Dual Diagnosis, aka Substance Abuse, Mental Illness, and Palliative Care

It seems innocuous, but the term ‘dual diagnosis’ describes a very complicated subset of patients — those who have a substance use disorder as well as a primary psychiatric disorder (anything from depression to schizophrenia). Throw a serious medical illness into the mix, and you have a recipe for one very overwhelmed palliative care physician. … Read moreDual Diagnosis, aka Substance Abuse, Mental Illness, and Palliative Care

The Why, How , What and “So What” of developing Clinical Informatics Tools

This am has been an interesting juxtaposition of following twitter during the state of the science, and being reminded of the power of a graciously led small group meeting. I would not qualify myself as a skeptic, but more as a user without training in the multiple areas for which a Clinical informatics system can … Read moreThe Why, How , What and “So What” of developing Clinical Informatics Tools

Model for Running a Palliative Care Interdisciplinary Team Case Conference

Our palliative care interdisciplinary team (IDT) meets every morning, and reviews nearly all the patients on the inpatient service, new patients seen in the outpatient clinic, outpatients in need of active management of some aspect of their care (typically pain medication), and patients under our care who have died. It’s a unique and comprehensive meeting … Read moreModel for Running a Palliative Care Interdisciplinary Team Case Conference

Concurrent Session – Delirium

Trust psychiatrists to give an afternoon session that makes you completely forget about that nap you were craving! “Delirium: A Study of Difficult Cases” consisted of 3 vignettes about various forms of delirium, complete with very realistic role playing and chock full of wisdom from palliative care psychiatrists. First there was a case of reversible … Read moreConcurrent Session – Delirium

“Bending the Cost Curve:” reflections on this morning’s plenary session

America, your bluff has been called…the verdict is in, and the old adage remains true: you cannot have your cake and eat it too (shocking news, I know). Clichéd as it may sound, that message rang true this morning as the annual assembly opened in a blaze of introspection and criticism of the status quo. … Read more“Bending the Cost Curve:” reflections on this morning’s plenary session

AAHPM pre-conference workshop: Junior faculty bootcamp

“Early Career Hospice and Palliative Medicine faculty Development Bootcamp”: Drs Bernacki, Carey, Sanchez-Reilly, Periyakoil, Kapo, DeLima Thomas, Morrison, and Bunch O’Neill I was a little apprehensive about this workshop, since I’m still a fellow and not even junior faculty yet. I will be taking a faculty position when I finish my fellowship, so I figured … Read moreAAHPM pre-conference workshop: Junior faculty bootcamp