7th Annual Great Lakes Palliative Care Conference April 19 & 20, 2018
Thursday, April 19, 2018
Preconference Palliative Care Workshops 9:00am-4:00pm
Friday, April 20, 2018
Full-day Conference 8:00am-4:50pm
GENEROUSLY SUPPORTED BY THE ALVIN & MARION BIRNSCHEIN FOUNDATION
The planning committee reserves the right to substitute faculty or cancel sessions due to unforeseen circumstances.
To download brochure see below: ADDITIONAL INFORMATION
Preconference Workshop Fees:
$175 full-day Workshops
$100 half-day Workshops
Full-day Conference Fees:
$199 Allied Health Professionals
Preconference registration includes lunch for full-day attendees only.
Full-day conference registration includes continental breakfast, lunch and refreshments.
All continuing education fees are included. Certificates are awarded upon completion of online evaluation.
Please note: a non-refundable $10.00 processing fee will be assessed on all registrations.
First time Attendees: Click "Create Account" in the upper right corner of your screen and follow the screen prompts. Once you have created your account, click the "Registration" tab to choose your registration options for this conference. **The billing address entered at check out must match the address associated with the credit card used or your credit card will be declined.
Attention Returning Attendees: Log in using your original username and password; Do Not create another account.
*All sales are final. No refunds will be applied.
**Please dress in layers as the temperature of the conference rooms may fluctuate.
Intermediate/Advanced Palliative Care Practitioners: physicians, psychologists, allied health professionals (advance practice nurses, physician assistants, registered nurses, hospice personnel, social workers, chaplains), fellows and residents.
- Demonstrate effective communication skills that enhance end-of-life discussions with patients and their families (FF #6, 11)
- Identify strategies to encourage authentic communication that facilitates the building of a trusting healthy team culture
- Review fundamentals of clinical care as it relates to psychiatric presentations in palliative care (FF #7, 43, 186, 309)
- Identify 5 “last resort” options to potentially respond to patients and families whose suffering persists despite skillful and unrestrained efforts to palliate (FF #106, 107, 156, 159)
- Discuss the pharmacology of medical cannabis, its use and surrounding controversy as it relates to the palliative care population (FF #93, 279)
- Outline the current state of palliative care and future directions of the discipline
- Discuss the challenges of symptom management and prognosis in the treatment of pulmonary hypertension at end of life (FF #264)
- Review the traditional role of the advance practice nurse in palliative care and outline opportunities to expand this role as the demand for end-of-life providers increases
- Review the pharmacology and clinical use of ketamine in the treatment of pain at end of life (FF #132, 327)
- Describe the Physician Orders for Life-Sustaining Treatment (POLST) and discuss the pros and cons behind its use in end-of-life planning (FF #12, 178)
- Examine the interface between nephrology and palliative care in the management of end stage renal disease (FF #163, 191, 207)
- Discuss religious aspects of end-of-life care (FF #19, 274)
Fast Facts and Concepts (FF) are a collection of over 300 one-paged, evidence-based, and peer reviewed clinical educational tools designed to answer a targeted clinical issue in hospice and palliative medicine. They capitalize on teachable moments. www.mypcnow.org
Thursday, April 19, 2018
8:00 am - 9 am Arrival and Sign-in
9:00 am - 12:00 pm
PC-1: Breaking Bad News and Responding to Emotion - Toby Campbell, MD
This workshop is designed for those who want to increase their empathic capacity, their skill with breaking bad news conversations and responding with empathy when communicating with patients and their families. Attendees will have the opportunity to participate in fun and interactive exercises that will enhance their communication skills in challenging clinical situations. The workshop will include a review of communication tools that provide a framework for difficult discussions. Attendees will then have the opportunity to practice implementing these tools in role-playing exercises.
Outstanding organizations have unique cultures and characteristics. They have figured it out. For example, have you ever been guilty of complaining? Of course! Me too. But what I’ve found as I've worked with great organizations is that they don’t tolerate complaining unless it is constructive...unless there is a commitment to critically examine complaints, look for solutions, find the facts, and exhibit the courage to question assumptions and have tough conversations. And, as I examined successful organizations, Fortune 500 organizations, small, medium and large organizations, non-profit, for-profit organizations - you name it! - it was amazing to see how the presence of a couple of characteristics made it that much easier to engage in the others. This topic invites you to examine where your organization is at and offers opportunities for employees to have productive conversations on how they can contribute to a successful culture.
