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Susan D. Block, MD


Psychiatry

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Susan D. Block, MD

Physician

  • Institute Physician
  • Professor of Psychiatry and Medicine, Harvard Medical School

Clinical Interests

  • Adult psychosocial oncology
  • End-of-life care
  • Palliative medicine
  • Psychiatry
  • Symptom management

Contact Information

  • Appointments617-632-6179
  • Office Phone Number617-632-6179
  • Fax617-632-6136

Bio

Susan D. Block, M.D is an Institute Physician in the Department of Psychosocial Oncology and Palliative Care at Dana-Farber and Brigham and Womens Hospital and Co-Director of the Harvard Medical School Center for Palliative Care, a national center of excellence in palliative care education. Dr. Block received her AB from Stanford University, her MD from Case Western Reserve University School of Medicine, and completed residencies in both internal medicine and psychiatry at Beth Israel Hospital in Boston. She is board-certified in both fields and in palliative medicine. Throughout her career, Dr. Block has had a strong interest in improving care of patients with life-threatening illness and in medical education reform. She has been a leader in the development of the field of Palliative Medicine nationally and has been responsible for the development of innovative educational programs for medical students, residents, fellows, and faculty. She runs national and international faculty development programs for palliative care clinicians, is active in research focused on mental health, communication, and cancer outcomes, and on medical education, serves on the Board of Directors of the American Academy of Hospice and Palliative Medicine, is the recipient of numerous awards for teaching, mentoring, and research, and has led the development of palliative care and psycho oncology services at DFCI and BWH.

Board Certification:

  • Hospice and Palliative Medicine
  • Internal Medicine
  • Psychiatry and Neurology

Residency:

  • Beth Israel Hospital, Internal Medicine
  • Beth Israel Hospital, Psychiatry

Medical School:

  • Case Western Reserve University School of Medicine

Recent Awards:

  • Jack Maatsch-Association of American Medical Colleges Award for research in medical education 2002
  • American Academy of Hospice and Palliative Medicine Distinguished Service Award 2002
  • Association for Academic Psychiatry, Outstanding Psychiatric Educator Award 1998
  • American College of Psychiatrists "Creativity in Psychiatric Education" 1997
  • HMS Student Teaching Award (Social Medicine) 2004 Project on Death in America Palliative Medicine Leadership Award 2006

Research

Psychosocial Oncology and Palliative Care

Many deficiencies have been noted in end-of-life care. Medical education and postgraduate training offer few opportunities for physicians to learn how to care for patients with advanced illness. However, through understanding the status of palliative care education, physicians' attitudes and practices in relation to end-of-life care, and their experiences in caring for patients who die, we can develop new ways to improve physician education and patient care. To that end, we are conducting the following studies:Physicians' emotional reactions to their patients' deaths. In this study, we are using both qualitative and quantitative methods to explore the experiences of medical students, interns, residents, and attending physicians who are caring for dying patients.Program in Palliative Care Education and Practice Outcome Evaluation. We are conducting an intensive long-term evaluation of the impact of a two-week faculty development program on physicians' competencies in palliative care, education, and organizational change.Through the Center for Psychooncology and Palliative Care Research, we are also developing a series of studies focused on mental health issues at the end of life, caregivers of dying patients, and the bereaved, as well as the impact of physician factors (e.g., beliefs, knowledge, attitudes) on the quality and outcomes of care at the end of life. Finally, we are developing and validating performance-assessment measures for specialist training in palliative care.

