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Enhancing End-of-Life Care Education at the University of Michigan

This project aims to improve medical students' understanding of end-of-life care through enhanced educational initiatives. Key learning outcomes include fostering comfort with discussions about death, promoting a holistic patient-centered approach, and applying medical ethics related to end-of-life issues. The program incorporates lunch lectures, curricular adaptations, volunteer opportunities, and seminars focusing on relevant topics such as advanced directives and different cultural perspectives on death. The collaboration with existing student organizations enriches the learning experience and encourages student engagement with hospice care.

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Enhancing End-of-Life Care Education at the University of Michigan

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  1. End-of-Life ProjectUniversity of Michigan Jason Cheng With special thanks to Vitas

  2. Intended Learning Outcomes • Becoming more comfortable with death • Valuing a holistic approach to patients • Applying medical ethics to the end of life • Knowing how “the system” effects care

  3. Project Components • Lunch lectures • Curricular changes • Volunteer opportunities • Student Group

  4. Lunch lectures • Co-sponsored by existing student organizations • Various subjects • Student audience changes  more exposure

  5. Schiavo Case • AMA / AMSA Ethics task force • History of the case • Intersection between politics, law, and medicine • What went wrong?

  6. Advanced Directives • American Geriatrics Society • Advice from Vitas General Counsel • DNR • Living Will (Five Wishes) • PoA

  7. Pediatric Palliative Care • Pediatrics Interest Group • Children’s Perceptions of death • Common illnesses • Family Acceptance

  8. Cultural Issues • Asian • Black • Jewish • Latin American • Middle Eastern • Muslim • LGBT?

  9. Career Seminar Series • Mention hospice care in one or more of these existing presentations: • Geriatrics • Oncology • Family Medicine

  10. Other Potential Collaborators? • Family Medicine Interest Group • Integrative Medicine • Victor Vaughan Society (History / Lit) • History of euthanasia • Changing concepts of death

  11. Curricular Changes • Longitudinal Cases • SPI • Lectures • Clinical Foundations in Medicine • Third-year seminar

  12. Review and DevelopLongitudinal Cases • Breast Cancer • Dementia • New one mentioning Schiavo

  13. Review SPI • Standard Patient Instructor • Breaking Bad News

  14. Add Medical Science Lectures in M2 Year • Physiology of Death and Dying • Pain Management • Symptom Management

  15. Develop New 3rd-year Seminar • Existing Series • Ideas: • Hospice Care Team Panel • Case Studies • Medical lectures (if not done in M2 year)

  16. Review “Clinical Foundations in Medicine” Curriculum • Film about withdrawing life support • Discussion afterwards

  17. M2 CFM Elective • 6 hours • Death Awareness Exercise • Film Screening, eg, To Live Until I Die • What is hospice? • How holistic helps • Practical stuff (avoid suits, getting paid) • Ethics

  18. Volunteer Locations • Academic • VA hospital • (New) Palliative Care Consult Service • Community • Arbor Hospice • Hospice of Michigan

  19. Volunteer Possibilities • Hospice Volunteering • Shadowing • Death Call • Reminiscence • Bereavement Group

  20. Formal Student Group? • Longevity • But perhaps less collaborative funding • Division of AGS • Division of AMSA • Separate Interest Group

  21. Very Tentative Budget • Lunch lectures • Assuming $150 for pizza • Half covered by collaborative groups: $75 • Four lectures * $75 = $300 • Rest can go to video or any educational materials to be passed out

  22. Questions?

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