President: Kedist Tedla, MD
Organization: Carolinas HealthCare System
Vice President: George Davis, MD
Organization: Carolinas HealthCare System
Secretary: Shikha Alqalaf
Organization: OptiMed Hospitalists PLLC
On Friday, February 3, 2017 the Charlotte Metro Chapter held a meeting at the Blue Restaurant and Bar in Charlotte, NC. Approximately there were 14 attendees from one hospital medicine group. We had the honor to host Dr. Philip M. Rosoff, MD, MA as our guest speaker for the evening to chat about this very controversial topic: “Just Say No: The Rights and Wrongs of Refusing Non-Beneficial Interventions”
Dr. Rosoff is the Director of the Clinical Ethics Program at Duke University Hospital. He serves as Chair for both the Hospital Ethics Committee and the Clinical Ethics Consult Subcommittee. His clinical and research interests center on the equitable allocation of scarce resources. He teaches in the new Master’s Degree program in Bioethics and Science Policy offered by Duke University Graduate School. He has recently published his first book, Rationing Is Not A Four-Letter Word: Setting Limits on Healthcare, published by MIT Press.
During the presentation, we learned that physicians have no obligation to propose treatments that do not benefit patients. Non-beneficial interventions may increase a patient's pain and discomfort in the final days and weeks of life; give patients and family false hope; delay palliative and comfort care; and spend limited medical resources. Nevertheless, determining which interventions are beneficial to a patient can be challenging, since the patient or family might see an intervention as beneficial while the physician does not. Physicians should adhere to professional standards, and should contemplate empirical studies and their own clinical experience when making futility judgments. They should also show compassion to patients and families in carrying out decisions to withhold or withdraw non-beneficial interventions.
After the presentation, we enjoyed a friendly discussion over a delicious 3-course Mediterranean feast and had the opportunity to get to know our fellow SHM members on a more intimate level.
Finally, all of our members who attended this event will receive CME credits for their participation.
On Wednesday, September 7, 2016, the Charlotte Metro Area Chapter held a meeting at Dressler's Restaurant in Charlotte, North Carolina. Approximately 22 attendees were present at the Charlotte Metro Area meeting.
Dr. Aziz Ansari flew all the way from Chicago, Illinois to Charlotte, North Carolina to talk to us, the SHM Charlotte Metro Area Chapter members, about "Primary Palliative Care: Effective Communication for the Hospitalist." We had a great turnout from both Novant and CHS hospitalists. It was interesting to hear their point of view and how they approach the subject matter.
Dr. Ansari brushed on many interesting challenges that we all face as hospitalists every day. My favorite was dealing with "Cultural Humility.” Cultural humility is the ability to maintain an interpersonal stance that is other-oriented (or open to the other) in relation to aspects of cultural identity that are most important to the person. To practice cultural humility is to maintain a willingness to suspend what you know, or what you think you know, about a person based on generalizations about their culture. Rather, what you learn about your patients’ culture stems from being open to what they themselves have determined is their personal expression of their heritage and culture.
Another subject we talked about was how to have a proactive conversation about a serious illness with a patient's loved ones. We did a very productive role-play where the Chapter’s Secretary got to play the role of a daughter with a dying mother in different stages and scenarios. You'd be surprised how stressful and draining it was for both parties involved in the conversation. We learned the steps of how to guide a loved one to sign a DNR without forcing them to do so.
All in all, we thoroughly enjoyed Dr. Ansari’s enthusiastic approach regarding the topic and the engagement and proactive participation from all the members who attended.
On Friday, June 3, 2016, the Charlotte Metro Area Chapter held its second meeting at Maggiano’s Little Italy in Charlotte, North Carolina. The meeting had 19 attendees, consisting of physicians, APCs and administrators of various hospitalist groups. Guest speaker Dr Aziz Ansari, from Loyola University Medical Center, Chicago, gave a refresher course on Opioid Management.
On Tuesday, February 9, 2016, the Charlotte Metro Area Chapter held a meeting at Georges Brasserie in Charlotte, North Carolina. This was the Chapter’s inaugural meeting. Approximately 25 attendees were present from three different hospital medicine groups. After a welcome from the chapter leaders, guest speaker Dr. Glenn Fandetti from Sanger Heart and Vascular Institute presented on updates for acute pulmonary embolism management.
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