12:00 pm - 1:00 pm Lunch (boxed meal, provided for full-day attendees only)
1:00 pm - 4:00 pm
PC-3: Shared Decision-Making Using the Best Case/Worst Case Tool - Toby Campbell, MD
This workshop will teach attendees the Best Case/Worst Case (BC/WC) communication tool for facilitating high-risk decision-making conversations. BC/WC uses narrative and storytelling to provide a framework for engaging patients and their families in goal-setting discussions in difficult clinical situations. The training will include education in how to create the BC/WC pen and paper diagram, how to collect the information necessary to set up the tool, and how to deliver it to patients and families in conversation. The tool presents two clear treatment options and explains the best and worst case outcomes, estimates the most likely outcome and explains how the options will affect the patient’s health and life. It guides the user to make a preference sensitive recommendation. Attendees will have the opportunity to observe demonstrations of the use of the tool and to practice use of it in small groups.
PC-4: Palliative Care's Pandora Box: When Do We Benefit and When Do We Harm Patients' Mental Health? - Thomas Heinrich, MD, Jo Weis, PhD, Heather Smith, PhD, Krista Wiger, MD
Palliative care’s overall focus involves relieving and preventing the suffering of patients. Addressing the mental health aspects of this care for patients at end of life poses unique challenges and issues. A panel consisting of palliative psychologists, a psychosomatic medicine consultant, and a palliative care trained oncology hospitalist has been assembled to address some of these specific areas. Presentations on common misconceptions around psychological phenomena and a practical approach outlining pharmacological approaches to psychiatric issues at end of life will begin the workshop. This will be followed by an exploration of the role of palliative care providers in addressing psychological concerns at end of life as well as the opportunity to engage in self-reflection regarding barriers, boundaries and biases when administering care at end of life. There will be a panel discussion following presentations.
4:00-6:00 pm Networking Cafe
Opportunity to network with speakers as well as other conference attendees. Cash bar available.
Friday, April 20, 2018
Full-day Conference 8:00 am - 4:50 pm
7:00-7:55 am Arrival & Sign-in/View Exhibits & Continental Breakfast
8:00 am - 9:30 am Plenary Session I
Palliative Care, Hospice and Last Resort Options: Facing an Uncertain Future Together, Timothy Quill, MD, FACP, FAAHPM
Palliative Care and hospice are parts of the standard of care for seriously ill patients. They are highly effective, but on infrequent occasions suffering persists despite unrestrained, skillful attempts to palliate. If redoubling efforts to palliate are insufficient, then “last resort” options sometimes need to be considered. Clinicians need to be aware of the clinical application and legal status of these options, and also consider which options they can support personally. The full range of palliative options will be explored in this presentation, and then process implementation will be illustrated through an in depth clinical case presentation.
9:40-10:30 am Breakout Sessions A
- A1 - The Circle of New Life for Pulmonary Hypertension Patients: Where Does Palliative Care Have a Role in the Current Treatment Era?, Kenneth Presberg, MD
Pulmonary hypertension patients were previously relegated to the “Kingdom of the Near Dead”. However, treatment options have markedly improved for certain groups of patients with pulmonary hypertension and offer the prospect for improved quality of life and occasionally improved survival. Nevertheless, side effects and cost of these medications remains a significant challenge. Furthermore, in other groups of pulmonary hypertension patients, the presence of pulmonary hypertension remains a marker of more severe pulmonary or cardiac disease and portends a worse prognosis. Therefore, palliative care has a very meaningful role in the care of patients with pulmonary hypertension to assist with symptom control and ongoing review of goals of care.
- A2 - Leadership in Palliative Care: Strategies for APNs, Lyn Ceronsky, DNP, GNP, CHPCA, FPCN
This presentation will explore strategies for effective implementation of APN roles in palliative care programs. The role of the APN in contributing to palliative care program development, role on a team, and in quality improvement will be explored.
