liver disease over time") cause patients w/ cirrhosis to lose hope?

Simple answer: No

Work led by🌟@donlan_john in CGH @amergastroassn.bsky.social https://buff.ly/4i1R6OM #LiverSky

Opinion | If My Dying Daughter Could Face Her Mortality, Why Couldn’t the Rest of Us? A bereaved mother’s case against our grief-phobic culture.

If My Dying Daughter Could Face Her Mortality, Why Couldn’t the Rest of Us? Very thoughtful, moving and brave

www.nytimes.com/2024/11/25/o...

Hey #primarycaresky #medsky #IMProudsky

On the line items that should be included in all primary care work conditions:

Enough non patient facing time should be worked into a week template 2allow for all:

documentation
billing
Lab review
calls/portal messages
admin work
forms
letters

At work!

Coping with Serious Illness can sometimes appear unhealthy (denial, substance use, humor, etc..) How should we approach this? Should we re-think our good/bad stance?

Guests Danielle Chammas and Amanda Moment.

Episode bit.ly/GeriPalEp335 - hosted by Drs. Alex Smith and Eric Widera

Illness trajectories of incurable solid cancers

We need to shift our approach to ambulatory palliative care education to managing patients over years and also define the boundaries and ways to collaborate between us and primary care for those living with cancer

pubmed.ncbi.nlm.nih.gov/38428972/

From the editors of Pallimed comes endnotes, a new blog to find thoughtful writing in palliative care and hospice. I hope you’ll consider submitting!

endnotes.org

hapc