AAHPM Professionals In Training (PIT SIG) Blog

2009 Case Conference Presenters - Austin, TX

2009-11-03T00:01:00.001-05:00

While a bit late I need to post these for historical reasons. Make sure to get your submission in today November 3rd for next year's conference.

Cases presented in Austin in 2009 at the AAHPM Annual Assembly

DCD Or Organ Harvesting? Blurring The Line Between Life And Death With Pentobarbital
Dr. Anup Bhushan, VCU Health System

Interdisciplinary Management Of Suffering And Regression
Dr. Paul W. Walker, MD Anderson Cancer Center

Buprenorphine For Neuropathic Pain: Targeting Hyperalgesia
Dr. Raghava Induru, Cleveland Clinic Foundation

Palliative Challenges With An LVAD Patient
Dr. Lindy H. Landzaat, Massachusettes General Hospital

Exploring A Patient's Desire For Hastened Death
Dr. Robert A. Heyding, James J. Peters V.A. Medical Center

Caring For A Child With Trisomy 18: An Interdisciplinary Approach
Mr. Arden E. ODonnell,MPH, LCSW Childrens Hospital Boston

To Eat Or Not To Eat? Persistent Hypoglycemia In A Patient With Metatstatic Colorectal Cancer
Ms. Erin Zahradnik, BA, MS, University of Kansas SOM-Wichita

Crossing A Cultural Chasm; End Of Life Decision Making With A Liberian Refugee And Her Blind Husband
Ms. Marcia J. Buckley, APCHPN, Strong Hospital

Inadequate Pain Control In A Palliative Care Patient Due To Lack Of Communication Across Continuum Of Care
Dr. Maria C. Foy, PharmD, Abington Memorial Hospital

The PIT-SIG is on Facebook!

2009-03-31T22:26:00.001-04:00

I don’t think I am alone when I say that the AAHPM Annual Assembly is an incredibly invigorating experience. The content this year was fantastic – I learned about the advanced management of delirium, got a fantastic update on what’s new in pain management, learned about palliative care in Africa, loved the state of the science talk as usual … I could go on and on.

What always stands out the most is the “buzz.” As a current fellow in infectious disease and a (hopefully) soon-to-be fellow in palliative care, I spent most of my time with other current or recent trainees. This group, which is the membership base for the PIT-SIG, has an incredible enthusiasm. There is an obvious desire to take care of each other, by sharing knowledge, serving as a sounding board, and providing opportunities for career development. At our official PIT-SIG meeting, we set a very ambitious agenda for the upcoming year.

I know that my challenge as PIT-SIG chair is to keep that enthusiasm going throughout the year. This year, we have a new strategy: Facebook.

Please join us on Facebook under the group “AAHPM Professionals in Training Special Interest Group.” We have already started to talk about some of our most important agenda items: networking and social events at AAHPM 2010, how to find a job, plans for this blog…to name a few.

See you there!

The New PIT-SIG Chair and Vice-Chair Say Hello

2009-03-31T22:23:00.001-04:00

To all current and recent palliative medicine fellows; palliative medicine practitioners interested in helping trainees; medical students and residents considering a career in palliative medicine; or anyone else interested in learning more about what we do:

The American Academy of Hospice and Palliative Medicine Professionals In Training Special Interest Group (PIT-SIG) is the professional organization for those just starting out in our field. At last week’s Annual Assembly, we assumed our leadership roles.

Jessica Merlin, MD, MBA
Chair, PIT-SIG (promoted from Vice-Chair)
I am a first year fellow in infectious disease at the Hospital of the University of Pennsylvania in Philadelphia. My academic interests include the intersection of HIV, symptom management, and palliative care domestically and abroad. I got my MBA because I am interested in academic medical administration, especially medical school program administration. I am currently developing a curriculum for med students who travel abroad to developing countries, which will include elements of HIV medicine and palliative care. I will (hopefully) be a palliative care fellow in 2010, and I am very dedicated to promoting the interests of the field and helping to grow current/future generations of palliative care providers. Please feel free to contact me directly at jessicamerlinmdmba@yahoo.com.

