Harvard Medical SchoolCenter for Palliative Care

PCFHI

(#734554-1702)

Directors

Eva Chittenden, MD
Kristen Schaefer, MD

When

Thursday-Saturday
March 16-18, 2017

Where

Colonnade Hotel
Boston, MA

Postcard

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Tuition

$895 physicians
$795 residents, fellows, nurses
$695 social workers, chaplains, allied health professionals

CMEs

Earn up to 20.50 AMA PRA Category 1 Credits™

In Massachusetts
Opioid Education/Pain Management Credits: A maximum of 2.00
End-of-Life Care Credits: A maximum of 2.00

CNEs

A maximum of 20.50 Continuing Nursing Education hours will be awarded.

PCFHI

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PCFHI Schedule

Please note: program changes/substitutions may be made without notice.

Hover over the session title to learn more about that session.

Thursday       Friday       Saturday


* - Sessions which qualify for Opioid Education and Pain Management Training credits are marked with an asterisk
° - Sessions qualify for End-of-Life Care Studies credits are marked with a degree symbol

 

Thursday – March 16, 2017

 

Time

 

Session Name

Faculty

7:15-8:00   Registration and Breakfast  
8:00-8:45 PL1 Plenary: Welcome and Introduction to Palliative Care Eva Chittenden, MD
8:45-9:45 PL2 Plenary: Prognostication Rachelle Bernacki, MD
9:45-10:15   Break  
10:15-12:00 LG1 Communication Skills in Serious Illness 1: Giving Prognostic Information and Late Goals of Care Discussions James Tulsky, MD
12:00-1:00   Lunch on your own  
1:00-2:00 PL3 Everything You Ever Wanted to Know about Hospice, but Were Afraid to Ask° JoAnne Nowak, MD
2:00-2:15   Travel Time  
2:15-3:30 1A Opioid Mini-topics: PCAs, Drips, Naloxone* (Repeats at 2A) Bridget Scullion, PharmD
Shane Volney, MD
2:15-3:30 1B Managing Dyspnea, Nausea, and Thirst in the Hospitalized Patient (Repeats at 2B) Mihir Kamdar, MD
April Zehm, MD
2:15-3:30 1C Managing Delirium in the Hospitalized Patient (Repeats at 2C) Mary Buss, MD, MPH
2:15-3:30 1D Understanding and Managing the Angry Patient and Family Guy Maytal, MD
3:30-3:45   Break  
3:45-5:00 2A Opioid Mini-topics: PCAs, Drips, Naloxone* (Repeats at 1A) Elizabeth Rickerson, MD
Bridget Scullion, PharmD
3:45-5:00 2B Managing Dyspnea, Nausea, and Thirst in the Hospitalized Patient (Repeats at 1B) Mihir Kamdar, MD
April Zehm, MD
3:45-5:00 2C Managing Delirium in the Hospitalized Patient (Repeats at 1C) Mary Buss, MD, MPH
3:45-5:00 2D Addressing Psychological and Existential Distress in the Hospitalized Patient Guy Maytal, MD
5:00-5:15   Travel Time  
5:15-6:00 LG2 Meet the Professor: Bring Your Tough Pain and Symptom Management Cases Janet Abrahm, MD
Top      

 

Friday – March 17, 2017

 

Time

 