Exploring the Psychological Aspects of Palliative Care: Lessons Learned from an Interdisciplinary Seminar of Experts. J Palliat Med. 2021 09; 24(9):1274-1279.
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Impact of cancer on school, work, and financial independence among adolescents and young adults. Cancer. 2020 10 01; 126(19):4400-4406.
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Measuring Goal-Concordant Care: Results and Reflections From Secondary Analysis of a Trial to Improve Serious Illness Communication. J Pain Symptom Manage. 2020 11; 60(5):889-897.e2.
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Adherence and Concordance between Serious Illness Care Planning Conversations and Oncology Clinician Documentation among Patients with Advanced Cancer. J Palliat Med. 2021 01; 24(1):53-62.
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Feasibility of a Brief Intervention to Facilitate Advance Care Planning Conversations for Patients with Life-Limiting Illness in the Emergency Department. J Palliat Med. 2021 01; 24(1):31-39.
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Tracheostomy in the COVID-19 era: global and multidisciplinary guidance. Lancet Respir Med. 2020 07; 8(7):717-725.
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A systematic intervention to improve serious illness communication in primary care: Effect on expenses at the end of life. Healthc (Amst). 2020 Jun; 8(2):100431.
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Early information needs of adolescents and young adults about late effects of cancer treatment. Cancer. 2020 07 15; 126(14):3281-3288.
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Oncologists' Communication and Decision-Making Behaviors Affect Perceptions of Sensitive Information Exchange for Adolescent and Young Adult Patients. J Palliat Med. 2020 03; 23(3):310-311.
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Communication Regarding Therapeutic Clinical Trial Enrollment Between Oncologists and Adolescents and Young Adults with Cancer. J Adolesc Young Adult Oncol. 2020 10; 9(5):608-612.
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Insights from Bereaved Family Members about End-of-Life Care and Bereavement. J Palliat Med. 2020 08; 23(8):1030-1037.
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A standardized approach to bereavement risk-screening: a quality improvement project. J Psychosoc Oncol. 2020 Jul-Aug; 38(4):406-417.
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Peace of mind among adolescents and young adults with cancer. Psychooncology. 2020 03; 29(3):572-578.
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On Death & Dying: Revisiting the Roots of Palliative Care and a Path Forward. Am J Bioeth. 2019 Dec; 19(12):51-54.
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Quality Measurement of Serious Illness Communication: Recommendations for Health Systems Based on Findings from a Symposium of National Experts. J Palliat Med. 2020 01; 23(1):13-21.
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Longitudinal prognostic communication needs of adolescents and young adults with cancer. Cancer. 2020 01 15; 126(2):400-407.
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Association of Emergency Clinicians' Assessment of Mortality Risk With Actual 1-Month Mortality Among Older Adults Admitted to the Hospital. JAMA Netw Open. 2019 09 04; 2(9):e1911139.
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Things that matter: Adolescent and young adult patients' priorities during cancer care. Pediatr Blood Cancer. 2019 09; 66(9):e27883.
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Prioritizing Primary Care Patients for a Communication Intervention Using the "Surprise Question": a Prospective Cohort Study. J Gen Intern Med. 2019 08; 34(8):1467-1474.
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Evaluating an Intervention to Improve Communication Between Oncology Clinicians and Patients With Life-Limiting Cancer: A Cluster Randomized Clinical Trial of the Serious Illness Care Program. JAMA Oncol. 2019 Jun 01; 5(6):801-809.
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Effect of the Serious Illness Care Program in Outpatient Oncology: A Cluster Randomized Clinical Trial. JAMA Intern Med. 2019 06 01; 179(6):751-759.
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Adolescent and Young Adult Cancer Patients' Experiences With Treatment Decision-making. Pediatrics. 2019 05; 143(5).
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Goals-of-Care Conversations for Older Adults With Serious Illness in the Emergency Department: Challenges and Opportunities. Ann Emerg Med. 2019 08; 74(2):276-284.
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A Qualitative Study of Serious Illness Conversations in Patients with Advanced Cancer. J Palliat Med. 2019 07; 22(7):773-781.
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Empower Seriously Ill Older Adults to Formulate Their Goals for Medical Care in the Emergency Department. J Palliat Med. 2019 03; 22(3):267-273.
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Fidelity and Feasibility of a Brief Emergency Department Intervention to Empower Adults With Serious Illness to Initiate Advance Care Planning Conversations. J Pain Symptom Manage. 2018 12; 56(6):878-885.
