James A. Tulsky

Large Language Models (LLMs) vs Manual Chart Review for Assessing Goal-Concordant Care: An Exploratory Study

BackgroundEvidence that advance care planning (ACP) improves goal-concordant care (GCC) remains limited. Challenges are lack of reproducible operational definition of GCC and labor-intensive nature of manual chart review.ObjectivesDevelop a structured approach to adjudicating GCC...

‘Talk CKD Options’: improving how clinicians communicate treatment options in advanced kidney disease using a conversation analysis-based training intervention

Abstract Background Most older people with kidney failure and multiple co-morbidities must decide between dialysis or conservative kidney management. Dialysis is often presented as the default, despite providing uncertain survival benefits in this population. The Optimising Staff...