10:30-10:40 am BREAK
10:40-11:30 a.m. Breakout Sessions B
- B1 - The Special K Challenge: Ketamine Use in Palliative Care, Francois-Blumenfeld Kouchner, MA, PhD, DO and Paul Stellmacher, MD
Ketamine is a dissociative anesthetic shown to have therapeutic benefit at subanesthetic doses which can be used for a variety of conditions commonly encountered in Hospice and Palliative Care, including as an analgesic for cancer or neuropathic pain, as a topical agent for painful wounds or mucositis, as well as emerging use as an antidepressant. Its use remains limited due to access, lack of clinician experience and a dearth of randomized controlled trials. We will present a review of ketamine pharmacology, suggested uses and limitations.
- B2 - POLST: Advancing the Advance Directive, Renee Foutz, MD
The POLST (Physician Orders for Life-Sustaining Treatments) form has been adapted in many parts of the country to document treatment wishes for patients with serious illnesses. The form is completed through a conversation about goals of care between providers and patients and their families. Once documented, the wishes of the patient become physician orders that transfer across care transitions. Although the form has been a part of advance care planning in many states for many years, it’s use remains controversial and limited in some areas. This presentation will review the POLST form, it’s history, current use in practice, and the benefits and controversies surrounding it.
11:45 -12:45 pm LUNCH (provided)
1:00–2:20 pm Plenary Session II
Is Medical Marijuana Really ‘Medical’?, David Casarett, MD, MA, FAAHPM
This presentation will discuss the risks and potential benefits of medical marijuana, asking the audience to consider whether it can be classified as a medical therapy. The presentation will review what is known about benefits for the most common indications, evidence of risks, as well as an overview of routes of administration.
2:20–2:30 pm BREAK
2:30–3:20 pm Breakout Sessions C
- C1 - Beyond the Basics: Palliative Care for the ESRD Patient, Alexandria Bear, MD and Daniel Sturgill, MD
This presentation will highlight the unique approach required when evaluating palliative care needs for patients with end-stage renal disease (ESRD). Background on the epidemiology of ESRD and dialysis utilization will be provided. Integrative care models and ethical considerations relating to care of the ESRD patient will be discussed. Additionally, the approach to symptom management considerations will be presented from both nephrology and palliative care viewpoints.
- C2 - Engaging the Religious Aspects of End-of-Life Care, Rebekah Schmidt, MA, BCC
In this presentation we will explore and engage various religious belief systems, their views on death and dying, and how those beliefs influence medical decision making at end of life. We will also discuss strategies to sensitively engage in conversation about these issues when conflict between medical providers and patients/families occur.
3:30-4:50 p.m. Plenary Session III
Making Palliative Care Sustainable for the Future: Advocacy, Workforce and Research, Christian Sinclair, MD, FAAHPM
Palliative care is becoming mainstream in the American health care system. Clinicians and health systems are beginning to see the true value of early palliative care, and we are in more demand than ever. Yet, behind that rise there are perils that threaten our future unless we pay heed, including clinician burnout, slow workforce growth, sacrificing quality for access, and payment models that undermine palliative care values. We will cover the ways each of us can ensure sustainability. How we build our future depends on the actions of today.
