Talking to Patients About What to Do When Things Are Not Working: How to Talk About Goals of Care
This webinar is presented in collaboration with the
National Hospice and Palliative Care Organization.
Funding Disclosure: No commercial funding has been accepted for the activity.
Date and Time: June 7, 2018, 3:00 PM – 4:00 PM ET (Live)
Location: Online at https://www.mjhspalliativeinstitute.org/e-learning/
Robert Arnold, MD
Leo H. Criep Chair in Patient Care, Professor of Medicine in the Division of General Internal Medicine
Chief, Section of Palliative Care and Medical Ethics at the University of Pittsburgh School of Medicine
Assistant Director for Education, University of Pittsburgh Center for Bioethics and Health Law
Assistant Medical Director of Palliative Care for the Institute for Quality Improvement at the University of Pittsburgh Medical Center
Purpose: The goal of this webinar is to improve clinicians’ palliative care communication skills in the following areas: discussing goals of care, exploring patient values and goals, and determining how to respond to cognitive and emotional questions.
Why Do I Need to Know This?
One of palliative care clinician’s core competencies is talking to patient/family’s goals in order to provide patient-centered care. Sadly, few clinicians have been taught a structured way to raise this topic. In addition, data suggests that many of these conversations turn into a “Chinese menu” of offers regarding different therapeutic options. In these situations, the conversation turns into a pull-push with the patient/family feeling abandoned or in conflict over specific options.
This talk will provide an evidence-based method for talking to patient/family regarding goals of care. The structured five step process is useful both for clinical care and teaching others how to have goals of care conversations.
1. Describe the five steps for having a structured goals of care conversation when a patient is getting sicker
2. List three questions that one can use to better understand a patient’s values
3. Describe two questions than one can use to talk to a surrogate about a patient’s values
4. Describe three statements that one can use when attending to emotional questions that are masquerading as factual questions
Criteria for Successful Completion:
1. Attendance at entire session (mandatory for nurses and social workers)
2. Submission of completed evaluation form (mandatory to receive CE/CME credit for MDs, nurses,
3. Successful completion of a posttest; 80% passing grade (mandatory to receive CE credit for social
Continuing Education Credits: 1.0
Continuing Education Accreditation:
Physicians: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the National Hospice and Palliative Care Organization (NHPCO) and MJHS. NHPCO is accredited by the ACCME to provide continuing medical education for physicians.
NHPCO 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.
Nurses: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s (ANCC) Commission on Accreditation.
NHPCO designates this live activity for a maximum of 1.0 contact hour. Nurses should claim only the contact hours commensurate with the extent of their participation in the activity. Accredited status by ANCC refers only to continuing nursing education and does not imply endorsement of any commercial product discussed in conjunction with this activity.
Social Workers: NHPCO is an approved provider of continuing education contact hours by the National Association of Social Workers (Provider #886414158).
This program is Approved by the National Association of Social Workers (Approval #886414158-4969) for 1 continuing education contact hour.
MJHS Institute for Innovation in Palliative Care SW CPE is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #0242.
Certificate of Participation for Non-Physician Healthcare Professionals: For participants* whose disciplines are other than nurse, social worker (in New York State), and physician, you may request a Certificate of Participation for Non-Physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the webinar was certified for AMA PRA Category 1 Credit(s)TM. It is the responsibility of participants to submit the certificate to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form.
*including finance professionals, physician assistants, social workers outside of New York State, etc.
Individual: $45 (includes CME/CE certificate)
Group: $145 (includes unlimited CME/CE certificates)
Note to Groups:
If you plan to attend as a group, the group facilitator should register for the webinar. After registering, group facilitators will receive detailed email instructions on how to process CME/CE credits for group attendees. Please email PalliativeInstitute@MJHS.org or call (212) 649-5500 with additional questions.
Attending by Smartphone:
No dial-in (i.e., listen only) connections are permitted for CME/CE credit. To attend by phone, download and install the GoToWebinar App from the Apple Store or Google Play.
System Requirements for Computers and Mobile Devices:
Robert Arnold, MD, has no financial arrangements or affiliations with any commercial entities whose products, research or services may be discussed in these materials. Any discussion of investigational or unlabeled uses of a product will be identified.
Russell K. Portenoy, MD, Faculty and Planner, has indicated a relationship with Tabula Rasa for research support.
No other Planning Committee Member has any disclosures.
Planning Committee Members
Barbara Bouton, MA, FT
Colleen Fleming-Damon, PhD, ANP-BC, ACHPN, FT
Steven R. Gardner, MPA, PAHM
Myra Glajchen, DSW
Jennifer Kennedy, RN, MA, BSN, CHC
Russell K. Portenoy, MD
Karen Richards, PhD, EdS
Wini Schein, BA
Judith A. Skretny