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Barriers to specialty palliative care demonstrate a clear need for efficient and effective primary palliative care delivered by PCCM clinicians with advanced training. This American Thoracic Society Workshop Report builds on our policy statement on the proactive integration of palliative care in serious respiratory illness with 2 goals: (1) Develop a scalable \u201cPalliPulm\u201d framework to improve palliative care education and practice in PCCM and (2) inform palliative care\u2013focused education and training programs in PCCM to guide future initiatives. We convened an interdisciplinary and interprofessional group of experts between May 2024 and February 2025 over 4 phases: (1) hybrid workshop; (2) virtual breakout groups; (3) nominal group technique and rapid qualitative analysis; and (4) workshop report development. We identified core primary palliative care skills that PCCM trainees and clinicians should obtain and prioritized the most essential skills\u2014that is, symptom management, serious illness communication, and caregiver support in ambulatory settings and serious illness communication, symptom management, palliative care fundamentals, and end of life care in inpatient settings. We describe pragmatic ways to integrate palliative care into PCCM education and offer advanced educational resources. We provide recommendations for framing palliative care to patients and caregivers, illustrate ways to deliver culturally appropriate palliative care, and offer a path for the future of PalliPulm. This report guides PCCM leaders, trainees, and clinicians to establish scalable PalliPulm educational and practice initiatives and improve its integration into practice.<\/jats:p>","DOI":"10.1093\/annalsats\/aaoaf007","type":"journal-article","created":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T08:19:40Z","timestamp":1769674780000},"page":"1-16","source":"Crossref","is-referenced-by-count":6,"title":["A \u201cPalliPulm\u201d framework to improve palliative care education and practice in pulmonary\u2013critical care medicine: an official American Thoracic Society Workshop Report"],"prefix":"10.1093","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7700-0728","authenticated-orcid":false,"given":"Anand S","family":"Iyer","sequence":"first","affiliation":[{"name":"Division of Pulmonary, Allergy, and Critical Care Medicine and Division of Gerontology, Geriatrics, and Palliative Care, Department of Medicine, University of Alabama at Birmingham , Birmingham, 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