Literature Review

Outpatient curricular content for hospice and palliative medicine trainees: A national survey Journal of Pain and Symptom Management; by Harry J Han, Angelika Golebiowska, Emily N Hansen, Michelle Park, Victoria I Sweetnam, Christian T Sinclair, Jonathan C Yeh, Mary K Buss; 3/2/26, online ahead of print Context: More health systems are establishing outpatient palliative care (PC) programs, increasing demand for ambulatory PC clinicians. ... Little is known about the outpatient-specific knowledge and skills PC trainees should acquire for competent outpatient practice. Conclusion: This national survey identified foundational outpatient-focused educational topics for hospice and pallitive medical (HPM) learners and suggests that outpatient curricula prioritize deliberate education on the unique application of core PC skills in outpatient settings. This prioritized list provides education leaders a roadmap to enhance existing curricula and informs the development of outpatient educational resources that can be shared across institutions.

Relearning the world through grief-informed case formulation: A critique of prolonged grief disorder Journal of Humanistic Psychology; by Eleonora Ramsby Herrera, PhD; 1/31/26 Drawing on existential and humanistic frameworks, this review article critically examines the diagnosis of prolonged grief disorder and questions the usefulness of reducing grieving to a fixed set of symptoms and timelines. ... Rather than viewing grief as a disorder to be treated, the article advocates for understanding it as a natural and potentially transformative human response and argues for integrating grief into the bereaved person’s life story as a way to relearn the world.

GOComm: A team-based communication intervention to improve clinicians' skills and distress tolerance in family meetingsJournal of Hospital Medicine; by Kimberly Bloom-Feshbach, Evgenia Litrivis, Elizabeth Brondolo, Alexandra Spinelli, Thomas Bozzo, Melissa Patterson, Robert Crupi, Cynthia X Pan; 1/26Medical training often omits systematic approaches to prognostication and goals of care (GOC) communication, leading to end-of-life (EOL) hospital care misaligned with patients' values, lower clinician self-efficacy, and greater clinician distress. We developed and implemented GOComm, a 4-h serious illness communication training program across eight campuses of a large health system.  Clinicians had statistically significant gains in GOC knowledge, self-efficacy, and distress tolerance. GOComm had high clinician acceptability: 96.2% indicated they would recommend GOComm to a colleague, and 83.2% credited it with changing how they will manage patients.

Mourning a former spouse: Disenfranchised grief AfterTalk; by Dr. Robert Neimeyer; 2/16/26 Dear Dr. Neimeyer, ... Upon hearing that my ex died of cancer last February, I reacted viscerally which surprised my husband. I had to handle some of my ex’s legal affairs as he never remarried. Occasionally since then, I get flooded with memories of him and the good times we shared. It’s almost haunting. I am saddened he is missing the wonderful events in our children’s’ lives. Do people mourn their divorced spouses years after remarriage?  ... CarlaDear Carla, ... [Read Dr. Neimeyer's response]

Difficult encounters: How to set boundaries in the context of structural inequitiesJournal of Pain & Symptom Management; by Carrie C. Wu, Erik K. Fromme; 1/26Difficult encounters between patients and clinicians impact all areas of medical care, yet how to manage them is not routinely taught in medical training. This paper presents a case of a patient with cancer who struggled with emotional outbursts and impulsive behaviors. In the context of the racial trauma and socioeconomic challenges that the patient also experienced, the team struggled with boundary setting. We will review both traditional and contemporary approaches to the management of difficult clinician-patient interactions, while also addressing some of the limitations of existing frameworks. We will explore the role of bias in boundary setting and make suggestions for individual-, team-, and system-level approaches.

[Hong Kong] HKUMed building chatbot for end-of-life comms training MobiHealth News; by Adam Ang; 2/10/26 Powered by conversational AI, the tool aims to plug Hong Kong's palliative care workforce gap – with fewer than one specialist per 100,000 people – as advance medical directive legislation takes effect in May 2026. University of Hong Kong researchers are developing an AI-powered chatbot for training healthcare professionals in facilitating end-of-life communications at scale, ahead of new legislation making advance medical directives legally binding across the city of Hong Kong. 

