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Lucille Marchand, MD, BSN
Professor & Section Chief , Family Medicine
Director, University of WA Medical Center Palliative Care Program
Palliative Care
Phone: (206) 685-5606
e-mail: lrm19@uw.edu


Biographical Profile

Lucille (Lu) Marchand, MD, BSN, FAAHPM, joined the faculty at the University of Washington in 2014 as professor and section chief of palliative care in the department of family medicine, and director of the UW Medical Center's Palliative Care Program.

Lu received a BA in sociology from Brown University and did qualitative research. She obtained a BS in nursing from the Creighton University Accelerated Nursing Program in Omaha, Nebraska. During her seven years as a coronary care nurse and emergency department nurse in Oakland, CA, she completed pre-medical studies at the University of California-Berkeley. She received her MD degree from the University of California- San Francisco in 1987 and completed her family practice residency at the University of Connecticut in 1990 and a fellowship in 1991 at the University of Connecticut in faculty development. Her fellowship included training in family therapy with Jeri Hepworth, PhD, and qualitative research with William Miller, MD, and Ben Crabtree, PhD.

Following fellowship, she joined the University of Wisconsin Department of Family Medicine in November 1991. She was a faculty physician and clinic director at UW HEalth Belleville Clinic, a rural residency site, for 14 years, was the clinical director of integrative oncology at the UW Paul P Carbone Comprehensive Cancer Center for 7 years, a hospice medical director for 6 years, and a physician consultant with the UW Integrative Medicine Program for 10 years. She created the St Mary's Palliative Care Service in 2011, the training site for the UW Department of Family Medicine. She did mixed methods research on primary care, palliative care, curriculum development, and behavioral issues, and taught family medicine residents and medical students. She has mentored medical students in doing qualitative research. Her interests include family systems, the doctor-patient relationship, narrative medicine, integrative and palliative care, spirituality, ethics, health professional well-being, and humanities in medicine. She writes prose and poetry and encourages others to write for self-reflection and publication. She has been the editor of the "Art of Caring" column in the American Academy of Hospice and Palliative Medicine Quarterly since 2004. She is board certified in family medicine, palliative medicine and integrative holistic medicine. Her most recent research interests are in life review and social networking as a therapeutic tool for patients with advanced cancer.

Her administrative role at UW includes clinical work, teaching, research. Goals for the palliative care section in the DFM include education of diverse health science learners in palliative care and narrative medicine, system wide integration of outpatient and inpatient palliative care providing excellence in patient care, system wide education about primary palliative care, and contributing to the University of WA as major leader nationally in palliative care through the Cambia (UW Medicine) Palliative Care Center of Excellence.

She has 2 children: Noah and Sarah. Both live in Madison, WI. She enjoys dancing, yoga, hiking, skiing, kayaking, biking, writing, cooking, and singing.


Teaching Interests & Roles

She is active in teaching learners on the University of WA Palliative Care Service. Learners include: palliative care and geriatric fellows, internal medicine and family medicine residents, medical students, NP students, physician assistant students, pharmacy students, social work students, chaplain residents, etc. She teaches palliative care and integrative medicine to national, regional, and local health clinician audiences, and does outreach to lay community groups. She has been been active in palliative care education for medical students and family medicine residents for over 20 years. Currently, she is involved in teaching medical students in the UW Chronic Care Clerkship about palliative care and communication.

Much of her scholarly work (teaching, writing and research) has been on palliative care curriculum for family medicine residents on death pronouncements, and a narrative and developmental approach to teaching a 3 year palliative care curriculum to family medicine residents. This curriculum has been published on the Society of Teachers of Family Medicine Resource Library in 2015. She is currently co-chair of the STFM group on geriatrics and palliative care.

At the University of Wisconsin Department of Family Medicine (1991-2014), she was the course director for the Healer's Art Medical Student elective for 14 years. In the UW Family Medicine Residency, she was coordinator of the palliative care curriculum for 20 years, and was associate coordinator of the behavioral science curriculum, She taught a workshop on death pronouncements for over 20 years to family medicine residents, and developed a 3 year PC curriculum.


Research Interests & Roles

She has done research using qualitative methods and mixed methods on primary care, palliative care, curriculum development, and behavioral issues, and taught family medicine residents and medical students. She has mentored medical students in doing qualitative research. Her interests include family systems, the doctor-patient relationship, narrative medicine, integrative and palliative care, spirituality, ethics, health professional well-being, and humanities in medicine.

Her most recent research for 6 years has been on life review in advanced cancer patients using mixed methods. This included a pilot study, and a randomized control trial of the life review intervention.


Current Projects

Development of longitudinal palliative care curriculum for family medicine residents using a narrative and developmental approach.

Development of a interdisciplinary palliative care inpatient consultation program with growth into a system wide, inpatient and outpatient PC program, with a vision for development of an integrated UWMC palliative program including an inpatient PC unit.

Working with the University of WA Cambia Palliative Care Center of Excellence in a leadership role to develop educational, clinical, and research standards for palliative care.

The Joint Commission Advanced Certification in Palliative Care for all UW Medicine Hospitals by 2016. Currently, UW Medical Center achieved this certification in 2014, and was re-certified in 2015.

Training of UW DFM MEDEX faculty member to join UWMC PC service in 2016. Provide palliative care curriculum for physician assistant students.

Working on advance directive initiative, palliative sedation protocols, ICU palliative care screening and collaboration, PC service metrics, PC learners on service curriculum, and neonatal PC program.

STFM Group on Geriatrics and Palliative Care - co-chair. Development of curricular materials.

American Academy of Hospice and Palliative Medicine Special Interest Group on Humanities and Spirituality- Chair in 2015-2016.. Planning committee for AAHPM Annual Service of Remembrance. Annual Book Club coordinator.

