End-of-Life Care Series (3 Modules)
End-of-Life Module 1: Ethics and end of life
End-of-life care is fraught with ethical challenges for patients, families, and physicians. Physicians who care for patients at the end of life need to be familiar with the ethical frameworks commonly used to work through these challenges.
In this module, we describe the principle-based approach to medical ethics as well as the complementary frameworks. We also explain core ethical concepts specific to decision-making at the end of life and highlight special considerations in the care of patients from marginalized groups.
Learning Objectives
- Recognize how an inadequate understanding of the patient and family experience may cause physicians to miss important ethical obligations.
- Apply the four principles of biomedical ethics most commonly used to identify ethical obligations and help resolve ethical dilemmas in health care.
- Identify limitations of the principle-based approach to medical ethics and recognize situations in which principles alone miss some ethical obligations.
- Apply complementary methods of ethical analysis, including narrative-based, case-based, and virtue-based ethics.
- Develop strategies to empower patients and families from marginalized groups to actively participate in end of life decision-making.
Faculty
Jolion McGreevy, M.D., M.B.E., M.P.H.
Department of Emergency Medicine Boston Medical Center
Winnie Suen, M.D.
Department of Medicine, Division of Geriatrics
Boston Medical Center Michael A. Grodin, M.D.
Department of Health Law, Bioethics & Human Rights, Boston University School of Public Health
Departments of Psychiatry and Family Medicine, Boston University School of Medicine
Course Fees
Massachusetts Medical Society (MMS) Member Physician: $20.00
MMS Resident/Student: $0.00
Non-Member Physician: $45.00
Non-Member Resident/Student: $10.00
Allied Health Professional/Other: $16.00
Format: Text & Graphics
CME Credit: 1.00
AMA PRA Category 1 Credit™
Accreditation Statement
The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.
AMA Credit Designation Statement
The Massachusetts Medical Society designates this enduring material for a maximum of 1.00
AMA PRA Category 1 Credit(s)™.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk management study, including 1.0 credit in the end-of-life care.
MOC Approval Statement
Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory , this activity has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:
Allergy and Immunology
Anesthesiology
Family Medicine
Physical Medicine and Rehabilitation
Preventive Medicine
Psychiatry & Neurology
Radiology
Urology
National Commission on Certification of Physicians Assistant (NCCPA).
Physician Assistants may claim 1.00 Category 1 credits for completing this activity. NCCPA accepts
AMA PRA Category 1 Credit(s)™
from organizations accredited by ACCME or a recognized state medical society.
A score of 70% or higher is required to receive
AMA PRA Category 1 Credit(s)™.
Activity Term
Original Release Date: July 31, 2013
Review Date: January 31, 2015, July 31, 2016, January 31, 2018, June 18, 2018, August 12, 2021
Termination Date: July 31, 2024
System requirements:
Desktops/Laptops
Windows 10
Mac OSX 10.6 higher
Most modern browsers including:
IE 11+
Firefox 18.0+
Chrome latest version
Safari 12+
Mobile/Tablet
iOS devices beginning with OS version 10 or higher (includes, iPhone, ipad and iTouch devices)
Android devices including tablets and phones.
Windows RT and tablets on Windows 8 are also supported.
End-of-Life Module 2: Communication and conflict
Physicians can improve end-of-life care by ensuring that communication with patients and their families is a top priority. Poor communication among physicians, patients, and families unfortunately is common and can lead to discord and dissatisfaction with care at the end-of-life.
When conflict arises over end-of-life care, physicians with a working knowledge of ethics and skill in facilitating difficult conversations can help everyone involved in the patient's care reach consensus. In this module, we describe strategies and techniques for developing effective communication skills about the end of life that can be used in practice.
Learning Objectives
- Identify common barriers to communication among the patient, family, and medical team about end-of-life care and develop strategies to overcome them.
- Develop a process-based approach to helping the patient and family work through ethical dilemmas at the end of life.
- Develop a strategy for resolving a common conflict in end-of-life care: disagreement between the family and medical team about life-sustaining treatment for an incapacitated patient.
Faculty
Jolion McGreevy, M.D., M.B.E., M.P.H.
Department of Emergency Medicine Boston Medical Center
Winnie Suen, M.D.
Department of Medicine, Division of Geriatrics
Boston Medical Center Michael A. Grodin, M.D.
Department of Health Law, Bioethics & Human Rights, Boston University School of Public Health
Departments of Psychiatry and Family Medicine, Boston University School of Medicine
Course Fees
- MMS Member Physicians: $20.00
- MMs Resident/Student: $0.00
- Non-Member Physician: $45.00
- Non-Member Resident/Student: $10.00
- Allied Health Professional/Other: $16.00
Format: Text & Graphics
CME Credit: 1.00
AMA PRA Category 1 Credit™
Accreditation Statement
The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.
