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EOL Educational Changes @ University of Wisconsin-Madison. July 28, 2006 Maryam Hamidi, M2. Current Curriculum. One 3 rd year “core day” (one day seminar) on Palliative Care issues Morning Lecture on Physiological symptoms Afternoon session on pain management. My Goals….
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EOL Educational Changes@University of Wisconsin-Madison July 28, 2006 Maryam Hamidi, M2
Current Curriculum • One 3rd year “core day” (one day seminar) on Palliative Care issues • Morning Lecture on Physiological symptoms • Afternoon session on pain management
My Goals… • Encourage students to consider death: • What does death mean to them? • What do they consider to be a fulfilling life, and a fulfilling end to life? • How do they foresee their own death? • What kind of medical care would they want applied to their end of life care?
Lectures… • Hospice Care, and how death is approached in American society. • Ethical Issues in Managing Death • Advanced Directives and DNR
Fun Stuff… 1. Advanced Directive Dinners -like Teflon dinners but about dying! -Cook, have the forms, maybe 6 or 7 people -Those people can have their own dinners, etc.
Fun Stuff, con’t… 2. Death and Dying Interest Group Meet once a month and discuss a book/movie that touches on a death related issue - Dying Well, by Ira Byock, MD. - Wit - Happiness, Darrin M. McMahon
Fun Stuff, yet again… 3. Dinners: • Series of dinners with patient, close family, and 5 to 10 students. • Patient and family can discuss the issues they’ve faced as they deal with dying and why they chose hospice.
Curriculum Changes… • First week of school for M1s, have an introductory lecture on life and death • Incorporate a lecture(s) on death, dying, communicating bad news, and hospice care in Patient, Doctor and Society Class for M1s. • Offer an elective hospice care rotation for M3s/M4s.
Summer time… • One week externship: • One day of lectures on physiology of death, pain management, and ethical issues. • Shadow a doctor, nurse, chaplain and social worker for 1 day. • Maybe have a death visit.