Program in Palliative Care

Education and Practice

The sample schedule includes adult and pediatric sessions. All sessions are the same unless otherwise noted (**). This is only a sample of the schedule and is subject to change each year.

Part One Part Two

Part I - Teaching and Learning in Palliative Care

Pre-Course Evening Tuesday, April 27, 2010
5:00-6:30 Registration and Reception
6:30-7:30 Dinner
7:30-8:00 Welcome and Introduction to the Course
8:00-9:00 Personal Narratives: Pathways to Palliative Care (small group)

Day 1: Wednesday, April 28, 2010
8:10-8:15 Introduction to Opening Exercise
8:15-9:00 What is a Good Death (large group)
9:00-10:15 Communication Challenges (demonstration)
10:15-10:30 Teaching Reflection
10:30-10:45 Break
10:45-12:00 "I Hate Role Play" and Breaking Bad News (small group)
12:00-1:00 Lunch
1:00-2:30 Understanding Life-Threatening Illness (patient interview)
2:30-2:40 Teaching Reflection
2:40-3:40 Developing a Psychosocial/Spiritual Assessment
3:40-3:50 Teaching Reflection
3:50-4:20 Break
4:20-5:50 Understanding Life-Threatening Illness (patient interview-small group)

Day 2: Thursday, April 29, 2010
8:00-8:15 Opening Exercise
8:15-9:45 Organizational Change and Educational Planning I
9:45-10:15 Break
10:15-12:00 Organizational Change and Educational Planning II
12:00-1:30 What is Culture?
Box Lunch/Elective Afternoon - please choose one of the sessions listed below.

Nursing

Education Forum

Pediatric Issues in End-of-Life Care

Palliative Care Units

Out-Patient Palliative Care

Fellowship Start-up/Competencies

Teaching Pyschosocial Aspects of Palliative Care

Harvard Medical School Course: Living with Life Treatening Illness

Day 3: Friday, April 30, 2010
8:00-8:15 Opening Exercise
8:15-10:15 Discussing DNR Orders (small group)
10:15-10:30 Break
10:30-12:00 Hope
12:00-1:00 Lunch
1:00-2:45 Developing a Palliative Care Program I (Adult)
**1:00-2:45 Designing a Palliative Care Program for Pediatrics
2:45-3:30 Break
3:30-4:45 Developing a Palliative Care Program II (Adult)
**3:30-4:45 Palliative Care for Children with Chronic Illness
4:45-5:00 Teaching Observation
5:00-5:45 Best Learning Experiences

Day 4: Saturday, May 1, 2010
8:00-8:15 Opening Exercise
8:15-10:00 Introduction to Pain Management -
Case Studies (small groups/Pediatrics separate case)
10:00-10:30 Break
10:30-11:30 Complex Pain Management
11:30-1:30 Project Review #1
1:30 Free Afternoon

Day 5: Sunday, May 2, 2010
8:00-8:15 Opening Exercise
8:15-9:45 Learning Styles and Teaching Methods
9:45-10:15 Break
10:15-12:15 Deepening the Interview (small group)
12:15-1:15 Lunch
1:15-3:15 Negotiating Treatment Goals (small group)
3:15-3:45 Break
3:45-5:15 Project Review (project group)

Day 6: Monday, May 3, 2010
8:00-8:15 Opening Exercise
8:15-10:15 Palliative Care Across the Life Cycle
10:15-10:45 Break
10:45-12:00 Psychosocial and Spiritual Assessment
12:00-1:15 Lunch
1:15-2:30 Depression in Palliative Care
2:30-3:00 Break
2:45-4:00 Taking a Spiritual History
3:00-4:00 Suffering
4:00-5:00 "I want everything" - Enter the Ethics Consultant
4:00-5:00 Ethical Issues in Pediatrics
6:15 Depart from Royal Sonesta Hotel to reception

Day 7: Tuesday, May 4, 2010
8:00-8:15 Opening Exercise
8:15-9:00 Panel Discussion: Why We Did What We Did
9:00-10:15 Grief and Bereavement
10:15-10:45 Break
10:45-11:30 Grief and Loss: Experiential Exercise
11:30-1:00 Good-bye (Small Groups)

Part II - Building a Future in Palliative Care

Day 1: Tuesday, November 9, 2010
8:00-8:15 Opening Exercise
8:15-8:45 Welcome Back: Introduction to Part II and Reflection on Teaching
8:45-10:15 Communication: Large Group Interview
10:15-10:45 Break
10:45-12:15 Most Emotionally Powerful Death
12:15-1:15 Lunch
1:15-3:15 Personal Spiritual History
3:45-5:45 Project Review - Session I

Day 2: Wednesday, November 10, 2010
8:00-8:15 Opening Exercise
8:15-9:45 Conflictual Family Meeting (Small group)
9:45-10:15 Break
10:15-11:45 How to Help Parents Help Children When a Parent is Dying
11:45-12:45 Lunch
12:45-1:30 The Sick Person
1:30-2:00 Debrief: The Sick Person
2:00-5:00 Intensive Communication Teaching: Home Visit, Inpatient Visit, Classroom Exercises

Day 3: Thursday, November 11, 2010
8:00-8:15 Opening Exercise
8:15-9:15 Bedside Assessment in Palliative Care (Adult)
**8:15-9:15 Care of Children with Advanced Neurological Conditions (Pediatric)
9:15-10:15 Anorexia and Cachexia (Adult)
**9:15-10:15 Perinatal Pain Management in Children (Pediatric)
10:15-10:45 Break
10:45-11:45 Chronic Nausea (Adult)
**10:45-11:45 Advanced Pain Management in Children (Pediatric)
11:45-12:45 Asthenia (Adult)
**11:45-12:45 Fatigue and Dyspnea (Pediatric)
12:45-1:45 Lunch /**Pediatric Tables
1:45-3:30 Dealing with Moral Ambiguity in Palliative Care: The Case for Palliative Sedation
3:30-4:00 Break
4:00-5:45 Project Review #2

Day 4: Friday, November 12, 2010
8:00-8:15 Opening Exercise
8:15-9:15 Prognostication
9:15-9:45 Break
9:45-1:00 Objective Structured Teaching Exercise (OSTE)

Negative Feedback
Formal Presentation
One-minute Preceptor
Conflict Negotiation

Day 5: Saturday, November 13, 2010
8:30-8:45 Opening Exercise
8:45-11:30 Quality Improvement Workshop
11:30-1:00 Lunch
1:00-2:00 Reflection on Teaching
2:00-3:30 Cultural Issues in Palliative Care II
3:20-4:00 Break
4:00-5:30 Good Teams Dont Just Happen

Day 6: Sunday, November 14, 2010
8:00-8:15 Opening Exercise
8:15-10:00 Personal Experiences with Patients Request for Hastened Death (small group)
10:00-10:30 Break
**10:00-10:15 Pediatric Break
**10:15-11:30 Hypnosis in Pediatric Palliative Care (Pediatric)
10:30-11:30 Advances in Managing End-Stage Congestive Heart Failure (Adult)
11:45-12:30 Reflection on Teaching
12:30-1:30 Lunch
1:30-3:00 Saying Goodbye to Patients and Writing Condolence Notes (small group)
3:00-3:30 Break
3:30-5:00 "Dont Give Up on Me" (small group)
5:45 Group photo with reception to immediately follow
6:30-8:30 Closing Dinner and Graduation

Day 7: Monday, November 15, 2010
8:00-8:15 Opening Exercise
8:15-9:45 Fundraising and Development in Palliative Care
9:45-10:15 Break
10:15-11:15 Saying Good-bye
11:15-12:15 Who's Caring for Me?