Goal Concordant Care and Advance Care Planning - Online Module

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. 

There is a need to clearly distinguish between the use/need of an advanced directive and POLST forms. Most clinicians do not receive detailed and specific training in how to communicate effectively the complexities and differences 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. 
 

Target Audience

City of Hope APPs and nurses.

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.
  • 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: 
  • 1.00 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 Goal Concordant Care and Advance Care Planning - Online Module for a maximum of 1.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 1.00 Attendance
Activity opens: 
06/04/2025
Activity expires: 
12/31/2025
Internet
United States

This activity has been planned and implemented in strict compliance with the accreditation requirements, standards, and policies of the ACCME. City of Hope takes responsibility for the content, quality and scientific integrity of this CME activity.

As an accredited CME provider City of Hope requires everyone who is in a position to control the content of an educational activity to disclose all relevant financial relationships. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 24 months. Faculty presenters who are in a position to control the content of an educational activity must identify any real or apparent conflict(s) of interest by disclosing to the Department of CME all relevant financial relationships with any ineligible company, which is defined as any entity whose primary business is to produce, market , sell, re-sell or distribute healthcare products used by or on patients. To comply with more intense scrutiny by accreditation agencies, content whose faculty has disclosed any relevant financial relationships with an ineligible company, have been peer reviewed prior to presenting and any potential conflicts relative to the previous disclosure have been resolved.

Faculty/Content Creators:

Jennifer Baecker, NP  Nurse Practitioner, Department of Supportive Care Medicine; City of Hope

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

Joanna Luna, NP-C  Nurse Practitioner, 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

Carey Ramirez, ANP-C, ACHPN  Nurse Practitioner, Department of Supportive Care Medicine; City of Hope

Finly Zachariah, MD, FAAFP, FAAHPM, FAMIA  Associate Clinical Professor, Department of Supportive Care Medicine; Associate Chief Medical Information Officer; Medical Director, Informatics and Value-based Supportive Care; City of Hope

Faculty/Content Creators: All Faculty/Content Creators have indicated that there are no relevant financial relationships with any ineligible companies. 

Planners: Dr. Finly Zachariah, Dr Heather Bitar, Eleana Liou, Katty Nerio, and Ashley Celis have all indicated they have no relevant financial relationships with any ineligible companies. 

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

City of Hope further encourages faculty/ authors to identify investigational products or off-label uses of products regulated by the U.S. Food and Drug Administration, at first mention and where appropriate in the content.

The information and opinions presented in this activity do not constitute medical or legal advice. Health care providers must exercise their own professional judgment in their clinical practice, and when confronted with the issues discussed herein, should not substitute this curriculum for the advice of legal counsel or application of sound ethical principles.

This activity has received no commercial support.

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 enduring activity for a maximum of 1.0 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™  1.0

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

Registered Nurses: Nurses may report up to 1.0 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

  • 1.00 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 Goal Concordant Care and Advance Care Planning - Online Module for a maximum of 1.00 AMA PRA Category 1 Credit™ requirements. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
  • 1.00 Attendance
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