How Hospital Norms and Organizational Factors Shape End-of-Life Care

Today's medical innovations can keep people alive longer, but hospital culture and organizational structures also influence how high-intensity, potentially non-beneficial treatments are used near the end of life. Drawing on examples from the United States and the United Kingdom, this Grand Rounds will examine how institutional factors shape communication and decision-making around serious illness and highlight system-level strategies to improve medically appropriate, goal-concordant care.

Speaker:
Elizabeth Dzeng, MD, PhD, MPH, MPhil, MS, is a sociologist and academic physician who conducts research at the nexus of sociology, ethics, palliative care, and human-centered design. She is an associate professor in the UCSF Divisions of Hospital Medicine and Geriatrics, a core faculty member at the Philip R. Lee Institute for Health Policy Studies, and a senior research fellow at the Cicely Saunders Institute at King’s College London. She previously served on the Society of General Internal Medicine Governing Council Executive Committee and currently serves on the editorial board of the Journal of General Internal Medicine. A Gates Cambridge Scholar, she completed clinical research and palliative care fellowships at Johns Hopkins School of Medicine, as well as a PhD in Sociology from the University of Cambridge (England). Her work is supported by several federal and foundation grants.

How to Attend: 
In Person: 
S-214, Medical Sciences Building (513 Parnassus Avenue) 
Lunch will be provided 

Zoom option: 
https://ucsf.zoom.us/j/93755876842?pwd=zpKbivmPQxtf4olxcQXo20u3w2qtch.1
Webinar ID: 937 5587 6842 
Passcode: 435169 

Or join by phone (for higher quality, dial a number based on your current location): 
+1 669 900 6833 US (San Jose) 
+1 213 338 8477 US (Los Angeles) 
+1 669 219 2599 US (San Jose) 
+52 554 161 4288 (Mexico) 

International numbers available: https://ucsf.zoom.us/u/anqthsjqM

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