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From Barriers to Assets: Rethinking factors impacting advance care planning for African Americans. Palliat Support Care. 2019 06; 17(3):306-313.
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Communication About Prognosis With Adolescent and Young Adult Patients With Cancer: Information Needs, Prognostic Awareness, and Outcomes of Disclosure. J Clin Oncol. 2018 06 20; 36(18):1861-1867.
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Racial and Ethnic Differences in Advance Care Planning: Results of a Statewide Population-Based Survey. J Palliat Med. 2018 08; 21(8):1078-1085.
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Development of the "Day 100 Talk": Addressing existing communication gaps during the early cancer treatment period in childhood cancer. Pediatr Blood Cancer. 2018 06; 65(6):e26972.
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A Descriptive Analysis of End-of-Life Conversations With Long-Term Glioblastoma Survivors. Am J Hosp Palliat Care. 2018 May; 35(5):804-811.
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The "Surprise Question" Asked of Emergency Physicians May Predict 12-Month Mortality among Older Emergency Department Patients. J Palliat Med. 2018 Feb; 21(2):236-240.
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A National Strategy For Palliative Care. Health Aff (Millwood). 2017 07 01; 36(7):1265-1273.
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A Systematic Intervention To Improve Serious Illness Communication In Primary Care. Health Aff (Millwood). 2017 07 01; 36(7):1258-1264.
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Opening the Door: The Experience of Chronic Critical Illness in a Long-Term Acute Care Hospital. Crit Care Med. 2017 Apr; 45(4):e357-e362.
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Conversations About Goals and Values Are Feasible and Acceptable in Long-Term Acute Care Hospitals: A Pilot Study. J Palliat Med. 2017 07; 20(7):710-715.
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Serious Illness Conversations in ESRD. Clin J Am Soc Nephrol. 2017 May 08; 12(5):854-863.
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Estimating 1-Year Mortality for High-Risk Primary Care Patients Using the "Surprise" Question. JAMA Intern Med. 2016 12 01; 176(12):1863-1865.
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Feasibility Testing of an Emergency Department Screening Tool To Identify Older Adults Appropriate for Palliative Care Consultation. J Palliat Med. 2017 01; 20(1):69-73.
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Improving Communication About Serious Illness in Primary Care: A Review. JAMA Intern Med. 2016 09 01; 176(9):1380-7.
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Pediatric Palliative Care and Child Psychiatry: A Model for Enhancing Practice and Collaboration. J Palliat Med. 2016 Oct; 19(10):1032-1038.
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Responding to a Request for Physician-Assisted Death--Reply. JAMA. 2016 Jun 07; 315(21):2352.
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Surgeons' Perspectives on Avoiding Nonbeneficial Treatments in Seriously Ill Older Patients with Surgical Emergencies: A Qualitative Study. J Palliat Med. 2016 05; 19(5):529-37.
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Factors Impacting Advance Care Planning among African Americans: Results of a Systematic Integrated Review. J Palliat Med. 2016 Feb; 19(2):202-27.
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Communication Skills Training in Pediatric Oncology: Moving Beyond Role Modeling. Pediatr Blood Cancer. 2016 Jun; 63(6):966-72.
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Responding to Patients Requesting Physician-Assisted Death: Physician Involvement at the Very End of Life. JAMA. 2016 Jan 19; 315(3):245-6.
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Recommendations for Best Communication Practices to Facilitate Goal-concordant Care for Seriously Ill Older Patients With Emergency Surgical Conditions. Ann Surg. 2016 Jan; 263(1):1-6.
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Development of the Serious Illness Care Program: a randomised controlled trial of a palliative care communication intervention. BMJ Open. 2015 Oct 06; 5(10):e009032.
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Cancer treatment decision-making among young adults with lung and colorectal cancer: a comparison with adults in middle age. Psychooncology. 2016 09; 25(9):1085-91.
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Adding Value to Palliative Care Services: The Development of an Institutional Bereavement Program. J Palliat Med. 2015 Nov; 18(11):915-22.
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The role of palliative care in population management and accountable care organizations. J Palliat Med. 2015 Jun; 18(6):486-94.
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Communication about serious illness care goals: a review and synthesis of best practices. JAMA Intern Med. 2014 Dec; 174(12):1994-2003.
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Developing competencies for pediatric hospice and palliative medicine. Pediatrics. 2014 Dec; 134(6):e1670-7.