STFM Prose and Poetry night at annual meeting - Chair.


Scholarly Work

Publications: 2014-2015

Marchand L. (invited commentary) Shared Presence: the heart of the therapeutic relationship. Families, Systems and Health. (accepted June 2015)
Marchand L. Integrative and complementary therapies for patients with advanced cancer. Annals of Palliative Medicine. 2014; 3(3): 160-171. Online and text. http://www.amepc.org/apm/article/view/4127/5060. ISSN 2224-5820.
Rosenzweig S, Marchand L. Brief Meditation Practices for Caregivers and Patients: an informational and experiential introduction to mindfulness and compassion practice. J Pain and Symptom Management. 2014 ; 47(2): 431-432.
Marchand L, Gasper A, Go L, Schaefer E, Beasley J. More 55-Word Stories: Noticing, reflecting, healing. American Academy of Hospice and Pallliative Medicine Quarterly.2014 ; Summer (15): 14-15.
Marchand L, Fleming E, Mastrocola J, Gasper A, Marty E. Noticing, Reflecting, Healing: 55 word stories. American Academy of Hospice and Pallliative Medicine Quarterly.2014 ; Spring (15): 7.
Online publications:
Marchand L. Commentary on ‘‘Allow Natural Death’’ versus ‘‘Do Not Resuscitate:’’ What Do Patients with Advanced Cancer Choose?” Practice Update. May 2015.
http://www.practiceupdate.com/journalscan/
Marchand L. Commentary on “The Effects of advance care planning on end of life care; a systematic review.” Practice Update. 2014. http://www.practiceupdate.com/journalscan/9025

Curricular materials:
Marchand L. Teaching Palliative Care to Family Residents: a developmental and narrative approach. STFM:Resource Library. (Peer reviewed) April, 2015.

Presentations: 2014-2015
National:
“Compassionate Practice: mindfulness and contemplative approaches to care.” Invited presenter. AAHPM, HPNA, and NHPCO’s 2015 Virtual Conference: Clinical Advances in the Art and Science of Care. July 21-23, 2015.
“Teaching Palliative Care to Family Residents: a developmental and narrative approach.” Preconference workshop. Society of Teachers of Family Medicine Annual Conference. Orlando, FL. April 26, 2015.

“The Healing Power of Hope: in our patients and in ourselves.” Wright State University Annual Medicine-Spirituality Conference. Workshop. Invited speaker. Dayton, OH. April 16, 2015.
“The Healing Power of Hope: for patients and palliative clinicians.” Lead presenter with co-presenter Cory Ingram, MD. American Academy of Hospice and Palliative Medicine/HPNA Annual Conference, Philadelphia, PA. February 25-28, 2015.
“State of the Science: Integration of CAM and Conventional Therapies in the Palliative Care of Patients.” Lead presenter with co-presenters Steven Rosenzweig, MD and Gabriel Lopez, MD. American Academy of Hospice and Palliative Medicine/HPNA Annual Conference, Philadelphia, PA. February 25-28, 2015.
“Building Resilience: an innovative reflective writing method for clinical palliative care- the 55 word story.” Lead presenter with co-presenters Jan Jahner, RN, and Cory Ingram, MD. American Academy of Hospice and Palliative Medicine/HPNA Annual Conference, Philadelphia, PA. February 25-28, 2015.
“The Healing Power of Hope and Miracles: for patients and ourselves.” National Center for Death Education Summer Institute. Invited speaker for one day workshop. Mount Ida College, Newton, MA. July 24, 2014.
“Brief Meditation Practices for caregivers and patients: an informational and experiential introduction to mindfulness and compassion practices.” Co-presenter: Steven Rosenzweig, MD. Annual Assembly of American Academy of Hospice and Palliative Medicine and Hospice and Palliative Nurses Association. San Diego, CA. March 12-15, 2014. Presenter: Service of Remembrance.
Regional:
“Conveying Hope in Challenging Situations.” Workshop. Faculty Development for UW Family Medicine Clerkship Faculty from WWAMI region. Huskies Union Building. University of Washington School of Medicine, Seattle. June 5, 2015.
“Practical Palliative Care.” 42nd Annual Advances in Family Practice and Primary Care course. University of Washington Health Sciences Center, Hogness Auditorium, Seattle, WA. September 10, 2014.

Local:

“Conveying Hope in Challenging Situations in our Personal and Professional Lives.” University of WA Faculty Wellness Workshops. Seattle, WA. March 30, 2015.

“Conveying Hope in Tough Situations.” University of Washington Department of Family Medicine Grand Rounds. Seattle, WA. January 7, 2015.

“The Healing Power of Hope: in ourselves and our patients.” Invited. Keynote address. First University of WI Gold Humanism Honor Society CARE: cultivating authenticity, reflection, and empathy in medicine Conference. Madison, WI. March 1, 2014.

“Integrative Cancer Care and Palliative Care in Cancer Care.” Madison Leukemia, Lymphoma and Myeloma Support Group, UW West Clinic, Middleton, WI. January 21, 2014.


Resident Seminar Series: University of Washington Family Residency Program, Seattle, WA

“The Healing Power of Hope: the art and science.” Residency workshop for all levels of residents. October 29, 2014.


MEDEX (Physician Assistant Program) Seminar Series: University of Washington Department of Family Medicine, Seattle, WA

“Introduction to Palliative Care including Communication and Symptom Management.” Co-presenter: Tonda Anderson, PA-C. November 17, 2014.


Education & Training

Institution

 

Degree or Credential

 

Year

University of Connecticut Faculty Development Fellowship  1991
University of Connecticut Family Medicine Residency 1990
University of California San Francisco MD 1987
Creighton University BS Nursing 1978
Brown University BA Sociology 1976