Spring 2017
Published quarterly by the Faculty Development and Diversity Program

Features

  • Schwartz Rounds Aid Clinicians - Focus is on the social, emotional and ethical aspects of practice
  • Office Visit - ACE-PC volunteer preceptor Bryan K. Lee overcame odds and now inspires others
  • Faculty Rounds - A welcome to new faculty colleagues
  • View Point - Striving: Our Defining Characteristic
       by Julie A. Freischlag, Vice Chancellor and Dean

Do you have an interesting topic you would like to see featured in a future issue? If so please contact Cheryl Busman at (916) 703-9230 or cdbusman@ucdavis.edu.

SCHWARTZ ROUNDS AID CLINICIANS

Focus is on the social, emotional and ethical aspects of practice

The strands by which a terminally ill patient clung to life in the intensive care unit were fragile and weakening when he asked to be taken outdoors to look up at the blue sky one last time. Clinicians felt deeply conflicted by his request. Removal from the ICU, even for a few moments, would have been logistically difficult and medically inadvisable. Physicians were compelled to deny the request of the patient, who died within the week. But even after the patient’s body was wheeled out of the ICU, the members of his clinical team could not easily forget his pleading expression.

While modern medical education teaches physicians, nurses and therapists the physiological techniques to sustain life, they alone must come to terms with the emotional toll of caring for patients with degenerative or terminal illness. UC Davis clinicians now have an outlet in which to discuss and work through the emotional aspects of clinical care.

Schwartz Rounds Committee
Schwartz Rounds Planning Group
Back row, from left: Janice Noort, NP; Eric Moore, RN; Monica Miller, RN; Marjorie Trogdon Shock, LCSW; Pouria Kashkouli, MD
Front row, from left: Susana Becerra, LCSW; Laura Nakagawa, LCSW; Adelaide Sit, RN; Nathan Fairman, MD

UC Davis Health is among more than 400 institutions nationwide affiliated with the Schwartz Center RoundsTM program developed by the Schwartz Center for Compassionate Healthcare in Boston. In these monthly discussion sessions, clinicians can gain insights about ways to improve communication under difficult circumstances with patients and family members, as well as strategies to strengthen the caregiver-patient relationship by exploring their own emotional and psychosocial responses to patient care. The focus in Schwartz Center Rounds (SC Rounds) is not on clinical matters, but rather on interprofessional, personal, existential and psychological aspects of caring for patients.

In a typical SC Rounds session, a multidisciplinary panel of clinicians presents a patient case history that raises intricate social or emotional questions. Following the brief panel presentations, audience members share thoughts and feelings based on their own related experiences. Discussion topics have included caring for abused children, treating patients undergoing amputation or other disfigurement with sensitivity, and shortcomings of advanced directives. This past February, the discussion focused on caring for transgender patients. Participating clinicians say they have found the sessions enlightening, informative and instrumental in enhancing compassion and improving interprofessional relationships.

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