Teaching/Mentoring Teaching Overview Time Allocation: 25% Dr. Harrington’s teaching mission is focused on effectively teaching and training health care professionals to provide excellent palliative and end of life care to patients with serious or lifelimiting illnesses. Teaching communication techniques, pain and symptom management, and how to integrate palliative care early in a disease course are the key pieces of providing quality patient- and family-centered care in the face of a life-limiting illness. Dr. Harrington set a goal to integrate palliative care into standard medical practice by teaching and modeling its benefits to multiple disciplines in the healthcare field. Highlights of these efforts include an extensive lecture and presentation history, creating the state’s first Hospice and Palliative Medicine Fellowship program, creating curriculum for trainees, and leading a statewide conference in Palliative Care. I. Fellow Teaching A. Program Director UAMS Hospice and Palliative Medicine Fellowship Applied to GME and ACGME to create fellowship Secured funding – 2 fellows increased to 3 in 2012 Wrote PIF and gained initial ACGME accreditation for a new program [3 years with no citations – maximum for a new program] Created curriculum, evaluations, didactics, rotations, board review questions Program re-accredited 2012 with 1 minor citation – 10 years under NAS 100% Board pass rate Graduated 9 fellows since 2009 Only HPM Fellowship in AR and one of a few in the South B. Fellow Teaching 1) Didactics - regular lectures to HPM, Hem/Onc, Geriatrics, and Renal Fellows 2) Bedside Teaching on Palliative Care Service – HPM Fellows, Geriatrics and Hem/Onc fellows (required rotation), other fellows (elective rotation) 2010-13: 10 Hem/Onc fellows, 5 Geriatrics fellows have rotated with the PC service (required rotation) C. Fellow Mentoring – HPM Fellows QI projects, Hem/Onc fellow research project Teaching/Mentoring II. Resident Teaching A. Didactics – Internal Medicine, Family Medicine, Surgery, Neurology, ER, Ob/Gyn residents B. Bedside Teaching on Palliative Care Service – Internal Medicine, Family Medicine residents 2010-13: 17 IM and 4 FM residents have rotated with the PC service (elective rotation) C. Curriculum Development Palliative Care Rotation – VCUHS and UAMS Chronic Nonmalignant Pain Curriculum - VCUHS D. Mentor III. Advisor to IM residents Mentor to several resident QI projects Medical Student Teaching A. Didactics Invited talks to special interest groups M3 Internal Medicine Rotation – “Intro to Palliative Care” 4X/year M4 Death and Dying Elective – 3 lectures every Spring B. Small Group Leader 1. M2 Medical Ethics 2008-2013 2. M3/4 Geriatrics Rotation – hospice section 2008-Present IV. Other Trainees A. Didactics 1. Student Nursing Association 2. Graduate School – Genetic Counseling Program 3. ACORN – new RN graduates – “End of Life Care” 2X/year B. Patient Care/Bedside Teaching 1. Rotating pharmacy students – Palliative Care Clinic 2. Pharmacy Resident – 2nd year Palliative Care specialty Teaching/Mentoring V. VI. Faculty and other Hospital Personnel A. Presentations 1. Grand Rounds – Internal Medicine, Family Medicine, Neurology, Geriatrics, Hematology/Oncology, Nursing 2. Nursing lectures – Myeloma Day, Zook Nursing Symposium, Nursing Ethics series, Stroke Symposium B. Informal Presentations and Workshops Nursing in-services “Pain Practices” “PCAs” “End of Life Care” MICU staff case discussions Case Coordinators meeting – “Intro to Hospice” Outreach A. Invited Lectures and Seminars – Local, Regional, National B. Center for Distance Health – multiple presentations C. Arkansas Palliative Care Conference - statewide, multidisciplinary D. Community Outreach 1. Talks to community groups and boards 2. UAMS Website – wrote content for Palliative Care Program sitedirected at patients and families 3. Here’s to Your Health - NPR – wrote segment on Palliative Care