Gosia Sullivan, MD
I am completing my Palliative Care/Hospice Medicine fellowship with Capital Hospice this year, after which I will be joining the Capital Hospice medical staff in Washington, DC. I previously worked as a hospitalist at Washington Hospital Center where I functioned as a liaison between the ED and ICUs. My experiences there led me to a field of medicine where the patient is at the center of medical decision making, rather than being subject to the defaults embedded in our medical system. In addition to being a full-time mother of 3 toddlers, I am passionate about helping young professionals, such as myself, find fulfilling careers with a rewarding work-life balance. It is with this thought in mind that I joined the PIT-SIG in the Vice Chair role. I hope to spread the word about Hospice and Palliative Care and let more people in on this “best kept secret”. You can email me with any comments or questions at mpolakowska@hotmail.com.

2009 PIT SIG AAHPM Cases - DELAYED

2008-12-02T22:02:00.003-05:00

Sorry about the delay folks, since we were supposed to announce the cases on Monday 12/1, but because of a technical glitch it took a little longer to get the scores together. I am hopeful that the official announcement will come by Wednesday at the earliest, Friday at the latest. The cases submitted were great so it is a tough crowd to choose from.

AAHPM Case Conference Submissions Now Open

2008-10-10T23:23:00.002-04:00

Hey all you students of palliative medicine, your chance to present at a national conference is here! The 3rd and last call for submissions for the AAHPM/HPNA Annual Assembly has opened (Oct 1- Nov 3rd). This call is for professionals-in-training from any discipline to submit a clinical case for a 20 minute presentation. I am very glad to be a part of this for the 5th year now, and grateful to the AAHPM and HPNA for their ongoing support.

Go here now to submit your case or cases!

On a personal and historical note:

I am somewhat sad though because it will be my last year being involved with case selections and presentations. It has grown over the past 5 years, and I need to move on and let other people take the helm. Personally I think these case presentations are one of the great hidden gems of the Annual Assembly; great, fast, focused presentations and national speaking experience for newer members to the field.

Since this is my last year with the case conferences, I wanted to share a bit of the history of how it came into existence, because I think it demonstrates how persistence, teamwork, and the AAHPM's willingness to take a risk made a big difference.

So in 2004, the Professionals-in-Training Special Interest Group (PIT-SIG) formed* and made a list of goals to help junior members of the Academy get more involved. We had a lot of ideas at the inital brainstorming session with Chad Farmer, Lynn Bunch, Brian Murphy, Laura Morrison, KJ Williams, Annette Geisler, and others. But one idea that stuck out the most was an opportunity for palliative medicine fellows to present at the Annual Assembly.

I remember very clearly going up to the (then) new president David McGrew, with all the confidence I could muster and introducing myself as a palliative medicine fellow, and newly elected chair of the newly formed PIT-SIG and that we would be submitting a proposal for a reserved slot for fellows to present. Only after I finished talking to him did I realize how...ummm forward that was.

The first year we had 13 submission and 5 presenters in a single 90 minute slot. We had a smattering of people there, but it was a start. In 2008, we had 61 submissions and 9 presenters in three 60 minute slots. The case conferences have benefited from the involvement from many people at the AAHPM including: Angie Forbes, Karen Nason, Mary Beth Benner, and Julie Bruno.

Thanks to all of the people who have helped to select cases and moderate the conferences: Giovanni Elia, Kelli Gershon, Laura J. Morrison, Solomon Liao, Christine Ritchie, Lynn Bunch, Pam Fordham, Susan Block, Dick Stephenson, and Drew Rosielle.

*That's a whole other story

Cross-posted to the Pallimed blog

The Role of the PIT-SIG Blog

2008-10-10T22:27:00.000-04:00

The PIT SIG Blog has been awful quiet, but there are a surprising number of subscribers to the blog both RSS and email. If there are things you would like to see on this blog, please feel free to leave a comment.

The PIT-SIG once had a very active email list, which has also quieted down. Communication amongst fellows in such short and small programs is critical to creating a community. So whether it is Facebook, a blog, a list-serv, find out who your other fellows are and make a community. I would encourage the new fellows to get together to figure out if there are issues important to you in the Academy, so that you have an agenda at the Annual Assembly when you all get together.

It is very easy to not get involved but you can accomplish a lot as a group with good communication and organization.

It is a good time to be a part of the PIT-SIG

2008-02-28T19:56:00.004-05:00

Yes, dear members of the PIT-SIG, it is a good time to be in Palliative Medicine, to be member of the AAHPM, and to be a part of the PIT-SIG.

First, we would like to thank you for your loyalty and for your interest.

Then, introductions:
The Chair: Giovanni is a former Urogynecolgist who fell in love with Hospice and Palliative Medicine, completed a Fellowship at San Diego Hospice in 2007, and stayed there as staff.

