Overview:

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

Most clinicians do not receive detailed and specific training in how to communicate effectively with patients. Utilizing the SPIKES protocol to deliver difficult news provides a tool for clinicians to utilize. This activity is necessary because it is linked to better patient outcomes when serious illness conversations are had.
 

TARGET AUDIENCE:

City of Hope Advanced Practice Providers (APPs) and nurses.

PROGRAM OVERVIEW:

This is a 2-hour live training addressing the importance of shared decision making throughout the disease trajectory and learn skills and techniques in how to have serious conversations.  

Completion of an evaluation at the conclusion on the session will be required for course completion and to receive credit. 

LEARNING OBJECTIVES:

  • 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).

ACCREDITATION:

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 Credit™  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.

 

FACULTY: The following faculty have indicated no relevant financial relationships with any ineligible companies. 

Jennifer Baecker, RN, MSN, AGPCNP-C, ACHPN  Nurse Practitioner, Department of Supportive Care Medicine, City of Hope

Joanna Luna, MSN, FNP-C, ACHPN Nurse Practitioner, Department of Supportive Care Medicine, City of Hope 

Carey Ramirez, ANP-C, ACHPN  Manager, Advanced Practice, Department of Supportive Care Medicine, City of Hope

 

RECORDING YOUR ATTENDANCE:

A unique Attendance Code will be provided at the conclusion of the session. The attendance code must be submitted to the Department of Continuing Medical Education (CME) to record your completion of the course. 

If you do not have an account in the City of Hope CME System and/or are not familiar with the Attendance Code text-in method, please take a moment now to complete the following steps:

  1. Create account here!
  2. Save the City of Hope CME Text-in number in your cell phone contacts
    • City of Hope CME Attendance Text-in number is: (626) 314 - 7448