Advance Care Planning is So Right: Podcast with Rebecca Sudore and Ryan McMahan
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
48 min
3 speakers
8 chapters
transcribed 6 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the purpose of this episode and who are the guests?
The JerryPowl podcast is brought to you by Archstone Foundation, preparing society and meeting the needs of an aging population. And now, here are your hosts.
Welcome to the JerryPal Podcast. This is Eric Wadera. This is Alex Smith. And Alex, who do we
have on with us this week? We are delighted to welcome back for her third time on the Jerry PAL podcast, Rebecca Sidore, who is a geriatrician and pallid medicine physician and professor of medicine at UCSF. Welcome back, Rebecca.
Nice to be here. Thank you.
And we're excited to have Ryan McMahon who's first time this is first time on the podcast. He's a longtime research collaborator with Rebecca and a resident in internal medicine at UCSF. Welcome to the Jerry Powell podcast.
Hey, thanks. Great to be here.
Ryan was on nights last night. He got about three hours of sleep and we're so grateful that he's joining us. Thank you so much, Ryan. Of course.
So uh on today's podcast, we are gonna be talking about advanced care planning. Um, and for those folks who've been listening to our podcast, you probably know in August we just did one too. I think Alex titled it Advanced Care Planning Is Wrong. So we're gonna be talking about a recent study published in the journal American Geriatric Society, JAGS on advanced care planning that Rebecca and Ryan did. But before we get into the topic, Okay. Do you have a sign request for Alex?
You know, it's uh it's been a long summer, uh, so I'm gonna take it back to uh early two thousands with the uh Bay Area band Green Day, Wake Me Up When September ends.
Sure has been a long summer. And uh we're recording this in September. This may come out in October, but um oh boy, can't wait for September to end. And I hope the rest of the year goes well too. Yeah, like
the like it's been going real well so far.
Summer has come and passed. Innocent can never last. Wake me up. When September ends Like my father's come to pass, seven years has gone so fast. Wake me up when September.
I thought you were gonna substitute when twenty twenty ends on that, Alex.
We could.
Uh yeah, that's when we need the big drugs to come in the full green day baby. Do it. The good local band, right? Berkeley. Mm-hmm. Berkeley band. And they have they great influences. They have uh this uh Beatles chord progression in there, C to C minor. Very Beatles, wonderful song.
I was gonna say that. Not really. I have no idea what a C or C minor is. Well let let's d dive into this topic. Uh again, we we've done you know s several podcasts on advanced care planning, video advanced care planning. We just had Sean Morrison talking about advanced care planning from his viewpoint. Before we get into that topic, Ryan though, how did you get interested in advanced care planning and thinking about this as a uh you know a research focus of yours?
Yeah, I mean this has been kind of a long uh a long process working with uh Doctor Sidori. It's been almost ten years working together. So I think, you know, by now if I'm not interested in advanced care planning then she'd probably find a way to kill me 'cause It'd be uh yeah. It'd be shocking. Um, but I really go back to one of our first research projects was the focus group, where we just sat down with people with serious illness and talked to them about their thoughts on death and dying and what helps them. And um, you know, really hearing their their personal stories from people who've kind of been through it and um talked about how uh you know, in terms of what they needed and uh wanting more preparation essentially.
And that it wasn't just about filling out a form for them, um, but it was more about conversations and um, you know, being prepared to make these kinds of decisions. So that kind of shifted my thought process on what advanced care planning sort of was and you know, over the years as it's uh been researched, just seeing the sort of mixed results from different studies, you know, lots of systematic reviews coming out to again, you know, mixed results, uh, really made me want to just take another another look at it just to see kind of why hasn't the research borne out um the benefits that seem so obvious.
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Chapters
8 chapters
1
What is the purpose of this episode and who are the guests?
0:01–4:51
2
Why did Rebecca and Ryan decide to revisit advance care planning research?
4:51–12:01
3
How did the authors design their scoping review and choose the study period?
12:01–17:39
4
What types of interventions and outcomes did the recent high‑quality trials examine?
17:39–23:28
5
Which outcome categories showed the most positive results for surrogates?
23:28–30:28
6
Why is implementation science crucial for scaling advance care planning?
30:28–37:44
7
How does the Ford Pinto analogy illustrate the complexities of advance care planning?
37:44–43:41
8
What are the key take‑aways and next steps for clinicians and researchers?
43:41–48:34
Speakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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