2015 Janus Project Autumn Seminar: Navigating Uncertain Seas

Janus Project 2015
The Cedar Tree Institute in cooperation with Bell Hospital presents:

2015 Janus Project Autumn Seminar

September 9-12, 2015

Palliative Care & the Treatment of Chronic Illness

A colloquium for Medical Professionals Working with End of Life Care

  • A three-day kayak trip along 20 miles of picturesque Lake Superior shoreline.
  • Two nights at Bay Cliff Health Camp and one evening at a remote Lake Superior cabin.
  • Hearty meals, including smoked fish and homemade bread.
  • Approved for 10 CMEs with the American Medical Association.

Janus Project Thumbnail Images

  • All equipment and instruction in kayak use provided.
  • No previous experience necessary.
  • Limited to 12 participants

WEDNESDAY: September 9

  • 4-5:30 p.m. – Registration (Bay Cliff Health Camp)
  • 5:30-6:30 p.m. – Dinner
  • 7:00 p.m. – Orientation
  • 7:30-9 p.m. – Presentation #1 “Psychological Aspects of Chronic Illness: Archetype & Metaphor” – Magnuson

THURSDAY: September 10

  • 7:30-8 a.m. – Tai Chi
  • 8-8:45 a.m. – Breakfast
  • 8:45-10:15 a.m. – Presentation #2 “Prognostication and Family Dynamics” – Skendzel
  • 11 a.m.-4 p.m. – Kayak Instruction, lunch, reflection time
  • 5:30-6:30 p.m. – Dinner
  • 7-9 p.m. – Presentation #3 “The Healing Power of Hope” – Marchand

FRIDAY: September 11

  • 7:30-8 a.m. – Tai Chi
  • 8-8:45 a.m. – Breakfast
  • 8:45-10 a.m. – Presentation #4 “Swallowing Disorders in Palliative Care and at the End of Life” – Holmes
  • 10:45 a.m.-4 p.m. – Kayak Instruction, lunch, reflective time
  • 5:30-6:30 p.m. – Dinner
  • 7-8:30 p.m. – Presentation #5 “Compassionate Presence: Mindfulness and Contemplative Practices” – Marchand

SATURDAY: September 12 (Granite Point cabin)

  • 7:30-8 a.m. – Tai Chi
  • 8-8:45 a.m. – Breakfast
  • 9:00-10 a.m. – Presentation #6 “Palliative Pharmacy: When to Stop Unnecessary Medications” – Grossman
  • 10 a.m. – Closing evaluation
  • 10:30 a.m.-4 p.m. – Kayak Instruction, lunch, reflective time
  • 4:30 p.m. – Return to and depart from Bay Cliff Health Camp

This workshop includes three 30 minute daily presentations on Patient/Provider Interaction:
“Push Hands: A Mind/Body Practice of Yielding”
– Magnuson, Skendzel, Grossman

Seminar Focus:

  • Communicating with Patients and Families about Difficult Issues of Chronic Illness
  • Symptoms and Alternatives to Overmedication
  • Integrating Mindfulness into Patient Care
  • Swallowing Disorders of Chronically Ill Patients
  • Psychological, Emotional, and Spiritual Dimensions of Hope and Meaning for those Facing Serious, Long-term Illness

Facilitators and Presenters:

  • Michael Grossman, MD – Medical Director, U.P. Home Health and Hospice
  • Larry Skendzel, MD – Medical Director, Lake Superior Hospice
  • Jon Magnuson, MDiv, MSW – The Cedar Tree Institute

Guest Presenters:

  • Lucille Marchand, MD, BSN, Department of Family Medicine, Director, Palliative Care Program at the University of Washington School of Medicine
  • Samantha Holmes, MA, CCC-SLP, Speech Pathologist, Denver Health Medical Center, Adelante Speech Therapy


Register by contacting Tracy LaPlante at Bell Hospital 906-485-2619, or tracy.laplante@bellmi.org.
Confirm registration by 8/10/15

Workshop includes three nights of lodging, nine meals, kayak equipment, training and 10 CMEs with the American Medical Association

Workshop Cost:

Physicians $595

Other Medical Professionals: $495


In 1999-2000 a group of physicians, medical specialists, clergy and social workers met together for a training program sharing their experiences providing medical care for end-of-life patients.

Initially funded by a grant from the Blue Cross-Blue Shield Foundation and coordinated by the Cedar Tree Institute, this project set into motion a framework for 14 ensuing summer seminars and 13 winter symposiums. More than 150 physicians, nurses and hospice workers from across the Upper Peninsula of Michigan have participated.

These training programs are intentionally shaped by Mind/Body experiences of hiking, Taiji, kayaking, cross-country skiing and small-group dialogue.

Guest presenters have joined us from Wisconsin, Texas, Colorado, and Massachusetts.

Drs. Mike Grossman and Larry Skendzel, medical directors for Marquette County’s two hospices, continue to work alongside Jon Magnuson, a social worker and clergyman, shaping the Janus Project’s unfolding vision.

Janus refers to the Greek god of thresholds, gates & doorways.

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