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Palliative Care Out-Patient Services

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Post outpatient clinic prescription writing
Author: Mary_Hubert
Date: Mar 18, 2011 1:44 pm
We are starting a supportive care clinic in a cancer center and the staff will initially include an MD at 0.6 FTE and an RN full-time. I am struggling with whether to begin as a consult only service or whether to co-manage patients where requested by the referring oncologist and write prescriptions for symptom management. I wonder what other centers' experience has been where staff and coverage is limited?
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Re:outpatient clinic prescription writing (by mrabow on 03/23/2011)
Congratulations on starting your clinic.

I think most cancer center pc practices take over ma management of various symptoms (pain, depression, etc) for at least a short time (weeks, months).

Consultation without writing prescriptions in the outpatient setting might lead to long delays in helping patients get better.

That being said, outpatient practices have to be very careful about how long they continue to see patients... ongoing care can quickly fill up the schedules of your MD/NP, making it difficult to get in new patients.

Relatively short-term co-management may be ideal. Obviously, the prognosis of the patients you'll be seeing is key to this calculation.

Best,
Mike Rabow, MD
UCSF Palliative Care Leadership Center.

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