2024 Goal Concordant Care: Advance Care Planning & Difficult Conversations | APP Full Course

Most clinicians do not receive detailed and specific training on how to communicate effectively with patients, nor the complexities between advance directives and POLST forms. It is imperative that clinicians are given proper training, and the necessary tools to identify the need for and encourage the use of an advanced directive and POLST forms, as well as become aware of the resources that are available at City of Hope to them regarding advanced directive accessibility. A proper training on how utilizing the SPIKES protocol to deliver news, is also beneficial and necessary as such methods will result in better patient outcomes when serious illness conversations are had. 

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. 

Target Audience

APP Track:  City of Hope Advanced Practice Providers (APPs)

Learning Objectives

  • Review goal concordant care conversations and case scenarios.
  • Incorporate advance care planning and advance directives.
  • Apply POLST forms and Ambulator DNR. 
  • Utilize ACP billing codes.
  • Identify some key strategies in how to effectively communicate with shared decision making.
  • Discuss case scenarios presented and integrate SPIKES protocol for each scenario.  
  • Apply the SPIKES protocol in delivering difficult news.
  • 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).
Activity summary
Available credit: 
  • 3.00 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 2024 Goal Concordant Care: Advance Care Planning & Difficult Conversations | APP Full Course for a maximum of 3.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 3.00 Attendance
Activity opens: 
05/22/2024
Activity expires: 
09/30/2024
City of Hope | Virtual Meeting

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. Finly Zachariah, Dr. Heather Bitar, Eleana Liou, Katty Nerio, and Ashley Celis 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 Other activity (composed of On Demand material and Live Webinar) for a maximum of 3.0 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™  3.0

The following may apply AMA PRA Category 1 Credit™ for license renewal:

Registered Nurses: Nurses may report up to 3.0 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.

Available Credit

  • 3.00 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 2024 Goal Concordant Care: Advance Care Planning & Difficult Conversations | APP Full Course for a maximum of 3.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 3.00 Attendance
 
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