Initial Experience with "Honoring Choices Wisconsin": Implementation of an Advance Care Planning Pilot in a Tertiary Care Setting.

Background: Although previous research on advance care planning (ACP) has associated ACP with improved quality of care at the end of life, the appropriate use of ACP remains limited.

Objective: To evaluate the impact of a pilot program using the "Honoring Choices Wisconsin" (HCW) model for ACP in a tertiary care setting, and to understand barriers to system-wide implementation.

Design: Retrospective review of prospectively collected data.

Palliative Care Training in Surgical Oncology and Hepatobiliary Fellowships: A National Survey of Program Directors.

Background: Despite previous literature affirming the importance of palliative care training in surgery, there is scarce literature about the readiness of Surgical Oncology and hepatopancreaticobiliary (HPB) fellows to provide such care. We performed the first nationally representative study of surgical fellowship program directors' assessment of palliative care education. The aim was to capture attitudes about the perception of palliative care and disparity between technical/clinical education and palliative care training.

Genetic risk factors associated with lipid-lowering drug-induced myopathies.

Lipid-lowering drugs produce myopathic side effects in up to 7% of treated patients, with severe rhabdomyolysis occurring in as many as 0.5%. Underlying metabolic muscle diseases have not been evaluated extensively.

Core competencies in neurology resident education: a review and tips for implementation.

Background: The Accreditation Council for Graduate Medical Education (ACGME) Core Competency project for graduate medical education was developed in the late 1990s and is now being implemented in residency programs across all specialties. Program directors and residents in neurology are seeking national guidance in how to adjust educational curricula and establish new evaluation tools that meet ACGME standards.

Review Summary: This review summarizes the competency movement and outlines specific guidelines and resources for neurology programs including national efforts underway through the American Academy of Neurology (AAN), Neurology Residency Review Committee, and other subspecialty organizations.