2025 Science of Caring Grand Rounds | Improving Goal Concordant Care: Does the Clinician-Patient Relationship Benefit?
Clinicians and patients do not always have prognostic concordance. When patients do not fully understand their prognosis and clinicians do not fully understand the patient's values it can lead to miscommunication, escalation in care that family would have never wanted near the end of life, and overall dissatisfaction with treatment at City of Hope. Goals of care should happen in a timely manner, ideally at diagnosis and reevaluated during changes in clinical condition. This lecture aims to provide valuable tools to clinicians on how to have difficult conversations with their patients in a streamlined timely manner.
Clinicians are extremely busy and it is easy to avoid difficult conversations or not make time for them because when done ineffectively, they can be time consuming and distressing not only to clinicians but also to patients. It is necessary to provide clinicians with helpful tools to be able to compassionately approach patients about difficult subjects, and to more efficiently document these conversations so that the whole care team is aware of them happening and can help align and support the discussions.
Target Audience
This activity is oriented to address the educational needs of multidisciplinary clinicians in oncology.
Learning Objectives
Integrate goals of care discussions into clinical practice.
Discuss the challenges associated with difficult goals of care discussions and how to overcome them.
Demonstrate how to document and bill for goals of care discussions.
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).
Virtual Meeting- Zoom
Heather Bitar, DO, FACOI Assistant Clinical Professor in Supportive Medicine, Department of Supportive Care Medicine, City of Hope
Presenter: Dr. Bitar has indicated that there are no relevant financial relationships with ineligible companies.
Planner: Eleana Liou, EdD, MPA, PHR has indicated that there are no relevant financial relationships with 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 no relevant financial relationships: 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 live 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 2025 Science of Caring Grand Rounds | Improving Goal Concordant Care: Does the Clinician-Patient Relationship Benefit? 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