A5074048171- Palliative Care and End-of-Life Issues
- Family and Patient Care in Intensive Care Units
- Grief, Bereavement, and Mental Health
- Patient Dignity and Privacy
- Childhood Cancer Survivors' Quality of Life
- Migration, Health and Trauma
- Respiratory Support and Mechanisms
- Geriatric Care and Nursing Homes
- Healthcare professionals’ stress and burnout
- Ethics in medical practice
- Thermal Regulation in Medicine
- Disaster Response and Management
- Diversity and Career in Medicine
- Cancer survivorship and care
- Cardiac Arrest and Resuscitation
- Bone and Joint Diseases
- Innovations in Medical Education
- Emergency and Acute Care Studies
- Global Health Workforce Issues
- Patient-Provider Communication in Healthcare
- Pharmacological Effects and Toxicity Studies
- Ethics and Legal Issues in Pediatric Healthcare
- E-Learning and Knowledge Management
- Opioid Use Disorder Treatment
- Renal Transplantation Outcomes and Treatments
Dana-Farber Cancer Institute
2017-2025
Harvard University
2019-2025
Brigham and Women's Hospital
2018-2025
Dana-Farber Brigham Cancer Center
2020-2022
Massachusetts General Hospital
2020
Cornell University
2014-2016
Presbyterian Hospital
2014-2016
New York Hospital Queens
2014-2016
NewYork–Presbyterian Hospital
2014-2016
Uppsala University
2012-2013
Job burnout is highly prevalent in graduate medical trainees. Numerous demands and stressors drive the development of this population, leading to significant potentially tragic consequences, not only for trainees but also patients communities they serve. The literature on interventions reduce resident limited suggests that both individual- system-level approaches are effective. Work hours limitations mindfulness training each likely have modest benefit. Despite concerns physician trainee...
Importance Patients often visit the emergency department (ED) near end of life. Their common disposition is inpatient hospital admission, which can result in a delayed transition to hospice care and, ultimately, an death that may be misaligned with their goals care. Objective To assess association use novel multidisciplinary program rapidly identify and enroll eligible patients presenting ED Design, Setting, Participants This pre-post quality improvement study novel, multifaceted transitions...
Abstract Problem The field of hospice and palliative medicine (HPM) is grappling with a significant workforce shortage. An untapped source growth for the HPM specialist mid-career physicians interested in training certification. This study describes pilot competency-based, time-variable (CBTV) fellowship program HPM, called Mid-Career Fellowship. Approach was approved by Accreditation Council Graduate Medical Education (ACGME) Advancing Innovation Residency consultation certification boards....
Even in our most difficult moments as clinicians, we can find space to hope with patients, if look for it. Dr Richard Leiter tells the powerful story of caring a young man dying GVHD.
This study evaluates the patient demographics and clinical characteristics of 14 095 opioid-related hospitalizations from US National Inpatient Sample (NIS) Healthcare Cost Utilization Project (HCUP).
A paucity of literature describes the growing Chinese American community's end-of-life (EOL) priorities and preferences.Develop a culturally-tailored advance care planning (ACP) tool to understand EOL preferences this underserved minority group.Informed by Cultural Appropriateness Theory, Coalition for Compassionate Care (CACCC) developed Heart (HTH) Cards using 3-step approach. First, CACCC created refined list bilingual, culturally relevant issues. Next, organized issues into card deck....
Background: Chinese American adults experience health disparities at the end of life. Culturally tailored advance care planning (ACP) may promote goal-concordant across continuum serious illness. However, seriously ill Americans' preferences for ACP remain unknown. Objective: To explore barriers and facilitators to among patients with advanced cancer their caregivers. Design: Informed by socioecological theory, we conducted an exploratory qualitative study using semistructured interviews...
Few studies have investigated palliative and end-of-life care processes among young adults (YAs), aged 18–34 years, who died of cancer. This retrospective study used a natural language processing algorithm to identify documentation timing four process measures in YA cancer decedents' medical records: involvement, discussions goals care, code status, hospice. Among 2878 YAs, 138 had recorded date death. In this group, 54.3% at least one measure documented early (31–180 days before death),...
Specialty-aligned palliative care (SAPC) refers to interprofessional (PC) that is delivered a specific population of patients in close partnership with other primary or specialty clinicians. As evolving PC models address physical, psychosocial, and spiritual suffering across illnesses settings, clinicians must acquire advanced knowledge disease-specific symptoms, common treatments, complications impact prognosis outcomes. The tips provided this article draw on the experience specialist from...
Background: Patients with limited English proficiency (LEP) experience lower quality end-of-life (EOL) care. This inequity may have been exacerbated during the COVID-19 pandemic. Objective: Compare health care utilization, EOL, and palliative outcomes between decedents without LEP pandemic's first wave in Massachusetts. Methods: Retrospective cohort study of adult inpatients who died from February 18, 2020 May at two academic four community hospitals within a greater Boston system. We...