Session Name

Faculty

7:15-8:00   Breakfast  
8:00-8:45 PL4 Code Status: Facts and Fictions Julia Ragland, MD
8:45-9:45 PL5 DNR in the 21st Century - Who's Choice and When? Martha Jurchak, PhD, RN
Anthony Massaro, MD
9:45-10:15   Break  
10:15-12:00 LG3 Communication Skills in Serious Illness 2: How to Help Patients and Families Get "Unstuck" Vicki Jackson, MD, MPH
12:00-1:00   Lunch on Your Own  
1:00-2:00 PL6 Imminent Death: Treating Symptoms and Counseling Families° Bethany-Rose Daubman, MD
Vicki Jackson, MD, MPH
2:00-2:15   Travel Time  
2:15-3:30 3A Negotiating Conflict in the Family Meeting: Structured Communication Exercise Eva Chittenden, MD
Jennifer A. Shin, MD
2:15-3:30 3B Negotiating Conflict in the Family Meeting: Structured Communication Exercise Kristen Schaefer, MD
Andrew J. Lawton, MD
2:15-3:30 3C Negotiating Conflict in the Family Meeting: Structured Communication Exercise Jane deLima Thomas, MD
Joshua R. Lakin, MD
2:15-3:30 3D Negotiating Conflict in the Family Meeting: Structured Communication Exercise Corinne Alexander, MD
Bethany-Rose Daubman, MD
3:30-3:45   Break  
3:45-5:00 4A The Importance of Addressing Spirituality in the Seriously Ill Hospitalized Patient Andrea Enzinger, MD
Katrina Scott, MDiv
3:45-5:00 4B Bereavement Outcomes: Can Hospital-based Clinicians Ease Family Bereavement? Sue Morris, PsyD
Todd Rinehart, LICSW, ACHP-SW
3:45-5:00 4C Conflict Resolution with Subspecialty Colleagues: Coming to Consensus on Goals of Care Nancy Cochran, MD
Robert Cohen, MD, MSc
Kristen Schaefer, MD
3:45-5:00 4D Fostering Resilience while Caring for the Seriously Ill Diana Dill, EdD
Kathleen P. Doyle, MD
5:00-5:15   Travel Time  
5:15-6:00 LG4 Meet the Professors: Bring Your Tough Communication Cases Corinne Alexander, MD
Juliet Jacobsen, MD, DPH
Top      

 

Saturday – March 18, 2017

 

Time

 

