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In Reply To: Palliative Care Physician
Next Message: Re:Palliative Care Physician

Post Re:Palliative Care Physician
Author: TomSmith [CAPC/PCLC Faculty]
Date: Oct 15, 2007 12:07 pm

Technically, there are no specific qualifications needed, except as specified by your hospital or health system. Some require board certification in a related specialty such as internal medicine, family practice, etc. There are not enough board certified PC specialists to meet all the need, so few health systems will restrict to just boarded docs.

Practically speaking, I know internists, family physicians, nephrologists, pulmonologists/intensivists, radiation oncologists and even one surgeon who do palliative care consults. Across the board they are excellent doctors and listeners, with a practical bent to solving problems. All of these skills fit within general medical training; the hardest situations require extra training and experience, but not most. We solve the issue by having Patrick Coyne RN MSN be on call 24-7-365 to take the hardest pain management calls. (Not really.)

Here, we do not insist on only-PC boarded docs, because that would leave us with suboptimal coverage, too. At one of the rural hospitals I attend, if only the cardiologist could give tpa, most would not get it...so there must be some flexibility.

So, check your hospital regs, but I doubt that ONLY boarded cardiologists can cover for cardiologists, and the same way for PC.

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