2022
Quality of Telehealth-Delivered Inpatient Palliative Care During the Early COVID-19 Pandemic
Soliman AA, Akgün KM, Coffee J, Kapo J, Morrison LJ, Hopkinson E, Schulman-Green D, Feder SL. Quality of Telehealth-Delivered Inpatient Palliative Care During the Early COVID-19 Pandemic. Journal Of Pain And Symptom Management 2022, 65: 6-15. PMID: 36206949, PMCID: PMC9532267, DOI: 10.1016/j.jpainsymman.2022.09.014.Peer-Reviewed Original ResearchConceptsEarly COVID-19 pandemicGoals of carePC consultationElectronic health record reviewCOVID-19 pandemicQuality of telehealthUnmet PC needsInpatient palliative careHealth record reviewPalliative care servicesPatients' social needsRate of assessmentNew England hospitalsCOVID-19 infection ratesSymptom controlRecord reviewPalliative carePC servicesMean agePC needsFamily burdenCare servicesInfection ratePsychological symptomsEngland hospitals
2021
An Advanced Communication Skills Workshop Using Standardized Patients for Senior Medical Students
Talwalkar JS, Fortin AH, Morrison LJ, Kliger A, Rosenthal DI, Murtha T, Ellman MS. An Advanced Communication Skills Workshop Using Standardized Patients for Senior Medical Students. MedEdPORTAL 2021, 17: 11163. PMID: 34124349, PMCID: PMC8155077, DOI: 10.15766/mep_2374-8265.11163.Peer-Reviewed Original Research
2020
Impact of a Novel Goals-of-Care Communication Skills Coaching Intervention for Practicing Oncologists
Annadurai V, Smith CB, Bickell N, Berns SH, Kelley AS, Lindenberger E, Morrison LJ, Yuen JK, Egorova N, Franco R, Back AL, Gelfman LP. Impact of a Novel Goals-of-Care Communication Skills Coaching Intervention for Practicing Oncologists. Journal Of Palliative Medicine 2020, 24: 838-845. PMID: 33155862, PMCID: PMC8147509, DOI: 10.1089/jpm.2020.0207.Peer-Reviewed Original ResearchConceptsGOC discussionsElicit patient valuesUsual carePatient valuesAdvanced cancer patientsYears of ageBaseline visitCancer patientsCare discussionsLife careBlinded codersOncologist's abilityOncologistsCare communicationPatientsInteractive training sessionsLack of differenceInterventionCareSignificant differencesSignificant increaseJoint visitsIntensive trainingCommunication skillsTraining sessionsLaunching the Next Steps to Improve Hospice and Palliative Medicine Fellow Performance Assessment: A Look Back to the Initial Toolkit of Assessment Methods
Morrison LJ, Periyakoil VS, Arnold RM, Tucker R, Chittenden E, Sanchez-Reilly S, Carey EC. Launching the Next Steps to Improve Hospice and Palliative Medicine Fellow Performance Assessment: A Look Back to the Initial Toolkit of Assessment Methods. Journal Of Pain And Symptom Management 2020, 61: 613-627. PMID: 33091584, PMCID: PMC7569474, DOI: 10.1016/j.jpainsymman.2020.10.014.Peer-Reviewed Original ResearchEducation needed to improve antimicrobial use during end-of-life care of older adults with advanced cancer: A cross-sectional survey
Datta R, Topal J, McManus D, Sanft T, Dembry LM, Morrison LJ, Quagliarello V, Juthani-Mehta M. Education needed to improve antimicrobial use during end-of-life care of older adults with advanced cancer: A cross-sectional survey. Palliative Medicine 2020, 35: 236-241. PMID: 32928066, DOI: 10.1177/0269216320956811.Peer-Reviewed Original ResearchConceptsEscalation of careAdvance care planningLife careAdvanced cancerCross-sectional surveyIntravenous antimicrobialsOlder adultsAntimicrobial useCare planningSingle-center cross-sectional surveyEducational interventionAdvance care plansRole of antimicrobialsClinical deteriorationPercent of respondentsAdverse eventsOral antimicrobialsMedicine subspecialistsCare plansInpatient medicineCareCancerPatientsAdultsSubspecialistsAre Internal Medicine Residents Meeting the Bar? Comparing Resident Knowledge and Self-Efficacy to Published Palliative Care Competencies