The Vice-Chair: Jessie is a third year Internal Medicine resident and soon-to-be Infectious Disease fellow at the Hospital of the University of Pennsylvania. Her primary clinical and research interests are in HIV and palliative care.

We had the opportunity to meet many of you at the AAHPM annual assembly and were energized by your enthusiasm and ideas. To continue the momentum established in Tampa we have identified five key areas of interest for the coming year:

1) Participation: We would like to see PIT-SIG representation across committees and task forces of the Academy. The official application deadline was March 1st, but there are still ways to get involved. So, if you are interested, send your CV and your preferences to the Academy any time. If you have suggestions or areas you would like to be involved, let us know. Also, with your help, this blog can be a sounding board for all of us. We encourage comments, case presentations, clinical dilemmas, short essays or articles on pertinent issues. It would also be great if we could have a link to this blog from the AAHPM home site: we’ll see.

2) Education and Mentorship: We are working on a program that will allow medical students to visit centers of excellence in Palliative Medicine across the country. Stay tuned for more details!

3) Networking: The small size and newness of our specialty makes meeting colleagues from institutions outside our own especially important. One suggestion from the PIT-SIG meeting attendees in Tampa was to have a PIT-SIG social event early on during the annual assembly. Also, Giovanni, coming from the West Coast, found it very inconvenient to get up early for the PIT-SIG meeting at 7:30am. So he is launching his personal crusade to have the PIT-SIG meeting scheduled in the afternoon. We are also looking for electronic means, such as this blog, for keeping PIT-SIG members connected throughout the year.

4) Research: Every year, the PIT-SIG leadership selects cases for presentation at the annual assembly case conference. Many of the submissions come from PIT-SIG members. We encourage you to apply for this and other opportunities, such as poster and papers sessions, to present your work.

5) Spreading the word: Of course, we are all committed to teaching other students, residents, fellows, and colleagues what Palliative Medicine is, how much fun we have practicing and studying it, and most importantly, how much our patients benefit from our teamwork. As upcoming leaders in a new and growing field, we have the responsibility of continuing this tradition.

In order to further develop these areas of interest, we need your help. We want the enthusiasm for our specialty that was palpable during the annual assembly to continue throughout the year. If you would like to get involved in the PIT-SIG, please let us know.
We look forward to hearing from you.

Ciao

Giovanni & Jessie

AAHPM 2008 Review

2008-02-08T23:56:00.000-05:00

Well the 2008 AAHPM conference is over. Many new members came to the PIT SIG meeting to discuss an agenda for next year. Hopefully within the next few days the Chair, Giovanni Elia of Sand Diego Hospice and newly-elected Vice-Chair, Jessica Merlin, of U Penn will be letting you know what they have planned for the year and how you can help.

The case conferences went very well. The speakers presented some fascinating cases and the audience received them very well.

The call for case conferences is for AAHPM 2009 is open October 1-November3, 2008. Look here for more announcements as that gets closer.

The Cases Have Been Selected

2007-11-12T23:43:00.000-05:00

The 2008 Cases have been selected. We had a great turnout this year, and the AAHPM and HPNA have been gracious enough to expand the presentations to 9 from the originally scheduled 6. The reviewers had a difficult time choosing because of the high quality of numerous submissions. For those who did not get selected, individual feedback is available by emailing csinclair @t kchospice d0t org.

Some facts on the submissions:

61 cases submitted

From 57 individuals
(There are no rules to prevent double submissions! Good strategy!)
From 43 different institutions
6 RN submissions
4 Medical Student submissions

Congratulations to the selected cases.
The Cases Selected Are:

Session 505 - Sat Feb 2 - 8:30-9:30AM

Erin Remster, D.O. Student
Aminocaproic Acid to Prevent Hemorrhage in a Patient with Metastatic Hypophayrngeal Cancer
Ohio University College of Osteopathic Medicine

Dr. Swee Ng
The Man Who Refuses to Die: The Challenges of Protracted Imminent Death
Summa Health System - Palliative Medicine Fellowship (Ohio)

Dr. Andrea White
Alcoholism at the End of Life on a Palliative Care Unit
University of Alabama at Birmingham - Palliative Care Fellowship

Session 515 - Sat Feb 2 - 9:45-10:45AM

Dr. Urviben Patel
Depression? Dementia? It Makes a Difference for the Patient, Family and Care Givers
University of Alabama at Birmingham Internal Medicine Residency

