69 | Dr. Emily Chang on compassion fatigue & paediatric palliative care

Doctor NOS

Dr. Emily Chang is a paediatric palliative care specialist at Starship Children’s Hospital in Auckland. She whakapapas back to Taiwan where her parents were born and raised. They emigrated to Aotearoa over 40 years ago and raised their family, now calling Aotearoa their home.
In this episode, we discuss her journey into paediatric palliative care, how to get into training and what it looks like, their day-to-day in palliative care and the conditions they see that differ to adult medicine. We also discuss her approach to palliative care conversations, the challenges around funding and hospice, what euthanasia means for paediatric palliative care, and her signs of compassion fatigue.

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Bliss by Luke Bergs https://soundcloud.com/bergscloud
Creative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0
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1. Emily Chang (00:00:00)

2. Finding medicine (00:01:11)

3. Finding paediatric palliative care (00:02:38)

4. How to train for paediatric palliative care (00:04:27)

5. Referring to and goals of paediatric palliative care (00:07:17)

6. Conditions in palliative paeds (00:10:47)

7. How to approach palliative care conversations (00:14:36)

8. Day-to-day of paediatric palliative care (00:16:55)

9. Trainees for paediatric palliative care (00:20:36)

10. Helping to advocate for paediatric palliative care (00:23:52)

11. Euthanasia (00:26:36)

12. Challenging conversations in palliative care (00:28:31)

13. Having conversations with children/informed consent (00:32:18)

14. Compassion fatigue (00:35:36)