Practical Aspects
of Palliative Care
September 15 –17, 2016
Practical Aspects of Palliative Care: Integrating Palliative Care into
Clinical Practice (PAPC) provides a “deep dive” into palliative care content
for both palliative care specialist and non-specialist clinicians, as well as other
allied health professionals.
Join us in Boston for 2½ days with colleagues from across the United States
and around the globe focussing on pain and symptom control, cultural issues,
communication skills, prognostication, bereavement, management of various nononcological conditions, the special needs of patients at various stages of the life
cycle, and ethical, legal, and practical issues in the setting of advanced illness.
Recent research in palliative care will also be presented.
Interactive learning formats include: Q&A, panel presentations, small group and
case based discussions, and ask the expert sessions. Sessions are small, intimate,
and accessible. They are designed to change both learner competence
and performance in practice.
Earn up to 18.75 AMA PRA Category 1 Credits™ as well as Opioid Education/Pain
Management Training and End-of-Life Care Education credits.
Attendance is limited to 120 participants. Register early!
http://www.hms.harvard.edu/pallcare/PAPC/PAPC.htm
HARVARD
MEDICAL SCHOOL
DANA-FARBER
HARVARD
C A N C E R I N S T I T U T E
Ps ychosocia l Onc olog y a nd Pa l l iat ive C a re
Center for Palliative Care
MEDICAL SCHOOL
Brochure updated 4/20/2016
Information
Course Description
This two-and-one-half-day course is designed to offer physicians, nurses, and other clinicians the
information and skills needed to provide high quality palliative care to patients with serious illnesses
in a variety of practice settings. It addresses the assessment and management of current challenges in
palliative care, including the physical, psychological, social, and spiritual/existential sources of suffering
experienced by patients and their families. Through plenary sessions and small breakout groups, participants will develop a toolbox of palliative care competencies and will learn from colleagues facing similar
practice challenges.
Learning Objectives
Upon completion of this activity, participants will be able to:
• Assess and manage physical, psychological, social, and spiritual/existential sources of suffering for
patients and their families dealing with serious illnesses.
• Develop practical strategies for introducing discussions of patient fears, hopes, goals, and wishes for
care at the end of life, including use of life-sustaining technology, balancing hope and honesty in
discussing treatment options, and dealing with the ethical issues that arise at the end of life.
• Cultivate approaches to working with diverse patient populations (e.g., pediatrics, geriatrics), different
diseases (e.g., heart failure, renal disease, dementia), challenging scenarios (e.g., withholding fluids
and nutrition at the end of life, addiction, “difficult” patients and families, talking with children about
death), and various settings (e.g., long-term care, intensive care unit).
• Describe key issues and principles of pain management with opioids, including equianalgesic dosing,
common side effects, addiction, tolerance, and dependence.
Who Should Attend?
We invite all physicians, nurses, social workers, and allied health professionals who work with patients
and families with serious illness or near the end of life to attend this course.
Risk Management Credits
This activity meets the criteria of the Massachusetts Board of Registration in Medicine for 15.00 credits
of Risk Management Study, including 6.25 credits of Opioid Education and Pain Management Training
and 15.00 credits of End-of-Life Care Education.
Please check with your individual state licensing board requirements before claiming risk management, opioid education/pain management, or end-of-life care credits.
Physicians should claim only the credit commensurate with the extent of their participation in the
activity.
Accreditation
The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians. The Harvard Medical School designates this live activity for a maximum of 18.75 AMA PRA Category 1 Credits™. Physicians should claim
only the credit commensurate with the extent of their participation in the activity.
This activity covers topics required by the Massachusetts Department of Public Health to be
included in continuing professional development programs that physicians registered with the state’s
Medical Use of Marijuana Program must complete as a condition to issuing written certifications to
qualifying patients.
Information
ABMS/ACGME Competencies
This course is designed to meet the following American Board of Medical Specialties/Accreditation
Council of Graduate Medical Education competencies: Patient Care and Procedural Skills, Medical
Knowledge, Interpersonal and Communication Skills, Professionalism, and Systems-based Practice.
IOM Competencies
This course is designed to meet the following Institute of Medicine competencies: Patient-Centered
Care, Interdisciplinary Teams, Employ Evidence-Based Practice, Quality Improvement.
