Mark A. O'Rourke, MD

Leveraging Goals of Care Interventions to Deliver Personalized Care Near the End of Life jamanetwork.com/journals/jamao… Excellent discussion of perhaps the most critical issue for cancer care delivery! @ASCO #SWOGonc @AAHPM @NCICancerCtrl

The lenders, the lobbies, and the fight for a 36% rate cap in South Carolina southcarolinapublicradio.org/podcasts/2023-…. This 4 minute audio clip is an excellent summary of the status of Senate bill 518, which I strongly support! @scsenategop @SCSenateDems

SC lawmakers debate cap on payday loans. Here's how that would change the lending industry. I support S518! greenvilleonline.com/story/news/202… via @greenvillenews

Senate bill 518 will limit predatory lending in South Carolina by capping interest and fees on consumer loans at 36% APR. Protects the poor in distress. Allows fair practices by lenders. Good for SC! Call your legislator today!

SC lawmakers debate cap on payday loans. Here's how that would change the lending industry. I support S518. greenvilleonline.com/story/news/202… via @greenvillenews

I encourage South Carolinians to use this link to advocate to their state senators. @UWGreenvilleSC @GreenvilleNews

Primary Care–Specialist Relationships, Intrinsic Motivation, and Patient Experience of Care ja.ma/3CocYAH via @JAMAInternalMed part of @JAMANetwork Agree health systems can improve provider experience to benefit of patients. See our commentary, doi.org/10.1111/jgs.18….

See our commentary, doi.org/10.1111/jgs.18…. "Replace the advance directive with a patient activation approach to serious illness communication" may be particularly helpful for African Americans.

Health systems can act to facilitate serious illness conversations! See our commentary on a patient activation approach. doi.org/10.1111/jgs.18…

End-of-Life Preferences in Older US Adults—Bridging the “What Matters” Chasm ja.ma/3X3A7QG via @JAMANetworkOpen part of @JAMANetwork Consider a patient activation approach to serious illness conversation. See our commentary. doi.org/10.1111/jgs.18…

@haiderwarraich @rbloise24 @PalliativeMed_j @YaleNursing @BIDMChealth @BrighamResearch @NAIinterpret @PacInterp @AAHPM As a clinician who has had many serious illness and EOL discussions using translators over the decades, I commend the investigators for this research. People with limited English proficiency are indeed a vulnerable group.

@GrantWilliamsMD @rochgerionc @ramsedhom @WilliamDale_MD @Ashley_Rosko1 @GeriOncMD @OncElias @CPresGeriOncMD Agree. Long overdue across America.

@ramsedhom @rochgerionc @WilliamDale_MD @Ashley_Rosko1 @GeriOncMD @OncElias @CPresGeriOncMD I think this is a great question, and we have started to systematically include our geriatric assessment and treatment preferences reports in our pancreatic tumor board recently. geriatriconcology.net/article/S1879-…

Really great article @JGeriOnc What stood out to me - even in multidisciplinary tumor boards - we remain extremely technical i.e. how do we best treat this tumor NOT - in light of the patients goals/values, what is the next best step Change needed! geriatriconcology.net/article/S1879-…

Me in confession: My Advent has been terrible. Priest: The Christian life is a marathon. Get up off the mat. Have hope. Sharing in case you need to hear that, too.

A paradigm change is overdue: See Replace the advance directive with a patient activation approach to serious illness communication. @JAGSjournal @CAPCpalliative @ASCO #hpm @NHPCO @AAHPM agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

@AGSjournal @UofSCSOMG @theprismahealth This commentary challenges the central role of the living will in advance care planning, better framed as serious illness communication.

Check out our commentary: Replace the advance directive with a patient activation approach to serious illness communication agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

@ILikeMyLiberty For some people in financial distress and debt, a loan only makes the situation worse. One cannot borrow one’s way out of debt. There are safety nets available to people in financial distress. Vulnerable people warrant protection from high cost, harmful lending.

"Predatory " lending. People with crap credit , super high risk of not paying , go to loan sharks at 100 or 200% interest, nothing new. Commie Dems want to cap it at 36% federally . No shark would take that bet. Now those people will get no loan. I'll bet the Gov will take it now

@andrewdreyfus @manalipatelmd @StanfordMed @VAPaloAlto Serious illness creates a need for medical conversations. Patient activation is the key to making these serious illness conversations helpful for the patient, provider & health system.

“I think of serious illness conversations as non-medical but they often become medicalized conversations, which we need to change.” @manalipatelmd of @StanfordMed and @VAPaloAlto #MCSIC2022Summit