Escolar Documentos
Profissional Documentos
Cultura Documentos
June 1, 2007.
Director’s Report
Over the last 35 years McGill has been and continues to be a world leader in the young
and growing discipline of palliative care. Palliative Care McGill exists to develop and
sustain excellence in patient care, teaching and research. This is achieved by:
1. Developing and supporting palliative care services in McGill affiliated centres, the
community and beyond;
2. Providing excellence in physical, psychological, social and spiritual care for patients
with a life-threatening illness and their families during the illness and bereavement;
3. Educating patients, families, caregivers and the public;
4. Conducting research to improve the quality of life of patients and families.
The activities of the Palliative Care Division cut across all oncology tumour sites and
medical and surgical specialties. Its medical practitioners are mostly family physicians,
joined by specialist colleagues from various disciplines such as oncology, anesthesia,
internal medicine and surgery. Its McGill teachers and researchers come from medicine,
psychology, nursing, anthropology and music therapy. Palliative Care McGill has
academic programs in the following hospitals:
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Palliative Care McGill Annual Report 2006/2007
In the last few years McGill has seen the development of supportive care programs under
the auspices of, or affiliated with, palliative care (e.g. Cancer Nutrition-Rehabilitation
Program, lymphedema, psycho-oncology, supportive care for those with a non-cancer
diagnosis). This demonstrates that the mandate of this discipline goes beyond end-of-life
care and beyond cancer care. The highlights of the past year’s activities are as follows:
1. The 16th International Congress on the Care of the Terminally Ill, held from
September 25-28, 2006 at the Palais des Congrès, was a great success, attracting
1500 participants from 40 countries. This is the largest as well as oldest international
palliative care congress, bringing together clinicians from all relevant disciplines,
researchers, educators, and volunteers from around the world. Dr. Anna Towers was
the Chair of this Congress and is chairing the next 2008 Congress.
2. The Division is increasingly involved in teaching, clinical and program development
activities within the RUIS, coordinated at the McGill level via the Department of
Oncology and Palliative Care McGill.
3. The Cancer Nutrition-Rehabilitation Program continues to develop with support at
the McGill level, at the MUHC and at the Sir Mortimer B. Davis-Jewish General
Hospital.
4. The Lymphedema Program is increasing its involvement with the Breast Cancer
Tumour Group. There are interdisciplinary projects at the local and national levels.
McGill was involved in setting standards of care at the international level.
5. The Psycho-Oncology Program, for years established and thriving at the Sir
Mortimer B. Davis-Jewish General Hospital, is recently receiving increasing support
at the MUHC, adult sites.
6. Non-Cancer End of Life Care is a developing interdivisional interest at the MUHC,
with interdisciplinary professionals seeking to learn, teach and hopefully eventually
affect policy and practice.
7. In February 2006 Dr. Balfour Mount retired from the Flanders Chair which he had
assumed since it was first endowed in 1994. The Search Committee for a
replacement is continuing its activities. Filling this Chair on a priority basis is critical
to the continuing leadership of McGill on the international palliative care scene.
8. We had a very successful Palliative Care Week (May 6-11, 2007) with a multitude of
activities throughout the McGill network and in the community, including a Hike-
for-Hospice and many invited speakers.
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Palliative Care McGill Annual Report 2006/2007
of care and patient and family caregiver quality of life, prognostication, as well as health
services (types of services received; quality of services; evaluation of new types of
service delivery), social policy (Compassionate Care Benefit), and safety research.
Research is conducted with patients and family caregivers in the community as well as
those who are hospitalized and/or attending outpatient clinics. Our research concerns both
adult and pediatric populations. The bereavement experience of family caregivers is also
studied.
