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 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 medical oncology and hematology oncology APPs.
This program is comprised of two workshops. You are eligible to receive CME Credits for your participation in this program, which may be tailored to achieve your desired result dependent upon your investment into the program.
WORKSHOP 1 - GOAL CONCORDANT CARE AND DIFFICULT CONVERSATIONS
- A 2 hour training addressing the importance of shared decision making throughout the disease trajectory and learn skills and techniques in how to have serious conversations.
WORKSHOP 2 - GOAL CONCORDANT CARE AND ADVANCE CARE PLANNING
- A 2 hour training addressing the difference between Advance Directives (AD) and Physician Orders for Life Sustaining Treatments (POLST) forms and how to enter an ambulatory DNR order with the appropriate billing codes.
METHODS OF PARTICIPATION
Method 1. Complete workshop 1:
- Complete evaluation
- Receive 2.0 AMA PRA Category 1 CreditsTM
Method 2. Complete workshops 1 & 2:
- NOTE: Completion of Workshop 1 is required in order to participate in Workshop 2.
- Complete evaluation
- Receive a total of 4.0 AMA PRA Category 1 CreditsTM
WORKSHOP LEARNING OBJECTIVES:
- 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).
- Follow-up on your own case scenarios of Goal Concordant Care conversations.
- Apply advance care planning (ACP) and ADs.
- Complete 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).
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 each of these live activities for a maximum of 2.0 AMA PRA Category 1 Credits™ . 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 per successful completion of each workshop.
The following may apply AMA PRA Category 1 Credit™ for license renewal:
Registered Nurses: Nurses may report up to 2.0 credit hours per workshop 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.
THE FOLLOWING FACULTY HAVE INDICATED NO RELEVANT FINANCIAL RELATIONSHIPS.
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
RECORDING YOUR ATTENDANCE:
A unique Attendance Code will be provided during each workshop. The attendance code must be submitted to the Department of Continuing Medical Education (CME) to record your attendance.
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:
- Create account here!
- 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