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Hospice and the Budding Physician

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  1. Hospice and the Budding Physician Jennie Hart MS II University of Maryland School of Medicine

  2. Current Curriculum At UMB • Community service elective in palliative care • One month of palliative care during internal medicine rotation • 12 hours of lecture • 2 half days at a hospice site www.umm.edu

  3. Incorporate hospice education into first- and second-year curriculum Differentiate between palliative medicine and physician-assisted suicide Emphasize the importance of spirituality in end-of-life care Discuss ethical issues such as: feeding tubes, ventilators, informed consent, etc. Goals

  4. Problem-Based Learning • PBL has been incorporated into the first-year medical curriculum. • Students dissect a case in their small groups. • Each student researches one aspect of the case and gives a short presentation to their small group. www.umm.edu

  5. Problem-Based Learning • Students will read a case and answer the following questions: • What are the stages of grief? • What are the psychosocial issues associated with hospice? • What is hospice and what makes a patient hospice-appropriate? • What is the hospice philosophy? • What role does each member of the interdisciplinary team play?

  6. Problem-Based Learning • What is the Principle of Double Effect? • What is the “Morphine stigma”? Discuss the facts and myths. • What are the costs and benefits of placing a feeding tube? • What happens physically when a person dies? www.umm.edu

  7. Lecture Series • Lectures during ICM days for first- and second-years • Two days designated for end of life issues www.umm.edu

  8. Lecture Series • Topics to include: • Breaking Bad News • Chaplains and their importance in medicine • Panel of Religious Groups • Palliative Care vs. Physician-Assisted Suicide • Ethics at the End of Life

  9. Hospice and Baltimore • Joseph Richey Hospice • Located in downtown Baltimore – a short walk from UMB campus • Maryland’s first free-standing hospice facility • Non-profit, Medicare and Medicaid certified • Offers home hospice care as well as a 20-bed inpatient unit http://www.josephricheyhospice.org/index2.htm

  10. Hospice and Baltimore • Dr. Bob’s Place – A Hospice for Children • First hospice for children on the East Coast of the United States • Named for the late Dr. Robert Irwin, a local pediatrician who served as the volunteer co-medical director of Joseph Richey Hospice • “His goal was simple, to provide real comfort to children and their families supporting them through a difficult journey.” http://www.josephricheyhospice.org/JRHnavpages/DRBOB.HTM

  11. Hospice and Baltimore • 10 private rooms • Family dining room • School room • Play rooms • Home hospice http://www.josephricheyhospice.org/JRHnavpages/DRBOB.HTM

  12. Hospice and Baltimore • Volunteer project in hospice • Pediatric Interest Group • Lectures on Pediatric Hospice/Palliative Care • Fundraiser for Dr. Bob’s • Geriatrics Interest Group • Shadowing opportunities at Joseph Richey’s Hospice

  13. We will be better doctors because of you! Thank you, VITAS!! Thank you, AMSA!! We had a great time! We learned so much!