HM15 – Annual Meeting

For Palliative Care Consultation, Timing is Everything

by Dr. Jason Johanning MD, MS We as surgeons know that the timing of an intervention is an incredibly important decision.  Intervene too early and you expose the patient to potential unneeded risk.  Intervene too late and the disease process has already taken its toll. From a surgical perspective, palliative care consultation on the surgical patient can be looked at in a very similar perspective.  Not all patients need a palliative care consult prior to surgery. For a select few, the consultation provides many salient and real benefits, and this, I believe, can be a good thing for all parties involved. Contrast this thought with the postoperative palliative care consult process. In my travels I have heard stories of nurses ordering palliative care consultations without surgeon knowledge or consent. I have heard of patients being taken off ventilators on postoperative day 2 without surgeon knowledge by palliative care and ICU…

10 Scripts Never to Write

by Dr. Charlie Reznikoff, MD A few months ago while attending the general medical floor I met a 60-year-old patient in a tragic situation. She was holding her household together -- cooking for, cleaning up after, and parenting her granddaughters, managing the family finances, and trying to reform her two twenty-something daughters who preferred partying to raising their kids. One day she just collapsed. In the emergency room she was diagnosed with widely metastatic cancer of unknown primary. Liver. Bones. Lung. She had less than six months to live. She had pain. Prior to her diagnosis, her pain was unmedicated. She had dealt with the pain because she prioritized her family over her needs. With the diagnosis of terminal cancer, she learned she would never see her granddaughters grow up, or help her daughters mature. She was comfortable in the care-taking role, but the roles would reverse, as she would…

Hospital Medicine 2015: Bringing You MOC, the Patient Experience and More

by Dr. Efren Manjarrez, MD, SFHM As course director, I want to tell everybody why Hospital Medicine 2015, SHM’s annual meeting, is going to be the best hospitalist meeting to date. Throughout the year, I have been asked what will be different this particular year. Well, A LOT! First, the committee looked at the pre-courses and decided to enhance a few offerings. Starting this year, we will be providing attendees a new module each year for the Maintenance of Certification (MOC) pre-course so that SHM members have the opportunity to complete a module every year. Secondly, we have asked the faculty of the Quality Improvement pre-course to gear this pre-course towards helping attendees with the ABIM Performance Improvement Module (PIM), guiding attendees on how to meet this MOC requirement. In this way, we are hoping that learners leave the pre-course with hard skills and educational end products. One of the…
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