Palliative Care Center

PALLIATIVE CARE CENTER: WHAT DID WE DO IN 2006?

• Completed a strategic planning process for 2007
• Developed a personal-team commitment statement
• Completed three intra-team communication workshops
• Saw ~720 new inpatients and 160 new outpatients
• Supervised 5 M4 students for a month-long Palliative Care rotation
• Supervised 6 residents for a month-long Palliative Care rotation
• Hosted 10 visiting nurses for a three day preceptorship
• Hosted 5 visiting physicians for a two-three day preceptorship
• Hosted a pre-doctoral psychology student for a 9 month PC experience
• Hosted the VA Palliative Care Psychology fellow for one month.
• Started a third clinical service: outpatient palliative care
• Started a new MD orientation program--12 new MCW/FH physicians were oriented to palliative care and hospital/state policies/regulations
• Successfully graduated two palliative care fellows
• Successfully launched two new palliative care fellows
• Successfully recruited one new PC fellow for 2007
• Successfully recruited one new palliative care physician
• Successfully recruited one new part-time palliative care nurse
• Coordinated the 7^th annual community nursing Palliative Care Board Review course
• Provided ~275 hours of direct instructional time to MCW/FH trainees
• Coordinated the first FH ELNEC training for staff nurses
• Co-Directed the M2 Course: Medical Ethics and Palliative Medicine
• Directed the M3 Palliative Care experience in the Ambulatory Medicine clerkship
• Directed the M4 Clinical Palliative Care elective
• Completed planning and implementation for six Schwartz Rounds
• Successfully obtained matching funds for the first of a three year CAPC extension grant
• Edited and published 24 new Fast Facts and Concepts
• Revised and updated 50 existing Fast Facts and Concepts
• Completed a pilot project of clinic PC integration
• Obtained office space for Jo Weis
• Hosted staff from 18 hospitals to learn how to start a palliative care program
• Received a major financial donation in support of the 4NW Doucette Family Room
• Started Oncology Fellow-Palliative Care Supervision Project
• Provided ongoing ICU nurse palliative care orientation
• Provided Radiation Oncology technologist palliative care teaching
• Supervised clinical training for ICU palliative care nursing position
• Started Hospitalist-Palliative Care-emergency Department Palliative Care pathway initiative
• Began recruitment for a 2007 Faculty development course in palliative care.
• Launched new data management computer program
• Began monthly tracking of hospital cost savings
• Provided leadership for the MCW Society of Teaching Scholars, Medical Humanities Program, Faculty Career Development Committee, and Health Care Products Industry Committees.
• Provided leadership for the Froedtert Hospital Pain, Ethics, Palliative Care, ICU,  and P &T committees.
• Provided leadership for committees in the American Academic of Hospice and Palliative Medicine, Hospice and Palliative Care Nursing Association, Center to Advance Palliative Care, HPM Fellowship Directors Association, and the Veterans Affairs Health Care System.
• Provided leadership to the formation of a SE Wisconsin HPNA chapter.
• Served as advisor on external grants from UCSD, Baptist Health Care System, and Rush-Presbyterian Medical Center, Bureau of Health Professions.

Peer Reviewed Articles

• Blust L. These Hands. Journal of Palliative Medicine (in press)
• Blust L. Health Professional Burnout; Fast Facts and Concepts. Parts 1-4. www.eperc.mcw.edu
• Rosielle D. The Lidocaine Patch.  Fast Facts and Concepts. www.eperc.mcw.edu
• Rosielle D. Once daily oral morphine preparations. Fast Facts and Concepts. www.eperc.mcw.edu
• Marr L, Weissman DE, Billings J. Spiritual care education for palliative medicine fellows. J Pall Med  (in press)
• Salacz M and Weissman DE.  Management of bone marrow failure in palliative care. J Pall Med 2007 (in press)
• Menkin E and Weissman DE. DNR orders. J Hospital Medicine (letter) (in press)
• Weissman DE. Risks and rewards; pioneers in palliative care. J Pall Med (in press)
• Weissman DE, Ambuel B, von Gunten CF, Block S et al.  Outcomes from a national multi-specialty palliative care curriculum development project. J Pall Med, 2007 (in press)
• Weissman DE. Methadone for neuropathic pain. Fast Facts and Concepts. www.eperc.mcw.edu
• Siddiqui F and Weissman D. Malignant hypercalcemia. Fast Facts and Concepts. www.eperc.mcw.edu
• Weissman D and Derse A. Informed Consent in Palliative Care Parts 1-2. Fast Facts and Concepts. www.eperc.mcw.edu
• Chan, C and Marr, L.  Communicating with a Grieving Family member. Association of American Medical Colleges.  http://www.aamc.org/meded/mededportal/resources.htm, 2006.

Abstracts

• Blust L and Weis J. Communication workshop on Palliative Care:  accepted for STFM national meeting April 2007
• Weissman DE and Muchka S. Running a family conference-workshop.  American Academy of Hospice and Palliative Medicine, January 2007.
• Weissman DE and Meier D. Building an academic palliative care program. American Academy of Hospice and Palliative Medicine, January 2007.
• Cassarett D, Weissman DE, at al.  Pre course: Mentoring junior faculty in palliative care. American Academy of Hospice and Palliative Medicine, January 2007.
• Marr L. Revealing Images.  J Pall Med. 2006 Feb;9(1):211-2.
• Marr, L, Weis J, Weissman D and Fowell. Psychosocial and Communication Skills Training for Oncology Fellow Education. American Association of Cancer Education meeting.
• Mary Gleason Heffron, PhD, Michael O. Frank, MD, Karen Brasel, MD, Carol Kuhlman, MS, Jon Lehrmann, MD, Paul Lemen, MD, Lisa Marr, MD, et al. Using an education committee to conduct institution-wide graduate medical education. Abstract submitted to the 2007 ACGME Annual Educational Conference.
• Marr, L, Weis J and Fowell, H. Supervision for Palliative Medicine and Oncology Fellows. Poster presentation at the 16^th Annual Congress on the Care of the Terminally Ill, Montreal, Canada, 9/2006.

Book Chapters

• Blust L. Palliative Care.  Encyclopedia of Aging. (in press)
• Marr L and Weissman DE. Palliative care. M.H. Sleisenger, J.S. Fordtran (eds); Saunders, 2006
• Von Gunten CF and Weissman DE.  Hospice Care and end of life issues.  Hematology/Oncology Sourcebook
• Rosielle D and Weissman DE. Palliative Care. Geschwind JF and Soulen MC. Interventional Oncology: Principles and Practice. Oxford University Press. (in press)

Book

• Marr, L. Sexually Transmitted Diseases: A Physician Tells You What You Need to Know. Johns Hopkins University Press. 1998. Second edition accepted for publication September 2006. Anticipated publication January 2007.

Grants

• Advancing Healthier Wisconsin: Interdepartmental Collaboration for Competency-Based Education
• JEHT Foundation, Continuation of Palliative Care Leadership Center project.
• Robert Wood Johnson Foundation; Medical School Palliative Care Initiative.
• National Cancer Institute; Palliative Care. Impact of Palliative Care, 5 years.
• Extendicare; Oncology/Palliative Medicine Fellow Supervision

Awards

• L Marr. Nominated for The Edward J. Lennon Endowed Clinical Teaching Award