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End-of-Life Project University of Michigan

End-of-Life Project University of Michigan. Jason Cheng With special thanks to Vitas. Intended Learning Outcomes. Becoming more comfortable with death Valuing a holistic approach to patients Applying medical ethics to the end of life Knowing how “the system” effects care.

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End-of-Life Project University of Michigan

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  1. End-of-Life ProjectUniversity of Michigan Jason Cheng With special thanks to Vitas

  2. Intended Learning Outcomes • Becoming more comfortable with death • Valuing a holistic approach to patients • Applying medical ethics to the end of life • Knowing how “the system” effects care

  3. Project Components • Lunch lectures • Curricular changes • Volunteer opportunities • Student Group

  4. Lunch lectures • Co-sponsored by existing student organizations • Various subjects • Student audience changes  more exposure

  5. Schiavo Case • AMA / AMSA Ethics task force • History of the case • Intersection between politics, law, and medicine • What went wrong?

  6. Advanced Directives • American Geriatrics Society • Advice from Vitas General Counsel • DNR • Living Will (Five Wishes) • PoA

  7. Pediatric Palliative Care • Pediatrics Interest Group • Children’s Perceptions of death • Common illnesses • Family Acceptance

  8. Cultural Issues • Asian • Black • Jewish • Latin American • Middle Eastern • Muslim • LGBT?

  9. Career Seminar Series • Mention hospice care in one or more of these existing presentations: • Geriatrics • Oncology • Family Medicine

  10. Other Potential Collaborators? • Family Medicine Interest Group • Integrative Medicine • Victor Vaughan Society (History / Lit) • History of euthanasia • Changing concepts of death

  11. Curricular Changes • Longitudinal Cases • SPI • Lectures • Clinical Foundations in Medicine • Third-year seminar

  12. Review and DevelopLongitudinal Cases • Breast Cancer • Dementia • New one mentioning Schiavo

  13. Review SPI • Standard Patient Instructor • Breaking Bad News

  14. Add Medical Science Lectures in M2 Year • Physiology of Death and Dying • Pain Management • Symptom Management

  15. Develop New 3rd-year Seminar • Existing Series • Ideas: • Hospice Care Team Panel • Case Studies • Medical lectures (if not done in M2 year)

  16. Review “Clinical Foundations in Medicine” Curriculum • Film about withdrawing life support • Discussion afterwards

  17. M2 CFM Elective • 6 hours • Death Awareness Exercise • Film Screening, eg, To Live Until I Die • What is hospice? • How holistic helps • Practical stuff (avoid suits, getting paid) • Ethics

  18. Volunteer Locations • Academic • VA hospital • (New) Palliative Care Consult Service • Community • Arbor Hospice • Hospice of Michigan

  19. Volunteer Possibilities • Hospice Volunteering • Shadowing • Death Call • Reminiscence • Bereavement Group

  20. Formal Student Group? • Longevity • But perhaps less collaborative funding • Division of AGS • Division of AMSA • Separate Interest Group

  21. Very Tentative Budget • Lunch lectures • Assuming $150 for pizza • Half covered by collaborative groups: $75 • Four lectures * $75 = $300 • Rest can go to video or any educational materials to be passed out

  22. Questions?

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