Evolving the Palliative Care Workforce to Provide Responsive, Serious Illness Care

• DOI: 10.7326/m15-0071
• Publication Date: 2015-08-10T22:31:03Z
• Authors: Arif H. Kamal; Jennifer M. Maguire; Diane E. Meier
• Keywords: 03 medical and health sciences; Certification; Palliative Care; Workforce; Humans; Palliative Medicine; 0305 other medical science; United States; 3. Good health

Ideas and Opinions20 October 2015Evolving the Palliative Care Workforce to Provide Responsive, Serious Illness CareArif H. Kamal, MD, MHS, Jennifer M. Maguire, Diane E. Meier, MDArif MHSFrom Duke Cancer Institute, Durham, North Carolina; University of Carolina School Medicine, Chapel Hill, Icahn Medicine at Mount Sinai, New York, York., MDFrom York.Author, Article, Disclosure Informationhttps://doi.org/10.7326/M15-0071 SectionsAboutFull TextPDF ToolsAdd favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Two hospitalists recently discussed a patient admitted for advanced emphysema. The had full code status, showed limited understanding his condition, was readmitted frequently. previously attempted discuss goals care, but they felt unsuccessful cited time constraints hesitancy with facilitating complex care discussions. One physician said her colleague, "Where I trained, we could consult palliative help patients. Our position specialist remains unfilled after 2 years. When will get some help?"This situation is 1 example national crisis in ...References1. Quill TE, Abernethy AP. Generalist plus care—creating more sustainable model. N Engl J Med. 2013;368:1173-5. [PMID: 23465068] doi:10.1056/NEJMp1215620 CrossrefMedlineGoogle Scholar2. Center Advance Care. National registry annual survey summary: results 2012 survey, as July 2014. Accessed https://registry.capc.org/cms/portals/1/Reports/National_Palliative_Care%20Registry_Annual_Survey_Summary_9.2.2014.pdf on 24 2015. Google Scholar3. Lupu D; American Academy Hospice Task Force. Estimate current hospice medicine workforce shortage. Pain Symptom Manage. 2010;40:899-911. 21145468] doi:10.1016/j.jpainsymman.2010.07.004 Scholar4. Medicine. Number certified physicians by cosponsoring specialty board. http://aahpm.org/hpm/number-certified 27 March Scholar5. Wu SY, Green A. Projection Chronic Prevalence Cost Inflation. Santa Monica, CA: RAND Corporation; 2000. Scholar6. Accreditation Council Graduate Medical Education. ACGME public program search. www.acgme.org/ads/Public/Programs/Search Scholar7. Kamal AH, Bull J, Wolf S, Samsa G, Ast K, Swetz KM, et al. predictors burnout among clinicians United States: survey. Clin Oncol. 2014;32(suppl 31; abstr 87). Scholar8. Feely MA, Havyer RD, Carey EC, KM. A novel promote competency board certification [Letter]. Palliat 2011;14:272-3. 21361834] doi:10.1089/jpm.2010.0455 Scholar9. Rogers UA, Kavalieratos D, AP, Characterizing 2014;32 (suppl 90). Scholar10. Organization. NHPCO's facts figures: America: 2014 edition. www.nhpco.org/sites/default/files/public/Statistics_Research/2014_Facts_Figures.pdf Scholar Author, InformationAffiliations: From York.Disclosures: Authors have disclosed no conflicts interest. Forms can be viewed www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-0071.Corresponding Author: Arif Clinical Research 2400 Pratt Street, Room 8043, NC 27710; e-mail, arif.[email protected]edu.Current Author Addresses: Dr. Kamal: 27710.Dr. Maguire: Division Pulmonary Diseases Critical CB 7020, 130 Mason Farm Road, 4th Floor Bioinformatics Building, 27599.Dr. Meier: Care, Annenberg 1468 Madison Avenue, NY 10029.Author Contributions: Conception design: A.H. J.M. D.E. Meier.Drafting article: Meier.Critical revision article important intellectual content: Meier.Final approval Meier.Collection assembly data: Kamal.This published online first www.annals.org 11 August PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byExpanding during COVID-19 Pandemic: An Evaluation Core Skills Health Social WorkersColorado Crisis Standards: Moving Beyond PlanningUsing Admission Karnofsky Performance Status Guide Discharge NeedsImproving racial disparities unmet needs intensive unit family members needs-targeted app intervention: ICUconnect randomized clinical trialAGA Practice Update Management Cirrhosis: Expert ReviewSubspecialty TrainingPractices, challenges, opportunities when addressing people living dementia: Specialty memory provider perspectivesRole Nurse CommunityAssociations Patient Characteristics Setting Complexity VisitsChallenges provision patients cancer low- middle-income countries: systematic review reviewsOperationalizing needs-focused older adults units: Design rationale PCplanner trialInterprofessional Master Science Care: On Becoming Community SpecialistThe Role Physician Assistant MedicineNational trends use cardiopulmonary malignant conditionsLooking Back, Ahead: Call Action Increasing PipelineBest Practices Teaching Clinicians Use Conversation GuideComparing Primary Interventions: Analysis Systematic ReviewAssociation between Adherence Recommended Outcomes Adult Survivors SepsisA narrative literature human resource planning personnelPalliative Patients With Advanced CKD: QuoBolstering Outpatient Planning Oncology: Why HowPolicy Changes Key To Promoting Sustainability And Growth Of WorkforcePalliative Consultation Trends Among Hospitalized States, 2005 2014Practical Implementation Strategies Neurology CareNurse Practitioners Disruptive Innovators MedicineDeveloping "toolkit" measure implementation concurrent rural community centersThe Denominator: Evolving Electronic Record Discover Who Needs CareWhat happens early outpatient consultations persons newly diagnosed cancer? qualitative analysis documentationThe Corticosteroids Adjuvant Therapy Painful Bone Metastases: Large Cross-Sectional Survey ProvidersPalliative Planner: Pilot Study Evaluate Acceptability Usability an Records System-integrated, Needs-targeted App PlatformPrimary heart failure: what it? 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