Course Location and Travel
Royal Sonesta Hotel Boston, 40 Edwin Land Boulevard, Cambridge, MA 02142, 1-800-766-3782 (+1617-315-9100, outside U.S. and Canada), http://www.sonesta.com/boston/
A limited number of rooms have been reserved until August 24, 2016. Please specify that you are
enrolled in this course to receive a reduced room rate of $279 single/double. Reservations should be
made directly with the hotel only after acceptance to the course has been confirmed.
Please do not purchase non-refundable airline ticket(s) until you have received an email from the
HMS-DCE office confirming your paid registration.
Tuition
Physicians . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $895*
Nurses, psychologists, allied health professionals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $795*
Social workers, chaplains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $695*
* Please note that there is a Processing Fee (non-refundable service fee) of $5.00. All fees shown in USD.
Registration
To register by credit card (VISA, MasterCard, or American Express) or check, please use Harvard
Medical School’s secure online registration system at http://www.hms.harvard.edu/pallcare/PAPC/
PAPC.htm. To register by check (draft on a United States bank), please make check payable to
“Harvard Medical School.” You will be prompted to download an online form to send in with your
payment. Telephone or fax registration is not accepted. Registration with cash payment is not permitted.
Upon receipt of your paid registration you will be sent an email confirmation from the HMS-DCE
office. Your email address is used for critical information about the course including: registration confirmation, evaluation distribution, and CME certificate delivery.
Please be sure to include an email address that you check frequently.
Refund Policy
Refund requests must be received by postal mail or email. Refunds, less an administrative fee of $175,
will be issued for all cancellations received two weeks prior to the start of the course. No refunds will be
issued thereafter.
“No shows” are subject to the full course fee. No refunds will be issued once the course has started.
Questions?
Call 1-617-384-8600 Monday–Friday, 9:00 AM – 5:00 PM (ET) or email CEPrograms@hms.harvard.edu
Faculty
Course Directors
Kristen G. Schaefer, MD
Director of Medical Student and Resident Education, Division of Adult Palliative Care, Department of
Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute and Brigham and Women’s
Hospital
Assistant Professor of Medicine, Harvard Medical School
Eva H. Chittenden, MD
Director of Educational Programs, Palliative Care Division, Massachusetts General Hospital
Subspecialty Educational Coordinator for Palliative Care, Department of Medicine, Massachusetts
General Hospital
Assistant Professor of Medicine, Harvard Medical School
Special Guest Speaker
Marie Bakitas, DNSc, NP-C
Marie L. O’Koren Endowed Chair, Associate Director, Center for Palliative and Supportive Care,
University of Alabama at Birmingham School of Nursing
Professor, University of Alabama at Birmingham School of Medicine
Plenary Speakers
Susan D. Block, MD
Founding Chair, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer
Institute and Brigham and Women’s Hospital
Director, Serious Illness Care Program, Ariadne Labs
Professor of Psychiatry and Medicine, Harvard Medical School
Helen Chen, MD
Chief Medical Officer, Hebrew Rehabilitation Center/ Hebrew SeniorLife
Assistant Professor of Medicine, Harvard Medical School
Vicki A. Jackson, MD, MPH
Chief, Palliative Care Division, Department of Medicine, Massachusetts General Hospital
Co-Director, Harvard Medical School Center for Palliative Care
Associate Professor of Medicine, Harvard Medical School
Sue Morris, PsyD
Director of Bereavement Services, Department of Psychosocial Oncology and Palliative Care, DanaFarber Cancer Institute and Brigham and Women’s Hospital Cancer Center
James A. Tulsky, MD
Chair, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute
Chief, Division of Palliative Medicine, Department of Medicine, Brigham and Women’s Hospital
Co-Director, Harvard Medical School Center for Palliative Care
Professor of Medicine, Harvard Medical School
Disclaimer
CME activities sponsored by Harvard Medical School are offered solely for educational purposes and do not
constitute any form of certification of competency. Practitioners should always consult additional sources of
information and exercise their best professional judgment before making clinical decisions of any kind.
Schedule
Please note: program changes/substitutions may be made without notice.
Thursday, September 15, 2016
Time
Session
Faculty
7:15 – 8:00 Registration and Breakfast
8:00 – 8:30 Welcome, Introduction, and Overview of the Course and Dayø
Kristen Schaefer, MD
Eva H. Chittenden, MD
8:30 – 9:45 Plenary 1: Changing the Culture and Systems of Medicine to
Improve Advance Care Planning
Susan Block, MD
9:45 – 10:00 Break
10:00 – 11:15 Breakout Session 1 (You will be able to choose your breakout sessions when you register.)
