Rachelle Bernacki MD, MS
Co-presenting with Dr Jo Paladino MD & Dr Josh Lakin
Leaning in to lessen fear: How structure can free clinicians, patients, and their whānau in exploring what matters most
Dr Bernacki is the director of quality initiatives in the Department of Psychosocial Oncology and Palliative Care at Dana-Farber Cancer Institute and an assistant professor at Harvard Medical School. She served as the of the Serious Illness Care Program at Ariadne Labs, which has developed a standardised approach for ensuring clinicians conduct discussions about end-of-life values and goals with seriously ill patients and their families. Dr Bernacki is also the founder of the Ariadne Labs Serious Illness Community of Practice, which nationally scales communication, implementation and training efforts to strengthen health systems with innovative and sustainable solutions in serious illness care. She directed the Dana-Farber Cancer Institute randomised controlled trial testing the Serious Illness Care Program, and implemented and adapted the programme for high-risk primary care patients.
Recently, Dr Bernacki and Dr Zara Cooper, a trauma surgeon, began the Center for Geriatric Surgery at Brigham and Women’s Hospital. Through this clinical and research centre, vulnerable surgical patients are identified via preoperative frailty screening and symptom assessment; the team has created clinical pathways tailored to meet each patient’s individual needs.
Dr Bernacki is board certified in palliative medicine, geriatrics and internal medicine. She is a Fellow of both the American Academy of Hospice and Palliative Medicine (AAHPM) and the American Geriatrics Society and currently serves on the Board of Directors of AAHPM. She is the recipient of two Geriatric Academic Career Awards from the Health Resources and Services Administration and is a 2015 Cambia Sojourns Leadership Scholar.
Dr Bernacki received her BS from Cornell University, her MS from the University of Chicago, where she completed the Robert Wood Johnson Clinical Scholars Program, and her MD from Johns Hopkins University School of Medicine.
Cari Borenko
Pulling the pieces of the advance care planning puzzle together: From the Pan-Canadian framework to a local schema
Co-presenting with Nicole Wikjord & Nav Prihar - poster presentation
Empowering the diversity of British Columbia's First Nations and Punjabi communities through ACP partnerships
Since 2006, Cari has been the regional lead of the advance care planning (ACP) program at Fraser Health Authority in British Columbia. In this role, she has championed the development, implementation, delivery and evaluation of ACP policies, systemic processes, educational resources and promotional materials. Cari's unwavering vision has provided the opportunity to support and influence the implementation of other ACP programmes.
Cari has had the privilege to contribute to the ACP movements in New Zealand, Singapore and Japan. As a recognised leader, she was seconded as the provincial clinical lead for ACP to support the development of provincial ACP resources for clinicians, patients and their families.
Her appointment at UBC Department of Medicine as a clinical instructor illustrates her exemplary teaching skills. Through the Canadian Hospice Palliative Care Association (CHPCA), Cari is proud to be the founder and chair of the Canadian National ACP Community of Practice of Educators and an appointed member of the National ACP Task Group.
Cari has presented at several international and national conferences including ones sponsored by the International Society of ACP and End of Life and the CHPCA. She is the author of a chapter entitled Passion, Persistence and Pennies and co-author of another chapter about Canadian ACP.
Joshua Lakin MD
Co-presenting with Dr Jo Paladino MD & Dr Rachelle Bernacki MD
Leaning in to lessen fear: How structure can free clinicians, patients, and their whānau in exploring what matters most
Senior Physician, Division of Adult Palliative Care, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute and Brigham and Women’s Hospital Palliative Care Consultant, Population Health Management, Brigham and Women’s Hospital Medical Director, KidneyPal Program, Brigham and Women’s Hospital Associate Faculty, Ariadne Labs Assistant Professor of Medicine, Harvard Medical School
Dr Lakin works as an attending physician at the inpatient palliative care consult service and intensive palliative care unit at the Dana-Farber Cancer Institute and the Brigham and Women’s Hospital in Boston, Massachusetts and serves as the medical director of the KidneyPal palliative care service dedicated to patients with advanced kidney disease.
In these clinical roles, he works as part of an inter-professional team providing palliative care to hospitalised patients. The palliative care team is frequently staffed with fellows, residents and students from a variety of schools and professions, and Dr Lakin serves as a clinical educator for this group of energised learners. In addition to his clinical teaching activities, he currently teaches at the Harvard Medical School Center for Palliative Care.
In terms of research, Dr Lakin is interested in working to build scaleable and measurable models for delivering palliative care, especially high-quality serious illness communication, outside of traditional hospital-based palliative care services. He spends his time primarily at the intersection of clinical palliative care and health care systems work aiming to improve the experiences of clinicians, patients and their families as they wrestle with serious illnesses.