The Division members have published papers in peer-reviewed journals, book chapters,
and other fora. We are members of different editorial boards and have reviewed articles
for a number of scientific journals. We continue to serve on peer-review committees and
act as ad-hoc reviewers for different grant agencies. Importantly, this year we organized
and ran the 16th International Congress on Care of the Terminally Ill, with over 1500
people from 42 different countries attending, which, based on the evaluations by congress
participants was highly successful. We also began organizing the 17th International
Congress and continue to integrate more and more research into the program. This has
now reached the point where the 17th International Congress will no longer have separate
research sessions (with the exception of the Research Fora which have an educational
component on research methods) as many of the presentations on practice and health
services will be research-based. Robin Cohen continues to lead three national research
teams: the CIHR-NCIC Strategic Training Program in Palliative Care Cancer Research;
The NCIC Sociobehavioural Cancer Research Network Palliative Care Team; and the
CIHR New Emerging Team in Family Caregiving in Palliative and End-of-life Care (the
latter as co-PI).
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Palliative Care McGill Annual Report 2006/2007
1. Undergraduate Teaching
ITP ICM WHOLE ICM POM DAY ICM Pain
COHORT Communication Pathophysiology
(PCU Visits)
Skills (JGH)
Students 168 169 169 160 169
Sessions 28 3 9 1 day / 14 3
taught groups
Mount Sinai = 6 (5grps/ Session)
MGH = 11
JGH = 8
St- Mary’s = 3
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Palliative Care McGill Annual Report 2006/2007
Undergraduate/Elective 3 2 5
Family Medicine 10 10
Geriatrics 2 2
Psychiatry 1 1
Internal Medicine 5 5
Surgical Oncology 2 2
Anesthesiology 1 1 2
Total
24 3 27
Meetings 3
Hours 5
Members involved MGH
JGH
Mount Sinai
St-Mary’s
M.C.H
Residents
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Palliative Care McGill Annual Report 2006/2007
Rounds 2005/2006 5
Disciplines involved Palliative Care
Clinical Ethics/Nursing
Geriatrics
Research/Palliative Care
Visiting Professors 1
This year also saw some changes in leadership. Dr. Neil MacDonald stepped down as
Director of the McGill Cancer Nutrition-Rehabilitation Program. Dr. Martin Chasen of
the Department of Oncology is the new clinical director of this program and Dr. Thomas
Jagoe has been recruited from the UK to take up the post of Director in September 2007.
Dr. Krista Lawlor stepped down as Palliative Care Program Director and a replacement is
sought.
Heading into the 2007-2008 academic year, new and exciting initiatives are planned.
These include various RUIS-related initiatives such as the development of a RUIS-
targeted continuing education program, the search for a replacement for the Flanders
Chair and the recruitment of two additional clinicians at the MUHC including a clinician
scientist interested in symptom control trials, an area that would be important to develop.
Anna Towers, MD
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Palliative Care McGill Annual Report 2006/2007
Anna Towers
1. Summary of New and Ongoing Research
The research studies in which I am involved are in the area of cancer rehabilitation and
arm morbidity following breast cancer treatment. Although my primary interest is in
lymphedema, our research to date shows that there are functional problems as well as
issues with pain and social problems following breast cancer treatment, all of which need
to be addressed.
The first and largest study is a CIHR funded Canadian-wide study of which McGill is one
of four sites. The PI is at the University of Saskatchewan and I am the McGill
collaborator and co-ordinator. This study investigates arm morbidity following breast
cancer in prospective fashion. At the end of the study, we hope to be able to identify the
frequency of arm morbidity for female survivors of Stage I to III breast cancer treatment,
the course of this impairment, possible triggers of the morbidity, its psychosocial
impacts, and how care and treatment varies from region to region. For this I have a full-
time research assistant and we have so far recruited 260 patients. We are putting in a
renewal grant to CIHR for March 2007 and hope to recruit 400 participants at the McGill
site and 1000 across Canada.
The second study, funded by NCIC, investigates the effectiveness of exercise
interventions for breast cancer related lymphedema. In this study I am co-PI with the
Director of Graduate Studies at the McGill School of Physical and Occupational Therapy.
The patients are being recruited from my clinic and we are in the intervention stage. The
third project, of which I am PI, is funded by Fondation Québecoise du Cancer. We are in
the intervention development phase of this study that looks at educational interventions to
help improve quality of life and prevent arm morbidity following breast cancer treatment.