Moyer KM, Ellman MS, Encandela J, Morrison LJ. Are Internal Medicine Residents Meeting the Bar? Comparing Resident Knowledge and Self-Efficacy to Published Palliative Care Competencies. American Journal Of Hospice And Palliative Medicine® 2020, 38: 326-331. PMID: 32878472, DOI: 10.1177/1049909120954807.Peer-Reviewed Original ResearchConceptsPC competenciesPrimary palliative care educationIM residentsInternal medicine residents' knowledgePalliative care competenciesPalliative care principlesPalliative care educationResidents' knowledgeInternal medicine residentsSelf-Efficacy InventoryHalf of respondentsKnowledge testSymptom managementTerminal careCare competenciesLife carePC knowledgeSelf-efficacy scoresCare principlesPC curriculumCare educationMedicine residentsResident competencyOne-way ANOVACareAssessing Advanced Communication Skills via Objective Structured Clinical Examination: A Comparison of Faculty Versus Self, Peer, and Standardized Patient Assessors
Talwalkar JS, Murtha TD, Prozora S, Fortin AH, Morrison LJ, Ellman MS. Assessing Advanced Communication Skills via Objective Structured Clinical Examination: A Comparison of Faculty Versus Self, Peer, and Standardized Patient Assessors. Teaching And Learning In Medicine 2020, 32: 294-307. PMID: 32141335, DOI: 10.1080/10401334.2019.1704763.Peer-Reviewed Original ResearchMuseum-Based Education: A Novel Educational Approach for Hospice and Palliative Medicine Training Programs
Zarrabi AJ, Morrison LJ, Reville BA, Hauser JM, DeSandre P, Joselow M, Thomas J, Wood G. Museum-Based Education: A Novel Educational Approach for Hospice and Palliative Medicine Training Programs. Journal Of Palliative Medicine 2020, 23: 1510-1514. PMID: 32023145, DOI: 10.1089/jpm.2019.0476.Peer-Reviewed Original ResearchConceptsTraining programMedicine training programsCommon educational strategiesUndergraduate medical educationNovel educational approachVariety of skillsPedagogic strategiesReflective practiceEducational approachEducational strategiesMedical educationInterprofessional teamworkTolerance of uncertaintyEducationMultiple perspectivesPedagogyBest practicesTeamworkMuseum spaceProgramNumber of yearsPracticeMetacognitionSkillsFurther researchDevelopment of Subspecialty-Specific Reporting Milestones for Hospice and Palliative Medicine Fellowship Training in the U.S.
Barnett MD, Buckholz G, Christensen A, Hwang J, Johnston CB, Landzaat L, Lupu D, Morrison LJ, Okon T, Radwany S, Yang H, Edgar L, Gustin J. Development of Subspecialty-Specific Reporting Milestones for Hospice and Palliative Medicine Fellowship Training in the U.S. Journal Of Pain And Symptom Management 2020, 60: 151-157. PMID: 31988020, DOI: 10.1016/j.jpainsymman.2020.01.008.Peer-Reviewed Original Research
2019
A New Competency-Based Instrument to Assess Resident Knowledge and Self-Efficacy in Primary Palliative Care
Moyer KM, Morrison LJ, Encandela J, Kennedy C, Ellman MS. A New Competency-Based Instrument to Assess Resident Knowledge and Self-Efficacy in Primary Palliative Care. American Journal Of Hospice And Palliative Medicine® 2019, 37: 117-122. PMID: 31213089, DOI: 10.1177/1049909119855612.Peer-Reviewed Original ResearchConceptsPrimary palliative care educationPrimary palliative careEducational interventionPalliative care competenciesPalliative care educationResidents' knowledgeResident competencyGraduate Medical EducationInternal medicine residentsPsychometric propertiesSymptom managementPalliative careSelf-Efficacy InventoryTerminal careCare competenciesPC principlesKnowledge testCompetency-based instrumentStandard item analysisCronbach's αCare educationMedicine residentsPromising psychometric propertiesCareInternal consistencyDevelopment of Curricular Milestones for Hospice and Palliative Medicine Fellowship Training in the U.S.
