2022 Goal Concordant Care | Difficult Conversations & Advance Care Planning Workshop | Physician Training
Most clinicians do not receive detailed and specific training in how to communicate effectively with patients, nor the complexities and differences between advance directives and POLST forms. Critical medical decisions are often made without patients and families fully understanding the medical facts and without the medical team fully appreciating a patient’s goals and values. Shared decision making can address this gap leading to prognostic concordance. Prognostic concordance is essential in allowing patients to make decisions based on their values. This concordance allows them to make decisions based on a reasonable prognostic expectation that is agreed upon by the patient and the clinician.
Communication is also central to the clinician-patient relationship. There are different communication challenges at all phases of the cancer trajectory. These discussions are typically emotionally charged and overwhelming, which require practitioners to develop trust with the patient, identify and respond to patients’ emotions, and sort out when their own emotions interfere with effective communication.
City of Hope clinicians.
- Identify some key strategies in how to effectively communicate with shared decision making.
- Apply the SPIKES protocol in delivering difficult news.
- Document goals of care discussions in electronic health record (EHR) using specialty dot phrases following the new Outpatient Workflow and Documentation process.
- Follow-up on your own case scenarios of goal concordant care conversations.
- Apply advance care planning (ACP) and advance directives (ADs).
- Complete physician orders for life sustaining treatment (POLST) forms and Ambulatory DNR.
- Document with required ACP Billing Codes.
- Discuss possible barriers and biases which may impact patient care (i.e., race, ethnicity, language, gender identity/orientation, age, socioeconomic status, attitudes, feelings, or other characteristics).
Daniel O'Connell, PhD Principal, Communication Training Group
Heather Bitar, DO Assistant Clinical Professor, Division of Supportive Medicine, Department of Supportive Care Medicine; City of Hope
Sorin Buga, MD, FACP, FAAHPM Clinical Professor; Program Director, Hospice and Palliative Medicine Fellowship; City of Hope
Christine Jun, MD Assistant Clinical Professor of Medicine, Division of Supportive Medicine, Department of Supportive Care Medicine; City of Hope
Navneet Kaur, MD Assistant Clinical Professor, Department of Supportive Care Medicine, City of Hope
Eric D. Mecusker, DO Assistant Clinical Professor, Department of Supportive Care Medicine; Core Faculty, Hospice and Palliative Care Medicine Fellowship; City of Hope
Dr. O'Connell, Dr. Bitar, Dr. Buga, Dr. Jun, Dr. Kaur, and Dr. Mecusker have all indicated they have nothing to disclose.
ACCREDITATION STATEMENT: City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
CREDIT DESIGNATION: City of Hope designates this live webinar for a maximum of 4.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The following credit type(s) are being offered for this course:
• AMA PRA Category 1 Credit™ 4.0
The following may apply AMA PRA Category 1 Credit™ for license renewal:
Registered Nurses: Nurses may report up to 4.0 credit hours toward the continuing education requirements for license renewal by their state Board of Registered Nurses (BRN). AMA PRA Category 1 Credit™ may be noted on the license renewal application in lieu of a BRN provider number.
Physician Assistants: The National Commission on Certification of Physicians Assistants states that AMA PRA Category 1 Credit™ accredited courses are acceptable for CME requirements for recertification.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 4.0 Medical Knowledge MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
- 4.00 AMA PRA Category 1 Credit™City of Hope is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
City of Hope designates this 2022 Goal Concordant Care | Difficult Conversations & Advance Care Planning Workshop | Physician Training for a maximum of 4.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 4.00 Attendance