Live Workshops
Psycho-Oncology/Palliative Care
Shamik Mukherji, MD
Consultation-Liaison Psychiatrist, Psycho-Oncologist
Long Island Jewish Medical Center / Northwell Health
Glen Oaks, New York
Megan Gilman, MD
Assistant Attending
Memorial Sloan Kettering Cancer Center
New York, New York
Annah Abrams, MD
Director, AYA cancer program and Pediatric Psychooncology
Massachusetts General Hospital
Boston, Massachusetts
Xiomara Rocha-Cadman, MD, FACLP, FAPA
Associate clinical professor, chief of the division of psychiatry, department of supportive care med
City of Hope Comprehensive Cancer Center
Duarte, California
Shruti P. Mutalik, MD (she/her/hers)
Transplant and Consultation Liaison Psychiatrist, Mount Sinai Hospital
Icahn School of Medicine, Mount Sinai
New York, New York
Annah Abrams M.D. is a Child and Adolescent Psycho-Oncologist and Director of the AYA cancer program at Massachusetts General Hospital. She will discuss ways to honor and respect adolescent and young adult experiences and wishes in their end of life care, while also managing expectations and emotions of family members. Session 2: “Psychodynamic Dilemmas in the Young, Hospitalized and Dying Patient”. Shamik Mukherji, M.D. is a Psycho-Oncologist at Northwell Health. He will present the case of a young patient’s long course and eventual death in the hospital and analyze its psychodynamic implications through a Winnicottian and Meaning-Centered model. Session 3: Transplant Denial in the Young Recipient: The Role of Physician Decision-Making” Shruti Mutalik, M.D. is a Transplant Psychiatrist at Mount Sinai Medical Center. She will discuss a case of a young adult in need of an organ transplant whilst highlighting the ethical and countertransferential difficulties involved. She will explore the impact of young age in influencing recipient review committee decision making regarding transplant listing. Session 4: “Respecting a Young Adult’s Choice - ‘The California End of Life Option Act’ (EOLOA): The Role of Patient Decision Making” Xiomara Rocha-Cadman, M.D. is the Chief of Psycho-Oncology at City of Hope Medical Center. She will present the case of a young adult expressing interest in elective aid to dying, elucidating the ethical, legislative, and administrative complexity of the California EOLOA. She will review the 6-step protocol utilized for EOLOA requests. Session 5: “Should I Attend My Patient’s Funeral? A Countertransferential Controversy” Megan Gilman, M.D., is a Psycho-Oncologist and AYA Liaison at Memorial Sloan Kettering Cancer Center. She will present the personal experience of attending a young patient’s funeral and parse the ethical, countertransferential, and dogmatic controversies involved. She will highlight the role of the psychiatrist in this context and offer guidance for a sensitive approach. Questions, Open Discussion and Peer Support: We will open up for audience questions, foster discussion about our sessions based on prior audience participation, and encourage audience members to share their own experiences and expertise in treating the AYA population. References: 1. Zadeh S, Pao M, Wiener L. Opening end-of-life discussions: how to introduce Voicing My CHOiCES™, an advance care planning guide for adolescents and young adults. Palliat Support Care. 2015 Jun;13(3):591-9.Learning Objectives: