A competency based development of knowledge and skills in Palliative Care through clinical experience, bedside teaching, didactic conferences and readings to achieve competence, proficiency and the foundation for mastery. Clinical Information and Didactics - Residents will function as integral members of the Palliative Care Consult/Inpatient Service.
- Scheduling of rounds will be determined on a daily basis with the faculty member. Residents will be permitted to leave at 6:00 pm, in the event that rounds run later into the evening. Residents will not be required to work on weekends.
- Residents will be expected to attend all Palliative Care-specific conferences scheduled above.
- NMH Palliative Care Consultation/In-patient Service Fellow Pager: 312-695-7393
| Monday | Tuesday | Wednesday | Thursday | Friday | AM | 7:30 am Morning Report 8:30-10 am Inpatient Rounds (Feinberg 16E) | 7:30 am Grand Rounds 8-11am Hospice Interdisc. Mtg (676 bldg, 8th flr) 11a-12pm Journal Club (676 bldg, 8th flr) | 7:30 am Morning Report 8:30-10 am Inpatient Rounds (Feinberg 16E) | 7:30 am Morning Report 8:30-10 am Inpatient Rounds (Feinberg 16E) 12:30-1:30p Supportive Onc Mtg (676 bldg, 8th flr) | 7 am Fellows Conf (676 bldg, Corner Bakery) 8:30-10 am Inpatient Rounds (Feinberg 16E) | PM | 3-5 pm Consult Rounds | 3-5 pm Consult Rounds | 3-5 pm Consult Rounds | 3-5 pm Consult Rounds | 3-5 pm Consult Rounds |
: Click here Performance will be evaluated in several areas: - Factual knowledge in regard to symptom management.
- Ability to elicit a symptom-oriented history and physical and clarify goals of care using palliative care principles.
- Ability to work effectively as part of an interdisciplinary team.
- Ability to discuss advance directives and death and dying issues with patients and families.
- Ability to present on selected topics in palliative care. Residents will do one presentation a week of 5-10 minutes in length to the inpatient interdisciplinary team. These are informal presentations based on cases that come up or a specific palliative care topic of interest. They may be a review of one of the articles in the reading packet.
Practice Based Learning and Improvement PGY2/3: Incorporate regular chart review and patient follow up to learn from your clinical care. Incorporate evidence based medicine into clinical decision making. Review the latest research pertaining to your your patients. Teach and mentor students and interns. Systems Based Practice PGY2/3: Work in a multi-disciplinary team to provide high quality coordinated care. Ensure accurate and timely documenation through the use of the electronic medical record. Use knowledge and skills in quality improvement and patient safety to deliver safe and effective care. Apply team leadership skills in appropriate settings. Practice cost effective medicine with an awareness of health care economics and patient insurance status. Interpersonal Skills and Communication PGY2/3: Use effective listening skills with patients and health care providers. Elicit and provide information using effective nonverbal, explanatory, questioning, and writing skills. Develop interpersonal and communication skills necessary to run an effective clincal team in the ambulatory. Role model and teach effective communication techniques. Professionalism PGY2/3: Carry out your professional responsibilities in a timely manner. Adhere to the ethical principles of a patient-centered practice. Be sensitive to a diverse patient population and health care staff. Understand how biases influence clinical care, patient-physician interactions and health team interactions. Role model and provide feedback to students and interns the principles of humanism in medicine. Patient Care and Medical Knowledge - Define core principles of palliative care
- Demonstrate skill in managing common symptoms of advanced disease.
- Employ effective communication skills in dealing with patients and families
- Recognize the skills needed to deliver bad news to patients and families
- Assess the benefits of an interdisciplinary approach to patient care
- Understand the use of home hospice programs
- Develop familiarity with key ethical concepts in the care of patients with advanced illness and their families
- Back AL. RM. Dealing with conflict in caring for the seriously ill: "it was just out of the question". JAMA. 293(11):1374-81, 2005 Mar 16.
- Hauptman PJ. Havranek EP. Integrating palliative care into heart failure care. Arch Intern Med. 165(4):374-8, 2005 Feb 28.
- Hinshaw DB. Pawlik T. Mosenthal AC. Civetta JM. Hallenbeck J. When do we stop, and how do we do it? Medical futility and withdrawal of care. J Am Coll Surg. 196(4):621-51, 2003 Apr.
- Hinshaw DB. Carnahan JM. Johnson DL. Depression, anxiety, and asthenia in advanced illness. J Am Coll Surg. 195(2):271-7; discussion 277-8, 2002.
- Krakauer EL. Zhu AX. Bounds BC. Sahani D. McDonald KR. Brachtel EF. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 6-2005. A 58-year-old man with esophageal cancer and nausea, vomiting, and intractable hiccups. N Engl J Med. 352(8):817-25, 2005 Feb 24.
- Li JM. Pain management in the hospitalized patient. Med Clin N Am 86(4):771-95, 2002 Jul. (No direct link available. Click on journal title link and search for "Li JM" to find the article.)
- Luce JM. Luce JA. Perspectives on care at the close of life. Management of dyspnea in patients with far-advanced lung disease: "once I lose it, it's kind of hard to catch it... ". JAMA. 285(10):1331-7, 2001 Mar 14.
- Maciejewski PK. Zhang B. Block SD. Prigerson HG. An empirical examination of the stage theory of grief. JAMA. 297(7):716-23, 2007 Feb 21.
- Morrison RS. Meier DE. Clinical practice. Palliative care. N Engl J Med. 350(25):2582-90, 2004 Jun 17.
- Pantilat SZ. Steimle AE. Palliative care for patients with heart failure. JAMA. 291(20):2476-82, 2004 May 26.
- Sulmasy DP. Spiritual issues in the care of dying patients: ". . . it's okay between me and god." JAMA. 296(11):1385-92, 2006 Sep 20.
- Tulsky JA. Beyond advance directives: importance of communication skills at the end of life. JAMA. 294(3):359-65, 2005 Jul 20.
Collection by Dr. Tara Sanft with the assistance of Dr. Joshua Hauser For an extended list of references with direct article links, sign in to the Galter Health Library website at: http://www.galter.northwestern.edu/guides/expand/resident-reading-lists |
