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ForwardCollaborative Care: Engaging Patients and Families in Treatment Dialogues
Pricing
ISMS members: Free
Non-ISMS members: $75.00
Course Description
For more than 60 years clinicians have used bioethical strategies to promote patient self-determination, collectively described as informed consent. Yet the core framework – understanding risks, benefits, and alternatives – fails to support patients in deliberation about treatment.
Although research on informed consent typically aims to improve clinician performance, Dr. Schwarze and her team found that the problem is not performance but the core framework, which prescribes clinical norms. To satisfy consent requirements, clinicians translate this framework into an overly complicated technical explanation of disease and treatment and an overly simplified narrative that surgery will “fix” the problem. They often omit critical information about the goals and downsides of surgery and present untenable options as a matter of patient choice.
Join Dr. Gretchen Schwarze as she reviews the framework called “Better Conversations,” which aims to help clinicians provide context about clinical norms, establish the goals of surgery, and comprehensively delineate the downsides of surgery to generate a deliberative space for patients to consider whether this treatment is right for them. This paradigm shift meets the standards for informed consent, supports deliberation, and allows patients to anticipate and prepare for the experience of treatment. Although it focuses on surgical practice, this novel framework can be adapted to any setting where consent is required for treatment.
Learning Objectives
At the conclusion of this learning activity, participants will be able to:
- Identify current patterns of communication that do little to assist decision-making or prepare patients for treatment
- Summarize novel strategies to engage patients in decision-making
- Describe actions you can do today to improve communication about treatment decisions
Target Audience
ISMS members and their staffs
Disclosure
There are no relevant financial relationships with ACCME-defined commercial interests for anyone who was in control of the content of this activity.
CME information
The Illinois State Medical Society is accredited by the ACCME to provide continuing medical education for physicians.
The Illinois State Medical Society designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Illinois Nurse Practice Act rules deem CME credit provided by approved sponsors as acceptable to fulfill nursing continuing education requirements for licensure. Nurses may claim one contact hour per unit of CME in the state of Illinois.
Additional information
The recommendations contained in this resource are not intended to define conduct that is appropriate in every case, should not be considered as establishing any standard of care, and do not constitute legal advice. Physicians, clinicians and healthcare providers should take care to ensure that all care rendered reflects the best clinical judgment and complies with the laws and regulations of the state or location at which the care was provided.
Gretchen Schwarze, MD, MPP, FACS
Gretchen Schwarze, MD, MPP, FACS, is the Morgridge Professor of Vascular Surgery and a professor in the Department of Surgery and the Department of Medical History and Bioethics at the University of Wisconsin. She received her medical degree from Harvard Medical School and master’s degree in public policy from the John F. Kennedy School of Government. She completed residency at the Massachusetts General Hospital. Her fellowship training in vascular surgery and clinical ethics was at the University of Chicago Hospital and Clinics.
She is a practicing vascular surgeon and health services researcher who also directs the hospital ethics committee and the ethics curriculum for the UW School of Medicine and Public Health. Her research interests focus on high-stakes decisions and end-of-life care for older patients with complex illnesses. She is an alumna of the Greenwall Faculty Scholar and the Cambia Foundation Sojourns Scholar programs. She is currently funded by the National Institute on Aging with two R01s and a K24. She lives in Madison, Wisconsin, with her husband who is a transplant surgeon and has two daughters, ages 16 and 18.
Available Credit
- 1.25 AMA PRA Category 1 Credits™
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Illinois State Medical Society and ISMIE Mutual Insurance Company. The Illinois State Medical Society is accredited by the ACCME to provide continuing medical education for physicians.
The Illinois State Medical Society designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.25 Participation Credit