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End of Life Care Curriculum for implementation at Wayne State University School of Medicine. Angela Chmielewski MS II achmiele@med.wayne.edu. Goals: Remind medical students that death and dying are an integral part of the practice of medicine
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End of Life Care Curriculumfor implementation at Wayne State University School of Medicine Angela Chmielewski MS II achmiele@med.wayne.edu
Goals: • Remind medical students that death and dying are an integral part of the practice of medicine • Make students aware of some of the main issues in end of life care • Provide a forum for students interested in end of life care/death and dying to share ideas • Proposal: • 2003-04 Academic Year Begin Death and Dying Interest Group under the auspices of the Wayne State University SOM chapter of the American Medical Student Association • 2004-2005 Academic Year Review outcomes of Death and Dying Interest Group events for implementation/incorporation into Clinical Medicine Course curriculum • Support at Wayne State University Dr. Michael Stellini Dr. Robert Frank
Components of the Death and Dying Interest Group • Lunchtime lectures • Movie viewing and discussion • Hands-on hospice experience
Lunchtime Lectures(guest speakers yet to be identified) • What is Hospice? Dr. Michael Marshke, Medical Director, Horizon Hospice • Picturing your own death exercise • Death in America • Modern hospice movement • Communicating Bad News • Breaking bad news to patients • Breaking bad news to families • Communicating realistic hopefulness
Lunchtime Lectures • Legal and Ethical Issues in EOL care Dr. Cathy Neeley, Northwestern University School of Medicine • Informed Consent • Surrogates • Withholding/withdrawing treatments • Power of Attorney for Health Care • Living Will • Do-not Resuscitate Order (DNR)
Lunchtime Lectures • Pain Assessment and Management at the End of Life Dr. Michael Marshke, Medical Director, Horizon Hospice • Acute vs. chronic pain • Types of chronic pain somatic visceral neuropathic • Pharmacologic and non-pharmacologic management of chronic pain • Management of pain in pediatric patients
Lunchtime lectures • Cultural Considerations in End of life Care Lori Hedges, MS, Director of Medical Education, Horizon Hospice • Panel of religious leaders African American Protestant Church Catholic Church Islamic Faith Jewish Faith • Discuss convictions about death and dying afterlife funeral customs
Movie Viewing and Discussion • Wit • To Live Until I Die
Hands-on Hospice • Shadowing hospice doctors and other team members at Hospice of Michigan • Volunteering at Hospice of Michigan
Questions??????? • Comments?????????????