Palliative Care Education and Practice - Harvard Medical School

Palliative CareEducation andPracticeNovember 5–12, 2013 andApril 30–May 6, 2014Course DirectorsSusan D. Block, MDChair, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute and Brigham and Women’s HospitalCo-Director, Harvard Medical School Center for Palliative CareProfessor of Psychiatry and Medicine, Harvard Medical SchoolJ. Andrew Billings, MDConsultant, Cambridge Health AllianceFormer Director, Palliative Care Service, Massachusetts General HospitalCo-Director, Harvard Medical School Center for Palliative CareAssociate Professor of Medicine, Harvard Medical SchoolPediatric Track DirectorsJoanne Wolfe, MD, MPHChief, Division of Pediatric Palliative Care, Department of PsychosocialOncology and Palliative Care, Dana-Farber Cancer InstituteDirector, Pediatric Palliative Care, Boston Children’s HospitalAssociate Professor of Pediatrics, Harvard Medical SchoolRichard D. Goldstein, MDSenior Physician, Division of Pediatric Palliative Care, Department ofPsychosocial Oncology and Palliative Care, Dana-Farber Cancer Instituteand Boston Children’s HospitalAssistant Professor in Pediatrics, Harvard Medical SchoolThe pediatric track will highlight the unique aspects of pediatric palliative care.Harvard Medical School Department of Continuing Education and Center for Palliative CareDana-Farber Cancer Institute, Department of Psychosocial Oncology and Palliative Care

InformationCourse DescriptionOnly 60% of hospitals have palliative care programs in the U.S. Palliative care has a workforce shortageof approximately 5,000–11,000 physicians to meet existing palliative care needs; this deficit is likely toincrease. The American Academy of Hospice and Palliative Medicine states that, “students graduatingfrom medical school today have very little, if any, training in the core precepts of pain and symptom management,communication skills, and care coordination for patients with serious or life-threatening illness.”As a result, there is a substantial need to train clinicians in areas that are essential to palliative care.Palliative Care Education and Practice (PCEP) offers intensive learning experiences for physician andnurse educators who wish to become expert in the clinical practice and teaching of comprehensive, interdisciplinarypalliative care, as well as gain expertise in leading and managing improvements in palliativecare education and practice at their own institutions.The course is delivered in two parts: Part 1 consists of 8 days of intensive learning, followed by a 6-monthinterim during which participants work on an individual project and contribute to a structured weeklyemail discussions of problematic, clinical, educational, and program development cases presented byother participants; and, Part 2 is 7 days of continued experiential learning and training focused on communication,teaching methods, teamwork and leadership.Teaching is learner-centered and takes place in a variety of interactive formats including: small groups,large group discussions, demonstration interviews, and panel discussions. Participants have the opportunityto develop action plans for change at their institutions and to practice and receive feedback abouttheir teaching and change strategies. Many opportunities for informal interchange will be available.“The PCEP class was absolutely critical to my being able to finally start a palliative care program atmy hospital. I had been trying for five years to receive funding for an inpatient PC consult service,without success. PCEP not only gave me great credibility (due to the ‘Harvard’ connection), it alsoprepared me to be a better clinician and educator. I highly recommend the program to anyoneinterested in furthering the field of Palliative Medicine.” Shoshana Helman, MD, Class of 2005Learning ObjectivesUpon completion of this activity, participants will be able to:• teach the fundamentals of palliative care (evaluation of physical causes of distress, psychosocial andspiritual assessment, ethical and cultural issues, palliative care in geriatric and pediatric populations,depression, and bereavement);• teach about communication at the end of life (understanding the experience of life-threateningillness, breaking bad news, communicating across cultural barriers, family meetings, and providingfeedback to learners);• manage challenges in palliative care education (principles of adult learning, understanding, learningstyles, and new teaching methodologies);• develop and promote clinical and educational programs in palliative care (assessing institutionalstructure and culture, evaluating readiness to change, dealing with resistance, developing andfinancing palliative care programs, and fund-raising strategies);• develop strategies to manage end-of-life pain and effectively communicate with patients and theirfamilies in end-of-life care; and• describe appropriate assessment, monitoring, and documentation strategies to meet best practicestandards and medico-legal requirements to support opioid prescribing.

