Skip to main content

Rant: "Hospice and Palliative Medicine" Not Listed

Quick one here (a little too long for a tweet).  I've been filling out re-credentialing at the hospital, and was asked to list my primary specialty (internal medicine) and subspecialty.  Hospice and Palliative Medicine was not listed as a subspecialty option.  I selected "other" and then typed it in.

I don't think I've ever seen Hospice and Palliative Medicine listed in any of the many credentialing processes I've been through.  For that matter, when signing up to review for a journal, or for a medical conference, they often ask for subspecialty.  I can't recall (other than AAHPM) that Hospice and Palliative Medicine has ever been listed.

It's been 4 years now since the American Board of Medical Specialties recognized Hospice and Palliative Medicine as a subspecialty, isn't it about time we were added to these lists?  I think we've outgrown "other".

by: Alex Smith

Comments

Ron Crossno said…
I've seen it listed in several venues, but almost always this only occurs after someone advocates to get it listed. Why would they change unless someone calls their hand on it. Politely point out that it is an ABMS and AOA/BOS recognized specialty and you would like them to update their application. So far, that's always worked for me.

Ron Crossno
Alex Smith said…
Good point Ron. I work in the VA national system, so perhaps if others working at VA's join the chorus this will happen.
Gregg V said…
I agree with Ron ... our hospital has Palliative Med privileges, but only after we lobbied for them. We've also networked to share model privileges across our five state hospital system, an approach that will be necessary for a national system like the VA.
Gregg VandeKieft
care funding said…
I do so agree that the Hospice and Palliative Medicine field should be taken into consideration. It's been a long time since its existence, might as well acknowledge it.
Anonymous said…
Looks like they still consider hospice services as a "non-medical" specialization. Bad.
Flint Ross said…
That's not going to help the medical industry if they can't even seem to recognize palliative care as one of their own. If they can't seem to put that in their record books, how can people trust them to take care of the sick?

Popular posts from this blog

Lost in Translation: Google’s Translation of Palliative Care to ‘Do-Nothing Care’

by: Cynthia X. Pan, MD, FACP, AGSF (@Cxpan5X)

My colleagues often ask me: “Why are Chinese patients so resistant to hospice and palliative care?” “Why are they so unrealistic?” “Don’t they understand that death is part of life?” “Is it true that with Chinese patients you cannot discuss advance directives?”

As a Chinese speaking geriatrician and palliative care physician practicing in Flushing, NY, I have cared for countless Chinese patients with serious illnesses or at end of life.  Invariably, when Chinese patients or families see me, they ask me if I speak Chinese. When I reply “I do” in Mandarin, the relief and instant trust I see on their faces make my day meaningful and worthwhile.

At my hospital, the patient population is about 30% Asian, with the majority of these being Chinese. Most of these patients require language interpretation.  It becomes an interesting challenge and opportunity, as we often need to discuss advance directives, goals of care, and end of life care options…

Elderhood: Podcast with Louise Aronson

In this week's podcast we talk with Louise Aronson MD, MFA, Professor of Geriatrics at UCSF about her new book Elderhood, available for purchase now for delivery on the release date June 11th.

We are one of the first to interview Louise, as she has interviews scheduled with other lesser media outlets to follow (CBS This Morning and Fresh Air with Terry...somebody).

This book is tremendously rich, covering a history of aging/geriatrics, Louise's own journey as a geriatrician facing burnout, aging and death of family of Louise's members, insightful stories of patients, and more.

We focus therefore on the 3 main things we think our listeners and readers will be interested in.

First - why the word "Elder" and "Elderhood" when JAGS/AGS and others recently decided that the preferred terminology was "older adult"?

Second - Robert Butler coined the term ageism in 1969 - where do we see ageism in contemporary writing/thinking?  We focus on Louise's…

Psychedelics: Podcast with Ira Byock

In this week's podcast, we talk with Dr. Ira Byock, a leading palliative care physician, author, and public advocate for improving care through the end of life.

Ira Byock wrote a provocative and compelling paper in the Journal of Pain and Symptom Management titled, "Taking Psychedelics Seriously."

In this podcast we challenge Ira Byock about the use of psychedelics for patients with serious and life-limiting illness.   Guest host Josh Biddle (UCSF Palliative care fellow) asks, "Should clinicians who prescribe psychedelics try them first to understand what their patient's are going through?" The answer is "yes" -- read or listen on for more!

While you're reading, I'll just go over and lick this toad.

-@AlexSmithMD





You can also find us on Youtube!



Listen to GeriPal Podcasts on:
iTunes Google Play MusicSoundcloudStitcher
Transcript
Eric: Welcome to the GeriPal Podcast. This is Eric Widera.

Alex: This is Alex Smith.

Eric: Alex, I spy someone in our …