The Virtual Lecture Hall Physician CME Website


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 AMA PRA Category 1 Credit(s)TM
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, Georgia, 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: University of Arizona College of Medicine at the Arizona Health Sciences Center
Credit Designation and Accreditation Statements >>
Current Approval Period: November 1, 2013 - October 31, 2015
Original Release Date: November 1, 2010
Most Recent Review by Author: November 1, 2013
Most Recent Review by CME Sponsor: November 1, 2013
Financial Support Received: Initial program 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 AMA PRA Category 1 Credit(s)TM
Current Approval Period: November 1, 2013 - October 31, 2015
Financial Support Received: Initial program development supported by a grant from the National Institute of Nursing Research (NINR) at the National Institutes of Health (NIH), 2R44NR008839-03

ACCME/AMA PRA Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of The University of Arizona College of Medicine at the Arizona Health Sciences Center and Talaria, Inc.. The University of Arizona College of Medicine at the Arizona Health Sciences Center is accredited by the ACCME to provide continuing medical education for physicians.

The University of Arizona College of Medicine at the Arizona Health Sciences Center designates this enduring material for a maximum of 1.50 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.


University of Arizona CME Office Contact Information and CME Disclosure

University of Arizona College of Medicine
Office of Continuing Medical Education
520-626-7832
uofacme@email.arizona.edu

The following CME Office Reviewer(s) state(s) that neither s/he nor any immediate family members have any financial arrangements with commercial interests that could constitute a conflict of interest with this activity:

John M. Harris, Jr., MD

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 (212 responses)
How would you rate this program overall?
Average Rating: 4.49/5.00
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: 4.24/5.00
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 Nagarajan Ramakrishnan | Dec 31, 2013
Sensitive and Sensible material presented in a style that is easy to learn
by Hidden | Nov 30, 2013
video kept stopping every few seconds...glad the transcript was there
by Hidden | Sep 30, 2013
Well rounded, nicely done.
by Hidden | Jun 6, 2013
Very slow transmission of video
by john havill | Jun 2, 2013
This was a good solid course in medical ethics, that was well put together and not overly time consuming. It was appropriate for all health care professionals that work frequently with end of life issues.
by Kenneth Dzialowski | Nov 21, 2012
Audio/Video did not work
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.
Georgia Pain Management / Palliative Medicine
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 an always-on connection to the Internet (the activity cannot be downloaded). The activity works on PC or Mac computers and most tablet computers. The activity should work with the newer versions of major Internet browsers, including Internet Explorer, Firefox, Google Chrome, and Safari. 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.

For additional information, read the Technical Assistance FAQ.

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

Home  |  Feedback  |  Privacy Policy  |  E-mail Policy  |  Refund Policy  |  Terms of Use  |  Contact
All contents copyright © 1998 - 2014 Arizona Board of Regents unless otherwise noted