Dmitry Kozhevnikov, DO, FACP
Cards
About
Research
Publications
2024
Safe and Effective Treatment of Refractory Cancer Pain with Chronic Oral Ketamine: A Case Series
Kozhevnikov D, Kareem L, Bui T. Safe and Effective Treatment of Refractory Cancer Pain with Chronic Oral Ketamine: A Case Series. Palliative Medicine Reports 2024, 5: 475-480. DOI: 10.1089/pmr.2024.0049.Peer-Reviewed Original ResearchRefractory cancer painOral ketamineCancer painPain scoresCase seriesTreatment of refractory cancer painTreating refractory cancer painEfficacy of long-term treatmentImproved pain scoresRoutine follow-up visitsNumerical rating scaleCancer-related painFollow-up visitLong-term treatmentOff-label useAdult cancer painKetamine treatmentChronic painChronic treatmentPainEffective treatmentPalliative carePatientsGrowing body of evidenceClinical experience
2023
Dying in the Hospital: A Quality Improvement Project to Increase Inpatient Hospice Utilization (QI105)
Prestia B, Kozhevnikov D, Loho H. Dying in the Hospital: A Quality Improvement Project to Increase Inpatient Hospice Utilization (QI105). Journal Of Pain And Symptom Management 2023, 65: e623-e624. DOI: 10.1016/j.jpainsymman.2023.02.220.Peer-Reviewed Original ResearchCMO patientsHospice utilizationInsurance statusSurgery serviceEducation interventionClinician related factorsSeverity of illnessLength of stayQuality improvement projectStudy-Act cyclesAcademic medical centerIllness scoresInpatient hospiceUnivariate analysisMultivariate regression modelMedical CenterComfort measuresPatientsHospital unitsPlan-DoHospitalICUEducational interventionMedical servicesRelated factorsFactors Associated With Inpatient Hospice Utilization Among Hospitalized Decedents With Comfort Measures Only Status
Kozhevnikov D, Loho H, Prestia B. Factors Associated With Inpatient Hospice Utilization Among Hospitalized Decedents With Comfort Measures Only Status. Journal Of Palliative Medicine 2023, 26: 1048-1055. PMID: 36716262, DOI: 10.1089/jpm.2022.0460.Peer-Reviewed Original ResearchConceptsLength of stayCMO patientsRothman IndexTerminal admissionComfort measuresTotal LOSMultivariable logistic regression analysisRoutine hospice careTertiary care hospitalPrimary diagnosis codeLogistic regression analysisPrimary medical servicesTime of deathElectronic health recordsClinician typeInpatient deathCare hospitalMultivariable analysisHospice utilizationDiagnosis codesHospice useHospice careCMO orderPatientsSerious illness
2022
Managing Acute Decompensation in Life-Limiting Illness (MADLI): A Novel Simulation Curriculum (S528)
Kozhevnikov D, Wong A, Jubanyik K, Ellman M, Morrison L. Managing Acute Decompensation in Life-Limiting Illness (MADLI): A Novel Simulation Curriculum (S528). Journal Of Pain And Symptom Management 2022, 63: 920-921. DOI: 10.1016/j.jpainsymman.2022.02.151.Peer-Reviewed Original ResearchAcute care settingCare settingsEmergency medicineInternal medicineSimulation curriculumPerceived barriersCommunication skillsGoals-of-care conversationsLife-limiting illnessImminent deathIllness communication skillsInadequate physical spaceIll patientsDidactic videoPrognostic awarenessAcute carePatient goalsEnvironmental barriersImpending deathClinical managementCare conversationsEmergency departmentResidents' perspectivesGroup interviewsNovel curriculum
2020
Serotonin Syndrome in Palliative Care #403
Chow R, Kozhevnikov D, Prsic EH. Serotonin Syndrome in Palliative Care #403. Journal Of Palliative Medicine 2020, 23: 1678-1680. PMID: 33306009, DOI: 10.1089/jpm.2020.0492.Peer-Reviewed Original ResearchPaddleton
Kozhevnikov D. Paddleton. Journal Of Palliative Medicine 2020, 23: 738-738. DOI: 10.1089/jpm.2019.0584.Peer-Reviewed Original Research
2018
Simulation training in palliative care: state of the art and future directions
Kozhevnikov D, Morrison LJ, Ellman MS. Simulation training in palliative care: state of the art and future directions. Advances In Medical Education And Practice 2018, 9: 915-924. PMID: 30574008, PMCID: PMC6292390, DOI: 10.2147/amep.s153630.BooksPalliative carePatient outcomesPrimary palliative careSymptom management educationManagement of painHealth care providersPatient-centered communicationSimulation-based medical educationPC skillsPC specialistsSymptom managementTreatment preferencesStandardized patient encountersCare providersPC trainingSerious illnessPatient encountersOutcome assessmentSystematic reviewPC educationDifferent training levelsPromising modalityLiterature reportingInterprofessional teamworkOutcomes
Clinical Care
Overview
Dmitry Kozhevnikov, DO, is a Yale Medicine hospice and palliative medicine doctor and the director of outpatient palliative care, Smilow Hospital Care Centers. He is passionate about empowering patients with tools to maximize their quality of life, allowing them to make the best of every day.
“I enjoy providing help in managing difficult symptoms and spending time with patients and their families as they seek guidance in dealing with the many challenges that serious illness may bring,” he says. “In my work, I am constantly inspired by the immense strength, both emotional and spiritual, that patients living with serious illness display throughout their cancer journey.”
It is his goal to provide medical care that closely matches patients’ values, hopes, and goals for the future. “I encourage patients to be in-tune with the things that are most important to them and to share that information with their medical providers,” Dr. Kozhevnikov says.
In addition to caring for patients, he is a clinician educator who teaches medical students, residents, and fellows the importance of communication skills when working with patients who have advanced illnesses. To that end, he arranges simulated patient experiences using actors. “It’s a welcoming and safe space for physicians to learn and practice the communication skills required to care for patients with serious illness in an empathic and patient-centered way,” he says.
Clinical Specialties
Fact Sheets
Palliative Care for Cancer
Learn More on Yale Medicine
Board Certifications
Hospice & Palliative Medicine
- Certification Organization
- AB of Internal Medicine
- Original Certification Date
- 2018
Internal Medicine
- Certification Organization
- AB of Internal Medicine
- Original Certification Date
- 2017
News & Links
Media
News
- October 23, 2024
Telehealth Is Just as Effective as In-person Care, Study Finds
- July 26, 2023
Treating the Person, not just the Cancer
- October 28, 2020Source: Verywell Health
Experts Call For More Advanced Care Planning During the COVID-19 Pandemic
- October 28, 2020Source: Verywell Health
Experts Call For More Advanced Care Planning During the COVID-19 Pandemic