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Raising the bar for the care of seriously ill patients: results of a national survey to define essential palliative care competencies for medical students and residents. Acad Med. 2014 Jul; 89(7):1024-31.
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Palliative care: a core competency for intensive care unit doctors. Am J Respir Crit Care Med. 2014 Jun 15; 189(12):1569.
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A need for scalable outpatient palliative care interventions. Lancet. 2014 May 17; 383(9930):1699-700.
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Measuring critical deficits in shared decision making before elective surgery. Patient Educ Couns. 2014 Mar; 94(3):328-33.
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Serious illness communications checklist. Virtual Mentor. 2013 Dec 01; 15(12):1045-9.
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The demise of the Liverpool Care Pathway? A cautionary tale for palliative care. J Palliat Med. 2013 Dec; 16(12):1492-5.
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Palliative care training and associations with burnout in oncology fellows. J Support Oncol. 2013 Jun; 11(2):95-102.
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Managing grief and depression at the end of life. Am Fam Physician. 2012 Aug 01; 86(3):259-64.
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Feasibility and impact of a case-based palliative care workshop for general surgery residents. J Am Coll Surg. 2012 Feb; 214(2):231-6.
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The role of spirituality and religious coping in the quality of life of patients with advanced cancer receiving palliative radiation therapy. J Support Oncol. 2012 Mar-Apr; 10(2):81-7.
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The end-of-life family meeting in intensive care part III: A guide for structured discussions. J Palliat Med. 2011 Sep; 14(9):1058-64.
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Coping styles, health status and advance care planning in patients with hematologic malignancies. Leuk Lymphoma. 2011 Dec; 52(12):2342-8.
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The relationship of spiritual concerns to the quality of life of advanced cancer patients: preliminary findings. J Palliat Med. 2011 Sep; 14(9):1022-8.
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Hematology/oncology fellows' training in palliative care: results of a national survey. Cancer. 2011 Sep 15; 117(18):4304-11.
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Information giving and receiving in hematological malignancy consultations. Psychooncology. 2012 Mar; 21(3):297-306.
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"It depends": viewpoints of patients, physicians, and nurses on patient-practitioner prayer in the setting of advanced cancer. J Pain Symptom Manage. 2011 May; 41(5):836-47.
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Influence of patients' preferences and treatment site on cancer patients' end-of-life care. Cancer. 2010 Oct 01; 116(19):4656-63.
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Place of death: correlations with quality of life of patients with cancer and predictors of bereaved caregivers' mental health. J Clin Oncol. 2010 Oct 10; 28(29):4457-64.
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Emergency department experiences of acutely symptomatic patients with terminal illness and their family caregivers. J Pain Symptom Manage. 2010 Jun; 39(6):972-81.
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Missed opportunities in medical student education. J Palliat Med. 2010 May; 13(5):489-90.
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"If God wanted me yesterday, I wouldn't be here today": religious and spiritual themes in patients' experiences of advanced cancer. J Palliat Med. 2010 May; 13(5):581-8.
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Diagnosis and treatment of depression in patients with advanced illness. Epidemiol Psichiatr Soc. 2010 Apr-Jun; 19(2):103-9.
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Distinguishing symptoms of grief and depression in a cohort of advanced cancer patients. Death Stud. 2010 Mar; 34(3):257-73.
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End-of-life discussions, goal attainment, and distress at the end of life: predictors and outcomes of receipt of care consistent with preferences. J Clin Oncol. 2010 Mar 01; 28(7):1203-8.
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Provision of spiritual care to patients with advanced cancer: associations with medical care and quality of life near death. J Clin Oncol. 2010 Jan 20; 28(3):445-52.
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Physician communication with families in the ICU: evidence-based strategies for improvement. Curr Opin Crit Care. 2009 Dec; 15(6):569-77.
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Responsibility and reflection: understanding our responses to perceived errors. A response to Woodward, Lemer and Wu. Soc Sci Med. 2009 Nov; 69(9):1294-5.
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On the prospects for a blame-free medical culture. Soc Sci Med. 2009 Nov; 69(9):1287-90.
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Prolonged grief disorder: Psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Med. 2009 Aug; 6(8):e1000121.
