Accreditation The American Medical Directors Association (AMDA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Designation Statement: The American Medical Directors Association designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
AMDCP Credit Designation: This session has been approved for a total of 1 Management credit hours toward certification as a Certified Medical Director in Long Term Care (CMD).
Session Description: Older patients and families demonstrate dramatic variation in desired level of involvement in care decisions, which is poorly predicted by providers. This presentation will use cases to illustrate the development of a clinical approach to care of complex cases that balances medical facts and patient/family values. The cases will offer real life examples of the day-to-day challenges of long term care, and the sophistication required of its providers.
Identify the process necessary to developing effective, sustainable approaches to care in complex cases.
Prepare to avoid common pitfalls that create bad outcomes for patients and providers.
Discuss sources of error in the process of coming to agreement.
Develop effective communication strategies in the face of conflict and uncertainty.
Speakers(s): Bruce Robinson, MD, MPH, CMD
Disclosure(s): Bruce Robinson, MD has no disclosures to report.
References: Elkin E, Kim S, Casper E et al. Desire for Information and Involvement in Treatment Decisions: Elderly Cancer Patients; Preferences and Their Physicians; Perceptions. J Clin Oncol 2007;25:5275-5280 Politi M, Han P, Col N. Communicating the uncertainty of harms and benefits of medical interventions. Med Decis Making 2007;27:681-95. Bogardus S, Holmboe E, Jekel J. Perils pitfalls and possibilities in talking about medical risk. JAMA 1999;281:1037-41.