Gustin JL, Yang HB, Radwany SM, Okon TR, Morrison LJ, Levine SK, Hwang JM, Buckholz GT, Barnett MD, Verbeck N, Landzaat LH. Development of Curricular Milestones for Hospice and Palliative Medicine Fellowship Training in the U.S. Journal Of Pain And Symptom Management 2019, 57: 1009-1017.e6. PMID: 30790721, DOI: 10.1016/j.jpainsymman.2019.02.013.Peer-Reviewed Original Research
2018
Advance Care Planning in Cognitively Impaired Older Adults
Thomas J, Sanchez‐Reilly S, Bernacki R, O'Neill L, Morrison LJ, Kapo J, Periyakoil VS, Carey EC. Advance Care Planning in Cognitively Impaired Older Adults. Journal Of The American Geriatrics Society 2018, 66: 1469-1474. PMID: 30277566, DOI: 10.1111/jgs.15471.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsAdvance care planningCognitive impairmentOlder adultsCare planningFuture careRates of ACPSite of careSystem-related factorsOwn health careCognitive impairment progressesAdvanced dementiaIllness trajectoryArtificial hydrationHospice careAnticipatory guidanceDecision-making capacityCareCliniciansHealth careImpairmentHealthcare challengesAdultsImportant outcomesSpecial considerationIndividualsPalliative Care Competencies and Readiness for Independent Practice: A Report on the American Academy of Hospice and Palliative Medicine Review of the U.S. Medical Licensing Step Examinations
Carey EC, Paniagua M, Morrison LJ, Levine SK, Klick JC, Buckholz GT, Rotella J, Bruno J, Liao S, Arnold RM. Palliative Care Competencies and Readiness for Independent Practice: A Report on the American Academy of Hospice and Palliative Medicine Review of the U.S. Medical Licensing Step Examinations. Journal Of Pain And Symptom Management 2018, 56: 371-378. PMID: 29935969, DOI: 10.1016/j.jpainsymman.2018.06.006.Peer-Reviewed Original ResearchConceptsPC itemsHeart diseasePC knowledgeEnd-stage heart diseasePalliative care competenciesPalliative care contentSubstance use disordersSurrogate decision makersMultimorbid illnessesPC competenciesPain managementMedicine ReviewsSymptom managementPC physiciansCare competenciesUse disordersAmerican AcademyCare contentMultiple-choice questionsCompetency domainsLicensed physiciansExamination formPatient autonomyPatientsOne-third
2017
Development of Entrustable Professional Activities for Hospice and Palliative Medicine Fellowship Training in the United States
Landzaat LH, Barnett MD, Buckholz GT, Gustin JL, Hwang JM, Levine SK, Okon TR, Radwany SM, Yang HB, Encandela J, Morrison LJ. Development of Entrustable Professional Activities for Hospice and Palliative Medicine Fellowship Training in the United States. Journal Of Pain And Symptom Management 2017, 54: 609-616.e1. PMID: 28729009, DOI: 10.1016/j.jpainsymman.2017.07.003.Peer-Reviewed Original Research
2016
Preclinical Medical Students’ Diverse Educational and Emotional Responses to a Required Hospice Experience
Tse CS, Morrison LJ, Ellman MS. Preclinical Medical Students’ Diverse Educational and Emotional Responses to a Required Hospice Experience. American Journal Of Hospice And Palliative Medicine® 2016, 34: 704-712. PMID: 27235456, DOI: 10.1177/1049909116652574.Peer-Reviewed Original ResearchConceptsPreclinical medical studentsHospice care experiencesPreclinical studentsMedical studentsEmotional responsesMedical students' knowledgeStudents' knowledgePreclinical exposureReflective responsesStudentsAcademic cohortHospice sitesEmotional promptsNegative emotionsMixed emotionsEmotional reactionsSad/Hospice experienceSalient themesSkillsCore aspectsEleven themesEmotionsPromptsAttitudes
