The Future of Geriatrics: A Podcast with Jerry Gurwitz, Ryan Chippendale, and Mike Harper

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GeriPal - A Geriatrics and Palliative Medicine Podcast 51 min 3 speakers 8 chapters transcribed 8 hours ago
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What is the focus of today’s episode and who are the guests?

Eric Widera 0:01
Welcome to the Jerry Powell podcast. This is Eric Guadera.
Alex Smith 0:04
This is Alex Smith.
Eric Widera 0:05
And Alex, who do we have with us today?
Alex Smith 0:07
Today, we're delighted to welcome Jerry Gerwitz, who is a geriatrician and professor of medicine at the UMass Chan Medical School. Jerry, welcome to Jerry Powell.
Jerry Gurwitz 0:19
Great to be here.
Alex Smith 0:20
We're also delighted to welcome Mike Harper, who's a geriatrician, a professor in the UCSF Division of Geriatrics, past president of American Geriatric Society, or AGS, and is also current board chair for AGS, and like me, a rabid Warriors fan. Mike, welcome to GeriPal.
Hi.
Alex Smith 0:39
Great to be here. Looking forward to the game tonight, even though
Mike Harper 0:42
it's a preseason
Alex Smith 0:42
one. We'll take any worries we can get. And finally, we're delighted to welcome Ryan Chippendale, who's a geriatrician, associate professor at Boston University, and also is geriatric medicine fellowship director there. Welcome to GeriPal, Ryan.
Ryan Chippendale 0:57
Thanks so much for having me. Go
Alex Smith 0:58
Celts.
Mike Harper 1:01
This is going to be a problem. And Geri, I'm guessing you're a Celtics fan?
Jerry Gurwitz 1:08
I sure am.
Eric Widera 1:11
I see a green jacket on. So we got a lot to talk about today. This podcast came up, Jerry wrote a fascinating article in JAMA on the paradoxical decline of geriatric medicine as a profession, which I think stimulated a lot of conversations. And we thought, hey, we should be part of that conversation and talk about kind of what does the future of geriatrics look like? But before we go into that topic, Jerry, I think you have a song request.
Jerry Gurwitz 1:43
And my song request is Coldplay by Coldplay Fix You. Want to know why I chose
Eric Widera 1:49
it? I would love to know why you chose it. Outside of I'm pretty sure Alex is happy to sing a Coldplay song.
Jerry Gurwitz 1:54
I'm really looking forward to this. This song makes me tear up and sometimes cry. It makes me feel, the beginning makes me feel a bit sad and hopeless. The lyrics stuck in reverse. Could it be worse? But at the end, it makes me feel hopeful. I don't know if Alex will sing this, but if you never try, you'll never know what you're worth. And I feel like that makes me feel like a geriatrician. And I just want to say one thing. I have never for a moment regretted going into geriatrics, not for one minute, not for one second. So I want to hear that song. I'm ready.
Alex Smith 2:38
Thank you, Jerry. Here's a little bit first verse in the chorus for those watching live on YouTube. For those who are listening, you get my prerecorded full version that has Jerry's requested lyrics.
When you try your best but you don't succeed When you get what you want but not what you need When you feel so tired but you can't sleep Stuck in reverse Lights will guide you home And ignite your bones And I will try to fix you Tears stream down your face When you lose something you cannot replace Tears stream down your face and I Lights will guide you home And ignite your bones. And
Unknown 4:35
I will try to fix you.
Jerry Gurwitz 4:41
You know what? That's worth a $250 donation to Jerry, pal.
Eric Widera 4:48
I told Jerry to say that. I wonder if this is foreshadowing for the podcast. I'm going to roll with that foreshadowing, and I'm going to start off with Jerry. I was going to start off by asking Jerry about why he wrote the JAMA article. It was JAMA, right? Not JAMA IM? It was JAMA. But Jerry, when did you start in geriatrics? How long ago?
Jerry Gurwitz 5:14
Yeah, I started my fellowship in 1986. I finished my fellowship in 88.
Eric Widera 5:21
And can I ask you, why did you choose geriatrics? Why did you go into it?
Jerry Gurwitz 5:25
Probably for the reason a lot of people go into geriatrics, close relationship with grandparents, volunteering to work in a nursing home as a high school student. Just felt really good about being around old people and not having a problem with it.
Eric Widera 5:44
And then decades of a storied career in geriatrics. And you wrote this article, which probably for geriatricians, they probably have a love-hate relationship with your title, which is the paradoxical decline of geriatric medicine as a profession. What prompted you to write this in JAMA?
Jerry Gurwitz 6:04
Yeah, I'm going to give you the brief version.
Eric Widera 6:07
Jerry asked us if we wanted the three-minute versus ten-minute. Alex is all, give the ten-minute. I'm going to give the three-minute, Jerry.

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