InformationWho Should Attend?PCEP is designed for physician and nurse educators who wish to enhance their skills in clinical practice,teaching, and program development in palliative care and who have, or wish to develop, a leadership roleat their institution. In addition hospital administrators, mental health workers, pharmacists, physicianassistants, psychologists, and social workers are also encouraged to attend.ACGME CompetenciesThis course is designed to meet the following Accreditation Council of Graduate Medical Educationcompetencies: Patient Care, Medical Knowledge, Practice-based Learning and Improvement,Interpersonal and Communication Skills, Professionalism, and Systems-based Practice.AccreditationThe Harvard Medical School is accredited by the Accreditation Council for Continuing MedicalEducation to provide continuing medical education for physicians.The Harvard Medical School designates this live activity for a maximum of 89.50 AMA PRA Category1 Credits.Physicians should claim only the credit commensurate with the extent of their participation in theactivity.Risk Management Credits in MassachusettsA maximum of 2.75 credits for adult track and 3.75 credits for pediatric track participants are availablefor Opioid Education/Pain Management. A maximum of 56.50 credits for adult track and 56.75 creditsfor pediatric track participants are available for End-of-Life Care.These credits were determined based on criteria outlined by the Massachusetts Board of Registrationin Medicine. Please check with your individual state licensing board requirements before claiming riskmanagement, opioid education/pain management, or end-of-life care credits.Physicians should claim only the credit commensurate with the extent of their participation in theactivity.Course Location and TravelRoyal Sonesta Hotel Boston, 40 Edwin Land Boulevard, Cambridge, MA 02142, 1-800-766-3782 (+1-617-315-9100, outside U.S. and Canada), http://www.sonesta.com/boston/A limited number of rooms at a reduced rate have been reserved until October 14, 2013 for Part 1 at$279 single/double and until March 11, 2014 for Part 2 at $255 single/double. Reservations should bemade directly with the hotel only after acceptance to the course has been confirmed.For airline reservations contact the HMS Travel Desk toll free 1-877-442-7863 (+1-617-559-3764, outsideU.S. and Canada) Monday – Friday 9:00 AM – 8:00 PM (ET).Please do not purchase non-refundable airline ticket(s) until you have received an email from ouroffice confirming your acceptance into the program.

FacultyCore FacultyJanet L. Abrahm, MDDana-Farber Cancer Institute andBrigham and Women’s HospitalProfessor of Medicine, HarvardMedical SchoolJ. Andrew Billings, MDCambridge Health AllianceAssociate Professor of Medicine,Harvard Medical SchoolSusan D. Block, MDDana-Farber Cancer Institute andBrigham and Women’s HospitalProfessor of Psychiatry and Medicine,Harvard Medical SchoolEva H. Chittenden, MDMassachusetts General HospitalAssistant Professor of Medicine,Harvard Medical SchoolConstance Dahlin, MSN, ANP,BC, ACHPN, FPCNMassachusetts General Hospitaland North Shore Medical CenterMarshall Forstein, MDCambridge Health AllianceAssociate Professor of Psychiatry,Harvard Medical SchoolRick Goldstein, MDDana-Farber Cancer Institute andBoston Children’s HospitalAssistant Professor of Pediatrics,Harvard Medical SchoolTodd Hultman, PhD, ACNP,ACHPNMassachusetts General HospitalVicki A. Jackson, MD, MPHMassachusetts General HospitalAssistant Professor of Medicine,Harvard Medical SchoolKatie Fitzgerald Jones, MSN,ANP-BC, ACHPNDana-Farber Cancer Institute andBrigham and Women’s HospitalAnna (Nina) Muriel, MD, MPHDana-Farber Cancer Institute andBoston Children’s HospitalAssistant Professor of Psychiatry,Harvard Medical SchoolPatricia O’Malley, MDMassachusetts General HospitalAssistant Professor of Pediatrics,Harvard Medical SchoolSimone P. Rinaldi MSN, APRNBC, AHPN BCMassachusetts General HospitalKristen G. Schaefer, MDDana-Farber Cancer Institute andBrigham and Women’s HospitalInstructor in Medicine, HarvardMedical SchoolJane deLima Thomas, MDDana-Farber Cancer Institute andBrigham and Women’s HospitalInstructor in Medicine, HarvardMedical SchoolJoanne Wolfe, MD, MPHDana-Farber Cancer Institute andBoston Children’s HospitalAssociate Professor of Pediatrics,Harvard Medical SchoolAdditional FacultyRachelle E. Bernacki, MD, MSDana-Farber Cancer Institute andBrigham and Women’s HospitalInstructor in Medicine, HarvardMedical SchoolElizabeth D. Blume, MDBoston Children’s HospitalAssociate Professor of Pediatrics,Harvard Medical SchoolAkshay Desai, MD, MPHBrigham and Women’s HospitalAssistant Professor of Medicine,Harvard Medical SchoolJanet Duncan, MSN, RN, BSN,CPNP, RN, BSNDana-Farber Cancer Institute andBoston Children’s HospitalJuliet Jacobsen, MD, DPHMassachusetts General HospitalAssistant Professor of Medicine,Harvard Medical SchoolMarsha Joselow, MSW, LICSWDana-Farber Cancer Institute andBoston Children’s HospitalMaureen Lynch, MS, APRN-BC,ACHPN, AOCN, FCNPDana-Farber Cancer InstituteFremonta Meyer, MDDana-Farber Cancer Institute andBrigham and Women’s HospitalInstructor in Psychiatry, HarvardMedical SchoolAmanda Moment, MSW, LICSWDana-Farber/Brigham andWomen’s Cancer CenterCynthia Moore, PhDMassachusetts General HospitalAssistant Professor of Psychologyin the Department of Psychiatry,Harvard Medical SchoolKathy Selvaggi, MDDana-Farber Cancer Institute andBrigham and Women’s HospitalAssistant Professor of Medicine,Harvard Medical SchoolExternal FacultyEduardo Bruera, MDMD Anderson Cancer Center,Houston, TXProfessor of Medicine, TheUniversity of TexasEric Cassell, MD, MACPEmeritus Professor of PublicHealth, Weill Medical College,Cornell UniversityAdjunct Professor of Medicine,McGill UniversityChris Feudtner, MD, PhD, MPHChildren’s Hospital of PhiladelphiaAssistant Professor of Pediatrics,School of Medicine, Universityof PennsylvaniaKathleen M. Foley, MDMemorial Sloan-Kettering CancerCenterMedical Director, InternationalPalliative Care Initiative, OpenSociety Foundations PublicHealth ProgramStefan J. Friedrichsdorf, MDChildren’s Hospitals and Clinics ofMinnesotaAssistant Professor of Pediatrics,University of Minnesota MedicalSchoolDavid E. Weissman, MD, FACPConsultant, Center to AdvancePalliative CareProfessor Emeritus, MedicalCollege of Wisconsin

