Pragmatic Trial of ACP: Jennifer Wolff, Sydney Dy, Danny Scerpella, and Jasmine Santoyo-Olsson

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GeriPal - A Geriatrics and Palliative Medicine Podcast 47 min 2 speakers 4 chapters transcribed 9 hours ago
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What is the main topic discussed in this episode?

Eric Widera 0:00
This episode of the JerryPal Podcast is CME eligible.
Alex Smith 0:04
To claim credit, please go to the CME tab on jerrypal.org.
Eric Widera 0:09
Welcome to the Jerry Powell Podcast. This is Eric Guidara. This is Alex Smith. And Alex, we got a full house with us who's with us. We got it today.
Alex Smith 0:16
Very full house today. We are delighted to welcome Jennifer Wolf, who is a health services researcher and gerontologist and professor at Johns Hopkins. Jennifer, welcome to the Jerry Powell Podcast.
Jennifer Wolff 0:29
It's great to be here.
Alex Smith 0:30
We are also delighted to welcome Sydney D, who's a primary care doc, palliative care doc, and researcher and professor at Johns Hopkins. Sydney, welcome to the Jerry Powell podcast. Thank you. And we're delighted to welcome Danny Sherpella, who's a research associate at the School of Public Health at Johns Hopkins. Danny, welcome to the JerryPel Podcast. Thank you very much. Excited to be here. And Jasmine Centoyo Olson, who's a social behavioral scientist and a fellow in the T thirty two research fellowship at the UCSF Division of Geriatrics. Jasmine, welcome to JerryPal. Right.
Eric Widera 1:08
So we have an amazing lineup of guests and we're gonna be talking about a pragmatic study on advan advanced care planning, which we'll have links to in our show notes for the actual article. But before we dive into this study and the implications it has for the practice that we do. I believe someone has a song request. Jasmine, is it you?
Jasmine Santoyo-Olsson 1:31
Yeah, it is me. It's called Laca Laca, um, which is uh a mut a mariachi song and it translates to the skeleton. And the reason I chose this song is because, you know, I'm currently working on bringing advanced care planning sessions to the Latino community. And, you know, one of the in our planning sessions, you know, one of the biggest barriers to advanced care planning in this community is just talking about death. However, you know, if we think about um that death is actually already embedded in the Mexican culture. And, you know, culturally death is not something to fear, but rather something to embrace and even celebrate. At least that's the way Mexicans see it. And so this perspective actually helps affirm.
Jasmine Santoyo-Olsson 2:12
that it's okay to talk about death. And so we're actually starting our advanced care planning sessions with music that's talk about death. And, you know, in a way it gives, you know, participants um permission to engage in discussions about dying. And so this is our way um of supporting non-English speaking families in advanced care planning. So that's why I selected this song.
Alex Smith 2:32
Great. Alex. All right, this was a fun one. Got to learn some Spanish for this one. It went over with Jasmine yesterday. I've had fun relearning Spanish recently. Took a trip to Mexico City. Still suffering from uh some illness from there, which is why I was sick and not in the office with Eric today. But here's a little bit uh of the song without a full mariachi band.
Mucho cuidado, señores, porque la muerte anda lista en el panteón de dolores. Ya nos tiene una cosita para los compositores y uno que otro periodista, licenciados y actores. Turosestaan enälista. Tuku tuku tiquitaka, que arranca y jaca-laca, quando menos lo pensamos, nos hace estirar la pata. Yo me escape una vez, pero poco me atrapa.
Eric Widera 3:47
Thank you, Alex. And thank you, Jasmine, for that great song. How did Alex do?
Jasmine Santoyo-Olsson 3:51
He did great.
Danny Scerpella 3:53
Yeah, I love that. That was great. Very generous. Thank you.
Eric Widera 3:57
Okay, we got a lot to talk about. Um, and interestingly enough, this is a really fascinating study that just got published in JAMA IM in December of 2024. I think that the most interesting parts of this is I think we gotta hear what happened in this study, but what do we do with the results? Can't really talk about that until we talk about why did we do this study and what did we do? So uh I'm gonna turn to you, Jennifer, first. So it's great. You're first author of this publication, Jamba I Am on a pragmatic study in advanced care planning. Why did you even bother doing this study?

What is the purpose and background of the pragmatic ACP trial?

Jennifer Wolff 4:34
Yeah, thanks for the question. Um, it's a great question and boy, we have come a long way from writing the proposal in 2018.

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