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Hospice and the Budding Physician

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

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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!

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