InformationDisclosure PolicyHarvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. Itis HMS’s policy that those who have influenced the content of a CME activity (e.g., planners, faculty,authors, reviewers, and others) disclose all relevant financial relationships with commercial entities sothat HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures willbe provided in the activity materials along with disclosure of any commercial support received for theactivity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeledor investigational uses of products during their presentations.TuitionTuition: $6,900 (USD).Tuition is due in full by October 11, 2013.The tuition fee includes the course materials, breakfasts, breaks, lunches, and opening and closingbanquets for both Part 1 (November 5–12, 2013) and Part 2 (April 30–May 6, 2014). The tuition doesnot include the cost of housing or travel expenses. Tuition is paid before the course begins and covers theentire course. Once you have been accepted into the program you will receive payment instructions.Refund PolicyA handling fee of $500 is deducted for cancellation. All refund requests must be in writing and receivedby postal mail, email, or fax no later than October 11, 2013. No refunds will be made thereafter.Scholarship OpportunitiesWe are able to offer a number of competitive, partial scholarships for both U.S. and international applicants.PCEP scholarship recipients will be selected for their leadership abilities, their commitment toparticipating in building the field of palliative care, their service to underserved populations, and theirproject’s potential impact.The goal of the scholarship program is to identify individuals early in their palliative care careers andto support their interests, competencies, and dedication to the field by providing them with outstandingtraining about teaching and developing palliative care programs in an academic setting.Special consideration will be given to international candidates.Scholarship Eligibility Criteria:• a physician, with an affiliation with a medical school or teaching hospital, in the first five years of anacademic appointment or• a nurse (master’s level), with an academic affiliation with a hospital or nursing home and at least fiveyears experience in nursing practice.We are grateful to the Open Society Foundations’ Project on Death in America and Jane Weingarten andthe late Dr. Charles Weingarten for their long-term commitment to scholarship funding. Additional scholarshipassistance, and support for our “patients-as-teachers” program, is provided by Partners HealthCare,Inc., the Jacqueline S. Alaimo Palliative Care Fund, the Jo Jo Fund, and the Y.C. Ho/Helen and MichaelChiang Foundation.