2015
Functional Trajectories in the Year Before Hospice
Stabenau HF, Morrison LJ, Gahbauer EA, Leo-Summers L, Allore HG, Gill TM. Functional Trajectories in the Year Before Hospice. The Annals Of Family Medicine 2015, 13: 33-40. PMID: 25583890, PMCID: PMC4291263, DOI: 10.1370/afm.1720.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAgingCardiovascular DiseasesCohort StudiesDisability EvaluationDisease ProgressionFemaleFrail ElderlyHospice CareHumansLongitudinal StudiesMaleNeeds AssessmentNeoplasmsNeurodegenerative DiseasesPalliative CareProspective StudiesRespiratory Tract DiseasesTime FactorsConceptsDistinct functional trajectoriesFunctional trajectoriesUnmet palliative care needsOlder personsNeurodegenerative diseasesCourse of disabilityPalliative care needsCommunity-living personsMonthly telephone interviewsOngoing cohort studyHospice diagnosisEnd of lifeCohort studyMedian survivalHospice admissionLate admissionCare needsCumulative burdenSevere disabilityHospiceTelephone interviewsSubsequent outcomesCancer diagnosisDemographic characteristicsHigher likelihood
2014
Developing Competencies for Pediatric Hospice and Palliative Medicine
Klick JC, Friebert S, Hutton N, Osenga K, Pituch KJ, Vesel T, Weidner N, Block SD, Morrison LJ. Developing Competencies for Pediatric Hospice and Palliative Medicine. Pediatrics 2014, 134: e1670-e1677. PMID: 25404726, DOI: 10.1542/peds.2014-0748.Peer-Reviewed Original ResearchThe Quality Improvement Knowledge Application Tool Revised (QIKAT-R)
Singh MK, Ogrinc G, Cox KR, Dolansky M, Brandt J, Morrison LJ, Harwood B, Petroski G, West A, Headrick LA. The Quality Improvement Knowledge Application Tool Revised (QIKAT-R). Academic Medicine 2014, 89: 1386-1391. PMID: 25119555, DOI: 10.1097/acm.0000000000000456.Peer-Reviewed Original ResearchConceptsQuality Improvement Knowledge Application ToolStudent responsesQI learningMedical educationKnowledge applicationApplication toolEducatorsNine-point scaleQuality improvementConsensus-building processPhase 1National groupsStudentsEducationDichotomous answersLearningInstrumentInconsistent reliabilityUser-friendly instrumentSubjective natureLanguageDifferent levelsInterrater reliabilityValidityAnswersSleep Disorders and Fatigue
Waldman L, Morrison LJ. Sleep Disorders and Fatigue. The Cancer Journal 2014, 20: 352-357. PMID: 25299145, DOI: 10.1097/ppo.0000000000000072.BooksConceptsSleep disordersOlder adultsFurther functional declineMultiple comorbiditiesGeriatric syndromesOptimal careFunctional declineHigh riskTreatment concernsOlder personsReporting fatigueDisordersAdultsSpecial considerationFatiguePolypharmacyComorbiditiesDeliriumPatientsSyndromeDementiaCancerPhysiciansDiagnosisCareRaising the Bar for the Care of Seriously Ill Patients
Schaefer KG, Chittenden EH, Sullivan AM, Periyakoil VS, Morrison LJ, Carey EC, Sanchez-Reilly S, Block SD. Raising the Bar for the Care of Seriously Ill Patients. Academic Medicine 2014, 89: 1024-1031. PMID: 24979171, PMCID: PMC4077186, DOI: 10.1097/acm.0000000000000271.Peer-Reviewed Original ResearchConceptsPalliative care competenciesPalliative care expertsCare competenciesCare expertsPain/symptom managementFM residentsPalliative care specialistsNational cross-sectional surveySeriously Ill PatientsPalliative care curriculumLife-threatening illnessQuality of careCross-sectional surveyNational surveyFamily medicine residentsMedical studentsPain managementIll patientsSymptom managementCare specialistsInternal medicineMedicine residentsCare curriculumResident competencyPatients