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Palliative Care McGill Annual Report 2006/2007
I gave and/or was involved in the preparation of 13 research presentations between June
2005 and December 2006.
Undergraduate Teaching
Faculty of Medicine, Physician Apprenticeship, 2005 to present
Faculty of Medicine, ICMB-Seminars on Symptom Control Issues and Ethical Issues in
Palliative Care, 1993 to present
Faculty of Medicine, ICMB- Seminars on communication , 2000 to present
Faculty of Medicine, ITP Palliative Care Seminar, 1994 to present
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Palliative Care McGill Annual Report 2006/2007
Clinical Teaching
Oncology, Medicine, Family Medicine, Division of Palliative Medicine, Royal Victoria
Hospital,, Montreal General Hospital, MUHC, Palliative Medicine residents, Rotating
Residents from other Departments, International Trainees, 1993-present
4. Scientific Reviews
International Advisory and Editorial Boards
International Consensus Group on Best Practice Guidelines for the Management of
Lymphoedema , 2006
Grant Reviewer
Internal reviewer CIHR 2006
Ad-hoc reviewer:
NCIC (2003-present)
CIHR (2001- present)
Social Sciences and Humanities Research Council (1997- present)
MUHC Research Institute (1999 to present)
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Palliative Care McGill Annual Report 2006/2007
5. Conference organization
Congress organization
I chaired the 16th International Congress on the Care of the Terminally Ill that took place
September 23-26 2006. The Congress attracted 1500 participants from 40 countries and
had a large research component.
Within the last few months we have started to organize the 17th International Congress on
the Care of the Terminally Ill that will be held in September 2008, and of which I am
Chair. We are looking at the evaluations of the September 2006 Congress, which I also
chaired, to guide us in programme development for 2008. The programme will be in
place and preliminary announcements will be sent in September 2007. We will be
reviewing abstracts from February through March 2008. Our next Congress will be more
focussed on international advocacy issues and will involve my travelling to the European
Congress in Budapest in June 2007, to the African Palliative Congress in Nairobi in
September 2007, and to the Latin American Palliative Care Congress in Lima in March
2008. There I will be meeting with colleagues to not only finalize the programme for our
Congress but also to initiate joint collaborations with the aim of enhancing palliative care
development worldwide.
Chair, 17th International Congress for the Care of the Terminally Ill, Montreal, Sept 21-
25, 2008
Chair, 16th International Congress for the Care of the Terminally Ill, Montreal, Sept 25-
29, 2006
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Palliative Care McGill Annual Report 2006/2007
Lymphedema Risk Factors and Prevention Public Lecture, CanSupport, Montreal April 3,
2006
Oncologic and Palliative Management of Advanced Leukemia (AML) patients, combined
Hematology-oncology and palliative Care rounds- McGill University Health Centre March
29, 2006
7. Abstracts
Winkle Kwan, Roanne Thomas-MacLean, Thomas Hack, Anna Towers, Bo Miedema,
Sue Tatemichi and Andrea Tilley. Charting the Course of Arm Morbidity after Breast
Cancer Treatment: A Prospective, Longitudinal Follow-up Study. British Columbia
Cancer Agency Annual Cancer Conference, November 23-25,2006 Vancouver, BC, pp.
71.
Roanne Thomas-MacLean, Andrea Tilley, Anna Towers, Bo Miedema, Sue Tatemichi,
Winkle Kwan and Thomas Hack, 2006. "Lymphedema After Breast Cancer: Symptoms,
Disability and Access to Treatment." Published abstract, 7th National Lymphedema
Network International Conference, (NLN), November 1-5, Nashville, TN, pp. 9.
Klove J, Towers A, Langevin N, Letellier ME. Living with Lymphedema: Prevention,
Treatment and Working Together to Advocate for Our Patients.”, Journal of Palliative Care
22(3):241, 2006
Thomas-MacLean R, Miedema B, Tatemichi S, Tilley A, Towers A, Hack T and Kwan W,
2006. “Arm Morbidity and Breast Cancer: Mapping New Terrain.” Published Abstract,
Reasons for Hope, 4th Scientific Conference, May 6-8, Montreal, PQ, pp. 248.
