The Right Fit: Designing a Palliative Care Curriculum to Meet the Needs of Your Residency (RAMS- and Palliative Medicine Interest Group-Sponsored)
The palliative care needs of emergency department patients are substantial, from managing symptoms to navigating serious illness discussions. Despite a recognized demand for palliative care education, many emergency medicine residency programs lack formal training in this critical skill. In this session, a panel of educators with expertise in emergency medicine-palliative care (EM-PC) will guide participants in creating a curriculum to meet these needs. We will review existing literature on EM-PC training, highlight essential competencies, and explore effective implementation strategies, from longitudinal didactics to simulation. This session will equip participants with tools to enhance palliative care education in residency programs.
Learning Objectives:
- Describe existing competencies in emergency medicine-palliative care and their overlap with the American Board of Emergency Medicine Model.
- Organize essential domains of emergency medicine-palliative care into a curricular framework for a residency.
- Analyze learning modalities for emergency medicine-palliative care and apply them to the design of a residency curriculum.
- Identify opportunities for implementing simulation-based training into a residency emergency medicine-palliative care curriculum.
Presenters:
- Daniel W. Markwalter, MD
- Daniel Miller, MD, CHSE
- Rita A. Manfredi, MD
- Justin Kenneth Brooten, MD
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Daniel W. Markwalter, MD
University of North Carolina
Daniel Markwalter received his medical degree from the Vanderbilt University School of Medicine. He then went on to emergency medicine residency training at UNC, where he served as Education Chief Resident. Following residency, he completed fellowship training in hospice and palliative medicine, also at UNC. He currently works clinically in the emergency department at UNC as well as on the inpatient adult palliative care consult service. His scholarly interests include ED-based advance care planning, transitions to hospice from the ED, and palliative care education for emergency medicine physicians. He is also a contributor to content at PalliEM.org.
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Daniel Miller, MD, CHSE
University of Iowa
Daniel Miller is a Clinical Professor of Emergency and Internal Medicine at the University of Iowa. He practices both Emergency Medicine and Palliative Care. He also holds positions as Simulation Director and Director of Faculty Affairs and Development.
Dr. Miller graduated from the University of Wisconsin-Madison with a degree in Chemistry. He earned his doctorate at the University of Illinois-Chicago and then completed Emergency Medicine training at Advocate Christ Hospital in Chicagoland, where he was selected as a Chief Resident. After serving as Director of Simulation at the University of New Mexico he moved to Iowa where he has served as Director of Simulation at the University of Iowa since 2011. In 2019 Dr. Miller pursued fellowship training in Hospice and Palliative Medicine, in the practice of which he has found many opportunities to apply the lessons and techniques of debriefing to patient care. -
Rita A. Manfredi, MD
Professor, Clinical Emergency Medicine
George Washington University School of Medicine and Health Sciences
Rita A. Manfredi, MD, is a Professor of Clinical Emergency Medicine at the George Washington University School of Medicine and Health Sciences. She started her career as a US Navy Flight Surgeon and completed an Emergency Medicine residency at the University of Massachusetts. She previously completed a fellowship in Health and Spirituality at the George Washington Institute for Spirituality and Health, recently became board-certified in Hospice and Palliative Medicine and is interested in integrating Palliative Medicine concepts into the care of patients in the ED. Dr. Manfredi is an active member of the SAEM Wellness Committee and has introduced a Storytelling in EM event at national SAEM conferences for the past 3 years. In 2021, Dr. Manfredi received ACEP’s Lifetime Achievement Award: The Pamela Benson Trailblazer Award for seminal contributions over time to the growth of the College and to the specialty of emergency medicine. Dr. Manfredi’s work in Wellbeing focuses on how the system or organization impacts the wellness of the individual health care provider.
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Justin K. Brooten, MD
Wake Forest University School of Medicine
Dr. Brooten currently serves as an Assistant Professor of Emergency Medicine, and the Associate Program director of the Hospice and Palliative Medicine Fellowship at the Wake Forest School of Medicine. He is dual board certified in Emergency Medicine and Hospice and Palliative Care and has appointments in the Wake Forest School of Medicine, Department of Emergency Medicine and the Department of Internal Medicine, Section on Gerontology and Geriatric Medicine. His research interests and educational endeavors focus on the emergency care of older adults and the early integration of palliative care in emergency medical care settings, including prehospital emergency care. In addition, he is interested in the use of clinical informatics methods and utilizing EMR systems to identify patients at high risk for in hospital mortality, and other patient populations who may benefit from early palliative care interventions. He is the co-founder and CEO of PalliEM.org, a website and podcast with the mission of providing free online medical education resources to clinicians interested in applying palliative care principles and skills in emergency medical settings. He completed his medical training at the Medical College of Georgia/UGA medical partnership, and his residency and fellowship training at the Wake Forest University School of Medicine, in Winston Salem North Carolina. He currently practices emergency medicine in community and academic settings, and is also an inpatient palliative care consultant at Atrium Health, Wake Forest Baptist. He is happy to call the beautiful piedmont region of North Carolina home, where he lives with his wife and two children.