Who should get Palliative Care? Kate Courtright
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
45 min
3 speakers
8 chapters
transcribed 8 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the background and motivation for studying palliative‑care research?
The JerryPal Podcast is brought to you by Archstone Foundation. Archstone Foundation, improving the health and well-being of older Californians and their caregivers.
And supported by listeners like you, many of whom have donated on the JerryPal fundraising site, which you can find at www.jerrypal.org, big blue button, or through reviews, stars on your favorite podcasting app. Big thank you. Welcome to the Jerry Powell podcast. This is Eric Padera.
This is Alex Smith.
And Alex, we actually have somebody in person, but we're doing this virtually 'cause of COVID. Who do we have virtually in person with us?
We're all in the same hallway here, but we're recording from different computers so we can record unmasked and have high quality audio for you our listeners. Um, we're delighted that Kate Cortwright is here from the University of Pennsylvania. She's an assistant professor there. She's trained in pulmonary critical care and palliative care. She's a palliative care researcher. She's also a member of the Care Center, which stands for Palliative Advanced Illness Research Center. Um and she's here as a visiting professor for the day at UCSF. Welcome, Kate, to the Jerry Powell podcast.
Why thank you, Alex and Eric. This is an awesome opportunity. I have had such a great day so far, capping it off with this.
We got a ton to talk about with you, Kate, about Pell Healthcare, research into it, uh, lots of who's, what, whys that we'll be talking about. But before we do, do you have a song request for Alex?
I surely do. Uh so I'm requesting Tom Petty's running down a dream. Um there's a little um reasoning behind that today. So I'm in a I'm in San Francisco for both this visit and um the American Thoracic Society conference, and it just so happened. To overlap with the beta breakers, famous, very famous twelve K race that I got to do on Sunday. I dressed as a unicorn. You can see me on
Twitter.
Um uh ran with a very good friend who I hadn't seen in years, Carrie Quill, also uh the daughter of Tim Quill, um well known in Value of Care. Carrie and I trained together at Penn. Um, it was wonderful to catch up. We are both runners from childhood, so we sort of reconnected at our roots. And um it was it was an experience. I'd never done it before, as I shared with Alex earlier today. I saw all sorts of things. Um and some some were good and some were not so good.
Some things you can't unsee.
There are some things you cannot unsee as I learned.
Uh welcome to San Francisco and the Bear Breakers.
It was great. And running's just a big part of my life, keeps me very balanced. I just started ultra running, which is a very California thing. So yeah, yeah, I'm excited. So running it is.
Great, here's a little bit of uh Running Down a Dream by the late great Tom Petty. Was a beautiful day. The sun beat down, I had the radio on, I was a driver. Trees flew by Me and Dale were singin'. A little run away. I was fine. Yeah, running down a dream that never would come to me. Working on a mystery. Going wherever it leads. Running down a tree.
Woo nice Alex.
Thank
you.
Love that song. Yeah. Thank you.
So Kate, maybe we can start going a little bit farther back. How did you get interested in palliative care research and the stuff that you're doing right now?
Um, so it's a a little windy path. Um, I was always critical care bound since medical school. Um But definitely sort of always had the bug to be the one to jump into the family meetings and the ICU lead them, um, constantly like observing the good, the bad that I saw when others were doing it. Um and palliative care was as a program was just growing at Penn, um, moving sort of from just consult hospice to actually having a team when I was um training. And it's interesting to look back. I have never myself called a palliative care consult as a trainee because we didn't have one. Um they were at the VA, but not so much at our mean um hub hospital where I where I trained. So When I was in my last year of Pulmonary Critical Care Fellowship, we had two week elective and I was studying advanced directives in renal disease as my master's thesis, a little bit of a diversion.
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Chapters
8 chapters
1
What is the background and motivation for studying palliative‑care research?
0:02–5:30
2
How did Dr. Kate Courtright become interested in palliative‑care trials?
5:30–11:36
3
Why is there a gap between efficacy (controlled trials) and effectiveness (real‑world care) in palliative care?
11:36–17:17
4
What is a pragmatic trial and how does it differ from a traditional explanatory trial?
17:17–22:41
5
How can electronic‑health‑record nudges be used to increase appropriate palliative‑care referrals?
22:41–27:21
6
What criteria (diagnosis, prognosis, need‑based triggers) should determine who gets specialized palliative care?
27:21–33:27
7
Which outcomes (process, patient‑reported, health‑system) are most meaningful for palliative‑care research?
33:27–38:02
8
What does the evidence say about primary palliative‑care interventions and their impact?
38:02–45:25
Speakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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