AMA Credit Designation Statement
The Massachusetts Medical Society designates this enduring material for a maximum of 1.00
AMA PRA Category 1 Credit(s)™.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk management study, including 1.00 credit in end-of-life care.
MOC Approval Statement
Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory , this activity has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:
Allergy and Immunology
Anesthesiology
Family Medicine
Orthopaedic Surgery
Physical Medicine and Rehabilitation
Preventive Medicine
Psychiatry & Neurology
Radiology
Urology
National Commission on Certification of Physicians Assistant (NCCPA).
Physician Assistants may claim 1.00 Category 1 credits for completing this activity. NCCPA accepts
AMA PRA Category 1 Credit(s)™
from organizations accredited by ACCME or a recognized state medical society.
A score of 70% or higher is required to receive
AMA PRA Category 1 Credit(s)™.
Activity Term
Original Release Date: July 31, 2013
Review Date: January 31, 2015, July 31, 2016, January 31, 2018, June 18, 2018, August 12, 2021
Termination Date: July 31, 2024
System requirements:
Desktops/Laptops
Windows, XP, Vista, 7, 8
Mac OSX 10.6 higher
Most modern browsers including:
IE8,9,10
Firefox 18.0+
Chrome 26+
Safari 5+
Flash player is required for some Online CME courses.
Mobile/Tablet
iOS devices beginning with OS version 5 or higher (includes, iPhone, ipad and iTouch devices)
Android devices including tablets and phones.
Windows RT and tablets on Windows 8 are also supported.
End-of-Life Module 3: Advance Care Planning
Advance care planning is important for all patients. Physicians have an ethical obligation to help patients consider their wishes about care at the end of life, including which life-sustaining treatments they are likely to want if they become severely ill and unable to speak for themselves.
In this module, we describe advance directives in detail and explore case-based scenarios involving the decision-making process at the end-of-life.
Learning Objectives
- Explain the components of advance care planning.
- Integrate advance care planning discussions for all patients into usual care.
- Explain the options for surrogate decision-making for those without decision-making capacity.
Faculty
Jolion McGreevy, M.D., M.B.E., M.P.H.
Department of Emergency Medicine Boston Medical Center
Winnie Suen, M.D.
Department of Medicine, Division of Geriatrics
Boston Medical Center Michael A. Grodin, M.D.
Department of Health Law, Bioethics & Human Rights, Boston University School of Public Health
Departments of Psychiatry and Family Medicine, Boston University School of Medicine
Course Fees
- MMS Member Physicians: $20.00
- MMS Resident/Student: $0.00
- Non-Member Physicians: $45.00
- Non-Member Resident/Student: $10.00
- Allied Health Professional/Other: $16.00
Format: Text & Graphics
CME Credit: 1.00
AMA PRA Category 1 Credit™
Accreditation Statement
The Massachusetts Medical Society is accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.
AMA Credit Designation Statement
The Massachusetts Medical Society designates this enduring material for a maximum of 1.00
AMA PRA Category 1 Credit(s)™.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This activity meets the criteria for the Massachusetts Board of Registration in Medicine for risk management study, including 1.00 credit in end-of-life care.
MOC Approval Statement
Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory , this activity has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) for the following ABMS Member Boards:
Allergy and Immunology
Anesthesiology
Family Medicine
Physical Medicine and Rehabilitation
Preventive Medicine
Psychiatry & Neurology
Radiology
Urology
National Commission on Certification of Physicians Assistant (NCCPA).Physician Assistant may claim 1.00 Category 1 credits for completing this activity. NCCPA accepts
AMA PRA Category 1 Credit(s)™
from organizations accredited by ACCME or a recognized state medical society.
A score of 70% or higher is required to receive
AMA PRA Category 1 Credit(s)™.
Activity Term
Original Release Date: July 31, 2013
Review Date: January 31, 2015, July 31, 2016, January 31, 2018, June 18, 2018, August 12, 2021
Termination Date: July 31, 2024
System requirements:
Desktops/Laptops
Windows, XP, Vista, 7, 8
Mac OSX 10.6 higher
Most modern browsers including:
IE8,9,10
Firefox 18.0+
Chrome 26+
Safari 5+
Flash player is required for some Online CME courses.
Mobile/Tablet
iOS devices beginning with OS version 5 or higher (includes, iPhone, ipad and iTouch devices) Android devices including tablets and phones.
Windows RT and tablets on Windows 8 are also supported.
