Hello and welcome back to ACRAC. I'm Jed Wolfaw and I am really thrilled to have with me

in person today a rare thing these days because so many of our podcast episodes are recorded

over Zoom but I have in person with me not only one of my closest friends in the world,

someone I went to medical school with but a really highly accomplished palliative care doctor,

Dr. Timothy Pore, Tim Pore, and Tim, as I said, is a palliative care doctor in Providence,

Rhode Island and we have actually collaborated recently on some education modules for some medical

students talking about end-of-life decision-making and discussions and Tim, of course, his whole career

is around this and so I thought it would be great and I'm really thrilled that he agreed to come

on the show and we're going to talk about palliative care in the ICU. So Tim, welcome to the show.

Thanks so much for having me. Let's start by just talking about you. Tell the audience a little bit

about who you are, how you got where you are, what your path, your career path looks like, and what

you do. Great. So currently I'm a palliative care doctor at an organization called Hope Health

in Providence, Rhode Island, which started out as a hospice organization and now sort of

employs all the palliative care doctors that work at all the brown hospitals in Providence and so

I do inpatient palliative care at Rhode Island Hospital in the Miriam Hospital, which are two sort

of main hospitals in Providence and that's pretty recent because I moved to Rhode Island to be

closer to family. Prior to that, I was at UCSF for a number of years where I did medical school and

residency and a chief residency in fellowship and worked in palliative care there doing both in

patient and outpatient palliative care over the years and most recently before I left a few months

ago was medical director of the inpatient palliative care service there. Great. So you know, I think a

lot of people probably know that as you did one common path to being a palliative care physician

is through internal medicine as you did in the fellowship, just out of curiosity, what are other

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