Palliative Care Specialists Series Feature Editors: Christopher A. Jones and William E. Rosa Open camera or QR reader and scan code to access this article and other resources online. Top Ten Tips Palliative Care Clinicians Should Know About Delivering Specialty-Aligned Palliative Care Richard E. Leiter, MD, MA, 1–3 Kara E. Bischoff, MD, 4 Elise C. Carey, MD, 5 Samantha L. Gelfand, MD, 1–3 Anand S. Iyer, MD, MSPH, 6,7 Nelia Jain, MD, MA, 1–3 Neha M. Kramer, MD, 8 Kate Lally, MD, 1–3 Michael J. Landzberg, MD, 1–3 Natasha Lever, CNP, 2 Kristina Newport, MD, 9 Arden O’Donnell, MPH, LICSW, APHSW-C, 3 Arpan Patel, MD, PhD, 10,11 Kate R. Sciacca, NP, 2 Jennifer M. Snaman, MD, 1,2 James A. Tulsky, MD, 1–3 William E. Rosa, PhD, APRN, 12 and Joshua R. Lakin, MD 1–3 Abstract Specialty-aligned palliative care (SAPC) refers to interprofessional palliative care (PC) that is delivered to a specific population of patients in close partnership with other primary or specialty clinicians. As evolving PC models address physical, psychosocial, and spiritual suffering across illnesses and settings, PC clinicians must acquire advanced knowledge of disease-specific symptoms, common treatments, and complications that impact prognosis and outcomes. The tips provided in this article draw on the experience and knowledge of interpro- fessional PC and other specialist clinicians from diverse institutions across the United States who have de- veloped and studied SAPC services across different disease groups. Recommendations include focusing on approaching specialty team partnerships with humility, curiosity, and diplomacy; focusing on patient populations where PC needs are great; clarifying how work and responsibilities will be divided between PC and other clinicians to the extent possible; using consults as opportunities for bidirectional learning; and adapting workflows and schedules to meet specialty team needs while managing expectations and setting limits as appropriate. Furthermore, to provide effective SAPC, PC clinicians must learn about the specific symptoms, prognoses, and common treatments of the patients they are serving. They must also build trusting relationships and maintain open communication with patients and referring clinicians to ensure integrated and aligned PC delivery. Keywords: collaboration; interprofessional care; palliative care; physical suffering; psychiatric/psychological/ psychosocial issues; specialty-aligned palliative care 1 Harvard Medical School, Boston, Massachusetts, USA. 2 Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts, USA. 3 Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts, USA. 4 Division of Palliative Medicine, Department of Medicine, University of California San Francisco, San Francisco, USA. 5 Division of Community Internal Medicine, Geriatrics, and Palliative Care, Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA. 6 Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. 7 Center for Palliative and Supportive Care, Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. 8 Departments of Neurology and Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA. 9 Section of Palliative Medicine, Department of Medicine, Penn State University College of Medicine, Hershey, Pennsylvania, USA. 10 Division of Digestive Diseases, David Geffen School of Medicine, University of California, Los Angeles, California, USA. 11 VA Greater Los Angeles Healthcare System, Los Angeles, California, USA. 12 Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA. Accepted March 1, 2023. JOURNAL OF PALLIATIVE MEDICINE Volume 0, Number 0, 2023 ª Mary Ann Liebert, Inc. DOI: 10.1089/jpm.2023.0116 1 Downloaded by Boston University from www.liebertpub.com at 08/04/23. For personal use only.