When Worlds Collide: Hospital Meets Patient Who “Will Not Be Moved”
An interprofessional case presentation by Dr. Tyler Tate and social worker Vickie Leff
Survey an extremely challenging palliative care case
Review moral distress theory and identify issues of a case that elicit strong feelings of moral distress
Understand how to better communicate with and care for patients, and providers working with them, who exhibit challenging coping styles
Tyler Tate MD, MA is palliative care physician and medical ethicist at Oregon Health and Science University (OHSU), where he attends on the pediatric palliative care team and serves as an Associate Director and the Director for Professionalism and Comfort Care in the Center for Ethics in Health Care. Dr. Tate attended college at Maryville University in St. Louis, MO, where he graduated summa cum laude with degrees in Molecular Biology and Philosophy. He then received his medical degree at the University of Alabama at Birmingham School of Medicine in Birmingham, AL, completed a residency in pediatrics, fellowship in clinical ethics, and M.A. in Bioethics at the University of Washington in Seattle, WA, and a fellowship in Palliative Care at Duke University in Durham, NC. As a scholar, Dr. Tate writes on suffering and end of life care, language and metaphor use in patient-clinician communication, and the moral development of medical practitioners. He has given several national talks on suffering and was a 2018 recipient of an American Society of Bioethics and Humanities Early Career Advisor Program Award.
Vickie Leff, LCSW, BCD, ACHP-SW is the Palliative Care clinical Social Worker for Duke University Hospital. She received her MSW from Simmons school of Social Work in 1982. She is also a lecturer at both NC State University School of Social Work and the Univ. of North Carolina Chapel Hill, graduate school of social work.
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