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Measuring therapeutic alliance between oncologists and patients with advanced cancer: the Human Connection Scale. Cancer. 2009 Jul 15; 115(14):3302-11.
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Crying: experiences and attitudes of third-year medical students and interns. Teach Learn Med. 2009 Jul; 21(3):180-7.
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Spiritual support of patients with advanced illness and associations with end-of-life care and quality of death. J Clin Oncol. 2009 May 20; 27(15_suppl):9514.
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Personalized end-of-life care: Associations between patient preferences and treatment intensity near death. J Clin Oncol. 2009 May 20; 27(15_suppl):6516.
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Coping with cancer: Associations between coping methods and use of intensive life-prolonging care near death. J Clin Oncol. 2009 May 20; 27(15_suppl):9575.
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Predictors of aggressive end-of-life care among Hispanic and white advanced cancer patients. J Clin Oncol. 2009 May 20; 27(15_suppl):9538.
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National survey of oncology fellows on palliative care education. J Clin Oncol. 2009 May 20; 27(15_suppl):9541.
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Tailoring end-of-life discussions to advanced cancer patients' state of grief. J Clin Oncol. 2009 May 20; 27(15_suppl):9500.
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Palliative care training and burnout in oncology fellows. J Clin Oncol. 2009 May 20; 27(15_suppl):9540.
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Religious coping and use of intensive life-prolonging care near death in patients with advanced cancer. JAMA. 2009 Mar 18; 301(11):1140-7.
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Health care costs in the last week of life: associations with end-of-life conversations. Arch Intern Med. 2009 Mar 09; 169(5):480-8.
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The project on death in America faculty scholars program: a report on scholars' progress. J Palliat Med. 2009 Feb; 12(2):155-9.
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Mental health, treatment preferences, advance care planning, location, and quality of death in advanced cancer patients with dependent children. Cancer. 2009 Jan 15; 115(2):399-409.
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Small molecule tyrosine kinase inhibitor and depression. J Clin Oncol. 2009 Jan 10; 27(2):312-3.
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Am I doing the right thing? Provider perspectives on improving palliative care in the emergency department. Ann Emerg Med. 2009 Jul; 54(1):86-93, 93.e1.
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Associations between end-of-life discussions, patient mental health, medical care near death, and caregiver bereavement adjustment. JAMA. 2008 Oct 08; 300(14):1665-73.
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Racial and ethnic differences in advance care planning among patients with cancer: impact of terminal illness acknowledgment, religiousness, and treatment preferences. J Clin Oncol. 2008 Sep 01; 26(25):4131-7.
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Workforce and leadership. J Palliat Med. 2008 Sep; 11(7):955-6.
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A qualitative study of oncologists' approaches to end-of-life care. J Palliat Med. 2008 Jul; 11(6):893-906.
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Peace, Equanimity, and Acceptance in the Cancer Experience (PEACE): validation of a scale to assess acceptance and struggle with terminal illness. Cancer. 2008 Jun; 112(11):2509-17.
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Mental health, treatment preferences, advance care planning, and location and quality of death in advanced cancer patients with dependent children. J Clin Oncol. 2008 May 20; 26(15_suppl):9517.
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Needs and perceptions of spiritual care among advanced cancer patients. J Clin Oncol. 2008 May 20; 26(15_suppl):9560.
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Associations between advanced cancer patients' end-of-life conversations and cost experiences in the final week of life. J Clin Oncol. 2008 May 20; 26(15_suppl):9530.
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Learning from a life in medicine. J Palliat Med. 2008 Apr; 11(3):434-7.
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End-of-life and palliative care education for final-year medical students: a comparison of Britain and the United States. J Palliat Med. 2007 Dec; 10(6):1356-66.
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Psychiatric disorders in advanced cancer. Cancer. 2007 Oct 15; 110(8):1665-76.
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Associations between caregiver-perceived delirium in patients with cancer and generalized anxiety in their caregivers. J Palliat Med. 2007 Oct; 10(5):1083-92.
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Diagnosing and discussing imminent death in the hospital: a secondary analysis of physician interviews. J Palliat Med. 2007 Aug; 10(4):882-93.
