Curriculum

Topics under consideration
Full schedule and speakers list pending
(CME and CE to be provided):

  • Complex case reviews, medical 
    • Patient case presentations
    • Red Flag Checklists for high-risk patients
    • Expert medical consultation system for complex patients
  • Complex case reviews, social
    • Family and caregiver issues
    • Psychological illness
    • Expert social and ethics consultation system for complex patients
  • The pharmacology and physiology of medical aid in dying
    • Physiology of the GI tract in terminal patients
    • Respiratory vs. cardiac aid-in-dying deaths
    • Comparison of medication protocols: Seconal, DDMP2, D-DMP2, D-DMA, DDMA.
    • Recognizing and prescribing for high-risk patients  
    • Rectal administration of medications
  • Protocols for medical aid in dying failures
    • Failure to sleep
    • Failure to die
  • Understanding and performing capacity evaluations
  • Changes in hospice and palliative care practices for medical aid in dying patients
  • Determining Prognosis:
    • General patients
    • Differences between hospice <6-month prognosis and medical aid in dying <6-month prognosis
    • Difficult prognoses:
      • Medically frail patients
      • Multifactorial illness
      • Prognosis in patients with unknown diagnoses
      • Neurodegenerative and CNS diseases: Parkinson’s, MS, PSP, ALS, CVAs.
  • Hospice and Medical Aid in Dying
    • Medicare rules
    • Ethics
    • Interaction of palliative care and medical aid in dying
  • Poverty and medical indigence, homelessness, Medicaid--Medical Aid in Dying in populations with poor access to quality palliative care.
    • Ethnic, racial, education and income inequity in both palliative care and access to medical aid in dying.
    • Understanding ethnic and spiritual differences in desires and requests for medical aid in dying
  • Coordinating care and communication between clinical staff, patients and families
  • Helping patient decisions: When or if to take the medications?
    • Identifying the “aid-in-dying window”
  • Caring for patients who want but can no longer have medical aid in dying
  • Supporting families through the eligibility period, and beyond
    • Complex grief for families of aid in dying patients
    • Complex grief for families whose loved one requested aid in dying but could not access it
  • Preparing the patient and family for the medical aid in dying day
    • Use of dexamethasone and/or methylphenidate
    • Assessing and controlling GI function and other symptom management
    • Risk factors for difficult deaths
  • Attending at the bedside on the day of medical aid in dying: Doctors, nurses and other clinical staff, trained volunteers.
  • Support for clinical staff participating in medical aid in dying.
    • Self-care and wellness for clinicians
    • Helping colleagues
  • Faith, spirituality and medical aid in dying.
  • Presenting medical aid in dying as part of long-term end of life planning
  • Residency training in medical aid in dying
  • Codifying Standards of Care for Medical Aid in Dying
  • Establishing the American Academy of Aid in Dying Clinicians
  • Clinical Administrators' Breakout Group:
    • MAID access issues
    • Creating/maintaining lists of participating MAID providers?
    • Risks or benefits to an organization's reputation
    • Billing practices
    • EMR standards

Training and Certification:

  • Clinical Staff Certification Course in Medical Aid in Dying: Two hours. RNs, SWs, Chaplains