July 26, 2022 | Goal Concordant Care and Difficult Conversations ~ Part 1 | APP Training

July 26, 2022

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. 

Target Audience

City of Hope medical oncology and hematology oncology APPs.

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).
Activity summary
Available credit: 
  • 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 July 26, 2022 | Goal Concordant Care and Difficult Conversations ~ Part 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
Activity opens: 
07/26/2022
Activity expires: 
08/02/2022
Event starts: 
07/26/2022 - 4:00pm PDT
Event ends: 
07/26/2022 - 6:00pm PDT
Part of: 
2022 Goal Concordant Care and Difficult Conversations ~ Part 1 | APP Training
Add to calendar: 
City of Hope ~ Virtual Meeting
United States

Daniel O'Connell, PhD   Principal, Communication Training Group

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

Dr. O'Connell and  Carey Ramirez have indicated they have nothing to disclose. 

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 webinar 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.

Available Credit

  • 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 July 26, 2022 | Goal Concordant Care and Difficult Conversations ~ Part 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
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