Timothy Quill, MD, FACP, FAAHPM, University of Rochester School of Medicine, Rochester, NY
David Casarett, MD, MA, FAAHPM, Duke University School of Medicine, Durham, NC
Christian Sinclair, MD, FAAHPM, University of Kansas Medical Center, Kansas City, KS
Toby Campbell, MD, University of Wisconsin School of Medicine and Public Health, Madison, WI
Lyn Ceronsky, DNP, GNP, CHPCA, FPCN, Fairview Health Services, Minneapolis, MN
Neil Ihde, MA, Life IQ, LLC, Appleton WI
FROEDTERT AND MEDICAL COLLEGE OF WISCONSIN
Alexandria Bear, MD, Assistant Professor, Division of Hematology and Oncology, Palliative Care Program
Francois Blumenfeld-Kouchner, MS, PhD, DO, Fellow, Division of Hematology and Oncology, Palliative Care Program
Renee Foutz, MD, Assistant Professor, Division of Hematology and Oncology, Palliative Care Program
Thomas Heinrich, MD, Professor, Department of Psychiatry and Behavioral Medicine
Kenneth Presberg, MD, Professor, Division of Pulmonary, Critial Care and Sleep Study
Rebekah Schmidt, MA, Spiritual Services, Froedtert Hospital
Heather Smith, PhD, Associate Professor, Department of Psychiatry and Behavioral Medicine
Paul Stellmacher, MD, Assistant Professor, Division of Hematology and Oncology, Palliative Care Program
Daniel Sturgill, MD, Fellow, Division of Nephrology
Jo Weis, PhD, Associate Professor, Department of Psychiatry and Behavioral Medicine
Krista Wiger, MD, Assistant Professor, Division of Hematology and Oncology
CONFERENCE PLANNING COMMITTEE
Jo Weis, PhD
Renee Foutz, MD
Paul Stellmacher, MD
Education Program Associate
Jonathan Gully, MD
Sean Marks, MD
Susan Stoltz, PA-C
Catherine Van Schyndle, APNP
All persons in control of content have NO relevant financial relationships to disclose with the exception of the following persons:
|Jonathan Gully, MD||Merck||Spouse, stock ownership|
In accordance with the ACCME® standards for Commercial Support Number 6, all in control of content disclosed any relevant financial relationships. These relationships were reviewed via the MCW conflict of interest resolution process and resolved.
Alexandria Bear, MD is an Assistant Professor in the Department of Medicine, Division of Hematology and Oncology, Palliative Care Program at the Medical College of Wisconsin (MCW). She completed her internal medicine residency and hospice and palliative care fellowship at MCW. She is board certified in internal medicine and board eligible for hospice and palliative medicine. Dr. Bear has special interests in bioethics, prognostication, and the development of communication workshops to teach end-of-life communication skills to trainees.
François Blumenfeld-Kouchner, MA, PhD, DO is a fellow in hospice and palliative medicine at the Medical College of Wisconsin. He completed residency in internal medicine at Cook County Hospital in Chicago. He is board certified in internal medicine. His interests include research methods and epistemology, prognostication, and palliative care in non-oncologic diseases.
Toby Campbell, MD is an Associate Professor of Medicine at the University of Wisconsin School of Medicine and Public Health (UWSMPH). He is a thoracic medical oncologist, Chief of Palliative Care and the Ellen and Peter O. Johnson Chair in Palliative Care at the University of Wisconsin. He was the Hospice and Palliative Medicine Fellowship Program Director from 2010-2017. He completed a residency in internal medicine at UWSMPH and fellowship programs in medical oncology and hospice and palliative medicine at Northwestern University. His research interests are in communication education, empathy, high-risk shared decision-making, and models of care for palliative care implementation. Dr. Campbell’s work on communication crosses a variety of disciplines, and he has published in multiple major medical journals on that and other topics.
David Casarett, MD, MA is a Professor of Medicine at Duke University and the Chief of Palliative Care in Duke Health. He is a palliative care physician and health services researcher who focuses on improving systems of care for people with serious, life-threatening illnesses. He is a recipient of the Presidential Early Career Award for Scientists and Engineers, the highest honor given by the US government to researchers in the early stages of their careers. Dr. Casarett is the author of more than 100 articles in major medical journals and several writings published in national magazines and online. He authored Stoned: A Doctor’s Case for Medical Marijuana, published in 2015. He has also recently published two books in a nonfiction series.
Lyn Ceronsky, DNP, GNP, CHPCA, FPCN is a nurse practitioner and the Director of the Palliative Care Program for the Fairview Health System. Her experience includes palliative care, oncology and geriatrics in clinical, education and administrative roles. Her special interest is in palliative care programs in small and rural communities. She has led the Fairview Palliative Care Leadership Center, a program of the Center to Advance Palliative Care, for over fourteen years, and speaks nationally and regionally on palliative care topics. She is the site leader for the Cambia APRN Externship program at the University of Minnesota Medical Center.
