Long School of Medicine

The Practice of Palliative Care and Ethical Issues at End of Life

Course Description

This online enduring material presentation describes the role of a multi-disciplinary palliative care team with its varying branches of care, including the spectrum of bereavement. Dr. Vandermeer discusses the six step process of Standards of Capacity and Competence, Medical Power of Attorney (MPOA), including Advanced Directives. A three part approach is recommended when the "putting it all together" conversation must occur with families and loved ones. The speakers share tips of the do's and don'ts of the palliative dialogue with the "D" (death) word needing to be validated and realized with family. Although this topic can be difficult for providers, Dr. LaCoss and Vandermeers approach provides key elements simplifying treatment through end of life care.

Target Audience

This activity is designed to meet the educational goals of general medical staff and other healthcare professionals working, referring and associated with hospital emergency rooms.

Learning Objectives

  • Identify ethical, regulatory and legal concerns related to palliative care
  • Assess the shared decision making continuum with family, conversation tools including Spikes Model, Ask-Tell-Ask Model.
  • Define palliative care in an hospital setting, capacity
  • Define surrogacy and key decision making facets of palliative care

Physician Participation

Upon completion of viewing the online presentation, please follow the instructions at the end of the presentation to complete the evaluation. Once the evaluation is completed, the user will be provided the option to print their certificate.

Program Registration Information

Registration Fees

No Charge

Continuing Medical Education Credit - Accreditation Statement

As an ACCME-accredited CME provider, The UT Health Science Center San Antonio must ensure that its CME activities are independent of the control of commercial interests. All speakers and planning committee members for the UT Health Science Center San Antonio sponsored programs are expected to disclose (prior to the activity) all “relevant financial relationships” as financial relationships in any amount occurring within the past 24 months that create a conflict of interest. (“Relevant” financial interest or other relationships can include such things as grant or research support, employees, consultants, major stockholders, members of speaker bureau, etc.)

The UT Health Science Center San Antonio and Rebecca Terrazas, course director and content reviewer for the activity, have reviewed all financial disclosure information for all speakers, facilitators, and planning committee members; and determined and resolved all conflicts of interests.

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 UT Health Science Center San Antonio and the University Health System. The UT Health Science Center San Antonio is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The UT Health Science Center San Antonio designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Academy of Physician Assistants (AAPA), American Academy of Nurse Practitioners (AANP) and the American Nurses Credentialing Center (ANCC) accepts certificates of attendance for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.

Healthcare professionals receiving a certificate of attendance should consult with their licensing board for information on applicability and acceptance.

Credit may be obtained upon successful completion of the activity’s evaluation.

Release date: May 14, 2020     Credits expire: May 14, 2023

Hardware/Software Requirements

Rachael Vandermeer, MD
Inpatient Pediatric Palliative Care Medical Director
University Health System, San Antonio, Texas

Rachael Vandermeer, MD has no relevant financial relationships with commercial interests to disclose.

Jennifer LaCoss, MD
Palliative Care Medical Co-Director
University Health System, San Antonio, Texas

Jennifer LaCoss, MD has no relevant financial relationships with commercial interests to disclose.

The planning committee members listed below do not have any relevant financial interest to disclose.

Rebecca Terrazas, RN
Amy Quinn, MD
Antonio Hernandez, MD
Kayla Ireland, MD
Dolores Perry, RN
Patrick Ramsey MD, MSPH