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J.
Randall Curtis, M.D., M.P.H.
Professor of Medicine
Pulmonary and Critical Care Medicine
Section Head, Harborview Medical Center
Director, Harborview/University of Washington
End-of-life Care Research Program
OFFICE ADDRESS
Harborview Medical Center
325 Ninth Avenue, Campus Box 359762
Seattle, Washington 98104
jrc@u.washington.edu
Academic Office: (206) 744-3356
Fax: (206) 744-8584
Clinic Appointments: (206) 744-3123 |
EDUCATION
AND TRAINING
B.A. in Biochemistry, Hampshire College, Amherst,
MA, 1984.
M.D., Johns Hopkins University, Baltimore, MD,
1988.
Residency in Internal Medicine, University of
Washington, Seattle, WA, 1991.
Chief Medical Resident, Seattle Veterans
Administration Medical Center, University of
Washington Affiliated Hospitals, Seattle, WA,
1992.
Robert Wood Johnson Clinical Scholar, University
of Washington, Seattle, WA, 1994.
M.P.H. in Epidemiology, University of Washington,
Seattle, WA, 1994.
Fellowship in Pulmonary and Critical Care
Medicine, University of Washington, Seattle, WA,
1997.
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CURRENT RESEARCH
INTERESTS
The overall research objectives are: 1) to
improve the quality of end-of-life care for
persons with terminal or chronic diseases such as
end-stage COPD, AIDS, or cancer; 2) to improve
patient-clinician communication about end-of-life
care; and 3) to integrate palliative care and
critical care in the ICU setting.
The hypotheses of this research are as follows:
1) the quality of end-of-life care and the
quality of dying can be measured with
questionnaires administered to patients, family
membes, and health care workers; 2) reliable and
valid measurement of the quality of care and the
quality of dying will allow researchers to
develop and evaluate interventions to improve
care for the dying; 3) improving the quality of
patient-clinician communication about end-of-life
care will improve the quality of care at the end
of life; 4) system-level changes to integrate
palliative care into the ICU can improve the
quality of care for patients and their families
as well as job satisfaction for ICU clinicians.
This research program is supported by grants from
the National Institutes of Health, including the
National Heart, Lung and Blood Institute, the
National Institute of Nursing Research, and the
Agency of Healthcare Research and Quality, as
well as the Robert Wood Johnson Foundation, the
Open Society Institute Project on Death in
America, and the Greenwall Foundation.
Additional information can be obtained by
visiting the End
of Life Care Research Program website.
REPRESENTATIVE PUBLICATIONS
Curtis JR, Park DR, Krone
MR, Pearlman RA. The use of the medical futility
rationale in do not attempt resuscitation orders.
JAMA 1995; 273:124-128.
Curtis JR, Patrick DL, Engelberg RA, Norris KE,
Asp CH, Byock IR. A measure of the quality of
dying and death: Initial validation. Journal
of Pain and Symptom Management 2002;
24:17-31.
Curtis JR, Wenrich MD, Carline JD, Shannon SE,
Ambrozy DM, Ramsey PG. Patients' perspectives on
physicians' skill at end-of-life care:
Differences between patients with COPD, cancer,
and AIDS. Chest 2002; 122:356-362.
Curtis JR, Engelberg RA, Nielsen EL, Au DH,
Patrick DL. Patient-physician communication about
end-of-life care for patients with COPD. European
Respiraory Journal 2004;24:200-205.
Curtis JR, Engelberg RA, Wenrich MD, Shannon SE,
Treece PD, Rubenfeld GD. Missed opportunities
during family conferences about end-of-life care
in the intensive care unit. American Journal
of Respiratory and Critical Care Medicine.
2005; 171:844-849.
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