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One of Our Own Selected as Scholar for Emerging Leaders in Aging Program

Dr. Kelly Trevino, Assistant Professor of Psychology in Medicine with Weill Cornell Medicine, has been selected as a Scholar for the second cohort of the Tideswell at UCSF, American Geriatrics Society (AGS), and the Association of Directors of Geriatric Academic Programs (ADGAP) Emerging Leaders in Aging Program for 2016-2017. The Emerging Leaders in Aging Program—supported with funding from the S.D. Bechtel, Jr.

Weill Cornell Dept of Medicine Recognizes Two EOL Center Employees

The Results, Rewards and Recognition Committee (R3) of the Weill Department of Medicine completed its bimonthly review. The Super Star winners from the Center for Research on End of Life Care were Simon Cohen, Research Assistant, and Renee Maciejewski, Research Biostatistician.

The Gold Standard for Current Cancer Treatment

Klepper's perspective:

"Elaine and I talked about this. Given the chance to do it over, would she have gone through 3 lines of “gold standard” chemotherapy again, with their profound impacts and the remote chances of success? The tradeoffs between hope and quality of life were simply too great. Her answer was an unequivocal no."

Read more here as Dr. Klepper discusses his perspective on what has been touted as the "gold standard" regarding cancer treatments.

Too Many Advanced Cancer Patients Lack Basic Understanding About Their Disease

Only 5% of Terminally Ill Advanced Cancer Patients Fully Understood Prognosis

Only a small consortium of advanced cancer patients were able to show that they could identify and fully understand their prognosis according to a study led by faculty members from Memorial Sloan Kettering and Weill Cornell Medicine, which aimed to uncover the influence of prognostic discussions on the accuracy of illness understanding.

The Weill Cornell Training T32 Program in Behavioral Geriatrics

The Weill Cornell Training T32 Program in Behavioral Geriatrics, led by Cary Reid MD, PhD and Holly Prigerson, PhD, will accept both MD and PhD postdoctoral trainees who seek careers that bridge biomedical and innovative social/behavioral approaches to improve care and outcomes in older adults. The goal of the program is for trainees to become independent investigators capable of conducting patient oriented research to improve the care and quality of life of older adults.

Mentee Jason Lambden MSTAR Program Acceptance

Jason Lambden M.D. Candidate | Class of 2019

"Physician and Registered Nurse Moral and Psychological Distress in Treatment of Terminally Ill Patients"

Weill Cornell Medical College: Continuing Medical Education

Join the CME in its presentation of esteemed guest Dr. Elizabeth Dzeng, MD, MPH, MS, MPhil Assistant Clinical Professor of Hospital Medicine from the University of California, San Francisco as she talks about The Influence of Hospital Culture and Policies on Do-Not-Resuscitate Decision-Making at the End of Life

This talk will occur on Thursday, April 21st, 2016 from 12:00-1:00pm at Weill Cornell Medicine's Belfer Research Building, Room 302 C/D.

Italian PG-13 Conference

The work of Drs. Holly Prigerson and Paul Maciejewski has contributed to the better understanding of a newly defined mental illness termed Prolonged Grief Disorder, assessed using the PG-13 scale. This mental disorder is a specific reaction to the loss of someone loved very much. However, it differentiates itself from similar mental illnesses as it has a specific set of symptoms - feelings, thoughts, actions - that must be elevated for at least 6 months and that must be associated with significant functional impairment in order for a person to meet criteria for PGD.

 

Dr. Holly Prigerson Wins 2015 Outstanding Investigator Award

Dr. Holly Prigerson, co-director of the Center for Research and End-of-Life Care and the Irving Sherwood Wright Professor in Geriatrics at Weill Cornell Medicine, has won a 2015 Outstanding Investigator Award from the National Cancer Institute.

 

The prize is given annually to investigators with a history of outstanding cancer research. It will provide Dr. Prigerson with up to $600,000 in direct research-related costs a year for seven years. The National Cancer Institute expects her to devote at least 50 percent of her research activities to the award.

 

"What If Chemo Doesn't Help You Live Longer or Better?"

NPR's Richard Harris also discusses Dr. Prigerson et al.'s latest publication on the detrimental effects of palliative chemotherapy in advanced cancer patients. 

http://www.npr.org/2015/07/23/425654509/what-if-chemo-doesnt-help-you-li...

"Benefit of End-Stage Chemotherapy is Questioned"

Pam Belluck of NYTimes discusses Dr. Prigerson et al.'s newest publication on the detrimental effects of palliative chemotherapy in advanced cancer patients.

http://www.nytimes.com/2015/07/24/health/chemotherapy-may-worsen-end-of-...

Editorial: Chemotherapy Near the End of Life - First-and Third and Fourth (Line)-Do No Harm

In response to Drs. Prigerson and Shah's latest publication on palliative chemotherapy, Drs. Blanke and Fromme further examine the detrimental role of chemotherapy near the end of life.  

cic150024.pdf

Chemotherapy Use, Performance Status, and Quality of Life Near Death

Drs. Prigerson, Shah, Maciejewski, Bao, Paulk, Berlin et al. evaluate the association between chemotherapy use and quality of life near death (quality of death) as a function of patients' performance status. 