Session Name

Faculty

7:15-8:00   Breakfast  
8:00-9:00 LG5 Taking it Home: Creating an Action Plan for Your Clinical Setting Jeffrey Greenwald, MD
9:00-9:15   Break  
9:15-10:15 PL7 Advanced Heart Failure: Prognosis, Disease Trajectory, and Device Discussions Charlotta Lindvall, MD, PhD
10:15-11:15 PL8 End-stage Renal Disease: Prognosis, Disease Trajectory, and Dialysis Conversations Robert Cohen, MD, MSc
11:15-11:30   Break  
11:30-12:30 PL9 Advanced Dementia: Prognosis, Disease Trajectory and Decisions about Artificial Feeding Helen Chen, MD
12:30-1:30 PL10 Surgical Culture and Palliative Care Zara Cooper, MD, MSc
Top      
PL10: This session with explore the importance of understanding surgical culture when patients, as well as barriers and opportunities to integrate palliative care into surgical care.
PL9: Hospitalized patients with dementia present special challenges to the inpatient clinical teams. At the conclusion of this session, participants will be able to:
• Describe specific challenges in the management of the hospitalized patient with advanced dementia,
• Describe a framework that may be used for decision making in advanced dementia and apply it to a case involving artificial nutrition, and
• List the benefits and barriers to palliative medicine consultation in the care of patients with advanced dementia.
PL8: This session will teach knowledge and skills to address shared decision-making for more vulnerable patients approaching end-stage kidney disease. Specific strategies to enhance conversations include knowledge about prognosis and treatment options for patients and skills for eliciting goals and making recommendations.
PL7: This session will demonstrate communication skills and strategies to discuss illness trajectory and advance care planning tailored to patient's stage of illness.
LG5: This session will focus on practical applications of palliative care lessons provided by a non-specialist physician. The focus will be on action steps you could begin immediately upon returning to your institution.
LG4: This session will enable attendees to discuss their difficult communication cases with a panel of palliative care specialists. Specific strategies applicable to the particular communication challenge will be offered and explored to improve learner comfort with goals of care discussions with seriously ill patients.
4D: This session will review the evidence base related to burnout in medical professionals. We will introduce a broad cognitive model for engagement and burnout prevention and teach techniques to promote individual resilience.
4C: This session will teach skills and strategies to address intra-professional conflict that can arise when caring for seriously ill patients. Specific strategies to improve collaboration and facilitate shared decision-making include: 1) negotiating in the face of power difference, 2) separating fact from assumption, and 3) distinguishing between interest and positions.
4B: This session will provide hospital-based Clinicians with practical guidelines to help mitigate difficult bereavement outcomes in family members. Strategies to be used before and after the death of the patient will be outlined, including how to help families prepare for the death, screening for bereavement risk and offering condolences.
4A: This session will explore, from both historical and research perspectives, the role of religion/spirituality in advanced illness. This will include a review of qualitative and quantitative data regarding the role of religion/spirituality in quality of life, coping, and end-of-life decision making. The session will then review core principles of spiritual care provision, including spiritual care guidelines, spiritual assessment, and the role of the multidisciplinary spiritual care team.
3D: In this session, the last in the series of communication talks, participants will discuss and practice running a family meeting in which there is conflict among family members.
3C: In this session, the last in the series of communication talks, participants will discuss and practice running a family meeting in which there is conflict among family members.
3B: In this session, the last in the series of communication talks, participants will discuss and practice running a family meeting in which there is conflict among family members.
3A: In this session, the last in the series of communication talks, participants will discuss and practice running a family meeting in which there is conflict among family members.
PL6: In this interactive session, learners will identify the common medical, psychosocial, and ethical challenges in the care of imminently dying patients.
LG3: In this session, participants will become familiar with the components of helping patients and families cultivate prognostic awareness. Learners will observe a videos of patient interactions as well as have the opportunity to try out communication strategies to help patients and families cultivate prognostic awareness.
PL5: This session will provide a review resuscitation technology development and indications for its use. It will describe the revision of an institutional policy that addresses consideration of withholding attempts at resuscitation and applies the policy to a case.
PL4: This session will review best practices for addressing code status with hospitalized patients. In addition, data on outcomes of in-hospital CPR will be presented.
LG2: Up to 30 participants will contribute inpatient cases that provided symptom management challenges. Dr. Abrahm will moderate a discussion of both assessment and management approaches to the problems presented. She will also answer "generic" questions about challenging inpatient symptom management scenarios.
2D: Addressing Psychological and Existential Distress in the Hospitalized Patient
2C: This session will describe: 1) a practical approach to assess delirium; 2) the experience of delirium from a patient perspective and how this influences clinical care within a palliative care setting. The literature on the pharmacologic and non-pharmacologic management of delirium will be carefully critiqued.
2B: This interactive, case-based session will review existing literature and practical management strategies for common symptoms that arise in seriously ill patients who are hospitalized, including dyspnea, nausea, and thirst.
2A: This interactive session will provide the participant with key tools to manage patients requiring intravenous opioid therapy for symptom management beyond PRN nursing boluses.
1D: Understanding and Managing the Angry Patient and Family
1C: This session will describe: 1) a practical approach to assess delirium; 2) the experience of delirium from a patient perspective and how this influences clinical care within a palliative care setting. The literature on the pharmacologic and non-pharmacologic management of delirium will be carefully critiqued.
1B: This interactive, case-based session will review existing literature and practical management strategies for common symptoms that arise in seriously ill patients who are hospitalized, including dyspnea, nausea, and thirst.
1A: This interactive session will provide the participant with key tools to manage patients requiring intravenous opioid therapy for symptom management beyond PRN nursing boluses.
PL3: This session will enable the participant to discuss the hospice benefit, especially in the challenging context of a recurrent or acute hospitalization for a life-limiting illness. The general inpatient hospice benefit will be discussed in detail.
LG1: This session will introduce a "talking map" to guide clinicians through goals of care conversations. We will identify common pearls and pitfalls, and use a series of fun drills to practice common phrases and responses to difficult questions.
PL2: This session will review the relationship between prognostication and palliative care, review the evidence regarding prognostic tools and analyze best practices in prognostic disclosure with patients and families.
PL1: This session will serve as an introduction to the course and will level-set all participants on definitions and domains of palliative care and hospice.