The University of Wisconsin School of Medicine and Public Health designates this live activity for a maximum of 6.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Wisconsin-Madison, as a member of the University Continuing Education Association (UCEA), authorizes this program for 0.65 Continuing Education Units (CEUs) or 6.5 hours.

The University of Wisconsin-Madison School of Nursing, Continuing Education, designates this live activity for a maximum of 6.4 ANCC contact hours (7.7 Iowa contact hours).

This CME/CNE activity has been designed to change learner competence and focuses on the American Board of Medical Specialties areas of patient care and procedural skills, interpersonal and communications skills and professionalism.

The Institute of Medicine released a report in 2014, Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life. According to the report, no care decisions are more profound than those near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families.

This activity is designed for individuals who are involved in cancer treatment and education of cancer patients and their families: oncology physicians, primary care physicians, oncology nurses, nurse practitioners, clinical research associates, health educators, social workers, psychologists, chaplains and other interested health care professionals involved in cancer care. Patients, caregivers and community members are also encouraged to attend.

This activity is designed to educate physicians, nurses and other health care providers about issues related to end-of-life care. Learning objectives for this conference include:

• Describe the 40-year history of efforts to improve end-of-life care in the United States, with reference to law, ethics, empirical research and clinical practice
• Identify and summarize the federal and state laws and professional guidelines applicable to requests for hastened death
• Define family conflict and sources of conflict at the end of life
• Recognize the current state of the law on end-of-life matters
• Describe three practical tools to improve patient satisfaction when bad news is delivered
• Define secondary stress and mindfulness and four different types of friends/interpersonal voices necessary to remain resilient as a caregiver
• Gain knowledge of culturally sensitive strategies and best practices for meeting the spiritual needs of individuals diagnosed with cancer and their families
• Identify a systematic framework from which to approach psychosocial suffering in patients and families at end of life
• Explain the complexity of informing parents and children of a terminal prognosis
• Recognize how talking about end-of-life wishes well in advance can help prevent unnecessary suffering
• Recognize that communication is a skill that medical professionals can teach, learn and use for therapeutic benefit
• Discuss how some people grieve emotionally (intuitive grievers) and others through cognitions and actions (instrumental grievers) and identify helpful tools for intuitive grievers and instrumental grievers.

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 University of Wisconsin School of Medicine and Public Health, University of Wisconsin Carbone Cancer Center, University of Wisconsin Hospital and Clinics, the University of Wisconsin-Madison School of Nursing, Continuing Education and Wisconsin Cancer Council. The University of Wisconsin School of Medicine and Public Health is accredited by the ACCME to provide continuing medical education for physicians.

This activity has been planned and implemented using the educational design criteria of the American Nurses Credentialing Center's Commission on Accreditation through the co-providership of the University of Wisconsin-Madison School of Nursing, Continuing Education and the above partners.

The University of Wisconsin-Madison School of Nursing, Continuing Education is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

The University of Wisconsin-Madison School of Nursing, Continuing Education is Iowa Board of Nursing provider 350.

It is the policy of the University of Wisconsin Schools of Medicine and Public Health and Nursing that the faculty, authors, planners and other persons who may influence content of this CME/CNE activity disclose all relevant financial relationships with commercial interests in order to allow CME/CNE staff to identify and resolve any potential conflicts of interest. Faculty must also disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation(s). Detailed disclosures will be made in the activity handout materials.