Changing Palliative Care Practice in Academic Medical Centers

Russell K. Portenoy and Eduardo Bruera

in Issues in Palliative Care Research

Published in print September 2003 | ISBN: 9780195130652
Published online November 2011 | e-ISBN: 9780199999842 | DOI:
Changing Palliative Care Practice in Academic Medical Centers

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This chapter reviews the barriers and opportunities to changing end-of-life care within the medical school environment. The academic medical center represents the pinnacle of modern medical achievement over the past 100 years. Unfortunately, until very recently academic medical centers have ignored death as a life-cycle event and the attendant education and clinical care issues and opportunities. The discussion suggests that the time is at hand to make major reforms in how physicians view end-of-life care, a view that must begin within the academic center. In particular, promoting faculty development, new education and evaluation initiatives, interdisciplinary education, and basic and clinical research has the potential to greatly improve end-of-life care. These changes require commitment and vision on the part of medical center leaders, hospital administrators, and senior faculty.

Keywords: medical care; end-of-life care; academic medicine; United States; death; faculty development

Chapter.  4108 words. 

Subjects: Palliative Medicine

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