A5059635893- Palliative Care and End-of-Life Issues
- Childhood Cancer Survivors' Quality of Life
- Patient Dignity and Privacy
- Family and Patient Care in Intensive Care Units
- Telemedicine and Telehealth Implementation
- Cancer survivorship and care
- Patient-Provider Communication in Healthcare
- Innovations in Medical Education
- COVID-19 and healthcare impacts
- Interprofessional Education and Collaboration
- Clinical Reasoning and Diagnostic Skills
- Economic and Financial Impacts of Cancer
- Geriatric Care and Nursing Homes
- Nutrition and Health in Aging
- Ethics in medical practice
- Physical Activity and Health
- Pain Management and Opioid Use
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Metabolism, Diabetes, and Cancer
- Management of metastatic bone disease
- Healthcare Systems and Technology
- Prostate Cancer Treatment and Research
- Glioma Diagnosis and Treatment
- Nutritional Studies and Diet
- Social Media in Health Education
Massachusetts General Hospital
2022-2024
University of California, San Francisco
2011-2022
Division of Cancer Epidemiology and Genetics
2006-2008
Center for Cancer Research
2008
National Institutes of Health
2007
National Cancer Institute
2005-2006
In 2005, medical educators at the University of California, San Francisco (UCSF), began developing Parnassus Integrated Student Clinical Experiences (PISCES) program, a year-long longitudinal integrated clerkship its academic center. The principles guiding this new were continuity with faculty preceptors, patients, and peers; developmentally progressive curriculum an emphasis on interdisciplinary teaching; exposure to undiagnosed illness in acute chronic care settings. Innovative elements...
The field of telehealth is rapidly growing and evolving across medical specialties health care settings. While additional data are needed, telepalliative (the application technologies to palliative care) may help address important challenges inherent our specialty, such as geography clinician staffing; the burden traveling brick-and-mortar clinics for patients who symptomatic and/or functionally limited; timely assessment management symptoms. Telepalliative can take many forms, including,...
Background: ASCO and IOM recommend palliative care (PC) across health settings for patients with serious illnesses, including cancer. This study provides an overview of the current availability, structure, basic quality PC services within NCCN Member Institutions. Methods: A survey was developed by staff a working group experts from 11 Institutions under auspices Best Practices Committee. The piloted refined 3 members sent electronically to all 26 leaders analyzed data. Results: total 22...
Background: Telemedicine visits reduce the physical and financial burdens associated with in-person appointments, especially for patients serious illness. Little is known about patient caregiver preferences regarding telemedicine visit timing discussion of sensitive topics by telemedicine. Objective: To characterize experience illness their caregivers receiving palliative care (PC) Design: Mixed-methods telephone survey. Setting/Subjects: Patients family who had at least one outpatient PC...
Physical activity has frequently been reported to decrease the risk of colon cancer in men, but data on relation physical women have generally less consistent. To further investigate relationship with women, we studied a cohort 31,783 US participating Breast Cancer Detection Demonstration Project Follow-up Study. Information daily over past year was ascertained using self-administered questionnaire at study baseline. The Cox proportional hazards model used estimate relative risks (RRs)...
Background: The morbidity and mortality of interstitial lung disease (ILD) is high, despite novel therapeutics. Recognizing unmet needs for symptom management, advance care planning (ACP), support people with ILD their families, we developed a palliative care-ILD collaborative pilot program to improve access care. Methods: In the quantitative arm this mixed-methods study, evaluated which patients were cared through co-management impact on rates ACP opioid prescribing. qualitative arm,...
Several epidemiologic studies have examined the association between physical activity and pancreatic cancer risk; however, results of these are not consistent. This study associations total, moderate, vigorous to in a cohort 33,530 U.S. women enrolled Breast Cancer Detection Demonstration Project (BCDDP). At baseline (1987–1989), information on over past year was obtained using self-administered questionnaire. Cox proportional hazards regression used estimate relative risks (RR) 95%...
Outpatient palliative care (PC) has been shown to positively impact quality of life and decrease healthcare utilization, but there are limited data describing what activities render these benefits.Describe the topics addressed by an outpatient PC team during scheduled visits.Longitudinal cohort study.The Symptom Management Service, ambulatory program at academic comprehensive cancer center.Between March 23, 2015 June 14, 2016, providers completed a checklist after each clinic visit,...
Telemedicine has the potential to improve access cancer care, particularly for patients with functional limitations, high symptom burdens, or financial geographic constraints. However, there is also a risk that telemedicine can widen healthcare disparities among facing systemic disadvantages like those technological barriers, poor digital literacy, older age, non-English language preferences. To optimize usage, we must implement practical strategies video onboarding programs, user-friendly...
OPEN ACCESSJuly 16, 2021Foundational Telemedicine Workshop for First-Year Medical Students Developed During a Pandemic Susannah Cornes, MD, Jeffrey M. Gelfand, Brook Calton, MHS MD https://orcid.org/0000-0002-3946-2531 Associate Professor, Department of Neurology, University California, San Francisco, School Medicine E-mail Address: [email protected] , Division Palliative Medicine, https://doi.org/10.15766/mep_2374-8265.11171 SectionsAboutPDF ToolsDownload Citations ShareFacebookTwitterEmail...
Background: Despite substantial palliative care (PC) needs in people with serious illnesses other than cancer, outpatient PC is less available to these populations. Objectives: Describe the experience, impact, and lessons learned from implementing an service (OPCS) for noncancer illnesses. Design: Observational cohort study. Setting/Subjects: Patients seen by OPCS at a United States academic medical center October 2, 2017–March 31, 2021. Measurements: Patient demographics clinical...
Background: Equipping all interprofessional clinicians with foundational palliative care competencies is essential to address the complex needs of growing number adults living chronic, progressive, or life-threatening serious illness. There a paucity high-quality, open-access primary curricula and best our knowledge, none designed interprofessionally. Objective: As an team, we aimed at designing evaluating interactive education curriculum for trainees. Design: We developed that includes nine...
Little is known about equity in utilization of outpatient palliative care (PC).
Though patients with Glioblastoma (GBM) and other advanced brain tumors meet nationally-defined criteria for early palliative care (PC) i,ii, PC referrals occur less frequently later in the disease trajectory than most cancers. iii,iv This presents potential missed opportunities clinicians to assist symptom optimization advance planning conversations earlier illness. To address this, we embedded a physician within UCSF Brain Tumor Center. As there are limited published data on integration...
Patients with advanced cancer experience significant symptoms, ineffective treatments, and hospice underutilization. Home-based palliative care (HBPC) may fill a service gap for patients who require intensive home management, but are not enrolled in hospice. Even as data emerge on the utilization impacts of HBPC, other well known.We describe findings pilot project Community Bridges (CB), cancer. We assessed baseline symptom severity, caregiver burden, patient program satisfaction, CB team...
Background: Effective leadership is necessary to meet the complex care needs of patients with serious, life-limiting illness. The Cambia Health Foundation Sojourns Scholars Program advancing in palliative through supporting emerging leaders. 2016 Cohort has implemented a range projects promote their development. Objective: To describe themes from individual project implementation Leadership. Methods: We summarize synthesized derived both remote and in-person meetings written reflections...