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Culture & End of Life Care: Collaborating with Interdisciplinary Partners


Culture & End of Life Care: Collaborating with Interdisciplinary Partners
CME Certificate Fee: $25.00 per credit (hour)
1.50 AAFP Prescribed credit(s)
(NOTE: This credit type is equivalent to AMA/PRA Cat. 1)
Estimated time to complete this activity: 1.50 hours
Lead Author(s): Eileen Van Schaik, PhD & Cynthia E. Roat, MPH
The author(s)/contributor(s) state that they do not have any financial arrangements that could constitute a conflict of interest.
Detailed Information >>
Meets Special CME Requirements in: California, Connecticut, Iowa, Massachusetts, Nevada, Oregon, Pennsylvania, Rhode Island, Texas, Vermont     Learn More >>
Course Learning Objectives:

  • Analyze advantages for using a skilled interpreter with limited English proficiency (LEP) patients or patients who don't speak English at all.
  • Learn how and why to conduct a pre-session with an interpreter.
  • Identify strategies for successful communication when working with an interpreter.
  • Elicit the patient's perspective when a family member tries to speak for her.
  • Encourage the patient to learn what Western medicine offers, so she can make an informed decision.
  • Negotiate a treatment plan, offering your recommendations while respecting the patient's perspective.
  • Collaborate with a complementary and alternative medicine (CAM) provider to meet the patient's treatment goals.
  • Build a lasting relationship with the patient.
  • Observe that members of the same family and culture may hold different spiritual values.
  • Identify several options for resolving conflicting values.
  • Analyze the results when spiritual needs are addressed in planning end-of-life care.
  • Analyze how different approaches to ethical decision making might lead to conflict between a physician and a nurse.
  • Identify possible pitfalls in handling interdisciplinary conflict.
  • Assess strategies for addressing interdisciplinary conflicts effectively.

Learning Format: Case-based, interactive online course, including mandatory assessment questions (number of questions varies by course or module). Please also read the Technical Requirements.

CME Sponsor: Talaria, Inc.
Credit Designation and Accreditation Statements >>
Current Approval Period: November 1, 2012 - November 1, 2013
Original Release Date: November 1, 2010
Most Recent Review by Author: November 1, 2012
Most Recent Review by CME Sponsor: November 1, 2012
Financial Support Received: Development supported by a grant from the National Institute of Nursing Research (NINR) at the National Institutes of Health (NIH), 2R44NR008839-03
Culture & End of Life Care: Collaborating with Interdisciplinary Partners
1.50 AAFP Prescribed credit(s)
(NOTE: This credit type is equivalent to AMA/PRA Cat. 1)
Current Approval Period: November 1, 2012 - November 1, 2013
Financial Support Received: Development supported by a grant from the National Institute of Nursing Research (NINR) at the National Institutes of Health (NIH), 2R44NR008839-03
Accreditation

Talaria, Inc.

This activity has been reviewed and is acceptable for up to 1.50 Prescribed credit(s) by the American Academy of Family Physicians. AAFP accreditation begins November 01, 2012. This activity has been approved from November 01, 2012 - November 01, 2013. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AMA/AAFP Equivalency

AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 CreditTM toward the AMA Physician's Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.

Culture & End of Life Care: Collaborating with Interdisciplinary Partners

About the Authors

Eileen Van Schaik, Ph.D.
Senior Research Scientist
Talaria, Inc.
Clinical Assistant Faculty
Biobehavioral Nursing & Health Systems, University of Washington School of Nursing

Following an earlier career as a registered nurse, Dr. Van Schaik taught anthropology and conducted ethnographic evaluation research as a visiting lecturer and research assistant professor at the University of Alabama at Birmingham for six years. She joined Talaria in 2002, and is the principal investigator for five completed and three ongoing SBIR grants. Dr. Van Schaik enjoys translating her nursing experience and expertise in anthropology into multimedia resources for healthcare providers, patients, and families. Currently, Dr. Van Schaik is also a clinical assistant professor in Biobehavioral Nursing and Health Systems at the University of Washington.

