RCT of Default Inpatient PC Consults: Kate Courtright & Scott Halpern
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
47 min
5 speakers
8 chapters
transcribed 9 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the default inpatient palliative care consult trial and why was it conducted?
This podcast is C Me Eligible. To learn more and claim credit, go to the CME tab on the Jerry Powell website. And Alex, there's something else special coming up.
Our three hundredth anniversary episode is coming up. Three hundred podcasts. Can you believe it? We've done many songs, we have many laughs, many tears. I don't know about tears. Anyway, we would love to have your questions. What are we doing for our three hundredth podcast, Eric? I think
we're doing an AMA. Ask me anything. So you send us questions. We will answer any and all of them as much as we can get to on the three hundredth episode podcast.
You could ask us questions about studies that we've talked about, about fields, about our opinions about topics. You know, we have many guests on. You don't get to hear from us as much. You could ask us
for our most memorable podcasts.
Yeah. What it takes to be a podcaster and why we do this.
Or anything else that comes to your mind, just send the answer or the questions. We will do the answers on the AMA podcast. So send it to Eric.widera at UCSF.edu. That's Eric.widera at UCSF.edu. Welcome to the Jerry Powell Podcast. This is Eric Gudera. This is Alex Smith. Wait, Alex, uh is this a coup? Uh are do you have a new co host?
That's right. Ushwin is taking your place and you're now remote.
Is is uh maybe we should talk after this podcast about what's happening here. Um but we do we have a great topic today. We're gonna be talking about default palliative care new article that just came out in JAMA this week, co paired with another article that was published that we did a podcast on last week. Alex, who are our guests today?
We're delighted to welcome some repeat guests, Scott Halpern, who's a pulmonary and critical care physician, researcher, and director of the PAIR Center at the University of Pennsylvania. And PAIR stands for the Palliative and Advanced Illness Research Center. Scott, welcome back to JerryPal. Pleasure to be here. And we're delighted to welcome Kate Cortwright, who's a pulmonary and critical care and palliative care physician researcher. Also a core faculty member at the Pear Center at the University of Pennsylvania. Kate, welcome back to JerryPal.
Thank you. Good to see you.
And as mentioned earlier, Ushwan Cotwall is joining us as a guest host. He's a geriatrician and palliative care doc researcher in the UCSF division of geriatrics. Ushwin, welcome back. Thanks for having me.
Guest host makes me feel a little bit better since I'm not in the room. Better titled. Scott, I think you have a song request before we talk about The jamma piece and default palette of care. What is the signing request?
I would ask that Alex finally consider after all these years a song by the best band in the world, Fish, and specifically the song Miss You.
Yeah. And why this song?
Oh couple reasons. So Trey, Anastasio, the lead singer, wrote this song about his sister Christie when she died about a decade ago and that was a couple of years after my father died and when I first heard the song live, I I was a pool of tears. Um, and it it just hits me that way. And of course. This is what families of patients undergoing palliative care go through. Um but I I also think there's like a cool connection to this study in particular. So out imagine you're a seriously ill hospitalized patient and I'm your doctor, unlucky uh unluckily for you. Um but Potentially, fortunately for you, Kate is the palliative care clinician who's on service. Absent a default order for palliative care consultation, your myopic doctor, me, might not think to get that you would benefit from palliative care.
And so
You
might miss me. Would miss you.
Yeah. Yeah.
Indeed I would. That's good. And
how many fish shows have you been to, Scott? Uh about a hundred. That's amazing. Wow. That is amazing. Well, this is a beautiful, wistful, melancholy tune. I'm still in a splint, so I'm gonna play it with two fingers. Here's a little bit of it.
How did the researchers design the stepped‑wedge cluster randomized trial?
You're smiling at me. From your picture frame. And I miss you.
My life keeps on changing But you stay the same. I miss you.
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Chapters
8 chapters
1
What is the default inpatient palliative care consult trial and why was it conducted?
0:00–4:33
2
How did the researchers design the stepped‑wedge cluster randomized trial?
4:33–10:04
3
Why were COPD, kidney disease, and dementia chosen as target conditions?
10:04–16:14
4
What was the “nudge” – the default order – and how did it work in the EHR?
16:14–22:41
5
How did the trial handle consent, blinding, and clinician workload concerns?
22:41–28:14
6
What were the primary and secondary outcomes and what did the results show?
28:14–34:06
7
Why is length of stay a controversial primary outcome for palliative‑care trials?
34:06–40:57
8
What are the next steps and future research directions for pragmatic palliative‑care trials?
40:57–47:16
Speakers
5 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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