Alex Smith, MD
@AlexSmithMD
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Co-founder: GeriPal Podcast, ePrognosis | Work: Professor UCSF palliative & geriatrics | Exec Editor JAGS | Personal: father, cyclist, backpacker, Warriors fan
San Francisco
Joined July 2009
The Palliative Performance Scale (or PPS) is the MOST used prognostic index on ePrognosis but poorly calibrated (likely b/c developed when PC was "brink of death"). @kara_bischoff published modern validation in JAMA NO and updated ePrognosis. https://t.co/8bjeC2Qh53
jamanetwork.com
This prognostic study assessed associations of scores on the Palliative Performance Scale with short- and long-term survival to provide updated prognosis estimates for patients with cancer and other...
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🌞🎶 The UCSF Geriatrics team gathered in @alexsmithmd.bsky.social's home for our Annual Welcome Picnic! Music, laughter, great food & warm camaraderie made it a joyful welcome for new faculty, fellows & staff. 💛 Thanks for hosting, Dr. Smith!
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GeriPACTs bring specialized team-based care to older #veterans with complex needs - smaller panels, #geriatric training & more. But are they better than standard care? Guests @HastingsNicki, Kristie Hsu, & @geri_doc. 👉 https://t.co/hpPpcRO1WG 😀 Hosts @AlexSmithMD | @EWidera
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A podcast on medical billing & coding? Yes! It's not hard. Know your worth & bill for it, even if visit doesn't feel HARD-it can help pay for team members who often can't bill. Guests @CAJonesMD & @PhilRodgersMD. 👉 Post: https://t.co/qTTMI6GfRM 😀 Hosts @AlexSmithMD | @EWidera
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New paper in @JAMAInternalMed! In it, we use data to examine a commonly held belief about what moving into a nursing home or assisted living facility (also known as a long-term care facility; or LTCF) does to your social life. https://t.co/q7zVSdFSKa
jamanetwork.com
This cohort study evaluates longitudinal trends and factors associated with social participation before and after entry into a nursing home or assisted living facility.
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Drs. @wjdeardorff.bsky.social, John Boscardin, PhD, @alexsmithmd.bsky.social, and @seijlee.bsky.social published "A Multi-Outcome Prognostic Model for Community-Dwelling Older Adults Admitted to Skilled Nursing Facilities for Post-Acute Care" in JAMDA
jamda.com
Nearly 20% of hospitalized older adults are discharged to a skilled nursing facility (SNF) for short-term rehabilitation. Many subsequently experience adverse outcomes, such as hospital readmissions,...
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Cost-Effectiveness of Family Conferences to Reduce Polypharmacy in Frail Older Adults. #geriatrics
https://t.co/MRGqbzlfBK
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Many thanks to contributions from all authors and others who provided valuable feedback on drafts. @AmerGeriatrics #geriatrics #DEImatters
JAGS Remains Committed to Scientific Principles That Support Better Health and Function for All Older Adults: Disparities, Diversity in Research, and Respectful Discourse. # geriatrics https://t.co/B6FbxVOyO7
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So fun to talk about palliative care and survivorship with friends on @GeriPalBlog! Should PC clinicians provide survivorship care? Give it a listen & weigh in! #survonc @DrN_CancerPCP @RyanNipp @crisbergerot @DrNicolasHart @NicoleStoutPT @jillfeldman4 @ramsedhom @maryam_lustberg
Should #PalliativeCare be in the business of caring for #CancerSurvivors? It’s more complicated than it seems. We talk with two palliative care docs, @lpetrillz and @LShoemakerDO, about this topic. 👉 Full episode at https://t.co/SCuIxusQ6j 😀hosts @AlexSmithMD | @EWidera
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Son Renn and friend Evan on hike to Stubai glacier in the Tyrollean alps, Austria. (Look closely for @GeriPalBlog)
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What You Should Know About #RadiationOncology: If you ever had questions about this topic, we aim to clear that up, from the initial planning visit to the final treatment + more. Guests Anish Butala, Emily Martin, & Evie Kalmar. https://t.co/bRMMwYjKp9 - @AlexSmithMD | @EWidera
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We discuss #Nudging #CriticalCare clinicians to consider a more #Palliative approach to care and the JAMA IM study. Does nudging (behavioral intervention) work? Guests @k8courtright, @ScottHalpernMD, & @Singh011Jaspal. https://t.co/SOMYFZLm3P - hosts @AlexSmithMD | @EWidera
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Honoring our amazing faculty at the 27th Holly Smith Dinner! 🎉 Congrats to Drs. Jacklyn Katz, @leahjwitt.bsky.social, @alexsmithmd.bsky.social, @rconant.bsky.social, Lynn Flint & @seijlee.bsky.social on your well-deserved awards! 👏 #UCSF
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Beware of PULET: Potentially Unsafe Low-Evidence Treatments endorsed by influencers & self-identified experts. We discuss risky therapies like ivermectin for cancer with guests Adam Marks, Laura Taylor, & @DrJill4Wellness. https://t.co/RAW18OkGg1 - hosts @AlexSmithMD | @EWidera
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So honored to have the inimitable Dr. Mike Malone give his last lecture, and last slide of his academic career with us at @uscf
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Loved this! I proposed we sing 30 songs. Tyler talked me down to 5-6 :)
Thank you to @AlexSmithMD of @GeriPalBlog . Had a blast recording an episode of the My Medical Mixtape podcast at @AAHPM In Denver. Alex shares some incredible stories and channels his summer camp song leader days. Check it out on Spotify https://t.co/h58unr2Ci5
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Had the pleasure of being a guest on someone else’s Podcast! Check out My Medical Mixtape - music and palliative care - host Tyler Jorgensen EM/palliative doc in Austin.
open.spotify.com
My Medical Mixtape · Episode
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If you do 1 good thing today, go up to someone standing alone by their poster and ask for a 1 minute version. If you do 2 good things ask that poster presenter to join you at the GeriPal pub crawl starting at 8pm at the Celtic. #hapc25
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Imagine you open your email and find everyone in your hospital system is encouraged to retire next week and in return they get a 7 month severance period in which they no longer are expected to work (at all). That’s just what happened at the VA today. https://t.co/Y54Ninl20o
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