A5038370445- Palliative Care and End-of-Life Issues
- Childhood Cancer Survivors' Quality of Life
- Innovations in Medical Education
- Family and Patient Care in Intensive Care Units
- Cancer survivorship and care
- Patient-Provider Communication in Healthcare
- Respiratory Support and Mechanisms
- Clinical Reasoning and Diagnostic Skills
- Patient Dignity and Privacy
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Simulation-Based Education in Healthcare
- Cardiac Structural Anomalies and Repair
- Ethics in medical practice
- Ethics and Legal Issues in Pediatric Healthcare
- Mechanical Circulatory Support Devices
- Neonatal Respiratory Health Research
- Pathogenesis and Treatment of Hiccups
- Pain Management and Opioid Use
- Nausea and vomiting management
- Pleural and Pulmonary Diseases
- Counseling, Therapy, and Family Dynamics
- Dysphagia Assessment and Management
- Global Cancer Incidence and Screening
- Healthcare Policy and Management
- Healthcare cost, quality, practices
Northwestern University
2014-2025
Northwestern Memorial Hospital
2012-2023
Northwestern Medicine
2018-2023
Robert H. Lurie Comprehensive Cancer Center of Northwestern University
2017-2018
Northwestern Medical Faculty Foundation
2016
Cornell University
2015
American Society of Clinical Oncology
2015
Brigham and Women's Hospital
2010
Harvard University
2010
Dana-Farber Brigham Cancer Center
2010
The NCCN Guidelines for Palliative Care provide interdisciplinary recommendations on palliative care patients with cancer. These Insights summarize and context the updated guidelines regarding hospice end-of-life (EOL) care. Updates 2017 include revisions to restructuring of algorithms that address important EOL concerns. were revised clearer guidance oncologists as they cancer who are approaching transition Recommendations interventions reassessment based estimated life expectancy...
Purpose Inpatient palliative care consultation (IPCC) may help address barriers that limit the use of hospice and receipt symptom-focused for racial/ethnic minorities, yet little is known about disparities in rates IPCC. We evaluated association between race/ethnicity IPCC patients with advanced cancer. Patients Methods metastatic cancer who were hospitalized January 1, 2009, December 31, 2010, at an urban academic medical center participated study. Patient-level multivariable logistic...
Abstract Background A systematic tool to identify hospitalized patients with high mortality risk may be beneficial for targeting palliative care those in greatest need. Objective Evaluate the performance of End‐of‐life Index (EOLI; Epic Systems Corporation) identifying at highest 6‐month among cancer. Methods We conducted a retrospective study adults cancer admitted oncology services 959‐bed hospital between July 1 and December 31, 2023. evaluated EOLI score determining using area under...
Internal medicine residents are largely unprepared to carry out end-of-life (EOL) conversations. There is evidence that these skills can be taught, but data from randomized controlled trials lacking.We studied whether a day-long communication training retreat would lead enhanced performance of and confidence with specific EOL We also the effect on residents' ability respond patient emotions.PGY-2 resident volunteers were randomly assigned group or control group. The involved combination...
Inpatient Code Status Discussions (CSDs) are commonly facilitated by resident physicians, despite inadequate training. We studied the efficacy of a CSD communication skills training intervention for internal medicine residents.This was prospective, randomized controlled trial multimodality educational postgraduate year (PGY) 1 residents. Intervention group residents completed 2 hour teaching session with deliberate practice skills, online modules, self-reflection, and booster in addition to...
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The NCCN Guidelines for Palliative Care provide interdisciplinary recommendations on palliative care patients with cancer. are intended to guidance the primary oncology team integration of into oncology. Panel's seek ensure that each patient experiences best quality life possible throughout illness trajectory. Accordingly, outline practices screening, assessment, interventions, reassessment, and after-death care.
Early palliative care referral for patients with advanced cancer has demonstrable benefits but is underutilized. We sought to characterize medical oncologists' perceptions about in their clinical practices.We conducted 4 focus groups a national sample of oncologists elicit perspectives the optimal timing and barriers cancer. used qualitative content analysis uncover themes related early integration into standard oncologic practice.Study participants readily acknowledged evidence supporting...
Background: Communicating with patients about goals of care is an important skill for internal medicine residents. However, many trainees are not competent to perform a code status discussion (CSD). A multimodality intervention improved skills in group first-year residents 2011. How long these acquired CSD retained unknown. Objective: To study retention one year after intervention. Design: This was longitudinal cohort study. Setting/Subjects: Thirty-eight second-year university-affiliated...
BACKGROUND This study sought to develop a predictive model for 30‐day mortality in hospitalized cancer patients, by using admission information available through the electronic medical record. METHODS Observational cohort of 3062 patients admitted oncology service from August 1, 2008, July 31, 2009. Matched numbers were derivation and validation cohorts (1531 patients). Data obtained on day 1 included demographic information, vital signs, laboratory data. Survival data Social Security Death...
Aims: Our primary aims were to assess growth in the local hospital based workforce, changes composition of workforce and use an interdisciplinary team, sources support for palliative medicine teams hospitals participating a regional training program Chicago. Methods: PC directors administrators at 16 sites sent electronic survey on institutional characteristics such as: type, number beds, staffing composition, programs offered, start-up years, service utilization financial fiscal years 2012...
Patients with chronic obstructive pulmonary disease (COPD) have well-documented symptoms that affect quality of life. Professional societies recommend palliative care for such patients, but the optimal way delivering this is unknown.To describe an outpatient medicine program patients COPD.Retrospective case series.Thirty-six COPD followed in a United States academic clinic.Descriptive analysis sociodemographic data, severity and comorbidities, treatments, hospitalizations, mortality, topic...
Despite evidence showing that goals of care (GOC) conversations increase the likelihood patients facing a serious illness receive is concordant with their wishes, only minority at-risk opportunity to engage in such conversations.The Preventing Readmissions through Effective Partnerships-Communication and Palliative Care (PREP-CPC) intervention was designed frequency GOC for hospitalized illness.The PREP-CPC employed sequential, multicohort design using yearlong mentored implementation...
Background: Simple methods to help teams identify patients with goals of care (GOC) conversation needs are lacking. Objectives: To develop a tool hospitalized who may benefit from GOC conversations. Methods: The Preference-Aligned Communication and Treatment (PACT) Conversation Trigger Tool was implemented as part quality improvement initiative in 10 Illinois hospitals validated cohort admitted the coordinating site's oncology unit (n = 135). Results: reliable acceptable clinicians using it...