CME/Lectures


1. 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.

2. 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.

3. 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.

4. 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.

5.  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.

6.  Medical Errors

  • Review what constitutes a medical error and how they happen.
  • 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 patient.

7.  Understanding the new POLST Law and how to implement it in your practice.
(POLST = “Physician Orders for Life Sustaining Treatment”)

  • Describe the your new state’s law and what it requires of physicians.
  • Examine how POLST will benefit patients, especially those in nursing homes.
  • Discuss how the differences between the Advance Directive, POLST form and Pre-hospital DNR form.
  • Recognize the differences in advance care planning within different cultural populations.

8.  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.

9.  Improving Outcomes for the Geriatric Patient
(For MD’s and/or Office Managers and Staff)

  • This presentation can include a hands-on disability awareness experience.
  • Recognize how a senior’s disability may affect their 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.

10.  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.

11.  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.

12.  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.

13.  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.

14.  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.

15.  Improving Outcomes for Patients with Conservators

  • 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.

16.  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

17.  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 their cultural beliefs.

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