Published 7/23/15

coi150045.proof_.final_.pdf

NYTimes: Medicare Proposes Paying Doctors for End-of-Life Counseling

Amidst pressure from patients, families, and healthcare providers, Medicare is proposing to reimburse doctors for having conversations with patients about whether and how they would want to be kept alive if they became too sick to speak for themselves. 

http://www.nytimes.com/2015/07/09/health/medicare-proposes-paying-doctor...

Quotation from "Nora Webster"

A painless present - 

“Nora found herself wondering if there was somewhere she could go…where no one could visit them and they could be alone there, all three of them. And then she found her mind moving towards the next thought…that the possibility of such a place, such a house, would include the idea that what had happened could be erased, that the burden that was on her now could be lifted, that the past could be restored and could make its way effortlessly into a painless present”

The lasting impact of therapeutic alliance: Patient-oncologist alliance as a predictor of caregiver bereavement adjustment

Drs. Kelly Trevino, Paul Maciejewski, Andrew Epstein, and Holly Prigerson examine the impact of a strong patient-oncologist relationship in benefiting not only the patient, but also his/her caregiver, which may extend into the bereavement period. 

http://www.ncbi.nlm.nih.gov/pubmed/26042653

Call for Applications: 2016 CEDARTREE Delirium Boot Camp November 6-8, 2016

We invite you to apply for the highly-rated Center for Excellence for Delirium in Aging: Research, Training, and Educational Enhancement's (CEDARTREE)  4th annual three-day intensive course in delirium research. Attendees will learn about important topics in delirium research and network with colleagues and world experts in delirium and related fields. The sessions are interactive and tailored to the participant's interests.

Application Deadlines

Why Do Home Hospice Patients Return to the Hospital? A Study of Hospice Provider Perspectives

Background: Hospice provides an opportunity for patients to receive care at home at the end of life (EOL); however, approximately 25% of patients who disenroll from hospice are hospitalized. Hospitalization can lead to poor care transitions and result in unwarranted care and adverse patient outcomes. Research examining reasons for hospitalization in this patient population is limited.

Objective: The objective was to understand the reasons for hospitalization among home hospice patients through the perspectives of hospice interdisciplinary team (IDT) members.

Medicine Grand Rounds

Join the conversation as we listen to esteemed speaker, Dr. Elie Azoulay, and evaluate the importance of what family members of ICU patients have to say. It should be an enlightening and thought provoking Grand Rounds! 

8:00am - 9:00am 

Uris Auditorium

Toward evidence-based end-of-life care

Toward evidence-based end-of-life care

NEW ENGLAND JOURNAL OF MEDICINE | Online – 14 October 2015 –The disquieting patterns of endof-

life care in the U.S. have been well documented. In the last month of life, one in two Medicare beneficiaries

visits an emergency department, one in three is admitted to an intensive care unit, and one in five

has inpatient surgery. But one of the most sobering facts is that no current policy or practice designed to

Latino Research Workshop at New York Academy of Medicine (NYAM)

The New York Academy of Medicine will be hosting a roundtable research workshop for early career investigators, junior faculty, and mid-career investigators on Thursday, October 29th, 2015 at 1216 Fifth Avenue, NY, NY (103rd St). You may register for this event at http://www.nyam.org/events/2015/2015-10-29-1.html

Please see the attached flier for more information:

Mental Health Services for Parents Who Lost a Child to Cancer: If We Build Them, Will They Come?

Dr. Wendy Lichenthal, our affiliate at Memorial Sloan Kettering Cancer Center, examines bereavement mental health service use, barriers to use, and factors associated with use in parents bereaved by cancer.

Her paper was published on 6/1/2015 in the Journal of Clinical Oncology. 

http://jco.ascopubs.org/content/early/2015/06/01/JCO.2014.59.0406.short?...

The Antidepressant Effect of Hospice

In their new commentary in JAMA Internal Medicine, Drs. Holly Prigerson and Kelly Trevino discuss the potentially therapeutic role of hospice in decreasing the incidence caregiver depression following the death of a terminally ill spouse. iic150023_final.pdf

NINR Workshop: "The Spectrum of Caregiving and Palliative Care in Rare Diseases"

The workshop "The Spectrum of Caregiving and Palliative Care in Rare Diseases", co-sponsored by the National Institute of Nursing Research (NINR) and the National Institutes of Health (NIH) Office of Rare Diseases Research (ORDR), will be held on June 9, 2015 from 8:30am to 4:30pm at the NIH Natcher Conference Center in Bethesda, MD. 

NCI/NINR Sponsored Meeting in Informal Cancer Caregiving

If interested in learning more, please send us an email at EOLresearch@med.cornell.edu.

"Caring for Caregivers and Patients: Revisiting the Research and Clinical Priorities for Informal Cancer Caregiving"

Planning Co-Chairs:

Erin Kent, NCI

Karen Huss, National Institute of Nursing Research

Julia Rowland, NCI

Purpose

Columbia Grand Rounds - Psychosocial Influences on Patient Outcomes

In Dr. Prigerson’s recent Grand Rounds talk at Columbia University, she discussed the influence of psychosocial factors such as interpersonal communication and therapeutic bonds between physicians, patients and family members, religious coping, acculturation, gender, race/ethnicity, and psychological adjustment on end-of-life outcomes. She presented some of the Center’s research that examines the quality of care and quality of life of patients at the end-of-life.