Posts by Juliet Christine Jacobsen, MD, DPH
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Training in Serious Illness Conversations Boosts Confidence of Students, Interns
Juliet Jacobsen, MD, DPH, and colleagues adapted the Ariadne Labs Serious Illness Care Program for training of final-year medical students and interns. Just one workshop improved trainees' confidence in conducting serious illness conversations and increased residents' documentation rate by 4.5-fold within a year.
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Embedding Palliative Care Physicians in the ED Facilitated Goals of Care Conversations Early in COVID-19
Massachusetts General Hospital researchers report that when palliative care physicians were embedded in the ED early in COVID-19, they had a goal of care conversation with 59% of acutely ill patients they saw in collaboration with emergency physicians, and 61% of conversations included discussion of prognosis.
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Editorial: Bringing Connection and Empathy to the Socially Distant Family Meeting
Massachusetts General Hospital clinicians share their strategies for supporting patients and families during inpatient goals of care discussions during the COVID-19 pandemic, when the number of visitors is limited and "low-touch" precautions are required.
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Peer Support for Clinicians Having Serious Illness Conversations During COVID-19
Early in the COVID-19 pandemic, a team of volunteer clinicians at Massachusetts General Hospital gave rapid, confidential assistance to peers working to clarify values and goals of care with patients.
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Continuum Project Trains Clinicians in Serious Illness Care
A Massachusetts General Hospital palliative care training program offers training and resources to prompt and document more conversations about serious illness.
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Systems Approach to Alerting Hospitalists of Need for Serious Illness Conversations Falls Short
A system for identifying patients who had potential unmet palliative care needs had limited impact on hospital medicine clinicians at Massachusetts General Hospital.
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Medical Grand Rounds: Palliative Care in a Pandemic
On April 2, 2020, the Department of Medicine held its fourth virtual Grand Rounds presentation related to COVID-19. Vicki Jackson, MD, at Massachusetts General Hospital, along with other members of the Greater Boston medical community, presented on the growing role of palliative care in the response to the pandemic.
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Editorial: Assess a Seriously Ill Patient's "Prognostic Awareness" Before Transfer to Tertiary Center
Before transferring a seriously ill patient to another hospital, consider the losses that can be associated with “doing everything” when efforts might be better spent on ensuring comfort.
Biography
Dr. Jabobsen is the director of the Harvard Palliative Medicine Fellowship. She joined the Palliative Care Service in 2006 after completing an internal medicine residency at Columbia Presbyterian Hospital in New York City and a palliative care fellowship at Mass General. She is involved in academic research and writing on the subjects of patient grief and demoralization, inpatient advanced care planning and outpatient palliative care practice.
"I enjoy dealing with families and knowing the personal histories of my patients. From each meeting, I hope to gain some wisdom and experience so that I can better guide my patients through the process of serious illness."
Geriatrics & Palliative Care
The Division of Palliative Care & Geriatric Medicine at Massachusetts General Hospital offers a wide range of clinical expertise including inpatient services, outpatient programs and home based programs.