1A Pharmacotherapy of Pain* (repeats at 2A)
Elizabeth Rickerson, MD
Bridget Scullion, PharmD
1B Talking about Serious News
Kristen Schaefer, MD
Barbara Reville, DNP, ACHPN
1C The State of Palliative Nursing
Constance Dahlin, MSN,
ANP-BC, ACHPN
1D Spiritual Care of Patients with Advanced Illness:
Associations with Quality of Death and Medical Care at the
End of Life
Tracy Balboni, MD, MPH
Katrina M. Scott, MDiv
1E Home-based Palliative Care
Julia M. Gallagher, MD
Martha Quigley, MS, GNP-BC
11:15 – 11:30 Break
11:30 – 12:45 Breakout Session 2 (You will be able to choose your breakout sessions when you register.)
2A Pharmacotherapy of Pain* (repeats at 1A)
Elizabeth Rickerson, MD
Bridget Scullion, PharmD
2B Decoding Code Status Discussions
Eva H. Chittenden, MD
Leah Rosenberg, MD
2C Opioid Misuse and Addiction in Palliative Care*
Lida Nabati, MD
Joji Suzuki, MD
2D Challenges in the Management of Advanced Dementia
Helen Chen, MD
2E Depression and Anxiety in Palliative Care
David Yuppa, MD
12:45 – 1:45 Lunch on your own
1:45 – 3:00 Plenary 2: Will You Still Need Me, Will You Still Feed Me,
When I’m 104? Improving Palliative Care for Older Adults
Helen Chen, MD
3:00 – 3:15 Break
3:15 – 4:30 Breakout Session 3 (You will be able to choose your breakout sessions when you register.)
3A Case-based Presentation of Non-Pain Symptoms in
Palliative Care (repeats at 4A)
Erica Wilson, MD
Kathleen P. Doyle, MD
3B Delirium at the End of Life: Impact on Patients and
Caregivers
Mary K. Buss, MD, MPH
3C Psychological Challenges in the Care of Young Adults
Karen Fasciano, PsyD
3D Case-based Ethical Dilemmas
Ellen M. Robinson, RN, PhD
3E Part 1 of 2: Using the Serious Illness Care Guide (must take
both parts)
Rachelle Bernacki, MD, MS
Justin J. Sanders, MD, MSc
Jo Paladino, MD
4:30 – 4:45 Break
* Qualifies for Opioid Education and Pain Management Training credits
Schedule
Please note: program changes/substitutions may be made without notice.
4:45 – 6:00 Breakout Session 4 (You will be able to choose your breakout sessions when you register.)
4A Case-based Presentation of Non-Pain Symptoms in
Palliative Care (repeats at 3A)
Erica Wilson, MD
Kathleen P. Doyle, MD
4B Palliative Care Emergencies
Lara Michal Skarf, MD
4C Working on an Inpatient Palliative Care Unit: Life on the
Ground Day to Day
Linda Drury, PA-C
Kate Baccari, PA-C
Courtney Moller, PA-C
4D Ask the Professor: Discussion of Challenging Cases
Janet Abrahm, MD
4E Part 2 of 2: Using the Serious Illness Care Guide (must take
both parts)
Rachelle Bernacki, MD, MS
Justin J. Sanders, MD, MSc
Jo Paladino, MD
Friday, September 16, 2016
Time
Session
Faculty
7:15 – 8:00 Breakfast
8:00 – 8:15 Overview of the Dayø
Kristen Schaefer, MD
Eva H. Chittenden, MD
8:15 – 9:30 Plenary 3: Early Palliative Care: If It Works, Why Wait?
Marie Bakitas, DNSc, NP-C
9:30 – 9:45 Break
9:45 – 11:00 Breakout Session 5 (You will be able to choose your breakout sessions when you register.)
5A A Novel Approach to Late Goals of Care Conversations:
REMAP (repeats at 6A)
James Tulsky, MD
5B “Difficult” Families
Guy Maytal, MD
5C Practical Aspects of Pediatric Palliative Care
Shih-Ning Liaw, MD
5D Identifying Opportunities for Collaboration between
Oncology and Palliative Care
Tracy Balboni, MD, MPH
5E Interventional Approaches to Pain Management*
Elizabeth M. Rickerson, MD
Mihir M. Kamdar, MD
11:00 – 11:15 Break
11:15 – 12:30 Breakout Session 6 (You will be able to choose your breakout sessions when you register.)
