Grand Rounds: Dr. Amber E. Barnato “Implicit Cognition and Inpatient Advance Care Planning”

Please join us:

Wednesdays at 8am, Patient Family Resource Center Conference Room (Ground Floor, North Carolina Cancer Hospital)

Hosted by the UNC Comprehensive Cancer Support Program (CCSP) and the UNC Palliative Care Program.

Presenter:   Amber E. Barnato MD MPH MS

Title:  “Implicit Cognition and Inpatient Advance Care Planning”

Bio:    Amber E. Barnato is a board-certified preventive medicine and public health physician with advanced training in decision science. Her research focuses on variation in end-of-life intensive care unit (ICU) and life-sustaining treatment use.

Barnato’s research is the source of the frequently cited statistic that “one in five Americans will die with ICU services” and the key finding that black patients’ higher use of intensive care at the end of life is largely attributable to their use of higher-intensity hospitals. Her work has focused both on refining measures of hospital end-of-life treatment intensity and exploring the mechanisms underlying variations in these measures using mixed qualitative and quantitative approaches, including participant observation, simulation, and mental-models interviewing. This research has led to a conceptual model regarding the interplay among provider social norms, patient and family expectations, and physician decision making heuristics, which she summarized in a recent invited overview in Health Affairs.

More recently she has begun developing and testing interventions to modify patient and provider behavior related to advance care planning and end-of-life decision making using behavioral decision theory with the goal of better aligning patient values with medical decisions and reducing the burden of surrogate decision making.

In 2017, Barnato was named the inaugural Susan J. and Richard M. Levy 1960 Distinguished Professor in Health Care Delivery. She was previously associate professor of medicine, clinical and translational science, and health policy and management at the University of Pittsburgh School of Medicine and Graduate School of Public Health. Throughout her career she has published more than 100 research articles, advised more than 60 medical students committed to clinical research careers, and mentored seven faculty through their transition to independence.

Barnato earned a BA from the University of California at Berkeley, an MD from Harvard Medical School, an MPH from the University of California at Berkeley, and an MS from Stanford University.

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Accreditation

The School of Medicine of the University of North Carolina at Chapel Hill is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Continuing Medical Education Statement

The School of Medicine of the University of North Carolina at Chapel Hill designates this live activity for a maximum of 8.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other health professionals will receive a certificate of attendance from an AMA PRA Category 1™ activity. These certificates are accepted by the NC Boards for physician assistants, nurse practitioners, nurses, and respiratory therapists.  Other health care providers may also be able to use these certificates, depending on their particular license requirements.  (License requirements are subject to change. Participants should check with their licensing boards for specific questions.  UNC and its partners are not responsible for changes in license requirements.)

Disclosure statement

This activity has been planned and implemented under the sole supervision of the course director and planning committee, in association with the UNC Office of Continuing Professional Development (UNC CPD).  The course director, planning committee, presenters, and CPD staff have no relevant financial relationships with commercial interests as defined by the ACCME.