8th Annual Great Lakes Palliative Care Conference

Lake Geneva, WI US
May 2, 2019 to May 3, 2019


Program Changes
The planning committee reserves the right to substitute faculty or cancel sessions due to unforeseen circumstances.

Preconference Workshop Fees:
$100 All participants

Full-day Conference Fees:
$250 MD/DO/PHD ($275 after April 1)
$200 Allied Health Professionals ($225 after April 1)
$100 Resident/Fellow ($125 after April 1)

Registration options: Thursday & Friday combined ~ or ~ Friday Only
Thursday only registration not available.

Full-day conference registration includes continental breakfast, lunch and refreshments, course materials and continuing education credits. Certificates are awarded upon completion of online evaluation. 

Please note: a non-refundable $10.00 processing fee is 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.

Target Audience

Intermediate/Advanced Palliative Care Practitioners: Physicians, Psychologists, Allied Health Professionals (Advanced Practice Nurses, Physician Assistants, Registered Nurses, Hospice Personnel, Social Workers, Chaplains), Fellows and Residents.

Learning Objectives

  1. Demonstrate effective communication skills that enhance serious illness conversations with patients and families - FF 6, 11, 29, 59
  2. Discuss challenging pain conditions and the multidisciplinary approaches available to manage pain in serious illness - FF 18, 66, 67, 85, 97, 98, 142, 187, 202, 215, 335, 336
  3. Identify the challenges in meeting the needs of seriously ill patients and their families and how to lead clinical systems to deliver the best care possible
  4. Review the history of brain death and important ethical and legal considerations and emerging issues in providing care for brain dead patients - FF 115, 136
  5. Discuss the challenges and management of pain in high-risk patient populations - FF 127, 244, 311, 312
  6. Review the significance of nutrition for patients at end of life including use of artificial nutrition and hydration - FF 10, 133, 134, 190
  7. Present strategies for deprescribing medication for patients at end of life and review pharmacological considerations when deprescribing - FF 321, 322, 334, 354, 355
  8. Discuss the challenges of providing hospice care for homeless patients and strategies to improve hospice care in the homeless population - FF 246, 247, 332
  9. Review disordered sleep in the palliative care population and the impact of sleep disturbance on patients and caregivers - FF 101, 173, 217
  10. Describe the challenges and clinical considerations when providing oncologic care for geriatric patients - FF 241, 342, 356, 357
  11. Discuss the options for providing concurrent hospice care and disease-modifying treatment in Veterans with serious illness - FF 82, 87, 90, 140, 152

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

Additional information
Course summary
Available credit: 
  • 9.75 AMA PRA Category 1 Credit(s)™
    AMA PRA Category 1 Credit(s)™
  • 9.75 Hours of Participation
    Hours of Participation credit.
  • 9.75 NP Contact Hours
  • 2.00 NP Pharmacology
    NP Pharmacology credit.
Course opens: 
Course expires: 
Event starts: 
05/02/2019 - 8:00am
Event ends: 
05/03/2019 - 4:50pm

Thursday, May 2, 2019
Preconference Workshops

12:00 p.m. - 1:00 p.m. Arrival and Sign-in

1:00 p.m. - 4:00 p.m. 

PC-1: When Circumstances Change: Navigating Transitions in Care Like an Expert- Toby Campbell, MD

PC-2: I'm in a World of Hurt- I Have 4 Different Doctors Treating My Pain!: Multidisciplinary Approaches to Cancer-Pain Management - Meena  Bedi, MD, Sarah Endrizzi, MD, Jonathan Gully, MD, and Sean Tutton, MD
The treatment of cancer-related pain is a cornerstone of palliative care. While systemic therapies continue to be a mainstay in the treatment of cancer-related pain, many sources of pain are better addressed by other modalities. This workshop was designed to highlight the benefits of an integrated, collaborative, and multidisciplinary approach to pain management. A panel consisting of a radiation oncologist, an anesthesia-trained pain management physician, an interventional radiologist, and a palliative care provider has been assembled to model and demonstrate possible integrated strategies. Attendees will have the opportunity to participate in interactive, case-based discussions to further develop their approach to comprehensive pain management. At the end of the workshop, participants should be able to identify contributing factors to pain, discuss multiple modalities for treating cancer pain, and recommend integrated strategies for the treatment of pain.

