EPISODE 12- Residency Edition: Interns, are you comfortable discussing life AND death?

Show Notes Special Guest- Dr. Michelle Ouellette, MD, a newly graduated 3rd year Chief Resident of Internal Medicine at the University of South Florida, is starting a Hospice and Palliative Medicine fellowship #HPM at Beth Israel Deaconess Medical Center in Boston, Massachusetts. Social Media Highlights #MedTwitter @DrMamaKai https://twitter.com/drmamakai?s=21&t=3gA5xIkblMI3-C6jInh53w @BurgartBioethix Bioethicist and pediatric anesthesiologist at Stanford Med- Dr. Alyssa Burgart, MD call to action for Attendings to lead with empathy and mentorship as the new Interns arrive https://twitter.com/burgartbioethix/status/1667170946644312068?s=46&t=3gA5xIkblMI3-C6jInh53w @SammyWineMaker Samantha Winemaker, a Canadian colleague tweeted about infusing palliative care EARLY https://twitter.com/sammywinemaker/status/1668228474807484416?s=46&t=3gA5xIkblMI3-C6jInh53w Mission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) Dr. G met Dr. Michelle Ouellette, MD 03/22/2023 and created Team Poutine! during the first-timer reception of the AAHPM Annual Assembly in Montreal (See Podcast Episode 3). Poster presentation: “Impact of Organized Palliative Didactic Curriculum on Internal Medicine Resident Comfort with Topics in Palliative Care” (Download pdf on our website) Three key content areas of palliative care didactic: - What is palliative care & hospice care? - Structure of goals of care GOC conversation. - How to identify legal decision maker? (Synonyms: proxy, surrogate, POA, DPOA) ***Mini Palliative Care Didactic Workshop 7:50*** 2. Educate -Teaching points ACGME Residency Program Requirements IV.B.1.e).(2) Residents must learn to communicate with patients and families to partner with them to assess their care goals, including, when appropriate, end-of-life goals. https://www.acgme.org/programs-and-institutions/programs/common-program-requirements/ “Code Status Discussions Between Attending Hospitalist Physicians and Medical Patients at Hospital Admission” An article review, MSPC Fellowship Journal Club Devjit Roy, MD Jun 20, 2023 https://www.cuanschutz.edu/graduate-programs/palliative-care/blog/palliative-care-blog/code-status-discussions - Bottom Line: More practice changes will be needed on how to systematize with whom and how CPR is discussed during hospital admission. The impact and effectiveness of any practice change needs to be rigorously studied. CAPC- The Value of Palliative Care https://www.capc.org/the-case-for-palliative-care/ CAPC- Learning Pathway Communication about SERIOUS ILLNESS https://www.capc.org/training/learning-pathways/communication-skills-conversations-about-serious-illness/ 3. Empower - Valuable a resources for Competency in discussing life and death: CAPC Designation in Communication Skills https://www.capc.org/training/communication-skills/ NHPCO CaringInfo https://www.caringinfo.org/ Hospice News Article Mourning Dove Medical CEO Dr. Kaishauna Guidry: Physicians Need a Framework for Understanding Hospice - Hospice News https://hospicenews.com/2023/05/08/mourning-dove-medical-ceo-dr-kaishauna-guidry-physicians-need-a-framework-for-understanding-hospice/ VITAS hospice app https://vitasapp.vitas.com/ZW6g will help you clarify when Hospice Care is beneficial to patients. You’ll see common hospice eligible diseases and pertinent data of clinical decline as patients reach the end stages of those diseases. It starts with physicians! Dr. G was a guest on McBee CareThreads Podcast EPISODE 20: Empowering End-of-Life Care https://mcbeeassociates.com/insights/podcast/mcbee-carethreads-empowering-physicians-and-driving-quality-end-of-life-care/ Website info https://mourningdovemedical.com VIDEO available on our YouTube channel: https://youtu.be/7pdU1S8JkCE #hapc #EducateAndEmpower #PeaceOfMind #MedEd #Intern #ACGME #Resident #Residency #mandateCAPC #PGY1 #Prognostication #CommunicationSkills #PCHETA

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