Palliative Care's Diversity Problem: A Podcast with Lindsay Bell, Tessie October, and Riba Kelsey

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GeriPal - A Geriatrics and Palliative Medicine Podcast 46 min 3 speakers 8 chapters transcribed 3 days ago
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What is the diversity problem in palliative care and why does it matter?

Eric Widera 0:01
The Jerry Powell Podcast is brought to you by Archstone Foundation, improving the health and well-being of older Californians and their caregivers. Welcome to the Jerry Powell Podcast. This is Eric Guadera. This is Alex Smith. And Alex, we got a full house today. Who do we have
Alex Smith 0:17
with us? Full house. We are delighted to welcome to the Jerry Powell Podcast, Lindsay Bell, who is a researcher and program coordinator in Palliative Care Research Center at the University of Pittsburgh. Welcome to the Jerry Powell Podcast, Lindsay.
Lindsay Bell 0:30
Thank you.
Alex Smith 0:31
And Tessie October, who is a pediatric palliative care physician, first pediatric palliative care physician on the Jerry Powell podcast, and a critical care physician at Children's National in D.C. Welcome to the Jerry Powell podcast, Tessie.
Tessie October 0:48
Thank you. Thank you for having me. And peds rocks.
Alex Smith 0:51
Peds rocks. And then finally, we have Reba Kelsey, who is a family medicine physician in Atlanta at Morehouse, which is one of the historically black colleges and universities in the United States. Welcome to the Jerry Pal podcast, Reba.
Riba Kelsey 1:10
Thank you. Thank you for having me.
Eric Widera 1:13
So we're going to be talking about and the framing around a recent Journal on Pain and Symptom Management, JPSM paper on the lack of exposure to palliative care training for black residents. A study of schools with the highest and lowest percentages of black enrollment. This is an absolutely fascinating paper. Lindsay was the first author. Tessie was the senior author. Love to get into that. But before we do, we always have a song request. Lindsay, I think you got the song request this time around.
Lindsay Bell 1:42
I do. So our song request is going to be Run the World by Beyonce. And we chose this because Beyonce, I don't know if anyone's seen the Netflix special, but she pays homage to HBCUs, which is a large part of our paper. HBCU stands
Alex Smith 1:59
for the Historically Black Colleges and Universities.
Lindsay Bell 2:03
Yes. And we have three ladies from our team joining us today. So we thought it was appropriate.
Alex Smith 2:11
And also to torture me, female diva singer-songwriters, which I'm pretty far from, but it's all fun. Here we go, just a little bit.
Unknown 2:23
Who runs the world? Who runs the world? Who runs this world? Who runs the world?
Unknown 2:45
Who runs the world, girls? Who runs the world, girls? Who runs the world, girls? Who runs the world, girls? Some of the men think they freak this Like we do, but they don't Make your check come at thy neck Disrespect us, no they won't Boy, don't even try to touch us Boy, this beat is crazy This is how they made me Houston, Texas, baby Who runs the world, girls? Who runs the world, girls? Who runs the world, girls? Who runs the world, girls?
Tessie October 3:14
Nicely
Eric Widera 3:19
done, Alex.
Tessie October 3:20
That was pretty good. I have to say that.
Eric Widera 3:23
I was not
Tessie October 3:24
expecting
Eric Widera 3:24
that.
Tessie October 3:25
Yeah,
Eric Widera 3:26
that was great. I was at a joke about Beyonce could probably keep her job.

How did the guests become interested in researching palliative‑care training at HBCUs?

Eric Widera 3:34
Like, yeah, you're not going to take it over. You know, that was pretty darn good. I think Beyonce is still pretty safe, though. I think so. So let's start off talking about this paper. We usually do, before we even jump into the paper, how you got interested in this subject. So I'm going to start off with Lindsay. How did you get interested as this is a potential research project for you?
Lindsay Bell 4:02
So in my role as research project coordinator, I am working on a project that partners with Howard University, Morehouse School of Medicine, which is how I met Reba, and then the University of Puerto Rico to implement a palliative care educational intervention. And so importantly, Howard and Morehouse are both HBCUs, and the University of Puerto Rico is a predominantly Latinx serving institutions. So it was interesting that these, you know, three kind of major institutions that serve underrepresented students didn't have palliative care training. So we were curious to know what the state of this type of training looked like at other institutions that serve predominantly underrepresented students.
Lindsay Bell 4:44
And so for myself, you know, I was aware of the disparities that exist in palliative care, and I was learning more about the issues in the workforce with diversity.

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