4:30-6:00 pm Networking Cafe
Opportunity to network with speakers as well as other conference attendees.  Cash bar available.

Friday, May 3, 2019
Full-day Conference   8:00 am - 4:50 pm

7:00-7:55 a.m.    Arrival & Sign-in/Continental Breakfast

7:55-8:00 a.m.    Introduction

8:00 a.m. - 9:15 a.m.   Plenary Session One

The Best Care Possible: Clinical and Cultural Leadership for the 21st Century, Ira Byock, MD, FAAHPM
Everybody wants the best care possible for their loved ones and themselves through the very end of life. Of course, that phrase means different things to different people. Delivering the best care possible, therefore, requires access to a broad array of services and coordination among providers, patients and their families. This presentation will explore the elements that must be in place within and beyond health care and the stakeholders who must be in communication to reliably provide care that is consistent with best practice standards and with the personal preferences of patients and families.

9:15-9:25 a.m.    BREAK

9:25-10:25 a.m.   Concurrent Session One

Nutrition Dilemmas for Palliative Care and Hospice Patients, Sarah Nickoloff, MD
Decisions regarding artificial nutrition and hydration (ANH) are some of the most common and complex decisions a clinician may face. This presentation will explore the history and the ethics of ANH and present the clinician with a framework and strategies for evaluating the appropriateness of ANH at the end of life and for discussing withholding or withdrawing ANH with patients and families.
Geriatric Oncology, Kathryn Bylow, MD
The presentation will focus on an evidence-based approach on how to best care for older patients with cancer. Discussion will include how older patients are different from their younger counterparts, evidence on how to best use and implement a Comprehensive Geriatric Assessment to aid with treatment decisions, to predict toxicity to cancer treatment and to improve outcomes in older patients with cancer will be presented.  

10:25-10:35 a.m.   BREAK

10:35-11:35 a.m.   Concurrent Session Two

End of Life Care for Vulnerable PopulationsAnn Catlett, MD
What do we know about how people experience homelessness die? About their particular preferences and needs? What services exist in this country and beyond to attend to the unique end-of-life needs of those who are "rough sleepers"? While this presentation will focus on the intersection of homelessness and dying, we will also touch on other vulnerable and possibly underserved populations: those who are incarcerated, and those struggling with substance abuse or mental health issues.

Deprescribing at the End of Life, When Less is MoreElizabeth Bukowy, DO and Kristina Teso, PharmD
This presentation will focus on how to critically review patient's medication lists at end of life and how to pick out common medications that can be deprescribed. We will review strategies for medication reductions and provide education on available resources that can be used both in the inpatient and outpatient settings.

11:35 a.m. -12:50 p.m.   LUNCH (provided)

12:50–2:05 pm  Plenary Session Two

Managing Pain in Serious Illness and Co-morbid Substance Use Disorder: Challenges and Opportunities
, Kathleen Broglio, DNP, ANP-BC, ACHPN, CPE, FPCN
Individuals with serious illness with comorbid substance use or opioid use disorders require special attention to ensure that pain is adequately managed without increasing risks for personal or societal harm. In this presentation, strategies will be discussed to manage pain in those with risks for substance use disorder as well as those with active illicit drug use, on medication assisted treatment or in remission.

2:05–2:15 p.m.    BREAK

2:15–3:15 p.m.   Concurrent Session Three

The Future is Now: Hospice and Concurrent Care for Veterans, Kristi Barfield, BS, RN, CHPN, Liana Eskola, DO, Clayton Hoberman, DO, and Sarah Rogers LCSW
The VA definition of Hospice Care allows for disease-modifying treatment to be provided concurrently with Hospice Care. This workshop will further explore the concept of "concurrent care," identifying settings in which it is being offered. An interdisciplinary group of presenters, from community Hospices and the VA, will use case studies as a lens through which to view the experience of providing concurrent care, noting common benefits and challenges. Attendees will leave with strategies to provide the best possible support and coordination for Veterans and non-Veterans who receive concurrent care.
Sleep at the End of LifeDmitriy Kogan, MD
This presentation aims to outline different types of sleep disorders in palliative care patients and discuss their prevalence. We will look at specific medical conditions that are frequently being managed within Palliative Care Medicine and explore sleep disturbances that can be associated with them. Additionally, this lecture will introduce data on the effects on sleep of caregivers for palliative care patients.

