CME/Lectures


Helping Loved Ones Make the Difficult Decisions for Those Without Capacity.
Examine the decision making critical pathway for those without capacity.
Identify the framework and three tools which will help the loved one in the decision making process.
Demonstrate how these tools will work in different situations, including end-of-life situations.
Discuss how these tools respect the patient’s culture and wishes.

Creating and Using Your Advocacy Team for Patients Who Have No One to Speak For Them
Examine what constitutes an advocacy team and what the California Hospital Association recommends.
Identify the questions to use when using the Best Interest Standard for those without capacity.
Discuss how to evaluate the quality-of-life issues found in end-of-life situations.
Demonstrate how these tools will respect patients from diverse populations.

Improving Bedside Manner While Managing Your Time
Define what patients consider to be a good bedside manner.
Explain how to an effective communicator while managing your time.
Demonstrate listening techniques through role playing to increase patient satisfaction.
Consider how improved communication will address the patient’s cultural needs.

Helping our Patients Access Hospice Care
Identify how hospice meets the physical, emotional, social and spiritual needs of the whole person.
Recognize why certain cultures are resistant to accepting hospice care.
Consider how our personal beliefs may limit our patient’s access to hospice care.
Describe how to support the patient/family through the grieving process.

Improving Outcomes for the Non-Compliant Patient
List the motives of the non-compliant patient.
Examine what our ethical obligations are for the non-compliant patient.
Demonstrate communication techniques to improve interactions with difficult patients and families.
Identify resources for dealing with different cultures.

Improving Outcomes for the Geriatric Patient

(This presentation can include a hands-on disability awareness experience.)
Recognize how a senior’s disability may affect his or her ability to access medical care.
Apply communication techniques to improve the senior’s compliance and medical outcomes.
Describe how to improve the medical office in order to improve senior satisfaction.
Review strategies for dealing with seniors from different cultures.


Demands for Medically Futile Treatments and our Moral Distress (pediatric talk)

Examine the ethical and legal obligations regarding the issue of futility.
Demonstrate communication techniques to deal with parents demanding futile treatments.
Identify and discuss how to manage our moral distress in difficult end-of- situations.
Define how culture plays a role in these interactions.

The Role of Culture when Practicing Medicine
Discuss the cultural components that play a role in the medical setting.
Learn how to do an ethnographic interview to evaluate the patient’s cultural and spiritual needs.
Identify communication techniques to improve culturally appropriate care.

Difficult Decisions and Difficult Participants
Employ strategies for dealing with difficult doctors.
Discuss how to deal with difficult families during the decision making process.
Demonstrate mediation skills that can be used to resolve conflicts.
Review how culture may be affecting conflict management.

Understanding the New POLST Law and How to Implement it in your Practice. (POLST = “Physician Orders for Life Sustaining Treatment”)
Describe the new California law and what it requires of physicians.
Examine how POLST will benefit patients, especially those in nursing homes.
Discuss the differences between the Advance Directive, POLST form and Pre-hospital DNR form.
Recognize the differences in advance care planning within different cultural populations.

Cultural Barriers and End-of-Life Issues

Discuss the cultural barriers that play a role in end-of-life care.
Use assessment tools to minimize cultural misunderstandings.
Demonstrate improved end-of-life communication skills.

Two Approaches for Dealing with Futility

Examine the ethical and legal obligations regarding the issue of futility.
Discuss other hospital’s policies for dealing with requests for non-beneficial treatment.
Employ strategies for dealing with requests for non-beneficial treatments at the bedside.
Review strategies for dealing with different cultures.

Medical Errors
Review what constitutes a medical error and how it happens.
Review ways to reduce your legal risk.
Discuss how you can use a system’s approach to preventing errors.
Employ communication techniques to help with disclosing a medical error to the
patient.

Communicating about End-of-Life Issues

Demonstrate improved end-of-life communication skills.
Discuss how to handle difficult conversations.
Examine how our discomfort with death and dying affects the patient’s experience.
Identify resources for culturally appropriate discussions.

The Ethical Use of Medical Restraints

Review the safety risks associated with the use of medical restraints.
Discuss the JCAHO/HCFA regulations regarding the use of medical restraints.
Employ techniques for implementing restraint-free care.

Getting the DNR Signed and Other End-of-Life Issues
Define how the signing of the DNR is just the beginning of end-of-life care.
Improve the patient’s transition from aggressive treatment to palliative care.
Demonstrate communication skills to deal with difficult surrogate decision makers.
Identify cultural resources for end-of-life care.

Improving Outcomes for Patients with Guardians

Define the role and obligations of the guardian/conservator.
Identify strategies for dealing with guardians and conservators.
Discuss the ethical framework for decision making for individuals with developmental disabilities.
Recognize that culture is a factor when making decisions for this patient population.

Advance Directives
Identify strategies for increasing the number of people completing advance directives.
Describe how to deal with surrogates who are not complying with the patient’s advance directive.
Examine the physician’s ethical obligations when implementing the patient’s wishes.
Discuss the differences of advance directive usage in different cultural populations.

Improving Performance when Giving Bad News
Discuss how the way a physician delivers bad news will impact the course of the patient’s illness.
Assess and improve your ability to deliver bad news compassionately.
Review how to deal with the different reactions you may receive from the patient.
Demonstrate what to do when a patient does not want to hear bad news based on his or her cultural beliefs.

What MD’s Need to Know about the New Organ Donation after Cardiac Death
Discuss how to provide a good death for the patient before organ donation.
Identify the inclusion criteria to determine which patients will have viable organs.
Recognize the legal and public relations pitfalls of organ donation.
Identify the cultural concerns associated with organ donation.