Rebecca Sudore

speaker

816 appearances 5 recordings 1 series first heard May 2017 last heard Mar 2022

Rebecca Sudore’s voice in public audio — every appearance, attributed to the second.

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GeriPal - A Geriatrics and Palliative Medicine Podcast · Advance Care Planning is So Right: Podcast with Rebecca Sudore and Ryan McMahan · 8 Oct 2020 podcast

So I guess it just isn't sort of worthwhile.

First of all, I would say that there are more and more pragmatic studies that are coming out, you know, in advanced care planning.

But I think and and we're in the middle of one right now.

We're in the middle of a large pragmatic study with UCLA and UC Irvine, um, with our collaborators there, um, Neil Wenger and Annie Walling.

Um, and

I can tell you like

Implementation science is where it's at because it is so complicated.

When I think just in terms of getting this done at UCSF,

We had to get buy-in from like medical leadership and the directorship and we have to we had to talk to the epic team about figuring out what's going on with the MR and where are gonna people gonna be putting this information and documentation.

That took over two years.

Then you have to talk to the front desk staff and the people who scan in these forms.

Then you have to talk to, you know, pay your patient advisors to see like when do they wanna get this information and how do they wanna get this information.

So you might have a tool or an intervention.

But it's really the research about implementation science about how you can do it effectively.

I would say that that might be true even if you're doing community based participatory research.

And I would also say

That what we know about implementation science is that there isn't a one size fits all model.

And what works in one workflow and in one health system may need to be tweaked sort of in another.

And I think we've been kind of trying to squish these like square pegs and round holes and then wondering why it doesn't work.

Because maybe you have these like large

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