Thomas-MacLean R, Hack T, Miedema B, Tatemichi S, Tilley A, Kwan W and Towers A,
2006. “Sociological and Psychological Consequences of Arm Morbidity after Breast
Cancer.” Published Abstract, Psychosocial Risks and Consequences across the Lifespan,
Canadian Association of Psychosocial Oncology (CAPO), May 3-6, Montreal, PQ, pp. 90.
8. Committees
National
Member of the Board, Canadian Association of Palliative Care Physicians, 2006 to
present
Réseau des Soins Palliatifs, Association Québecoise des Soins Palliatifs (organization
regrouping 1900 palliative care professionals and volunteers, Member of the Board,
2005-present
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Palliative Care McGill Annual Report 2006/2007
Provincial
Réseau Universitaire Québecois des Soins Palliatifs (RUQSP) – regrouping palliative
care chiefs from the four Quebec medical schools), Founder and Chairperson, 2001 to
present
Scientific Advisor, Lymphedema Association of Quebec, Scientific Advisor and Member
of the Board, 1999 to present
Clinical Advisory Council, ProCure Alliance, Member, 2003 to present
Media communications
Regarding lymphedema access to treatments:
Since 2003 I have been giving national and provincial television and radio media
interviews several times yearly, in English and in French to advocate for access to
lymphedema treatments under Medicare. I have also participated and facilitated many
provincial, municipal and community newspaper reports on this topic.
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Palliative Care McGill Annual Report 2006/2007
Bruno Gagnon
1. Research Grants (ongoing)
Gagnon, B. Mayo, N., Hanley, J., Goldberg, M. and Deschamps, M. Patterns of care
during the last six months of life of patients dying of cancer. CIHR: Operating Grant.
($411,610) 2004-2008.
The overall aim of this study is to estimate, using administrative data, the extent to which
the patterns of care received during the last 6 months of life by patients dying of cancer
reflect health care services in keeping with a palliative care philosophy (care-oriented
approach), and to determine the clinical, societal and health care system factors
modifying access to this type of care.
Gagnon B. Les différents profiles de soins reçus par les patients mourant du cancer
durant les six derniers mois de vie: une étude basée sur des banques de données
administratives. FRSQ ($30,000) 2004-2007.
S. Robin Cohen
1. Research Grants
Improving Quality of Life and Informing Social Policy in Palliative Care. Infrastructure
Funding to form a National Palliative Care Research Team. Robin Cohen (PI), Co
Investigators: Allard P, Band P, Blood P, Chochinov H, Courneya K, Daneault S,
Deschamps M, Dumont S, Fiset V, Fournier L, Fyles G, Gagnon P, Graham I, Gratton J,
Kristjanson L, Lawlor P, Leis A, Logan J, Marchand R, Neron S, Nikoletti S, Poirier L,
Porock D, Poulson J, Viola R, Wilson K, and others. National Cancer Institute of Canada
- #010281 01/2000–12/2002, $60,000/year Renewed, 01/2003 – 06/2007; $88,000/year;
$88,000/year; $88,000/year
Quality of Life for Palliative Care Patients and Their Family Caregivers Robin Cohen
(PI), Co-investigators: Brown S, Fiset V, Fyles G, Kristjanson L, Leis A, Porterfield P,
Viola R. National Cancer Institute of Canada - #012201 Renewal. 07/2001 – 06/2006
$555,659
Strategic Training Program in Palliative Care Cancer Research. Robin Cohen (PI), Co
Investigators: M Aubin, S Dumont, L Fillion, D Blondeau, P Gagnon, P Allard, F
Fothergill-Bourbonnais, P Hall, P Dobkin, N Mayo, K Wilson. Canadian Institutes of
Health Research/National Cancer Institute of Canada - #STI-63286, 04/2003 – 03/2009,
$1,800,000
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Palliative Care McGill Annual Report 2006/2007
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Palliative Care McGill Annual Report 2006/2007
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Palliative Care McGill Annual Report 2006/2007
Ad Hoc Reviews
Journal of Palliative Care, 1996, 97, 98, 99, 2000, 2001, 2002, 2004, 2005, 2006
Palliative Medicine, 1996, 97, 98, 99, 2001, 2006
Journal of Pain and Symptom Management, 2001, 2002, 2006
Quality of Life Research, 2006, 2007
Committees
McGill Department of Oncology Clinical Trials Operations, Supportive Care Section,
Member, 1999 –present
Canadian Hospice Palliative Care Association, Research Advisor, March 2003 – present
Wellness Centre, Jewish General Hospital, Research Advisory Board, Member, February
2005- present
VON Canada-University of Ottawa Bereavement Think Tank, Member, April 2005-
present
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Palliative Care McGill Annual Report 2006/2007
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Palliative Care McGill Annual Report 2006/2007
*Taylor G, Carpentier S, Cohen SR. Quality of life assessment in palliative care: How do
family caregivers interpret the items? 16th International Congress on the Care of the
Terminally Ill, Montreal, Quebec, Sept.26-29, 2006, Journal of Palliative Care 2006, 22;
240.