Dr. Elizabeth Winstein
Exploring a ‘Desire to Die’ Statement from a Patient Undergoing Evaluation for Lung Transplantation
University of Pittsburgh Palliative Care Fellowship

Donita Overend, BSN
The Inconsolable Irritable Infant with Krabbe’s Disease
HRSA Nurse Residency Program with San Diego Hospice & Palliative Care

Session 530 - Sat Feb 2 - 1:45-2:45PM

Dr. Pareshkumar Patel
Control of Sickle Cell Crisis Pain in the Setting of Acute Renal Failure and Multiple Opioid Allergies
MCVH-VCU: Palliative Care Fellowship

Dr. Kristina Newport
Recurrent ICD Firing in a Patient with End-Stage Heart Failure
Penn State Milton S. Hershey Medical Center - Internal Medicine Program

Dr. Staci Mandrola
When Family Conflict Masquerades as Religious Differences
University of Louisville - Palliative Medicine Fellowship

The reviewers were:
Giovanni Elia, MD
San Diego Hospice & Palliative Care & Vice-Chair of the AAHPM PIT-SIG

Kelli Gershon, MSN APRN BC-PCM
M.D. Anderson Cancer Center

Laura J. Morrison, MD
Section of Geriatrics Baylor College of Medicine &
Division of Palliative Medicine, The Methodist Hospital

Christian Sinclair, MD
Kansas City Hospice & Palliative Care

AAHPM Call for Case Conference

2007-08-31T21:58:00.000-04:00

AAHPM has posted the call for fellows cases on the front page. This is the first time the case conference has received this kind of publicity so make sure you submit your case!

Here is the link to the submission form.

From the submission form:

The call for submissions for the 2008 Case Conferences will be open from September 1 through October 24, 2007. Case Conferences are 20-minute complex case studies that feature the interdisciplinary team. The case study can focus on any of the domains of palliative care faced by the interdisciplinary team including: physical, psychological, social, and spiritual.

This will be the 4th year for the Case Conference, which serves a unique opportunity for student members of the field to present at a national conference, and gain the experience needed to become future leaders. In the past, all cases have been submitted and presented by physicians, but submissions are open to all levels of students of graduate nursing, social work and chaplaincy programs as well as medical students, residents and fellows. The Case Conferences will be presented during the Annual Assembly of AAHPM & HPNA in Tampa, FL on Saturday February 2, 2008.

2007-05-23T22:46:00.000-04:00

Welcome to the Professionals In Training Blog. My name is David and I am a current fellow in Mason City Iowa. I was elected to chair the Professionals In Training Special Interest Group at the AAHPM Meeting in Salt Lake City. I am very excited about this opportunity and will be posting some information over the next few weeks to months about where this might go. The Academy will again support the Fellow's Case Conference at the next meeting in January and we will be posting the submission dates here as well. I look forward to serving as the chair over the next few months and hope that you will email me or reply to my post if you have questions about anything. Thanks for your support.

David Wensel DO
Hospice and Palliative Medicine Fellow
Mercy Medical Center
Mason City, Iowa

Getting Ready for The Annual Assembly

2007-02-05T10:53:00.000-05:00

(cross-posted to PIT-SIG List)

PIT-SIG Members:

In addition to all of the excellent Annual Assembly fare, there are several activities that will be of particular interest to professionals in training. I encourage you to take advantage of all of them.

1. PIT SIG meeting - Saturday at 7 a.m. - We will be reviewing PIT SIG accomplishments of the past year and brainstorming additional ideas that might be useful for professionals in training as we go forward. We will also be holding elections for next year's PIT SIG leadership (chair and vice-chair). Further descriptions of these positions and the process for the election will follow via the PIT SIG listserv and by post on our blog (http://pitsig.blogspot.com). Please contact me (lynnbunch@hotmail.com) with questions or to indicate your interest in a leadership position.

2. Professionals in Training Case Conferences - Saturday at 8 a.m. and 9:15 a.m. - Come support your colleagues!

3. Job Fair - Thursday from 4:30-6:30 p.m. in the Exhibit Hall. This is the first annual Job Fair for the AAHPM/HPNA Annual Assembly. It should be an excellent opportunity for those of you in the midst of a job search to explore all of your options.

4. PIT SIG Social Gathering - More details to follow!

Please don't hesitate to contact me with any questions. I look forward to reconnecting with old friends and meeting new ones next month!

