Advance Care Planning and End of Life (Recorded at Pri-Med West)

Now that the capabilities of medicine provide increasingly complex care and technology to keep patients alive in health states they might not desire, the clinician is responsible for anticipating future care needs and guiding treatments as patients become more ill and less functional. Advance care planning is an essential tool in the primary care practitioner’s armamentarium, and this skill set must be honed to ensure that patients receive care consistent with their informed preferences and appropriate to their prognosis. Clinicians must feel comfortable introducing advance care planning, carrying out serial discussions with patients about prognosis, using appropriate tools and practice structures, and coordinating care among the team of clinicians caring for their patients across care venues. Sometimes the process requires setting limits and addressing maladaptive coping. Building strong relationships with patients and families and a consistent focus on goals of care is key to high quality treatment for the complex patient and achieving optimal end of life care.

Learning Objectives

  • Identify how the compression of morbidity and increasing availability of technically-advanced treatments create a need for advance care planning to provide high quality care to complex patients

  • Familiarize with advance care planning models and structures that improve care toward the end of life

  • Become facile with advance care planning tools, including POLST and goals of care notes

  • Recognize situations in which inappropriate treatment and decision-making disagreements are common to reduce the likelihood of conflict in end of life care

Additional Information

State Relevance: 
New Jersey
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit
Course opens: 
Course expires: 

Neil S. Wenger, MD, MPH

No financial disclosures to report.


Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose.

AMA PRA Category 1 Credits

Accreditation Statement

pmiCME is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement

pmiCME designates this enduring material 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.

For APRNs and PAs, AANPCB and NCCPA accept AMA PRA Category 1 Credit™ as the number of hours of participation (AANPCB) or as Category 1 CME credits (NCCPA).

Available Credit

  • 1.00 AMA PRA Category 1 Credit
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This course is offered through Pri-Med. 

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End-of-life CareGeriatrics