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Linda L. Emanuel, MD, PhD Principal Jamie H. Von Roenn, MD Charles F. von Gunten, MD, PhD Co-Principals Frank D. Ferris, MD Editor EPEC - Oncology Supported by the National Cancer Institute American Society for Clinical Oncology EPEC - O E ducation on P alliative and E nd-of-life C are - O ncology
Charles F von Gunten, MD PhD Director, Palliative Care Associate Professor of Medicine University of California, San Diego EPEC - Oncology Supported by the National Cancer Institute American Society for Clinical Oncology Policy Background
Institute of Medicine, 1997 Approaching Death: Improving Care at the End of Life www.nas.edu/iom
ASCO, 1998 Oncologists’ responsibility to care for a patient in a continuum from diagnosis throughout the course of the illness. In addition to appropriate anticancer treatment, this includes symptom control and psychosocial support during all phases of care, including those during the last phase of life. J Clin Oncol 1998;16:1986-96
“ NCI-designated cancer centers should play a central role as agents of national policy in advancing palliative care research and clinical practice, with initiatives that address many of the barriers identified in this report.”
Best available practice guidelines should dictate the standard of care for both physical and psychosocial symptoms.
…Recommendation 6 Professional societies, particularly the American Society of Clinical Oncology, …should provide leadership and training for nonspecialists, who provide most of the care for cancer patients.
Best education science as well as best medical science
Doctors as teachers
Introduction EPEC - Oncology Supported by the National Cancer Institute American Society for Clinical Oncology EPEC-O Project Charles F von Gunten, MD, PHD Associate Professor of Medicine Moores’ Comprehensive Cancer Center, UCSD Medical Director Center for Palliative Studies San Diego Hospice & Palliative Care
foster creative approaches to create change in cancer care
change will not be effective without oncologists
Summary Gaps need to be filled so that palliative care becomes an essential and inextricable part of comprehensive cancer care EPEC for Oncologists Supported by the National Cancer Institute American Society for Clinical Oncology Plenary 1