6A A Novel Approach to Late Goals of Care Conversations:
REMAP (repeats at 5A)
James Tulsky, MD
6B “Difficult” Patients
Guy Maytal, MD
6C ABCs of Hospice
Stephanie Patel, MD
Mary Beth Barry, RN, MSM,
CHPN, CHPCA
6D Managing Neuropathic Pain*
Mihir M. Kamdar, MD
Shane J. Volney, MD
6E Overcoming Barriers to Integrating Palliative Care in
Community and Rural Settings
Marie Bakitas, DNSc, NP-C
12:30 – 1:30 Lunch on your own
1:30 – 2:45 Plenary 4: Working with Referrers to Help Patients Cultivate
Prognostic Awareness
2:45 – 3:00 Break
ø
Does not qualify for End-of-Life Care Education credits
Vicki A. Jackson, MD, MPH
Schedule
Please note: program changes/substitutions may be made without notice.
3:00 – 4:15 Breakout Session 7 (You will be able to choose your breakout sessions when you register.)
7A Part 1 of 2. Misunderstandings about Prognosis: An
Approach for Palliative Care Consultants When the Patient
Does Not Seem to Understand What Was Said (must take
both parts)
Vicki A. Jackson, MD, MPH
Juliet Jacobsen, MD, DPH
Jane deLima Thomas, MD
7B Palliative Care and End-stage Renal Disease
Robert A. Cohen, MD, MSc
7C Reflecting on End of Life through Poetry
Amy Ship, MD
7D Negotiating Conflict in the Family Meeting
John Halporn, MD
Bruce MacDonald, LICSW
7E Mind/Body Medicine in Palliative Care
Ann Webster, PhD
4:15 – 4:30 Break
4:30 – 5:45 Breakout Session 8 (You will be able to choose your breakout sessions when you register.)
8A Part 2 of 2. Misunderstandings about Prognosis: An
Approach for Palliative Care Consultants When the Patient
Does Not Seem to Understand What Was Said (must take
both parts)
Vicki A. Jackson, MD, MPH
Juliet Jacobsen, MD, DPH
Jane deLima Thomas, MD
8B Advanced Hospice Issues
Joel Bauman, MD
8C Managing Fatigue in Cancer Patients
Carlos Fernandez-Robles, MD
8D Medical Marijuana: Cannabinoid Pharmacology, Review of
Scientific Evidence, and Suggestions for Clinical Practice†
Ilana M. Braun, MD
Lida Nabati, MD
Joji Suzuki, MD
8E Best Practices in Bereavement Care
Sue Morris, PsyD
Saturday, September 17, 2016
Time
Session
Faculty
7:15 – 8:00 Breakfast
8:00 – 8:15 Overview of the Dayø
Kristen Schaefer, MD
Eva H. Chittenden, MD
8:15 – 9:30 Plenary 5: Bereavement Interview and Structured Debrief
Sue Morris, PsyD
9:30 – 9:45 Break
9:45 – 11:00 Breakout Session 9 (You will be able to choose your breakout sessions when you register.)
9A Conflict Resolution in the Interdisciplinary Teamø
Erica Wilson, MD
Alison Rhodes, NP
Lynn Mazur, MSW
9B Legislative Initiatives to Address the Opioid Crisis*
Doug Brandoff, MD
9C Existential Distress, Demoralization, and Dignity
David Yuppa, MD
9D Legal Aspects at the End of Life, Especially Withholding
and Withdrawing Life Sustaining Treatments
Rebecca W. Brendel, MD, JD
9E Making Work Sustainableø
Catherine Arnold, LICSW
Amanda Moment, LICSW
11:00 – 11:15 Break
11:15 – 12:30 Concluding Plenary: Taking it Home
James Tulsky, MD
12:30 – 12:35 Wrap-up
Kristen Schaefer, MD
Eva H. Chittenden, MD
† See Accreditation section above for more information on Medical Use of Marijuana
Photo: Nick Nixon
Harvard Medical School
Department of Continuing Education
P.O. Box 825
Boston, MA 02117-0825
Thursday–Saturday | September 15–17, 2016
Boston, Massachusetts
Practical Aspects of Palliative Care
NONPROFIT ORG.
U.S. POSTAGE
PAID
PERMIT NO. 1325
BOSTON, MA