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Palliative Care

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An Emergency Physician’s Path
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Abstract

Subspecialists in hospice and palliative medicine (HPM) are distinguished by their expertise in symptom control, death and dying, bereavement, and focusing on the patient as a whole. Sub-specialization requires completion of a 12-month accredited fellowship and board examination. For emergency medicine (EM) physicians, a career in HPM offers several potential benefits including career balance, improved schedule, enhanced job security, and increased job satisfaction.

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References

  1. Saunders CM, Sykes N. Introduction – history and challenge. In: The management of terminal malignant disease. Essay, E. Arnold; 1993.

    Google Scholar 

  2. Saunders C. The evolution of palliative care. Patient Educ Couns. 2000 Aug;41(1):7–13.

    Article  CAS  PubMed  Google Scholar 

  3. Clark D, Graham F. Morphine, cocaine, and 19th century cancer care. Lancet Oncol. 2008;9(10):1018.

    Article  PubMed  Google Scholar 

  4. National Association for Home Care & Hospice. Home care and hospice facts and stats. 2009.

    Google Scholar 

  5. Higginson IJ, Finlay I, Goodwin DM, Cook AM, Hood K, Edwards AG, Douglas HR, Norman CE. Do hospital-based palliative teams improve care for patients or families at the end of life? Pain Symptom Manage. 2002;23:96–106.

    Article  Google Scholar 

  6. Higginson IJ, Finlay IG, Goodwin DM, Hood K, Edwards AG, Cook A, Douglas HR, Normand CE. Is there evidence that palliative care teams alter end-of-life experiences of patients and their caregivers? J Pain Symptom Manag. 2003;25:150–68.

    Article  Google Scholar 

  7. Rabow MW, Schanche K, Petersen J, Dibble SL, McPhee SJ. Patient perceptions of an outpatient palliative care intervention: “it had been on my mind before, but I did not know how to start talking about death...”. J Pain Symptom Manag. 2003;26:1010–5.

    Article  Google Scholar 

  8. Ellershaw JE, Peat SJ, Boys LC. Assessing the effectiveness of a hospital palliative care team. Palliat Med. 1995;9:145–52.

    Article  CAS  PubMed  Google Scholar 

  9. Flory J, Yinong YX, Gurol I, Levinsky N, Ash A, Emanuel E. Place of death: U.S. trends since 1980. Health Aff (Millwood). 2004;23:194–200.

    Article  PubMed  Google Scholar 

  10. Jack B, Hillier V, Williams A, Oldham J. Hospital based palliative care teams improve the insight of cancer patients into their disease. Palliat Med. 2004;18:46–52.

    Article  PubMed  Google Scholar 

  11. Hughes MT, Smith TJ. The growth of palliative care in the United States. Annu Rev Public Health. 2014;35:459–75.

    Article  PubMed  Google Scholar 

  12. Marco CA, Courtney DM, Ling LJ, Salsberg E, Reisdorff EJ, Gallahue FE, Suter RE, Muelleman R, Chappell B, Evans DD, Vafaie N, Richwine C. The emergency medicine physician workforce: projections for 2030. Ann Emerg Med. 2021 Dec;78(6):726–37.

    Article  PubMed  Google Scholar 

  13. Gettel CJ, Courtney DM, Janke AT, Rothenberg C, Mills AM, Sun W, Venkatesh AK. The 2013 to 2019 emergency medicine workforce: clinician entry and attrition across the US geography. Ann Emerg Med. 2022 Sep;80(3):260–71.

    Article  PubMed  PubMed Central  Google Scholar 

  14. American Academy of Hospice and Palliative Medicine. Workforce data and reports. AAHPM. n.d. Retrieved September 1, 2022, from http://aahpm.org/career/workforce-study#HPMphysicians

  15. Dyrbye LN, Burke SE, Hardeman RR, Herrin J, Wittlin NM, Yeazel M, Dovidio JF, Cunningham B, White RO, Phelan SM, Satele DV, Shanafelt TD, van Ryn M. Association of Clinical Specialty with Symptoms of burnout and career choice regret among US resident physicians. JAMA. 2018;320(11):1114–30.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Kamal AH, Bull JH, Wolf SP, Swetz KM, Shanafelt TD, Ast K, Kavalieratos D, Sinclair CT. Prevalence and predictors of burnout among hospice and palliative care clinicians in the U.S. J Pain Symptom Manag. 2020;59(5):e6–e13.

    Article  Google Scholar 

  17. Lupu D, Salsberg E, Quigley L, Wu X. The 2015 class of hospice and palliative medicine fellows-from training to practice: implications for HPM workforce supply. J Pain Symptom Manag. 2017;53(5):944–51.

    Article  Google Scholar 

  18. Yoon JD, Hunt NB, Ravella KC, Jun CS, Curlin FA. Physician burnout and the calling to care for the dying: a national survey. Am J Hosp Palliat Care. 2017;34(10):931–7.

    Article  PubMed  Google Scholar 

  19. Granek L, Buchman S. Improving physician Well-being: lessons from palliative care. CMAGranek L, Buchman S. Improving physician Well-being: lessons from palliative care. CMAJ. 2019;191(14):E380–1.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Kraus CK, Greenberg MR, Ray DE, Dy SM. Palliative care education in emergency medicine residency training: a survey of program directors, associate program directors, and assistant program directors. J Pain Symptom Manag. 2016;51(5):898–906.

    Article  Google Scholar 

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Correspondence to Callie Schnitker .

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Schnitker, C. (2023). Palliative Care. In: Olympia, R.P., Werley, E.B., Lubin, J.S., Yoon-Flannery, K. (eds) An Emergency Physician’s Path. Springer, Cham. https://doi.org/10.1007/978-3-031-47873-4_19

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  • DOI: https://doi.org/10.1007/978-3-031-47873-4_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-47872-7

  • Online ISBN: 978-3-031-47873-4

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