Cynthia E. Roat, MPH

Cynthia Roat is a consultant and trainer on issues related to language access in health care. She is the principle author of Bridging the Gap, currently the most widely offered training program for medical interpreters in the United States. She is a founding member of the Society of Medical Interpreters (SOMI) in Seattle, is Chair of the Advisory Committee of the National Council on Interpreting in Health Care (NCIHC), and is a national advocate for the field of health care interpreting and for language access in general. Ms. Roat has been an interpreter trainer for over twenty years, and is certified by the Washington State Department of Social and Health Services for both medical and social service interpreting. She holds a Masters degree in International Public Health from the University of Washington.

Additional Contributors

Amy Baernstein, MD
Associate Professor, Medicine / General Internal Medicine
University of Washington

Laurie Fronek
Writer

Diane Timberlake, MD
Clinical Associate Professor, Family Medicine
Harborview Medical Center


Disclosure: The author and contributors state that they do not have any financial arrangements that could constitute a conflict of interest.

Culture & End of Life Care: Collaborating with Interdisciplinary Partners
Ratings (134 responses)
How would you rate this program overall?
Average Rating: 4.51/5.00
How well were the learning objectives of this program met?
Average Rating: 4.55/5.00
How relevant was the information in this program to your clinical practice?
Average Rating: 4.22/5.00
Likelihood you will make a change in practice behavior based on your participation in this activity.
Average Rating: 4.00/5.00
User Comments
by Kenneth Dzialowski | Nov 21, 2012
Audio/Video did not work
by Kurt Woeller | Nov 2, 2012
Excellent presentation of various scenarios
by wing tai Fung | Aug 30, 2012
Excellent course every physician need to take
by Hidden | Aug 26, 2012
excelant cases
by Hidden | Mar 19, 2012
Video halted repeatedly, requiring almost constant forward clicks to finish video. Slowed process and interrupted learning.
by Paul Sucgang | Nov 27, 2011
Great job!
Culture & End of Life Care: Collaborating with Interdisciplinary Partners
This course meets general AMA PRA Category 1 CME Credit(s)TM requirements in states that have a CME requirement.

Based on information from state licensing authorities, this program meets special CME requirements in these states:

California End-of-life / Palliative Care
California Geriatric
From the CA Board of Medicine: "General internists and family physicians who have a patient population of which over 25 percent of the patients are at least 65 years of age, are required to complete at least 20 percent of their mandatory CME in the field of geriatric medicine. All other physicians are encouraged to take a course in geriatric medicine, including geriatric pharmacology, as part of their mandatory CME."
Connecticut Cultural Competence
Started with licensing periods of October 1, 2010.
Iowa End-of-life Care
Massachusetts End-of-life Care
May be counted as risk management credits.
Massachusetts Risk Management
Nevada Ethics
Oregon Pain Management / Terminally Ill / End-of-life
Pennsylvania Risk Management / Patient Safety
Rhode Island Medical Ethics
Rhode Island Pain Management / End-of-life Care
Texas Medical Ethics / Professional Responsibility (all physicians)
Vermont Hospice / Palliative Care / Pain Management

View other courses meeting Special State Requirements
Culture & End of Life Care: Collaborating with Interdisciplinary Partners
Technical Requirements

This web-based activity is offered online and requires a connection to the Internet. The activity works on a PC or Macintosh computer with the browsers Internet Explorer 7.0 and up, Firefox 2.0, AOL 9.x and up, and Safari 2.x and up. JavaScript should be enabled in all browsers, and Popups and first party cookies need to be accepted from www.VLH.com. You should also have the latest, free Adobe Reader installed for reading documents. (AOL dial-up modem users may experience lengthy delays downloading PDF files.)

For additional information, read the Technical Assistance FAQ.

This program also requires that you have the latest free Flash Player.

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