Palliative Care/Pain Management Training Programs



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Palliative Care/Pain Management Training Programs Distributed by the CITY OF HOPE PAIN/PALLIATIVE CARE RESOURCE CENTER 1998

Role Modeling Programs* Role modeling is a method used to change practice behavior and often is applied to improving pain management practice. Examples of role modeling programs include preceptorships (also called observerships and internships), fellowships, and pain resource nurse (PRN) programs. Nurses just starting in the pain management, as well as nurses who have specialized in pain management for a number of years, can benefit from attending these programs. Preceptorships provide an opportunity for nurses, physicians, and/or pharmacists to spend a few days to weeks learning pain management as an apprentice with an expert group of clinicians. This experience provides attendees with an opportunity to observe a pain service or pain team in action. Most programs include time for formal lectures, patient rounds and interaction, observation of procedures, contact with department and disciplines involved in the delivery of pain management services (e.g., pharmacy, central processing, billing), and group discussion and problem solving. One of the most innovative strategies to improve pain management is the development of a pain resource nurse (PRN) program. Many PRN programs are modeled after the original program developed at the City of Hope National Medical Center in Duarte, CA. The purpose of a PRN program is to train a group of decentralized staff nurses to function as pain management experts for other staff members. Other responsibilities of the PRN include serving as a role model, providing pain management education and consultation, and acting as a change agent within the institution. Some of the institutions that provide opportunities to attend a preceptorship, fellowship, or PRN program are listed below. This list is by no means inclusive. City of Hope National Medical Center 1500 East Duarte Rd. Duarte, CA 91010-3012 (626) 359-8111 X62825; contact person: Betty Ferrell, RN, PhD, FAAN Nursing Research and Education. City of Hope offers a number of other pain education opportunities, including programs for selected clinical nurse specialists, educators, and quality assurance coordinators, and a course on patient education. Joan Blais, MPA Program Manager for the West Coast Center for Palliative Education, University of California, Davis Medical Center 1771 Stockton Boulevard, Suite 2002 Sacramento, CA 95816 (916) 734-2187 Educational and research efforts for providing care at the end of life. Mayo St. Luke s Hospital Anesthesia Department and Training and Education Department 4201 Belfort Road Jacksonville, FL 32224 (904) 296-3712 or (904) 953-8807 Prepares nurse participants to be PRNs in their own institutions Internship/Preceptorships Mercy Hospital Medical Center Pain Management Services 400 University Ave. Des Moines, IA 50314-1101 (515) 247-3172 or (515) 247-3239

Comprehensive program focusing on acute, chronic nonmalignant, and cancer pain; targeted for nurses, but pharmacists and physicians also may attend

Program Director, Charles Von Gunten, MD, PhD Hospice/Palliative Medicine Program Northwestern University Medical School 303 East Chicago Avenue Chicago, IL 60611 (312) 908-1640, FAX: (312) 908-4070 Northwestern University s Roxane Visiting Scholars in Hospice/Palliative medicine program emphasizes hospice care and palliative care medicine for cancer and AIDS patients Nursing Internship Schumpert Medical Center One St. Mary Place Shreveport, LA 71101 (318) 681-4802 2-4 day internships targeted for nurses responsible for improving pain in the hospital setting. Clinical and didactic content focusing primarily on acute pain management: how to establish an acute pain team or service, how to develop a PRN program, as well as opportunities to interface with pain service staff, pharmacy, PRN nurses and bedside nursing staff, and patients. Preceptorships Beth Israel Hospital 330 Brookline Ave. Boston, MA 02215 (617) 667-8000, contact person: Kathy Horvath Preceptorship is arranged upon individual request; acute, chronic nonmalignant, and/or cancer pain content tailored to meet participant s needs; nurses, pharmacists, and physicians may attend. Program Director, Dir. Justin McArthur, MB, BS, MPH Department of Neurology Johns Hopkins University 600 Wolfe Street Meyer 6-109 Baltimore, MD 21205 (410) 955-3730 Roxane HIV-Nerve Pain Management Program at the Johns Hopkins University School of Medicine offers physicians, nurses, and pharmacists training to treat and manage HIV-related peripheral nerve pain. Russell K. Portenoy, MD, Chairman Department of Pain Medicine and Palliative Care Beth Israel Medical Center First Avenue at 16 th Street New York, NY 10003 (212) 844-1472, FAX: (212) 844-1464 Fellows will participate in clinical investigations and educational initiatives developed through the Department s Institute for Education and Research in Pain and Palliative Care. Nurse Fellowship in Pain and Palliative Care Memorial Sloan-Kettering Cancer Center Pain and Palliative Care Service Department of Neurology 1275 York Avenue New York, NY 10021 (212) 639-7918, FAX: (212) 717-3081

