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Issues in Palliative Care Research$
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Russell K. Portenoy and Eduardo Bruera

Print publication date: 2003

Print ISBN-13: 9780195130652

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780195130652.001.0001

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Changing Palliative Care Practice in Academic Medical Centers

Changing Palliative Care Practice in Academic Medical Centers

(p.309) 20 Changing Palliative Care Practice in Academic Medical Centers
Issues in Palliative Care Research

Russell K. Portenoy

Eduardo Bruera

Oxford University Press

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

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