3:15-3:25 p.m. BREAK

3:25–4:40 p.m.   Plenary Session Three

Brain Death Bioethics: Fundamental Principles and Emerging IssuesThaddeus Pope, JD, PhD
For nearly 50 years, the diagnosis and consequences of brain death have been well-settled. But no longer. This session reviews four challenges that are compelling hospitals to treat dead patients.

Grand Geneva Resort & Conference Center
7036 Grand Geneva Way
Lake Geneva, WI 53147
United States
+1 (800) 558-3417

Kathleen Broglio, DNP, ANP-BC, ACHPN, CPE, FPCN, Dartmouth Hitchcock Medical Center
Ira Byock, MD, FAAHPM, Institute for Human Caring, Providence St. Joseph Health
Thaddeus Pope, JD, PhD, Mitchell Hamline School of Law


Toby Campbell, MD, University of Wisconsin School of Medicine and Public Health, Madison, WI
Ann Catlett, MD, University of Wisconsin School of Medicine and Public Health, Madison, WI
Kristi Barfield, BS, RN, CHPN, Aurora at Home
Liana Eskola, DO, William S. Middleton Memorial Veterans Hospital
Clayton Hoberman, DO, St. Croix Hospice
Sarah Rogers, LCSW, William S. Middleton Memorial Veterans Hospital


Meena Bedi, MD, Associate Professor, Division of Radiation Oncology
Elizabeth Bukowy, DO, Fellow, Department of Medicine
Kathyrn Bylow, MD, Associate Professor, Division of Hematology and Oncology
Sarah Endrizzi, MD, Assistant Professor, Department of Anesthesiology
Jonathan Gully, MD, Associate Professor, Division of Hematology and Oncology, Palliative Care Program
Dmitriy Kogan, MD, Assistant Professor, Department of Medicine
Sarah Nickoloff, MD, Assistant Professor, Division of General Internal Medicine
Kristina Teso, PharmD, Pharmacist, Division of Hematology and Oncology
Sean Tutton, MD, Chief, Professor, Department of Radiology

Program Co-directors
Renee Foutz, MD
Paul Stellmacher, MD
Education Program Coordinator
Dan Bullock

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:

Kathleen Broglio, DNP, ANP-BC, ACHPN, CPE, FPCNUptoDateAuthor
Jonathan Gully, MDMerckSpouse, 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.

Speaker Bio's

Kristi Barfield, BS, RN, CHPN, is the Aurora at Home Manager of Hospice and Palliative Care in southeastern Wisconsin. With nearly three decades of experience in end-of-life care, Kristi is devoted to hospice and palliative care as a leader, educator and bedside nurse. She has worked extensively with the We Honor Veterans program in New York and Wisconsin and credits her first hospice patient, a WWII veteran, for teaching her about veteran-specific needs.

Kathleen Broglio, DNP, ANP-BC, ACHPN, CPE, FPCN, is an Assistant Professor of Medicine, Nurse Practitioner in the section of Palliative Medicine at Dartmouth Hitchcock Medical Center, and a Scholar at the Dartmouth Collaboratory for Implementation Sciences. Her current studies include: opioid risk assessment in oncology; cannabis use in palliative medicine; implementation of opioid management guidelines in palliative care clinic; and interprofessional education in palliative and hospice. She recently completed a quality improvement project funded through the National Institute of Drug Abuse on screening for substance use disorder in the cancer population.

Ira Byock, MD, FAAHPM, is a palliative care physician, author, and advocate for improving care through the end of life. Dr. Byock has been involved in palliative care since 1978. He is a past President (1997) of the American Academy of Hospice and Palliative Medicine and has received the Academy's prestigious Lifetime Achievement Award. He is active Emeritus Professor at the Geisel School of Medicine at Dartmouth. Dr. Byock lectures nationally and internationally. His books include Dying Well, The Four Things That Matter Most, and The Best Care Possible.

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.

