Co-founder: GeriPal Podcast, ePrognosis | Work: Professor UCSF palliative & geriatrics | Exec Editor JAGS | Personal: father, cyclist, backpacker, Warriors fan
San Francisco
Joined July 2009
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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.
jamanetwork.com/journals/jam…
eprognosis.ucsf.edu/pps.php?…
Alex Smith, MD retweeted
Great discussion with @Bob_Wachter about his new book on #AI and #Healthcare, "A Giant Leap." We discuss AI for diagnosis, job loss concerns, risks of direct-to-patient bots, time efficiencies, ethics + more.
👉 Post: bit.ly/GeriPalEp390
😀 Hosts @AlexSmithMD | @EWidera
Alex Smith, MD retweeted
#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. #AgingResearch
👉 Post: bit.ly/GeriPalEp383
😀 Hosts @AlexSmithMD | @EWidera
Alex Smith, MD retweeted
Rehab and Death in #SkilledNursingFacilities is a vicious cycle. @SarguniSingh, @cdfurm02, & Lynn Flint explain how hope, policy gaps, and payment rules shape these transitions—and why change is needed. #hpm
👉 Post: bit.ly/GeriPalEp384
😀 Hosts @AlexSmithMD | @EWidera
Alex Smith, MD retweeted
To what extent is it our job as consultants to navigate, manage, or attend to Clinician Distress? What happens if that clinician distress leads to conflict? Guests Sara Johnson, Yael Schenker, & Anne Kelly. #hpm
👉 Post: bit.ly/GeriPalEp385
😀 Hosts @AlexSmithMD | @EWidera
What a list! Much listening to do. Bioethics podcasts, curated by @GreenwallFdn greenwall.org/news/bioethics…
Alex Smith, MD retweeted
🌞🎶 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!
Alex Smith, MD retweeted
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.
👉 bit.ly/GeriPalEp372
😀 Hosts @AlexSmithMD | @EWidera
Alex Smith, MD retweeted
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: bit.ly/GeriPalEp373
😀 Hosts @AlexSmithMD | @EWidera
Alex Smith, MD retweeted
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.
jamanetwork.com/journals/jam…
Alex Smith, MD retweeted
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/article/S1525-8610…
Alex Smith, MD retweeted
Cost-Effectiveness of Family Conferences to Reduce Polypharmacy in Frail Older Adults. #geriatrics agsjournals.onlinelibrary.wi…
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 agsjournals.onlinelibrary.wi…
Alex Smith, MD retweeted
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 bit.ly/GeriPalEp363
😀hosts @AlexSmithMD | @EWidera
Son Renn and friend Evan on hike to Stubai glacier in the Tyrollean alps, Austria. (Look closely for @GeriPalBlog)
Alex Smith, MD retweeted
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.
bit.ly/GeriPalEp360 - @AlexSmithMD | @EWidera
Alex Smith, MD retweeted
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.
bit.ly/GeriPalEp356 - hosts @AlexSmithMD | @EWidera
Alex Smith, MD retweeted
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
Alex Smith, MD retweeted
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.
bit.ly/GeriPalEp353 - hosts @AlexSmithMD | @EWidera
So honored to have the inimitable Dr. Mike Malone give his last lecture, and last slide of his academic career with us at @uscf
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/episode/1Hp…