InformationApplication InformationPCEP will follow a rolling admissions model and applications will be accepted until August 12, 2013.Submissions will be reviewed and notifications will be sent monthly. However, scholarship decisions willnot be made until early September. Incomplete or late applications will not be considered.All applicants will be informed of their status no later than September 13, 2013.Please include the following with your completed application form:• A narrative statement (up to three pages) with:• Your current or planned activities in palliative care, including a description of your role as an educatorand/or leader.• Your goals for taking this course, what can be accomplished during the 6 months of the course, andhow you expect to use this course in your work.• A description of a new or current palliative care project (e.g., development of a palliative careeducation intervention or an expansion of outpatient services). The description should address theissues of institutional commitment to your project and sustainability. Participants will work on theseprojects during the course.• A letter from your Dean, Department Chair, or similar institutional leader indicating a commitment toyou and to your career goals; institutional support for your project; and, support for your availability toparticipate fully in the course.• Curriculum vitae.• All applicants seeking scholarship support must include a personal statement (up to one-half page)with:• A summary of your need, clearly outlining why you are applying for a scholarship and why youshould receive one. Please include options you have pursued to secure funding, and the reasons whythese have not worked out. Describe any other extenuating circumstances that would make you acandidate for scholarship support.• A brief description of your service to underserved populations and how your participation in PCEPwill improve your care to them.“I lack the words to describe the amazing experience I had at PCEP. This course provided me with thebest learning experience that I’ve ever had. I repeatedly tell my colleagues about what I’ve learned,show them the materials I gathered. I have started to use some of the teaching techniques I learnedduring the course. As a palliative care specialist and nurse trainer, I feel that I have reached the nextlevel in my professional development where I can serve as a role model for my nursing team.” NicoletaMitrea, Class of 2010Please NoteYour submission is not complete until the application form and all supporting documents have beenreceived by pallcare@partners.org or at the address below.HMS Center for Palliative Care (PCEP) Questions?Dana-Farber Cancer Institute Telephone (617) 632-6432Psychosocial Oncology and Palliative Care Fax (617) 394-2678450 Brookline Avenue, DA100L4 pallcare@partners.orgBoston, MA 02215http://www.hms.harvard.edu/pallcare

ApplicationFull NameInstitution/DepartmentMailing AddressEmail AddressPalliative Care Education and Practice (PCEP)November 5–12, 2013 and April 30–May 6, 2014All fields required. Please print clearly.First Middle Name/Initial LastInstitutionDepartment/DivisionStreet City State Postal Code Country Please check if you wish to be excluded from receiving email notices of future HMS DCE programs.Please note: Your email address is used for critical information about the course including: registration confirmation, evaluationdistribution, and certificate delivery. Please be sure to include an email address you check daily or frequently.Daytime PhoneFax NumbervvTitleDegree(s)Primary Specialty (Physicians Only) Board Certied: Yes NoProfessional School Attended (Physicians Only) Harvard Medical School U.S. Medical School International Year of Graduation ________What course track are you applying to? Adult Track Pediatric TrackHow many dying patients did you care for in the last year?______________Which organization do you most identify with? (Choose only one) Center to Advance Palliative Care (CAPC) European Association for Palliative Care (EAPC) American Academy of Hospice and Palliative Medicine (AAHPM)National Hospice and Palliative Care Organization (NHPCO) Education on Palliative and End-of-life Care (EPEC) Harvard Medical School Department of Continuing EducationHow did you hear about the course? Brochure Website EmailAre you applying for a scholarship? Yes No Professional Society Friend/Colleague Other _____________________________________________________________If yes, please indicate if you are:a physician, with an affiliation with a medical school or teaching hospital, in the first five years of an academic appointment ora nurse (master’s level), with an academic affiliation with a hospital or nursing home and at least five years experience innursing practiceYour submission is not complete until the application form and all supporting documents have beenreceived by pallcare@partners.org or at the address on the previous page. Online registrants: add the first three characters of the source codeSource Code: W E B

HARVARD MEDICAL SCHOOLDepartment of Continuing EducationP.O. Box 825Boston, MA 02117-0825Photo by: Bastienne Schmidt and Philippe ChengThis photograph is from a collection of imagesthat depict our evolving culture of death inAmerica, how we emotionally, spiritually, andpractically experience mourning, grief, and loss.Our social and cultural environments impact andshape our responses to death and form the basisof traditional rituals as shown in this picture ofthree women having a picnic in a cemetery inmemory of their loved one.Our goal is to contribute to the training of leaders and educators who can train the next generation of clinicians, andlead new programs to improve access to palliative care services.Palliative Care Education and PracticeNovember 5–12, 2013 and April 30–May 6, 2014Boston, Massachusetts