2023 Goal Concordant Care and Difficult Conversations ~ Session 1 | APP Training
Most clinicians do not receive detailed and specific training in how to communicate effectively with patients. 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 and 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 APPs and nurses
- 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.
- 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).
Jennifer Baecker, NP Nurse Practitioner, Department of Supportive Care Medicine; City of Hope
Joanna Luna, NP-C Nurse Practitioner, Department of Supportive Care Medicine; City of Hope
Carey Ramirez, ANP-C, ACHPN Nurse Practitioner, Department of Supportive Care Medicine; City of Hope
Presenter: Jennifer Baecker, Joanna Luna, and Carey Ramirez have all indicated they have no relevant financial relationships.
Planner: Dr Heather Bitar, Eleana Liou, Katty Nerio, and Salma Russell have all indicated they have no relevant financial relationships.
This presentation and/or comments will provide a balanced, non-promotional, and evidence-based approach to all diagnostic, therapeutic and/or research related content.
CME Committee/Reviewer Nothing to Disclose: Daneng Li, MD
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 activity for a maximum of 2.0 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™ 2.0
The following may apply AMA PRA Category 1 Credit™ for license renewal:
Registered Nurses: Nurses may report up to 2.0 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.
- 2.00 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 2023 Goal Concordant Care and Difficult Conversations ~ Session 1 | APP Training for a maximum of 2.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 2.00 Attendance