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An understanding of the principles and practices of clinical bioethics is essential to HPM Practice. Principles of clinical bioethics are incorporated into many of the activities of a hospice and palliative medicine physician including the roles of preventing and mediating conflict and distress over complex medical decisions (EPA 7), managing withdrawal of advanced life-sustaining therapies (EPA 8), and addressing requests for hastened death (EPA 10). Ethic principles and practices are incorporated broadly into the curricular didactics and experiential learning. 



  • Ethics Cases

  • Optimum Use of Life-Sustaining Treatment

  • Physician Aid in Dying

  • Palliative Sedation

Experiential Learning

  • Inpatient consultation service (MGH, DFCI/BWH)

  • IPCU (BWH)

  • Outpatient clinic (MGH, DFCI)

  • Hospice rotation and GIP Hospice

  • IDT

  • Harvard Medical School Center for Palliative Care Monthly Clinical Case Conference

  • Communication Rounds (MGH)

  • Block Rounds (DFCI/BWH)

  • Psychiatric Supervision (MGH)

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