Tasha Zaman

AMSA End of Life Fellowship:: 

AMSA End of Life Fellowship: How Can I Implement This at My School? Tasha Zaman MSII Midwestern University- Arizona College of Osteopathic Medicine

What We Currently Have in Place : 

What We Currently Have in Place 1st and 2nd Year, End of Life Elective -Advanced Directives -Moyer Series -Legal and Ethical Issues -One Shift with a Hospice Worker -Pain Management and Dosing -Communicating Bad News -Symptoms at the End of Life *Problem: Small number of med students elect to take this course -

Currently in Place Cont.: 

Currently in Place Cont. 2nd Year, Pharmacology - One Lecture on Pain Medications *Problem: Does not include pain management and dosing 3rd and 4th year Didactics -One Lecture on Grief and Bereavement -One Lecture on Communicating Bad News *Problem: No role plays done -One Lecture on Pain Medicine Addiction Given by Addiction Medicine Physician *Problem: Deciphers between drug seeker and patient with pain, but does not emphasize importance of pain management and statistics of addiction

What Can Be Implemented: 

What Can Be Implemented 1st Years -Preceptor Program: During last quarter have small groups shadow Hospice Physician for an afternoon

1st Year Cont.: 

1st Year Cont. -ICM or Topics Course: Show 'Wit' w/ Discussion *can offer extra credit *use opportunity to promote E of L elective and lunch time lecture series

What Can Be Implemented Cont.: 

What Can Be Implemented Cont. End of Life Elective -Continue course, yet stress importance -Share my experience with course coordinator for any updates

End of Life Week: 

End of Life Week Lunch Time Lectures *in collaboration with AMSA, Spirituality in Medicine Club, and Integrative Medicine Club Mon: Picturing Your Own Death and the What is Hospice? How do these questions relate? Tues: View 'To Live Until I Die' Wed: Legal and Ethical Issues in E of L Care *includes Advanced Directives, Physician-Assisted Suicide, Withdrawing/Withholding, Nutrition and Hydration

End of Life Week: 

End of Life Week Thurs: Spiritual Care of Patient- Various Cultural Views on Death Fri: CAM in End of Life and Self-Care Both the elective and lecture series targets 1st and 2nd Year students

Back to the 1st Years: 

Back to the 1st Years Intro to Clinical Medicine -Lecture on Common Physical Symptoms at E of L Human Behavior -Lecture on Grief and Bereavement, including differences of grief and major depression

AMSA Regional Conference: 

AMSA Regional Conference Hosted in Phoenix, AZ on Oct. 28-30 Over 300 students attending Over 20 medical schools represented 7 different states Pre-medical students and medical students Include lectures/programming on Bioethics

2nd Years: 

2nd Years Clinical Class -Lecture on Communication of Bad News SPEs -add role play -give scenario of communicating bad news -tape students Communication Workshop -to help prepare for the SPEs, allow practice time, and give pointers

3rd and 4th Year: 

3rd and 4th Year Rotations -Accept Hospice Physicians as Internal Medicine Rotations -Make them Accessible! Include them in the lottery.

3rd and 4th Year Cont.: 

3rd and 4th Year Cont. Didactics -Hospice Dr. to Lecture on Hospice/Palliative Care and Its History and have a Pt w/ terminal illness in Hospice -Lecture on Pain Meds w/ Dosing Given by Hospice/Palliative Care Physician -Lecture on Advanced Directives and Role Play for Pt visits -Lecture on Cultural andamp; Spiritual Views of Death

The Goal is:: 

The Goal is: To have continuous end of life education, without being redundant. To have continuous end of life education, without being redundant. To have continuous end of life education, without being redundant. To have continuous end of life education, without being redundant.