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Sunday, March 8, 2015

Which Doctors Should ‘Own’ End-of-Life Planning?

By Randi Belisomo
February 12, 2015

The duty to guide patients through the end-of-life decision-making process rests squarely on primary care providers, writes one internist in The New England Journal of Medicine in a February 11 online article, maintaining that her colleagues should better support seriously ill patients earlier and throughout the course of disease.

Susan Tolle, director of the Center for Ethics in Health Care at the Oregon Health and Science University, is one of three physicians responding to the NEJM's most recent "Clinical Decisions" case feature, detailing a woman undergoing treatment for metastatic breast cancer. However, her advance directive has not been reviewed in close to a decade.

The entire article is here.