Ann Catlett, MD, joined the Division of Hematology and Oncology in the Department of Medicine as a Clinical Instructor in 2016. She obtained her M.D. degree at the University of Wisconsin School of Medicine and Public Health. She completed her residency in Internal Medicine at University of Wisconsin Hospitals and Clinics. Dr. Catlett is board certified Hospice and Palliative Medicine. Dr. Catlett practices as faculty attending on the Palliative Care Service. Her interests include complex illness, ethics in end of life decision-making, and care for the homeless and marginalized.

Liana Eskola, DO, is a palliative medicine clinician educator who practices at the Madison VA hospital and University of Wisconsin. Originally from Northern California, she was educated at Haverford College, the Philadelphia College of Osteopathic Medicine, UCSD, and the University of Wisconsin. In her current role, she teaches medical trainees at all levels of training; spearheads a QI project aimed at improving quality of life for people with heart failure; and does resiliency and narrative medicine work with medical students and palliative medicine fellows. She lives in Madison, WI, with her husband and their opinionated cat.

Clay Hoberman, DO, has been practicing full-time Hospice & Palliative Medicine in the Omaha, NE metro area for the past 9 years in a variety of inpatient, outpatient, and community settings. Currently, he serves as a Regional Medical Director for St. Croix Hospice. Dr. Hoberman is board certified in both Hospice & Palliative Medicine and Physical Medicine & Rehabilitation. He has a passion for providing compassionate, high quality care at the end of life as well as promoting the cultural acceptance of hospice and palliative care as an integral part of the healthcare continuum.

Thaddeus Pope, JD, PhD is Director of Health Law Institute and Professor of Mitchell Hamline School of Law in Saint Paul, Minnesota. Professor Pope has nearly 200 publications in leading medical journals, law reviews bar journals, nursing journals, bioethics journals, and book chapters. He coauthors the definitive treatise The Right to Die: The Law of End-of-Life Decisionmaking, and he runs the Medical Futility Blog (with nearly four million page-views). Professor works to calibrate the balance between individual liberty and public health in the end-of-life medical treatment context. Specific research topics have included: medical futility, unwanted medical treatment, ethics committees, brain death, advance directives, surrogate decision making, unrepresented patients, aid in dying, and VSED. More recently, he has been innovating new legal tools to better assure fair internal dispute resolution mechanisms, and adequate informed consent with patient decision aids. Prior to joining academia, Professor Pope practiced at Arnold & Porter LLP and clerked on the U.S. Court of Appeals for the Seventh Circuit. Pope earned a JD and PhD (in philosophy and bioethics) from Georgetown University.

He is also Adjunct Professor with the Australian Centre for Health Law Research at Queensland University of Technology; Adjunct Associate Professor with the Alden March Bioethics Institute at Albany Medical College; and Visiting Professor of Medical Jurisprudence at St. Georges University.

Sarah Rogers, LCSW, is the coordinator and outpatient social worker for the Palliative Care Program at the William S. Middleton Veterans Hospital in Madison, WI. During her 12 years with the VA, she has also helped care for veterans and their loved ones in the areas of mental health, suicide prevention, and acute care. She plans and coordinates meetings for the Wisconsin Hospice Veteran Partnership. Outside of work, she spends her time teaching and performing improv comedy and imploring her children to pick up their socks.














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 9.75 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 9.75 hours of participation for continuing education for allied health professionals.

Nurse Practitioner:
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 9.75 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.

Program Changes
The planning committee reserves the right to substitute faculty or cancel sessions due to unforeseen circumstances.

Workshops: 3 credits per workshop (up to 3) 
Full-day Conference: 6.75 credits

Available Credit

  • 9.75 AMA PRA Category 1 Credit(s)™
    AMA PRA Category 1 Credit(s)™
  • 9.75 Hours of Participation
    Hours of Participation credit.
  • 9.75 NP Contact Hours
  • 2.00 NP Pharmacology
    NP Pharmacology credit.

Accreditation Period

Course opens: 
Course expires: 


Please login or register to take this course.


Optional pre-conference Workshops - Thursday, May 2nd
 All participants $100 with paid full day conference registration

Full-day Conference – Friday, May 3rd
MD/DO/PhD = $275
Allied Health Care Professionals = $225
Resident/Fellow = $125

Break-Out Sessions - Friday, May 3rd
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