*Carpentier S, Taylor G, Cohen SR. Quality of life assessment in palliative care: How
do patients interpret the items? 16th International Congress on the Care of the Terminally
Ill, Montreal, Quebec, Sept.26-29, 2006, Journal of Palliative Care 2006, 22, 237.
Rose PA, Cohen SR, Amsel R. Pressure ulcer (PU) risk assessment in the critically ill.
National Pressure Ulcer Advisory Panel biennial conference, San Antonio, Texas,
February 9-10, 2007.
7. Hospital Activities
Encompassed within responsibilities with McGill.
McGill
Executive Committee, Palliative Care McGill, Member, 1995 – present
Division of Palliative Care, Oncology, Research Director, April 1996 – present
Palliative Care McGill Education Committee, Member, 1998 – present
Oncology, Member, Interdisciplinary Postgraduate Training Committee, Sept. 2002 –
present
Oncology, Member, Psychosocial Oncology Program, Sept. 2002 – present
School of Nursing, Student Standing and Promotions Committee, Member, Dec. 2002 –
April 2004 Sept.2005-present
School of Nursing, Ph.D. Supervisors Committee, Member, January 2001 – present
MUHC Palliative Care Service Divisional Meeting, Member, January 2003 – present
Cancer Nutrition and Rehabilitation Program Steering Committee , Member, June 2005-
present
Eric Flanders Professor in Palliative Care Medicine Selection Advisory Committee,
Member, June 2005-present
Faculty of Medicine Student Research and Summer Research Bursary Committee,
Member, 2006, 2007
Thomas Hutchinson
1. Research Grants
New and Ongoing
Qualitative Study on "Living with end-stage renal disease (ESRD): multiple perspectives
on patients’ suffering and healing." Allied Health Research Grant awarded by the Kidney
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Palliative Care McGill Annual Report 2006/2007
Foundation of Canada, April 2006 ($85,000). On-going. PI: Dr. Tom Hutchinson; Co-
applicants: Dawn Allen, Steve Jordan, Antonia Arnaert, Paul-Eugene Barré, Murray
Vasilevsky, Mark Lipman, Johana Eid - $85,952 (July 2006-June 2008).
2. Education Activities
Hutchinson. Introduction to Clinical Medicine, “Communication Skills”, May 2006.
Hutchinson. One half-day teaching session to pastoral care students, July 2006.
Hutchinson. MUHC Medical residents. Post-graduate Core Competencies. Small groups.
September 12, 2006.
Hutchinson. Lecture to Nursing Students (Dr. Arnaert’s Chronic Illness & Palliative Care
class). “Healing, a Healthcare Revolution: Opportunities at the Bedside.” February 16,
2007.
Hutchinson. Concordia University. Dr. P. O’Rourke’s Religion and Healing course.
“Healing, a Healthcare Revolution: Opportunities at the Bedside.” February 26, 2007.
Integration of material based on “Healing and the Art of Medicine” into Physician
Apprenticeship Program for second year medical students.
