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Pain Management / Terminally Ill / End-of-life - Oregon Required CME:

Pain Management / Terminally Ill / End-of-life - Oregon Required CME:

Culture & End of Life Care: Collaborating with Interdisciplinary Partners
Credit hours...1.5.
Awarded by....American Academy of Family Physicians
Cost...........$25 per hour.
Meets Special CME Requirements in....Meets Special CME Requirements in: California (End of Life and Geriatrics), Connecticut (Cultural Competence), Massachusetts, Nevada, Oregon, Pennsylvania, Rhode Island, and Texas.

After completing this program, you should be better able to:
• 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; and
• Assess strategies for addressing interdisciplinary conflicts effectively.

Culture & End of Life Care: Conversations with Patients and Families
Credit hours...1.0.
Awarded by....American Academy of Family Physicians
Cost...........$25 per hour.
Meets Special CME Requirements in....Meets Special CME Requirements in: California (End of Life and Geriatrics), Connecticut (Cultural Competence), Massachusetts, Nevada, Oregon, Pennsylvania, Rhode Island, and Texas.

After completing this program, you should be better able to:
• Compare methods of giving bad news to a patient;
• Consider ways to respond when a patient is overwhelmed and raises questions that are difficult to answer;
• Identify a series of steps that physicians can take to examine and address their own emotions in order to preserve the quality of patient care and protect the physician's well-being;
• Elicit information from family members to clarify the incapacitated patient's motivations when she completed a living will;
• Sort the facts surrounding an ethical question in an end-of-life situation.
• Develop and consider options for resolving ethical issues;
• Give advice to patients about complementary and alternative medicine (CAM) based on evidence;
• Negotiate treatment plans with patients who elect to use CAM along with conventional care; and
• Monitor patients' usage of CAM.

Culture & End of Life Care: Patients' Beliefs and Values
Credit hours...1.5.
Awarded by....American Academy of Family Physicians
Cost...........$25 per hour.
Meets Special CME Requirements in....Meets Special CME Requirements in: California (End of Life and Geriatrics), Connecticut (Cultural Competence), Massachusetts, Nevada, Oregon, Pennsylvania, Rhode Island, and Texas.

After completing this program, you should be better able to:
• Ask questions that will help you gather information on the patient's Explanatory • Model, or understanding, of her illness experience;
• Organize your approach to culture using the LEARN mnemonic: Listen, Explain, • • Acknowledge, Recommend, and Negotiate;
• Elicit and respond to patients' faith-based values and goals for care;
• Enable patients to anticipate and consider aspects of the dying process they might not have considered;
• Facilitate communication with others who will be involved in patients' end-of-life care;
• Incorporate patients' values and preferences in advance care planning;
• Identify options for responding to requests from a patient's family that raise ethical questions;
• Analyze how to offer truth in order to elicit your patients' preferences;
• Negotiate solutions that respect patients' preferences as well as your ethical duty;
• Evaluate evidence for and against complementary and alternative medicine (CAM) practices;
• Advise patients on the basis of evidence;
• Negotiate treatment plans with patients who incorporate CAM; and
• Build trust and promote open communication with patients.

An Introduction to the Practice of Palliative Medicine
Credit hours...1.0.
Awarded by....University of Arizona College of Medicine at the Arizona Health Sciences Center.
Cost...........$25 per hour.
Meets Special CME Requirements in....California, Nevada, Oregon, Rhode Island, Rhode Island, Texas and West Virginia.

An Introduction to the Practice of Palliative Medicine will help you to:
Utilize therapies intended to reduce or relieve distressing symptoms;
Communicate better, including using active listening and shared decision-making;
Coordinate care with health and spiritual professionals;
Manage and support patients and family members experiencing death and bereavement; and
Apply important ethical principles to patient care.

Improving Outcomes in Chronic Pain
Credit hours...Up to 14.55 hours.
Awarded by....University of Arizona College of Medicine at the Arizona Health Sciences Center.
Cost...........$25 per hour.
Meets Special CME Requirements in....California, Oregon, Rhode Island and West Virginia.

Improving Outcomes in Chronic Pain will help you to:
Assess and measure pain and its effects on your patients;
Choose appropriate therapies for chronic pain;
Better manage common pain syndromes; and
Safeguard your practice from drug abuse and diversion.

Prescribing Opioids for Chronic Pain
Credit hours...1.0.
Awarded by....University of Arizona College of Medicine at the Arizona Health Sciences Center.
Cost...........$25 per hour.
Meets Special CME Requirements in....California, Massachusetts, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas and West Virginia.

Prescribing Opioids for Chronic Pain will help you to: 
Diagnose and manage chronic low back pain;
Utilize appropriate long-term opioid treatment; and
Safeguard your practice from drug abuse and diversion.

Recognizing and Managing Opioid Misuse
Credit hours...1.0.
Awarded by....University of Arizona College of Medicine at the Arizona Health Sciences Center.
Cost...........$25 per hour.
Meets Special CME Requirements in....California, Massachusetts, Oregon, Pennsylvania, Rhode Island, Tennessee, Texas and West Virginia.

Recognizing and Managing Opioid Misuse will help you to:
Utilize appropriate long-term opioid treatment;
Diagnose and manage substance abuse disorders; and
Safeguard your practice from drug abuse and diversion.

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