Positive experiences of seriously ill lesbian, gay, bisexual, transgender, and queer persons and their partners with healthcare providers: Project Respect American Journal of Hospice and Palliative Medicine; by Cathy Berkman, PhD, MSW, Gary L. Stein, JD, MSW, Noelle Marie Javier, MD, Kimberly D. Acquaviva, PhD, MSW, David Godfrey, JD, Sean O’Mahony, MD, Shail Maingi, MD, Carey Candrian, PhD, Christian González-Rivera, MUP, Imani Woody, PhD, and William E. Rosa, PhD; 1/24/26 Results: There were numerous reports of respectful, affirming, and competent care, including: healthcare providers who were open about discussing a respondent’s LGBTQ+ identity and their specific health concerns; intake and assessment forms that included pre-specified choices for sexual orientations and gender identities; using correct names, pronouns, and gender; healthcare providers who identified as LGBTQ+ or signaled being an ally; and treating spouses, partners, and widows respectfully and including them in decision-making.

Medical Aid in Dying and our ethical duties—Call to actionJAMA Health Forum; by Yesne Alici, Liz Blackler, Julia Danielle Kulikowski, Amy Scharf; 1/26Medical aid in dying (MAID) is legal in 11 US states and Washington, DC, and is being actively considered in 18 additional states ... In all jurisdictions where MAID is legal, hospital systems have the option to opt out of providing MAID services but are legally obligated to share information about where patients can access resources. We maintain that all hospital systems and individual clinicians have an ethical responsibility to go beyond simply sharing information. Patients are going to ask about MAID, and institutions are ethically obligated to establish comprehensive policies that empower and encourage their clinical staffs—primarily physicians but also nurses and advanced practice clinicians—to purposefully and thoughtfully respond. Here, we describe the experience of our institution, Memorial Sloan Kettering Cancer Center (MSK), in developing policies and procedures to fulfill this responsibility and highlight lessons for other health care organizations and oncology practices seeking to accomplish similar goals.

Programs that pair older-adult mentors with medical students aim to overcome ageism Association of American Medical Colleges (AAMC); by Bridget Balch; 2/4/26 ... About 1 in 5 people over age 50 report having experienced age discrimination in a health care setting, according to a 2015 study. It’s an issue that researchers at Yale School of Public Health estimate costs the health care system $63 billion a year and can have serious negative effects on the physical and mental health of those discriminated against. As the proportion of the population over age 65 is increasing rapidly, some medical schools have developed senior mentoring programs that pair medical students with older-adult mentors to help overcome stereotyping and ageism, and to give older adults opportunities to engage with and give back to their communities.

Critical illness versus end-of-life conversations: A novel curriculum for enhancing resident physician communication skillsJournal of Pain & Symptom Management; by Kristin A Juhasz, Luke Rosielle, Sohale Shakoor, Kristina Damisch, Brad King, Troy King, Megan Kammerer; 12/25End-of-life (EOL) discussions are of utmost importance to emergency medicine physicians, and residency programs vary in their training on this subject, despite being an Accreditation Council for Graduate Medical Education (ACGME) requirement. During two yearly sessions, emergency medicine residents received training on end-of-life discussions. Each session included a seminar on how to approach the delivery of difficult news to patients and families and how to engage them in conversation. Our novel curriculum increased self-reported confidence in discussing EOL issues, especially among first- and second-year emergency medicine resident physicians. Training and experience with EOL conversations not only helps residents, but ultimately benefits patients and their families.

Grant will support memory care training North Central News; by Staff; 1/22/26 In late 2025, Molina Healthcare of Arizona granted $10,000 to Hospice of the Valley to support its Memory Care Training program. The grant will help Hospice of the Valley continue its program to train more than 4,000 memory care staff throughout the state – teaching effective communication techniques and strategies for managing challenging behaviors in people living with Alzheimer’s disease and other forms of dementia. The Memory Care Training program is offered at no charge to the community and shares best practices in dementia care through engaging role-playing videos that depict real-life challenges.