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

The Future of Palliative Care: A Podcast with Diane Meier

There are few names more closely associated with palliative care than Diane Meier.  She is an international leader of palliative care, a MacArthur "genius" awardee, and amongst many other leadership roles, the CEO of the Center to Advance Palliative Care (CAPC).  We were lucky enough to snag Diane for our podcast to talk about everything we always wanted to ask her, including:
What keeps her up at night?Does palliative care need a national strategy and if so why and what would it look like?The history of CAPC and the leadership centersAdvice that she has for graduating fellows who want to continue to move palliative care forward as they start their new careersWhat she imagines palliative care will look like in 10 or 15 years?What is the biggest threat facing palliative care? So take a listen and if you want to dive a little deeper, here are two articles that we discussed during the podcast:
A National Strategy For Palliative Care. Health Affairs 2017Palliative Care Leadership…

Advance Care Planning before Major Surgery: A Podcast with Vicky Tang

This week's podcast is all about the intersection of geriatrics, palliative care, advanced care planning and surgery with our guest Dr. Vicky Tang.  Vicky is an assistant professor and researcher here at UCSF.  We talk about her local and national efforts focused on this intersection, including:
Her JAMA Surgery article that showed 3 out of 4 older adults undergoing high risk surgery had no advance care planning (ACP) documentation. Prehab clinics and how ACP fits into these clinicsThe Geriatric Surgery Verification Quality Improvement Program whose goal is to set the standards for geriatric surgical care including ACP discussions prior to surgeryHow frailty fits in and how to assess it (including this paper from JAGS on the value of the chair raise test) So take a listen and check out some of those links.  For those who want to take a deeper dive into how GeriPal and surgery fit together, check out these other podcasts: Zara Cooper on Trauma Surgery, Geriatrics, and Palliative Car…

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…