Lynn Bunch
Chair, PIT SIG
lynnbunch@hotmail.com

Professionals-In-Training Case Conference - Presenters Announced

2006-12-01T10:37:00.000-05:00

Come out and support your fellow fellows!

Professionals-in-Training Case Conference - Part 1
AAHPM Annual Assembly
Saturday, February 17, 2007
8-9am

Choreoathetosis in a frail elderly female hospice patient taking low dose trazodone: a case report
Charina Gayomali, MD
Summa Health System
Akron, OH

Communication challenges in a Puerto Rican gentleman with oropharyngeal cancer
Winnie Suen, MD, MSc
Massachusetts General Hospital
Boston, MA

Communication challenges in a patient with multiple myeloma and developmental delay
Cindy Lien, MD
Dana Farber Cancer Institute
Boston, MA

Professionals-in-Training Case Conference - Part 2
AAHPM Annual Assembly
Saturday, February 17, 2007
9:15-10:15am

It’s never too late
Kelly Ryder Letsinger, MD
VCU Medical Center
Richmond, VA

Communication challenges: denial, language and cultural barriers
Sarah E. Harrington, MD
VCU Medical Center
Richmond, VA

ICU as a comfort measure: treating the anxiety of a lung transplant patient who has survived it all
Lise Taylor Barbour, MD
Medical College of Wisconsin
Milwaukee, WI

Professionals-In-Training Case Conference - Call for submissions

2006-07-10T09:49:00.000-04:00

(Previously known as the fellows case conference)

The AAHPM Professionals-In-Training Special Interest Group (PIT SIG ) is now opening the call for case submissions for the case conference that is part of the Annual Assembly in Salt Lake City from February 14-17th, 2007.

There are 6 case slots available and the call is open to any medical professional in a training program (Fellow, Resident, Medical Student, Nursing Student, Social Worker, Chaplain, etc.) . Each case will be allotted 20 minutes.

For details and to review the submission process please click here.

If you have difficulties with the submission process, please email csinclair at kchospice dot org

See past cases from 2005 and 2006.

Submission Deadline: Friday, 11/3/2006
Cases Announced: Friday, 11/10/2006
Conference: 2/14-2/17/2007

(Cross-posted to Pallimed blog)

Deadline for ABHPM Boards soon!

2006-03-23T19:39:00.000-05:00

For those of you registering for the ABHPM, the deadline for the earlybird registration is April 1.

Application Deadlines for 2006 Exam
Early Application Deadline	$1100.00	April 1, 2006
Regular Application Deadline	$1200.00	May 1, 2006
Late Application Deadline	$1500.00	May 31, 2006

AAHPM Call for Proposals 2007 and some submission tips

2006-02-24T15:53:00.000-05:00

(Cross-posted to Pallimed)

The AAHPM has announced the dates for call proposals, so get your brains cranking on that great presentation for next year in Salt Lake City, UT.

The dates of the Assembly are: February 14-17, 2007.

The call for workshops and concurrent presentations is March 15th-May 1st, 2006.

The call for case studies , papers and posters is from June 15 - July 17, 2006.

There will also be a late call in the fall for Fellows, Residents and Medical Students for a case conference, but we are still working out those dates.

I was lucky to be on the Steering Cmte for the 2005 Assembly and from reviewing lots of proposals, I have a few suggestions and tips:

Splele CHEKK, Splle KhCekc, Spell Check! I cannot say that enough. Use computer AND human spell checking four if you don't it will no look professionalism.
Must should you try to always do grammar checks.
Include other disciplines when appropriate.
Include peers from other institutions for synergy.
Look at last year's topics to find overdone topics or the next 'hot' thing.

If anyone else has some submission tips, please feel free to submit them in the comments section.

Other Assembly News

2006-02-16T10:21:00.000-05:00

Also at the Annual Assembly in Nashville, the PIT SIG leadership met with Solomon Liao, MD, the chair of the program committee which will work to plan next year's meeting in Salt Lake City. As he mentioned during his brief comments at the PIT SIG meeting, he is interested in increasing the involvement of the Special Interest Groups by encouraging them to submit proposals for concurrent sessions for next year's meeting. We discussed with him our plan to again submit a proposal for Fellow's Case Conference--it is even possible that we might expand this to two concurrent sessions to allow more fellows to participate!

Start thinking now about other ideas for concurrent sessions that you might be able to collaborate with fellows from other programs on!

AAHPM Fellows Case Conference - A Success!

