Alex Smith, MD

Co-founder: GeriPal Podcast, ePrognosis | Work: Professor UCSF palliative & geriatrics | Exec Editor JAGS | Personal: father, cyclist, backpacker, Warriors fan

[Alex Smith, MD @AlexSmithMD]

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/D1PNwqG9GA

https://t.co/RTducDKkkd

[GeriPal - A Geriatrics & Palliative Care Podcast @GeriPalBlog]

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: https://t.co/vMQuAUNfNm
😀 Hosts @AlexSmithMD | @EWidera

[GeriPal - A Geriatrics & Palliative Care Podcast @GeriPalBlog]

#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: https://t.co/VG3D40yurk
😀 Hosts @AlexSmithMD | @EWidera

[GeriPal - A Geriatrics & Palliative Care Podcast @GeriPalBlog]

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: https://t.co/P36HszrUsS
😀 Hosts @AlexSmithMD | @EWidera

[GeriPal - A Geriatrics & Palliative Care Podcast @GeriPalBlog]

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: https://t.co/CImY4zOcGt
😀 Hosts @AlexSmithMD | @EWidera

[Alex Smith, MD @AlexSmithMD]

What a list! Much listening to do. Bioethics podcasts, curated by @GreenwallFdn https://t.co/28Vbp2CuNo

[UCSF Geriatrics @UCSFGeriatrics]

🌞🎶 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!

[GeriPal - A Geriatrics & Palliative Care Podcast @GeriPalBlog]

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

[GeriPal - A Geriatrics & Palliative Care Podcast @GeriPalBlog]

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

[Kenneth Lam @drklam]

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

[UCSF Geriatrics @UCSFGeriatrics]

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 https://t.co/vPbautU811

[JAGS @AGSJournal]

Cost-Effectiveness of Family Conferences to Reduce Polypharmacy in Frail Older Adults. #geriatrics https://t.co/MRGqbzlfBK

[Alex Smith, MD @AlexSmithMD]

Many thanks to contributions from all authors and others who provided valuable feedback on drafts. @AmerGeriatrics #geriatrics #DEImatters

[JAGS @AGSJournal]

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

[Laura Petrillo 🗽 @lpetrillz]

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

[Alex Smith, MD @AlexSmithMD]

Son Renn and friend Evan on hike to Stubai glacier in the Tyrollean alps, Austria. (Look closely for @GeriPalBlog)

[GeriPal - A Geriatrics & Palliative Care Podcast @GeriPalBlog]

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

[GeriPal - A Geriatrics & Palliative Care Podcast @GeriPalBlog]

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

[UCSF Geriatrics @UCSFGeriatrics]

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

[GeriPal - A Geriatrics & Palliative Care Podcast @GeriPalBlog]

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

[Alex Smith, MD @AlexSmithMD]

So honored to have the inimitable Dr. Mike Malone give his last lecture, and last slide of his academic career with us at @uscf

[Alex Smith, MD @AlexSmithMD]

@campfiredoc @AAHPM

[Alex Smith, MD @AlexSmithMD]

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. https://t.co/rrbW0tfB1i