Hutchinson, Small group teaching re. palliative care to medical students, ongoing.
Hutchinson, Small group teaching to medical students re. Physician Apprenticeship,
ongoing.
Hutchinson, Small group teaching to medical students re. ICM Communication Skills.
Hutchinson T, Dobkin, P. Design of an 8-week program for health care professionals
based on the Mindfulness Based Stress Reduction Program developed by Jon Kabat-Zinn
and colleagues at the University of Massachusetts. First program offered to physicians
April 20 – June 8, 2007. (Accredited for 20 CME hours)
Curricular Change
Participation with Associate Dean Donald Boudreau in a Faculty of Medicine revision of
curriculum. Design of “Physicianship IV” program for Med 3 students, to commence
August 2007 (Hutchinson and McNamara).
3. Congress Organization
Organization of a full-day seminar: Healing, a Healthcare Revolution: The Challenge, the
Opportunities for Caregivers. (Affiliated with the 16th International Congress on Care of
the Terminally Ill). Attendance: 330.
Organizing Committee: 17th Annual Congress on Care of the Terminally Ill scheduled for
September 2008.
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Palliative Care McGill Annual Report 2006/2007
4. Presentations
Invited Presentations and Workshops (National and International)
Hutchinson T. “Aequanimitas for the 21st Century.” McGill Pain Centre Rounds.
MUHC. May 31, 2006.
Hutchinson T. “Healing and the Practice of Medicine.” McGill Alumni Event, Toronto.
June 9, 2006.
Hutchinson T. “Healing, a Healthcare Revolution: The opportunities at the bedside.”
September 26, 2006.
Hutchinson T. Nephrology Rounds. “Palliative Care in the Dialysis Unit: An overview
for the diehard nephrologist.” MUHC, March 23, 2007.
Hutchinson T. McGill Seminars on Healing. “Longing for Virginia: Satir’s Genius for
Healing.” April 27, 2007.
5. Hospital Activities
Dr. Hutchinson continues to practice as a palliative care physician (50%) with the McGill
University Health Centre.
6. Public Education
McGill Seminars on Healing
May 2, 2006. The Interconnectedness is Already There. Michael Kearney.
September 25, 2006, Soul Pain, Fear and Healing at the End of Life. Michael Kearney.
October 27, 2006, Humour in Medicine. Manuel Borod, MUHC.
November 24, 2006, Whole Health: Making the Connections. Steve Sims, Padua Centre,
Montreal.
December 15, 2006, Healing and the Artistic Process. Garry Beitel, Filmmaker (The Man
Who Learned to Fall).
January 26, 2007. Dr. Neil MacDonald and Dr. Martin Chasen. McGill’s Cancer
Nutrition and Rehabilitation Program.
February 23, 2007. Dr. David Kuhl. Physician Self-Care.
April 27, 2007. Dr. Tom Hutchinson. Longing for Virginia: Satir’s Genius for Healing.
May 25, 2007. Dr. Marc Laporta. Emotions and Empathy: Music as a Vehicle.
Film Series
May 2, 2006: ‘Ram Dass: Fierce Grace’ (Michael Kearney, physician)
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Palliative Care McGill Annual Report 2006/2007
Other Activities
Organization of a Reflective Practice Seminar for physicians, June 13, 2006. Sharyn
Andrews & Ron Smith.
“Practicing Medicine Mindfully: Cultivating Imperturbability and Equanimity”. A one
day workshop for physicians: An introduction to mindfulness in Medicine. Dr.
Hutchinson & Dr. Dobkin. December 1, 2006. 18 physicians participated.
“Practicing Medicine Mindfully: Cultivating Imperturbability and Equanimity”. A one
day workshop for physicians. Dr. Hutchinson & Dr. Dobkin, March 2, 2007.
Participation with GWISH (George Washington University): GWish Canadian Advisory
Board on Spirituality and Health in Medical Education (Tom Hutchinson).
Attendance at MBSR Research Conference: Integrating Mindfulness-Based Interventions
into Medicine, Health Care, and Society, Worcester, Mass. March 2007. (Tom
Hutchinson & Dawn Allen).