2006-02-13T22:49:00.000-05:00

We had 5 great cases from PIT SIG members at the 2006 Annual Assembly. The second annual fellows case conference was well attended by over 50 people who asked some great questions of the fellows. Congratulations to all those who presented and thank you to all of the people who attended. Special thanks to our panel: Solomon Liao, MD (UCI), Christine Ritchie, MD, MPH (UAB) and Lynn Bunch, MD (Mt. Sinai).

Of the 15 cases submitted the 5 cases presented were:

Title: Difficulty Concentrating in a Man with Colon Cancer
Presenter: Juliet Jacobsen, MD, DPH
Program: Massachusetts General Hospital Palliative Care Fellowship Program
Summary: This case presentation describes a patient with metastatic colon cancer who presented with the compliant of difficulty concentrating. He did not meet the diagnostic criteria for major depression but during his hospital course he developed suicidal ideation in the setting of poorly controlled pain and multiple frustrating delays in care.

Title: Escalating Chest Pain in a Young Man with Metastatic Gastroesophageal Cancer
Presenter: H. Jane De Lima, MD
Program: Dana Farber Cancer Institute
Summary: The case presentation describes a patient who benefited from aggressive but palliative minded interventions and the importance of diagnostics in addressing pain control.

Title: Caring for Home Hospice Patients with Substance Abuse
Presenter: Drew Rosielle, MD
Program: Palliative Care Program, Medical College of Wisconsin
Summary: The case presentation describes a patient actively abusing substances while in home hospice. Discussion points will include the pitfalls and challenges of caring for dying patients who are using drugs, as well as strategies to provide these patients optimal symptom control.

Title: Is it a Crisis?
Presenter: Ryan Nash, MD
Program: University of Alabama at Birmingham Center for Palliative Care
Summary: Corticosteroids are an essential and frequently utilized weapon in the palliative arsenal. The case to be presented illustrates the dilemma regarding corticosteroid cessation at the end of life with emphasis on the ethical decision to allow death by natural progression of disease versus the iatrogenic complication of a medication withdrawn.

Title: Addressing Intractable Crying: Pseudobulbar Affect and Maslow's Hierarchy of Needs
Presenter: Suzana Makowski, MD, MMM
Program: San Diego Hospice
Summary: This case will review the differential diagnosis for intense emotional suffering in the ALS patient. Other items to be covered include Maslow’s Hierarchy of Needs, the impact of her crying on caregivers, and the multidisciplinary team approach - including pharmacological and psychosocial interventions - used to alleviate her suffering during the final five weeks of her life.

2006 Chair and Vice-Chair

2006-02-13T21:52:00.000-05:00

This is the first post of the blog for the AAHPM Professionals in Training Special Interest Group (PIT SIG). The main reason for this blog is to enhance communication with the members of the PIT SIG and to help bring others into the field of Palliative Medicine.

At the Annual Assembly in Nashville, TN the PIT SIG members elected a new vice-chair and chair.

Chair: Lynn Bunch, MD, Mt. Sinai, 2005-8
Vice-Chair: Drew Rosielle, MD, Medical College of Wisconsin, 2005-6

Past-Chair: Brian Murphy, MD, Assoc Med Dir, Capital Hospice (Virginia Commonwealth Univ., 2004-5)
Ex-officio: Christian Sinclair, MD, Assoc Med Dir & Fellowship Dir, Kansas City Hospice & Palliative Medicine (Hospice & Palliative CareCenter, Winston-Salem, NC 2003-4)

2005 AAHPM PIT SIG Cases

2005-01-19T00:17:00.000-05:00

Brian Murphy, MD

Fellow in Hospice & Palliative Medicine

Capital Hospice

Arlington, VA

Weaning of intravenous milrinone after four years of chronic infusion

Gabriel Paulian, MD

Fellow in Palliative Medicine

University of Florida Health Science Center – Jacksonville

Jacksonville, FL

Johnny can’t read: another cause of opioid non-adherence

Jennie Webb-Wright, MD

Palliative Care Fellow

VCU Medical Center

Richmond, VA

Don’t just hang the morphine; think high tech!!

Tamara Sacks, MD

Palliative Care Fellow

VCU Medical Center

Richmond, VA

"You haven’t done what you promised.”

Maggie O'Connor, MD

Palliative Medicine Fellow - San Diego Hospice 2003-04

Founder of HO/PE: Healing Opportunities/Palliative Expertise

Mankato, MN

Does this patient really want terminal sedation?