To request an application, contact: Nessa Coyle, RN, MS at above address. One-year internship in cancer pain management and palliative care for master s prepared nurses.

Network Project Memorial Sloan-Kettering Cancer Center Box 421, 1275 York Avenue New York, NY 10021 (212) 583-3042, FAX: (212) 230-1953 To request application, contact: Noelle Wootten, Network Prject coordinator at above address. Two week observership in cancer pain management, psychosocial oncology, and cancer rehabilitation for health care professionals from any discipline. Participants are selected based on their potential to educate and train others within their own institution and community. Clinical Fellowship Memorial Sloan-Kettering Cancer Center Pain & Palliative Care Service Department of Neurology 1275 York Avenue, Box 52 New York, NY 10021 FAX: (212) 717-3081 For further information, contact: Dr. Kathleen Foley, Chief at above address. Seeking Board-eligible/Boardcertified physicians for pain and palliative care fellowship. This is a one or two year position, which offers comprehensive training in pain management and palliative care. Will participate in clinical investigations of neurooncologic pain syndromes, the pharmacology of opioid analgesics and quality of life. Program Director, Costantino Benedetti, MD Arthur G. James Cancer Hospital 410 West 10 th Avenue Columbus, OH 43210 (614) 293-6040 Roxane Scholarship Program in Pain and Symptom Control at the Arthur G. James Cancer Hospital and Research Institute at the Ohio State University. Program Director, T. Declan Walsh, MD Director of Palliative Care Services The Cleveland Clinic Foundation 9500 Euclid Avenue Cleveland, OH 44195 (216) 444-7793, FAX: (216) 444-9464 Roxane Visiting Scholars Program at The Cleveland Clinic Foundation was initiated in 1993 by T. Declan Walsh, MD, Director of the Palliative Care Program at The Cleveland Clinic Foundation Preceptorships Fox Chase Cancer Center 7701 Burholme Avenue Philadelphia, PA 19111 (215) 728-3009, contact person: Karen Davis Preceptorship is arranged upon individual request; cancer pain content tailored to meet participant s needs; time is spent with the entire health care team in both the inpatient and outpatient settings, nurses, pharmacists, and physicians may attend. Janet Abrahm, MD Hematology/Oncology University of Pennsylvania Cancer Center 515 Maloney, HUP 3400 Spruce Street

Philadelphia, PA 19104 (215) 662-4137, FAX: (215) 662-4646 Individualized program designed to quality fellows to assume a clinical/educational position in palliative care.

Suresh Reddy, MD Fellowship Coordinator Division of Anesthesiology MD Anderson Cancer Center 1515 Holcombe Blvd. Houston, TX 77030 (713) 794-5362, FAX: (713) 794-4590 Experiential learning at bedside; clinical rounds; journal club; case-based small group discussions; lectures Edith Bautista, MD Department of Anesthesiology University of Utah School of Medicine 50 North Medical Drive Salt Lake City, UT 84132 (801) 581-3622, FAX: (801) 581-4367 Fellowship is accredited by CARF (Committee for the Accreditation of Rehabilitation Facilities). Palliative Care Nurse Preceptorship Program Medical College of Wisconsin 9200 W. Wisconsin Ave. Milwaukee, WI 53226 (414) 257-6117 Three-day clinical and didactic program focuses on pain and symptom management at end of life. *Listing adapted from ASPMN Pathways Spring 1998 Issue Developed by Chris Pasero, BSN, RN, and Deb Gordon, MS, RN