AMSA End of Life Fellowship:

1
AMSA End of Life Fellowship

• How Can I Implement This at My School?
• Tasha Zaman MSII
• Midwestern University- Arizona College of
  Osteopathic Medicine

2
What We Currently Have in Place

• 1st and 2nd Year, End of Life Elective
• -Advanced Directives
• -Moyer Series
• -Legal and Ethical Issues
• -One Shift with a Hospice Worker
• -Pain Management and Dosing
• -Communicating Bad News
• -Symptoms at the End of Life
• Problem Small number of med students elect to
  take this course
• -

3
Currently in Place Cont.

• 2nd Year, Pharmacology
• - One Lecture on Pain Medications
• Problem Does not include pain management and
  dosing
• 3rd and 4th year Didactics
• -One Lecture on Grief and Bereavement
• -One Lecture on Communicating Bad News
• Problem No role plays done
• -One Lecture on Pain Medicine Addiction Given by
  Addiction Medicine Physician
• Problem Deciphers between drug seeker and
  patient with pain, but does not emphasize
  importance of pain management and statistics of
  addiction

4
What Can Be Implemented

• 1st Years
• -Preceptor Program During last quarter have
  small groups shadow Hospice Physician for an
  afternoon

5
1st Year Cont.

• -ICM or Topics Course Show Wit w/ Discussion
• can offer extra credit
• use opportunity to promote E of L elective
  and lunch time lecture series

6
What Can Be Implemented Cont.

• End of Life Elective
• -Continue course, yet stress importance
• -Share my experience with course coordinator
  for any updates

7
End of Life Week

• Lunch Time Lectures
• in collaboration with AMSA, Spirituality in
  Medicine Club, and Integrative Medicine Club
• Mon Picturing Your Own Death and the What is
• Hospice? How do these
  questions relate?
• Tues View To Live Until I Die
• Wed Legal and Ethical Issues in E of L Care
• includes Advanced Directives,
  Physician-Assisted Suicide, Withdrawing/Withholdin
  g, Nutrition and Hydration

8
End of Life Week

• Thurs Spiritual Care of Patient- Various
  Cultural Views
• on Death
• Fri CAM in End of Life and Self-Care
• Both the elective and lecture series targets 1st
  and 2nd Year students

9
Back to the 1st Years

• Intro to Clinical Medicine
• -Lecture on Common Physical Symptoms at E of L
• Human Behavior
• -Lecture on Grief and Bereavement, including
  differences of grief and major depression

10
AMSA Regional Conference

• Hosted in Phoenix, AZ on Oct. 28-30
• Over 300 students attending
• Over 20 medical schools represented
• 7 different states
• Pre-medical students and medical students
• Include lectures/programming on Bioethics

11
2nd Years

• Clinical Class
• -Lecture on Communication of Bad News
• SPEs
• -add role play
• -give scenario of communicating bad news
• -tape students
• Communication Workshop
• -to help prepare for the SPEs, allow practice
  time, and give pointers

12
3rd and 4th Year

• Rotations
• -Accept Hospice Physicians as Internal Medicine
  Rotations
• -Make them Accessible! Include them in the
  lottery.

13
3rd and 4th Year Cont.

• Didactics
• -Hospice Dr. to Lecture on Hospice/Palliative
  Care and Its History and have a Pt w/ terminal
  illness in Hospice
• -Lecture on Pain Meds w/ Dosing Given by
  Hospice/Palliative Care Physician
• -Lecture on Advanced Directives and Role Play for
  Pt visits
• -Lecture on Cultural Spiritual Views of Death

14
The Goal is

• To have continuous end of life education, without
  being redundant.
• To have continuous end of life education, without
  being redundant.
• To have continuous end of life education, without
  being redundant.
• To have continuous end of life education, without
  being redundant.