Renee Foutz, MD is an Assistant Professor in the Department of Medicine, Division of Hematology and Oncology, Palliative Care Program at the Medical College of Wisconsin (MCW). She completed a residency in emergency medicine at the Medical College of Wisconsin after which she practiced full time emergency medicine for 12 years in a community hospital in Milwaukee. After completing her fellowship in Hospice and Palliative Medicine at the MCW, she joined the faculty in the Palliative Care Program. Dr. Foutz is board certified in emergency medicine and hospice and palliative medicine. She continues to practice emergency medicine at the Clement J. Zablocki VA Medical Center. She is a member of the Wisconsin POST Coalition. She has special interest in advance care planning and the integration of palliative care in the emergency department.
Thomas Heinrich, MD is a Professor of Psychiatry and Family Medicine at the Medical College of Wisconsin (MCW). He completed a combined residency in psychiatry and family medicine followed by a fellowship in consultation psychiatry at Massachusetts General Hospital. He is board certified in family medicine and general adult psychiatry and holds subspecialty certification in consultation psychiatry/psychosomatic medicine and neuropsychiatry. Dr. Heinrich works on the psychiatric consultation service at Froedtert Hospital specializing in the assessment and treatment of the diverse and complex presentations of medical, surgical, and neuropsychiatric illnesses in patients admitted to general medical hospitals. He serves as the Director of the Division of Consultation-Liaison Psychiatry and Vice Chair for Clinical Services within the Department of Psychiatry and Behavioral Medicine at MCW. Dr. Heinrich is the Medical Director for Process Improvement for inpatient medical and surgical services at Froedtert Hospital.
Neil Ihde is a professional speaker, lecturer and consultant with over a decade of experience. He is the founder of Life IQ, LLC. He has worked with many multidisciplinary teams across various medical specialties to help them develop more cohesive, productive, satisfying, and successful practices. His academic background includes a BA in psychology, a BA in sociology, and an MA in counseling.
Kenneth Presberg, MD is a Professor in the Division of Pulmonary and Critical Care Medicine at the Medical College of Wisconsin. He has treated patients with pulmonary hypertension for over 25 years and is currently the director of the PHA Pulmonary Hypertension Comprehensive Care Center at Froedtert and the Medical College of Wisconsin. He also serves as the medical director for the lung transplant program and is intimately involved with training of fellows and residents in these areas of cardiopulmonary medicine.
Timothy E. Quill, MD is the Georgia and Thomas Gosnell Distinguished Professor in Palliative Care at the University of Rochester Medical Center (URMC) where he is also Professor of Medicine, Psychiatry, Medical Humanities and Nursing. He was the Founding Director of the URMC Palliative Care Division and a Past President of the American Academy of Hospice and Palliative Medicine. Dr. Quill completed residency in internal medicine and a fellowship in medicine/psychiatry liaison both at the University of Rochester School of Medicine and Dentistry. Dr. Quill is a Fellow of the American Academy of Hospice and Palliative Medicine, a Fellow of the American College of Physicians and an ABMS certified palliative care consultant. Dr. Quill has published and lectured widely about various aspects of the doctor-patient relationship, with special focus on end-of-life decision-making, including delivering bad news, nonabandonment, discussing palliative care earlier, and exploring last-resort options. He is the author of several books on end-of-life care and over 150 articles published in major medical journals. Dr. Quill was the lead physician plaintiff in the New York State legal case challenging the law prohibiting physician-assisted death that was heard in 1997 by the U.S. Supreme Court (Quill vs Vacco).
Rebekah Schmidt, MA, BCC is a chaplain and the manager of Spiritual Services at Froedtert Hospital in Milwaukee. She previously worked as the palliative care chaplain at Froedtert Hospital in Milwaukee and has spent many years working in hospice and palliative care. She has a special interest in physician communication related to religious beliefs and values especially at end of life.
Christian Sinclair, MD is an Assistant Professor in the Division of Palliative Medicine at the University of Kansas Health System, focused on leading outpatient palliative care in the KU Cancer Center. He has clinical experience within all the different venues of hospice and palliative care through his past work with Kansas City Hospice and Palliative Care and his past leadership roles as a fellowship director and National Hospice Medical Director with Gentiva. His early rise in the field of palliative medicine was in part due to his writing for the website Pallimed. He served six years on the board of the American Academy of Hospice and Palliative Medicine and is the immediate past president of the American Academy of Hospice and Palliative Medicine.
