Clinical Challenges in Surgical Palliative Care: Goals-of-Care Conversations

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 20 January 2025

⏱️ 35 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Join University of Washington’s surgical palliative care team for another engaging role play episode, where we tackle the challenging goals-of-care conversation. Using the VitalTalk REMAP framework, we explore effective communication strategies, highlight common pitfalls, and simulate two real-world scenarios: an on-call surgeon discussing goals of care with a complex patient facing an emergent surgical issue, and a team member facilitating a family meeting about goals of care in the surgical ICU.

Hosts:
Dr. Katie O’Connell (@katmo15) is an associate professor of surgery at the University of Washington. She is a trauma surgeon, palliative care physician, director of surgical palliative care, and founder of the Advance Care Planning for Surgery clinic at Harborview Medical Center, Seattle, WA.

Dr. Ali Haruta is an assistant professor of surgery at the University of Washington. She is a trauma and emergency general surgeon and palliative care physician. Ali recently completed fellowships in palliative care at the University of Washington and Trauma and Critical Care fellowship at Parkland.

Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY6 general surgery resident at the University of Washington, with an interest in surgical oncology.

Dr. Virginia Wang is a PGY3 general surgery resident at the University of Washington.

Learning Objectives:
• Identify questions that elicit patients’ goals and values, particularly during emotionally charged conversations.
• Name the three categories of patient values in the values triad.
• Describe the importance of aligning with patients’ and families’ values and demonstrate techniques to achieve alignment.
• Develop a treatment plan that reflects patients’ stated values.

References:
“REMAP.” VitalTalk. Accessed December 2nd. https://www.vitaltalk.org/guides/transitionsgoals-of-care/

***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing

Transcript

Click on a timestamp to play from that location

0:00.0	Behind the Night, the Surgery podcast, relevant and engaging content designed to help you
0:11.6	dominate the day.
0:28.5	Hello friends. This is Patrick Georgoff at Behind the Knife, and we want you, yes, you to join our team.
0:32.3	We are now accepting applications for our subspecialty teams.
0:34.2	Do you have something to say?
0:37.7	Some surgical education that you just need to get off your chest.
0:42.7	Then what better way to share your knowledge and passion for surgery than by joining the number one surgery education podcast in the world? Behind the Knife has over 20 million listeners to date
0:48.0	and an amazing new platform. Plus, it looks great on the old CV. We are asking enthusiastic educators to build a team of three to four surgeons who would
0:57.8	develop one new subspecialty podcast every four months for two years, so six episodes
1:03.2	total.
1:04.4	Ideally, teams will consist of surgeons from the same institution who are at different
1:07.5	points in their career, for example, a resident, fellow, junior attending,
1:11.8	and senior attending. Podcast content will alternate between clinical challenges and surgery
1:17.0	and journal reviews. Check out the application link in the podcast notes for more information,
1:22.7	including a list of specialties. Applications are due March 1st. Again, applications are due March 1st. All
1:30.7	specialty teams will get access to BTK resources, including microphones, software, help with editing,
1:36.4	social media love, and so much more. Dominate the day. It's the University of Washington's
1:43.3	surgical palliative care team back again for another episode of
1:46.2	Behind the Knife. I'm Lindsay Dickerson, joined by Dr. Katie O'Connell, Dr. Ali Huruda, and Dr. Virginia
1:51.5	Wang. We heard from listeners that they enjoyed our prior episode using a simulated patient
1:56.7	scenario to discuss navigating serious illness communication. So we've decided to try that same
2:02.1	setup again to talk about how to best approach goals of care conversations. Allie and Virginia,
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Behind The Knife: The Surgery Podcast, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Behind The Knife: The Surgery Podcast and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.