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On being fired: experiences of patient-initiated termination of the patient-physician relationship in palliative medicine. J Palliat Med. 2007 Aug; 10(4):938-47.
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Phase II study: integrated palliative care in newly diagnosed advanced non-small-cell lung cancer patients. J Clin Oncol. 2007 Jun 10; 25(17):2377-82.
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A study of oncology fellows' training in end-of-life care. J Support Oncol. 2007 May; 5(5):237-42.
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Developing Initial Competency-based Outcomes for the Hospice and Palliative Medicine Subspecialist: phase I of the hospice and palliative medicine competencies project. J Palliat Med. 2007 Apr; 10(2):313-30.
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An empirical examination of the stage theory of grief. JAMA. 2007 Feb 21; 297(7):716-23.
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Religiousness and spiritual support among advanced cancer patients and associations with end-of-life treatment preferences and quality of life. J Clin Oncol. 2007 Feb 10; 25(5):555-60.
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Peaceful awareness in patients with advanced cancer. J Palliat Med. 2006 Dec; 9(6):1359-68.
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Palliative care. Clinical practice guidelines in oncology. J Natl Compr Canc Netw. 2006 Sep; 4(8):776-818.
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Creating enduring change: demonstrating the long-term impact of a faculty development program in palliative care. J Gen Intern Med. 2006 Sep; 21(9):907-14.
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Resident approaches to advance care planning on the day of hospital admission. Arch Intern Med. 2006 Aug 14-28; 166(15):1597-602.
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Mutuality and specificity of mental disorders in advanced cancer patients and caregivers. Soc Psychiatry Psychiatr Epidemiol. 2006 Oct; 41(10):819-24.
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Psychological issues in end-of-life care. J Palliat Med. 2006 Jun; 9(3):751-72.
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Psychiatric disorders and mental health service use in patients with advanced cancer: a report from the coping with cancer study. Cancer. 2005 Dec 15; 104(12):2872-81.
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Learning from the dying. N Engl J Med. 2005 Sep 29; 353(13):1313-5.
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Teaching and learning end-of-life care: evaluation of a faculty development program in palliative care. Acad Med. 2005 Jul; 80(7):657-68.
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"This is just too awful; I just can't believe I experienced that...": medical students' reactions to their "most memorable" patient death. Acad Med. 2005 Jul; 80(7):634-40.
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"It was haunting...": physicians' descriptions of emotionally powerful patient deaths. Acad Med. 2005 Jul; 80(7):648-56.
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Evaluating claims-based indicators of the intensity of end-of-life cancer care. Int J Qual Health Care. 2005 Dec; 17(6):505-9.
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Early palliative care (PC) in advanced non-small cell lung cancer (NSCLC) is feasible. J Clin Oncol. 2005 Jun; 23(16_suppl):8070.
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Burnout and associated characteristics in oncology fellows. J Clin Oncol. 2005 Jun; 23(16_suppl):8168.
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Survey of oncology fellows' end-of-life training. J Clin Oncol. 2005 Jun; 23(16_suppl):8032.
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Questioning care at the end of life. J Palliat Med. 2005 Jun; 8(3):510-20.
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Outbreak of invasive Haemophilus influenzae serotype a disease. Pediatr Infect Dis J. 2005 May; 24(5):453-6.
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There is hope for the future: national survey results reveal that geriatric medicine fellows are well-educated in end-of-life care. J Am Geriatr Soc. 2005 Apr; 53(4):705-10.
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[Terminal care: an occasion for personal growth?]. Perspect Infirm. 2004 Nov-Dec; 2(2):29-35.
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End-of-life care in the curriculum: a national study of medical education deans. Acad Med. 2004 Aug; 79(8):760-8.
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Issues in psychotherapy with terminally ill patients. Palliat Support Care. 2004 Jun; 2(2):181-9.
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Narrative nuances on good and bad deaths: internists' tales from high-technology work places. Soc Sci Med. 2004 Mar; 58(5):939-53.
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Trends in the aggressiveness of cancer care near the end of life. J Clin Oncol. 2004 Jan 15; 22(2):315-21.
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Narrative nuances on good and bad deaths: Internist' tales from high-technology work places. Social Science and Medicine. 2004; 58(5):939-53.