Participation in the MUHC non-cancer palliative care group, Drs. Hutchinson & Allen.
Stephen Liben
1. Summary of New and Ongoing Research
Caregiving Parents of Children with Life-Limiting Illnesses: Beyond Stress & Coping to
Growth.
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Palliative Care McGill Annual Report 2006/2007
2. Research grants
Caregiving Parents of Children with Life-Limiting Illnesses: Beyond Stress & Coping to
Growth. Principal applicant: Susan Cadell. Co-Applicants: S. Liben, H Siden, E Davies,
R Steele, L Straatman, D Hemsworth. CIHR, Year 1 $ 101,318, year 2 $102,618, year 3
$59,510; 2006-2008.
4. Scientific Reviews
Current Ad-Hoc Manuscript Reviews 2006
Pediatrics -2 manuscripts
J of Palliative Care-1 manuscript
J Palliative Medicine-1 manuscript
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Palliative Care McGill Annual Report 2006/2007
5. Conference Organization
International Congress on Care of the Terminally Ill
7. Peer-Reviewed Abstracts
Nadeau, L.; Johnson-Lafleur, J.; Liben, S.; MacDonald, ME.; Rousseau, C.;
Polychronakos, C.; Perrault, J.; Lands, L. Treatment-compliance in chronically ill
adolescents from cultural minorities. CACAP 26th Annual Meeting: November 2006,
Toronto
8. Hospital Activities
Ward attending – Medical wards 2-3 months/year, (4-5 medical students & 4-5 residents)
Palliative Care Consultant – full time
Emergency Room Physician – 1 shift per month
Mary-Ellen Macdonald
1. Summary of New and Ongoing Research
I joined the following projects (grants were already awarded when I was asked to join):
Patients’ Perspective on the Physician as Professional and Healer, JD Boudreau, J
Jagosh, ME Macdonald, R Slee, Y Steinert, Montreal General Hospital Foundation,
$110,000, 2005-2007.
The relationship between culture and treatment-compliance in chronically ill adolescents
from cultural minorities, L Nadeau, S Liben, ME Macdonald, Montreal Children’s
Hospital Research Institute and Department of Psychiatry, $13 160, 2005-2007.
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Palliative Care McGill Annual Report 2006/2007
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Palliative Care McGill Annual Report 2006/2007
McGill University
Dawn Allen, Postdoc, Whole Person Care
Postdoctoral Supervision, 2007 (informal mentorship until funding secured)
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Palliative Care McGill Annual Report 2006/2007
Protocol Review
2007 to present
Institutional Review Board, Faculty of Medicine, McGill University
Scholarship Review
2006-Trainee Selection Committee, CIHR-NCIC Strategic Training Program in Palliative
Care Research
5. Conference Organization
2007, McGill Qualitative Health Research Group Annual Conference: Ensuring Quality
in Qualitative Research. Funded by NCIC-Sociobehavioural Cancer Research Network,
and Palliative Care Program, Montreal Children’s Hosital, April 5, 2007, Conference
Organizer and Chair.
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Palliative Care McGill Annual Report 2006/2007
7. Peer-Reviewed Abstracts
Macdonald, ME, Liben, S, Carnevale, FA, Rennick, JE, Cohen, SR. Office or Bedroom?
A Disconnect Between Family Culture and Professional Culture in the PICU, 5th World
Congress on Pediatric Critical Care, June 24-8, 2007, Geneva. To be published in
Pediatric Critical Care Medicine
McLeod, P, Chalk, C, Zanelli, P, Wiseman J, Macdonald, ME, A Problem Becomes an
Opportunity: The Emergency Department Consult Service for Students in Internal
Medicine, Conference of the Canadian Association of Medical Education, Victoria., May
4-9, 2007
Boudreau, JD, Jagosh, J, Slee, R, Macdonald, ME, Steinert, Y, Incorporating the
Patient Perspective in Curricular Renewal, Conference of the Canadian Association of
Medical Education, Victoria., May 4-9, 2007
Razack, S, Macdonald, ME, Steinert Y, Carnevale, FA. Training in Cultural
Competence: What We Want to Learn vs. What We Ought to Learn. Conference of the
Canadian Association of Medical Education, Victoria. May 4-9, 2007
Nadeau, L, Johnson-Lafleur, J, Liben, S, Macdonald, ME, Rousseau, C Polychronakos,
C, Perrault, J, Lands, L. Treatment-compliance in chronically ill adolescents from
cultural minorities. Canadian Academy of Child and Adolescent Psychiatry 26th Annual
Conference, Toronto, 2006 (Nov). Published in conference proceedings.
