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Promoting Specialty Diversity in Hospice and Palliative Medicine: A Call to Action

  • Natasha Coleman
    Affiliations
    Department of Surgery (N.C., L.S.), Columbia University Irving Medical Center, New York, New York, USA

    Division of Gynecologic Oncology (N.C.), Department of Obstetrics and Gynecology, University of Kansas Cancer Center
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  • Lori Spoozak
    Affiliations
    Department of Surgery (N.C., L.S.), Columbia University Irving Medical Center, New York, New York, USA

    Palliative Medicine Division (L.S.), Department of Internal Medicine, University of Kansas School of Medicine, Kansas City, Kansas, USA
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  • Susan D. McCammon
    Affiliations
    Pat and Jean Sullivan Comprehensive Head and Neck Cancer Survivorship Clinic (S.D.M.), Head and Neck Surgical Oncology and Microvascular Reconstruction Fellowship, UAB Clinical Ethics Program, The University of Alabama at Birmingham, Birmingham, Alabama, USA
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  • Zara Cooper
    Affiliations
    Harvard Medical Scool (Z.C.), Kessler Director Center for Surgery and Public Health Brigham and Women's Hospital, Boston, Massachusetts, USA
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  • Tracey Arnell
    Affiliations
    Division of General Surgery (T.A.), Department of Surgery, Columbia University Irving Medical Center, New York, New York, USA
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  • Ana Berlin
    Correspondence
    Address correspondence to: Ana Berlin, MD, MPH, FACS, FAAHPM, Columbia University Irving Medical Center, Department of Surgery, 177 Fort Washington Avenue, Milstein Hospital Building, 7 South Knuckle 014, New York, NY 10032, USA.
    Affiliations
    Division of General Surgery (A.B.), Department of Surgery and Division of Palliative Care, Department of Medicine, Columbia University Irving Medical Center, New York, New York, USA
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Published:January 09, 2023DOI:https://doi.org/10.1016/j.jpainsymman.2022.11.011
Promoting Specialty Diversity in Hospice and Palliative Medicine: A Call to Action
Previous ArticlePreliminary Validation of the Injustice Experience Questionnaire in Patients With Advanced Cancer
Next ArticleHome-Based Specialized Pediatric Palliative Care: A Systematic Review and Meta-Analysis
      The Covid-19 pandemic amplified not only the well-established gap between the supply of the palliative care workforce and the demand for palliative care services across a wide range of specialties, but also the importance of diversity in rising to the challenges of our time.
      • Kamal AH
      • Bull JH
      • Swetz KM
      • Wolf SP
      • Shanafelt TD
      • Myers ER.
      Future of the palliative care workforce: preview to an Impending Crisis.
      Am J Med. 2017; 130: 113-114
      , 
      • Kamal AH
      • Wolf SP
      • Troy J
      • et al.
      Policy changes key to promoting sustainability and growth of the specialty palliative care workforce.
      Health Aff (Millwood). 2019; 38: 910-918
      , 
      • Cooper Z
      • Bernacki RE.
      To face coronavirus disease 2019, surgeons must embrace palliative care.
      JAMA Surg. 2020; 155: 681-682
      , 
      • Shalev D
      • Nakagawa S
      • Stroeh OM
      • et al.
      The creation of a psychiatry-palliative care liaison team: using psychiatrists to extend palliative care delivery and access during the COVID-19 crisis.
      J Pain Symptom Manage. 2020; 60: e12-e16
      , 
      • Dundin A
      • Siegert C
      • Miller D
      • et al.
      A pivot to palliative: an interdisciplinary program development in preparation for a coronavirus patient surge in the Emergency Department.
      J Emerg Nurs. 2020; (S0099-1767(20)30286-5)
      , 
      Diversity
      Equity & Inclusion Strategic Plan.
      American Academy of Hospice and Palliative Medicine, 2022
      http://aahpm.org/uploads/Final_Revised_D__I_Strategic_Plan_Approved_3_13_19.pdf
      The pool of physicians represented under the 10-member multispecialty board recognizing Hospice and Palliative Medicine (HPM) is critical for filling this workforce gap and for bridging specialty palliative care and the parent specialties. Surgeons, anesthesiologists, psychiatrists, emergency medicine physicians, and others outside the field of internal medicine (IM) are critical emissaries both to and for palliative care. These clinicians, educators, and researchers promote primary palliative care education in their parent specialties, foster acceptance and receptivity to palliative care interventions among their primary specialty colleagues, and build the programs and evidence base that ensure patient access to palliative care across the full spectrum of serious illness. They also bring diverse knowledge, skills, perspectives, and experiences to HPM, informing and shaping the field and augmenting its capacity to serve the needs of a broad range of patients and families.
      • Bassette E
      • Salyer C
      • McCammon S
      • Veazey Brooks J
      • Spoozak L
      Value of hospice and palliative medicine fellowship after surgical training: bridging the gap for improved patient care.
      Am J Hosp Palliat Care. 2022; (Epub ahead of print)10499091221128966https://doi.org/10.1177/10499091221128966
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      References

        • Kamal AH
        • Bull JH
        • Swetz KM
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        Future of the palliative care workforce: preview to an Impending Crisis.
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        View in Article
        • Kamal AH
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        View in Article
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        To face coronavirus disease 2019, surgeons must embrace palliative care.
        JAMA Surg. 2020; 155: 681-682
        View in Article
        • Shalev D
        • Nakagawa S
        • Stroeh OM
        • et al.
        The creation of a psychiatry-palliative care liaison team: using psychiatrists to extend palliative care delivery and access during the COVID-19 crisis.
        J Pain Symptom Manage. 2020; 60: e12-e16
        View in Article
        • Dundin A
        • Siegert C
        • Miller D
        • et al.
        A pivot to palliative: an interdisciplinary program development in preparation for a coronavirus patient surge in the Emergency Department.
        J Emerg Nurs. 2020; (S0099-1767(20)30286-5)
        View in Article
        • Diversity
        Equity & Inclusion Strategic Plan.
        American Academy of Hospice and Palliative Medicine, 2022
        http://aahpm.org/uploads/Final_Revised_D__I_Strategic_Plan_Approved_3_13_19.pdf
        (Accessed 21 October)
        View in Article
        • Bassette E
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        • Veazey Brooks J
        • Spoozak L
        Value of hospice and palliative medicine fellowship after surgical training: bridging the gap for improved patient care.
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        View in Article

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        • Bassette E
        • Salyer C
        • McCammon S
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        • Spoozak L.
        Hospice and palliative medicine fellowship after surgical training: a roadmap to the future of surgical palliative care.
        J Surg Educ. 2022; 79 (Epub 2022 Jun 3. Erratum in: J Surg Educ. 2022 Oct 8): 1177-1187https://doi.org/10.1016/j.jsurg.2022.05.005
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      Article info

      Publication history

      Published online: January 09, 2023
      Accepted: November 11, 2022

      Publication stage

      In Press Journal Pre-Proof

      Identification

      DOI: https://doi.org/10.1016/j.jpainsymman.2022.11.011

      Copyright

      © 2022 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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