L'accompagnement en fin de vie: Peut-on parler de croissance personnelle?. Perspecitive Infirmiere. 2004; 2(2):29-35.

New Educational opportunity for hospitalists. The Hospitalist. 2004; 2:38.

End-of-Life Care in the Curriculum: A National Study of Associate Deans for Medical Education. Academic Medicine. 2004; 79:760-8.

The need for end-of-life care training in nephrology: national survey results of nephrology fellows. Am J Kidney Dis. 2003 Oct; 42(4):813-20.
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The status of medical education in end-of-life care: a national report. J Gen Intern Med. 2003 Sep; 18(9):685-95.
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Doctors' emotional reactions to recent death of a patient: cross sectional study of hospital doctors. BMJ. 2003 Jul 26; 327(7408):185.
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Identifying potential indicators of the quality of end-of-life cancer care from administrative data. J Clin Oncol. 2003 Mar 15; 21(6):1133-8.
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Variation in predictors of primary care career choice by year and stage of training. J Gen Intern Med. 2003 Mar; 18(3):159-69.
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Doctors' emotional reactions to the recent death of a patient: A cross-sectional study of attendings and house staff. British Medical Journal. 2003; 327:185-200.

Identifying Potential indicators of the quality of end-of-life cancer care from administrative data. J Clinical Oncology. 2003; 21(6):1133-8.

Palliative care training in nephrology. American Journal of Kidney Diseases. 2003; 42:812-20.

Physician-assisted death--a last resort? N Engl J Med. 2002 May 23; 346(21):1663-5.
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Medical education in end-of-life care: the status of reform. J Palliat Med. 2002 Apr; 5(2):243-8.
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ACGME requirements for end-of-life training in selected residency and fellowship programs: a status report. Acad Med. 2002 Apr; 77(4):299-304.
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Initial voluntary program standards for fellowship training in palliative medicine. J Palliat Med. 2002 Feb; 5(1):23-33.
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Reply: Physician-assisted suicide. NEJM. 2002; 347:1042-3.

The status of medical education in end-of-life care in 2001: A national Report. Journal of Palliative Medicine. 2002; 5(1):219.

Trends in the aggressiveness of cancer care near the end of life. ASCO. 2002.

Physician-assisted death: only as a last resort?. N Engl J Med. 2002; 346:1663-5.

Medical students learning to care for dying patients. J Palliative Medicine. 2002; 5(1):201.

Enhancing physician-patient communication. Hematology Am Soc Hematol Educ Program. 2002; 464-83.
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Depression, decision making, and the cessation of life-sustaining treatment. West J Med. 2001 Nov; 175(5):320-5.
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Perspectives on care at the close of life. Psychological considerations, growth, and transcendence at the end of life: the art of the possible. JAMA. 2001 Jun 13; 285(22):2898-905.
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The effect of medical education on primary care orientation: results of two national surveys of students' and residents' perspectives. Acad Med. 2001 Apr; 76(4):355-65.
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Assessing and Managing Depression in the Terminally Ill Patient. In Snyder L, Quill TE (eds). Physicians Guide to End-of-Life Care. 2001.

for the End-of-Life Care in the ICU Working Group. End-of-life care in the intensive care unit: A research agenda. Critical Care Medicine. 2001; 29:2001-6.

The effect of medical education on primary care orientation: A national survey of student and resident perspectives. Academic Medicine. 2001; 76:355-65.

Long-term outcomes of the New Pathway Program at Harvard Medical School: a randomized controlled trial. Acad Med. 2000 May; 75(5):470-9.
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Assessing and managing depression in the terminally ill patient. ACP-ASIM End-of-Life Care Consensus Panel. American College of Physicians - American Society of Internal Medicine. Ann Intern Med. 2000 Feb 01; 132(3):209-18.
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