Kathryn Mannix FRCP (London)
Restoring the forgotten wisdom: How can we reclaim ordinary dying?
Dr Mannix qualified from Newcastle Medical School in the UK in 1982 and trained in medicine, oncology, cognitive behaviour therapy (CBT) and palliative medicine in the north of England. She was a founder member of the Association for Palliative Medicine.
Her clinical and research interests were in palliation of nausea and vomiting, and application of CBT in a palliative care setting. She was made a Fellow of the British Association for Behavioural and Cognitive Psychotherapies in recognition of her contribution in developing CBT therapy and staff training in palliative care.
After working in palliative care for 30 years in hospitals, community teams and hospitals, Dr Mannix took early retirement to work for better public understanding of dying. She writes, lectures and broadcasts widely in the UK and beyond, and her first book, With the End in Mind, was shortlisted for the Wellcome Book Prize.
Hector Matthews
Māori lives matter
Married with three adult tamariki and two mokopuna, whānau are at the centre of Hector's work and life. Hector strongly supports the revitalisation of te reo Māori and tikanga as a foundation for whānau wellbeing. Hector is the executive director of Māori and Pacific Health at Canterbury DHB.
Hector has been working in Māori health and Māori communities since leaving the army with the rank of Captain in 1997, following a one-year peacekeeping mission in the Middle East. Hector chaired the establishment of a kura kaupapa Māori (immersion Māori language school) in Christchurch for 10 years and chaired the council of Christchurch Polytechnic Institute of Technology for eight years. He also managed a large urban marae for four years and is a current lay member of the Lawyers and Conveyancers Disciplinary Tribunal.
Hector holds a Bachelor of Arts in te reo Māori and Māori and indigenous studies and graduate diploma in telecommunications systems management. He is also an Ahorei (senior tutor) of Mau Taiaha and Nidan (second degree black belt), Seido Karate.
Jo Paladino MD
Co-presenting with Dr Rachelle Bernacki MD & Dr Josh Lakin
Leaning in to lessen fear: How structure can free clinicians, patients, and their whānau in exploring what matters most
Dr Paladino is a palliative care physician on faculty at the Dana-Farber Cancer Institute and Ariadne Labs. She earned her BA from Boston University and MD from Weill Medical College of Cornell University. In her current role, she coordinates the implementation efforts for the Serious Illness Care randomised trial in 10 disease centres and two satellite locations at the Dana-Farber Cancer Institute.
In addition, her work on implementation and strategy supports the expansion of the Serious Illness Care Program to achieve successful spread to additional health care settings. She also works on curriculum development to train colleagues of all disciplines in serious illness communication.
Dr Paladino completed her internship and residency training in primary care and population medicine at Brigham and Women’s Hospital. She completed her fellowship training in palliative care at Harvard’s Interdisciplinary Palliative Care Fellowship at Dana-Farber Cancer Institute, Brigham and Women’s Hospital and Massachusetts General Hospital. She is board certified in internal medicine and hospice and palliative medicine.
Dr Alex Psirides
Moving from medical orders to shared goals of care in hospitals
Dr Alex Psirides is an intensive care specialist & co-clinical director of the tertiary intensive care unit (ICU) in Wellington Regional Hospital and medical director of the ICU aeromedical retrieval service. He trained in London, Australia and New Zealand. He has been involved in the design and implementation of rapid response systems to detect and respond to in-patient deterioration in several countries. His work and research in this area led to an appointment as the national clinical lead for the New Zealand Health Quality & Safety Commission’s 5-year deteriorating patient programme.
He is interested in how hospitals (often fail to) recognise dying patients and thinks we could & should do better. He has advised both the College of Intensive Care Medicine and the Ministry of Health on air ambulance organisation, governance and restructuring.
When not walking his dog or children, he builds websites & designs logos for Wellington ICU’s prodigious research department. He has nearly written a lot more papers so should spend less time on Twitter.
Derek Sherwood
Choosing Wisely and advance care planning
Derek grew up in Nelson and trained at Otago University before completing his Ophthalmology training in the UK. He heads the Nelson Marlborough Ophthalmology service and has a special interest in Paediatric Ophthalmology.
Derek has had a keen interest in how we provide health services and has in the past chaired the Save Sight Society, The NZ Branch of RANZCO and The Council of Medical Colleges NZ (CMC). In his role at CMC he facilitated the introduction of Choosing Wisely into New Zealand and was clinical lead for this programme.