Heather Smith, PhD is an Associate Professor of Psychiatry and Behavioral Medicine at the Medical College of Wisconsin and Lead Psychologist at the Clement J. Zablocki VA Medical Center. She is board certified in clinical geropsychology. Dr. Smith provides psychological services to geriatric and palliative care patient populations in addition to engaging in teaching, clinical supervision, and research activities.
Paul Stellmacher, MD is an Assistant Professor at the Medical College of Wisconsin in the Department of Medicine, Division of Hematology and Oncology, Palliative Care Program and Division of General Internal Medicine, Section of Hospitalist Medicine. He completed his internal medicine residency at the University of Kansas Medical Center followed by a fellowship in hospice and palliative medicine at Stanford University. He is board certified in internal medicine and in hospice and palliative medicine. He is interested in end-of-life education for medical trainees and primary palliative care in the care of hospitalized adults.
Daniel Sturgill, MD completed residency in internal medicine at the Medical College of Wisconsin (MCW) and is presently a fellow in nephrology. He will be joining MCW faculty in the Department of Nephrology in 2018. Dr. Sturgill's research interests include patient reported outcomes in chronic kidney disease, palliative nephrology and ethics in ICU nephrology.
Jo Weis, PhD is an Associate Professor of Psychiatry and Behavioral Health at the Medical College of Wisconsin. Dr. Weis is the Director of Behavioral Medicine for the Palliative Care Program at Froedtert/Medical College of Wisconsin. She collaborates with a multi-disciplinary team of physicians, nurses and a chaplain who administer to palliative care patients and families in both inpatient and outpatient settings. Her research interests include treatment of post-traumatic stress disorder and psychological issues at end of life. She is involved in the education and mentoring of medical students, residents and fellows rotating through palliative medicine. In addition, she mentors psychology doctoral students in their research efforts, clinical endeavors and ongoing professional development.
Krista Wiger, MD is an Assistant Professor in the Department of Hematology and Oncology at the Medical College of Wisconsin where she specializes in the area of inpatient solid oncology as a hospitalist. She completed a combined internal medicine/pediatrics residency at the Medical College of Wisconsin. She has clinical experience in the areas of inpatient medicine, urgent care and palliative care consult. She is board certified in internal medicine, pediatrics and hospice and palliative medicine.
ACCME Accreditation Statement:
The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
AMA Credit Designation Statement:
The Medical College of Wisconsin designates this live activity for a maximum of up to 13.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Hours of Participation for Allied Health professionals: (RN, Social Workers, Chaplains, etc.)
The Medical College of Wisconsin designates this activity for up to 13 hours of participation for continuing education for allied health professionals.
Medical College of Wisconsin, Inc. is approved as a provider of nurse practitioner continuing education by the American Association of Nurse Practitioners: AANP Provider Number 150930. This program has been approved for up to 13.0 contact hours of continuing education (which includes 2.0 hours of pharmacology). Nurse Practitioners should claim only those hours actually spent participating in the CME activity.
The planning committee reserves the right to substitute faculty or cancel sessions due to unforeseen circumstances.
Workshops: 3 credits per workshop (up to 6)
Full-day Conference: 7 credits
- 13.00 AMA PRA Category 1 Credit(s)™AMA PRA Category 1 Credit(s)™
- 13.00 Hours of ParticipationHours of Participation credit.
- 13.00 NP Contact Hours
Preconference Workshops - Thursday April 19 (Optional)
Each half-day = $100
Full-day = $175*
*To receive the Preconference full day discount enter the coupon code GLPC at check out*
Full-day Conference – Friday, April 20
MD/DO/PhD = $249
Allied Health Care Professionals = $199
Resident/Fellow = $125
Break-Out Sessions - Friday April 20
Break-out sessions are complimentary with a paid registration fee however pre-enrollment is required.
The billing address entered at check out must match the address associated with the credit card used or your credit card will be declined.
A $10.00 non-refundable processing fee is assessed on all registrations
ALL SALES ARE FINAL. NO REFUNDS WILL BE APPLIED.