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Physical Symptom Management

An understanding of the pathophysiology and treatment of symptoms in patients with life-limiting illness is essential for HPM physicians. Principles of pain and non-pain symptom management are incorporated in multiple didactic sessions and reinforced in almost everyday clinical experience. Throughout the year, fellows learn to provide comprehensive pain and non-pain assessment and management for patients with serious illness (EPA 1 & 2), manage palliative care emergencies (EPA 3), and care for imminently dying pateints and their families. 

Pills on Spoons

Didactics

  • Palliative Care Emergencies in Oncology Patients

  • “And what else?” Discussions with a Master Clinician 

  • Opioid Prescribing: Selection of Opioids and Management of Side Effects 

  • Management of a Pain Crisis and Opioid Overdose

  • Pain Assessment and Inferred Pathophysiology

  • Methadone 

  • Constipation and Bowel Obstruction 

  • Fatigue and Sleep Disturbances

  • Nausea and Vomiting

  • Oncology Pearls

  • Delirium

  • Advanced/Interventional Pain Management

  • Syndrome of Imminent Death

  • Palliative Radiation

  • Medical Marijuana

Experiential Learning

  • Inpatient consultation service (MGH, BWH/DFCI)

  • Outpatient clinic (MGH, DFCI)

  • IPCU (BWH)

  • Hospice Rotation IDT

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