Razack, S, Steinert Y, Macdonald, ME, Carnevale, FA, Tellier, PP (September, 2006)
Caring for a diverse diversity; Reconciling cultural, socioeconomic, and sexual
difference in medical education. Royal College/Canadian Society for clinical
Investigation, Annual Conference, Ottawa. Clinical and Investigative Medicine 2006
29(4): 221-222
Neil MacDonald
1. Summary of New and Ongoing Research
New Emerging Team Grant (CIHR) – studies on cachexia. McGill PI. A collaboration
with the University of Alberta. Dr Vickie Baracos is the overall PI.
Clinical Trials – PI study on dronabinol – effects on appetite, taste and smell. A
collaboration with the University of Alberta.
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Palliative Care McGill Annual Report 2006/2007
Co-investigator – AVR 118 in the management of cancer anorexia (Dr Chasen PI – study
to start in late May - early June.
Studies on the role of inflammation as reflected by ↑ CRP and a high white count in
patients with NSCLC.
2. Scientific Reviews
Editorial Boards
Journal of Palliative Care
Journal of Pain and Symptom Management
Quaderni di Cure Palliative
Journal of Supportive Oncology
Palliative and Supportive Care
Oncology Exchange
Reviewer
Canadian Medical Association Journal
Journal of Clinical Oncology
Journal of Palliative Care
Journal of Palliative Medicine
Journal of Supportive Oncology
Journal of Clinical Nutrition
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Palliative Care McGill Annual Report 2006/2007
5. Hospital Activities
Royal Victoria Hospital, Montreal - Attending Staff
Montreal General Hospital, Montreal - Attending Staff
Jewish General Hospital, Montreal – Associate
St Mary’s Hospital, Montreal - Associate
Antonio Vigano
1. Research Grants (ongoing)
Laboratory for correlative and interdisciplinary research on cancer nutrition and
rehabilitation; Amount $ 303,582.00; Agency: Canadian Foundation for Innovation.
(Support period; 11/2004 to 11/2009) McGill Nutrition and Performance Laboratory
recruited first patient on December 11, 2006. Official opening April 2007. Patients
recruited to date (May 18, 2007): 48
Prognostic value of clinical correlates of cancer cachexia: a prospective, multicenter,
population-based study; Amount $ 211,925.00; Agency: Canadian Institutes for Health
Research. (Support period; 06/2004 to 05/2007) Patients accrued: 240 (target: 300)
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Palliative Care McGill Annual Report 2006/2007
2. Invited speaker
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Palliative Care McGill Annual Report 2006/2007
Stephen Liben
Service Award – Commander Palliative Care Presentation. Nov 2006 The Military &
Hospitaller Order of St. Lazarus
First Prize - Royal Society of Medicine Book Awards. Oct 2006, Oxford Textbook of
Palliative Care for Children (Goldman, Hain, Liben eds).
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Palliative Care McGill Annual Report 2006/2007
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Palliative Care McGill Annual Report 2006/2007
MacDonald N. Cancer symptom control trials: how may we advance this field? Current
Oncology. In Press.
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Palliative Care McGill Annual Report 2006/2007
Conference Proceedings
Liben S. Understanding what families want and what children need; pediatric palliative
care research brings us closer. Chair: Pediatric Day Seminar: 16th International Congress
On Care of the Terminally Ill. Sept 2006 Montreal
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Palliative Care McGill Annual Report 2006/2007
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