Honoring Choices Across Cultures: End of Life & Advanced Care Planning

On Wednesday, May 7, the University of Minnesota will host a one-day conference:  "Honoring Choices Across Cultures: End of Life & Advanced Care Planning."

DESCRIPTION

High quality advanced care planning and end of life care is essential to ensuring that patients do not receive unwanted care in their last days, weeks, and months of life. As our population ages and health care spending grows, this issue becomes more and more pressing. Health disparities exist between majority culture and minority cultures in many areas, including advanced care planning and end of life care. Discussions around these topics can be difficult in the best of circumstances, and language or cultural barriers can lead to poor quality or even damaging conversations that cause harm to patients or the provider/patient relationship. This course aims to address this challenging area of medicine.



COURSE DESIGN

This one-day conference will include didactic lectures in the morning. The afternoon will include small-group simulated patient encounters with live standardized patients, as well as small-group tabletop scenarios. The simulated patient encounters will allow learners to each be the provider leading  discussion with a patient or family member, followed by a small-group debrief led by a faculty expert.  Tabletop exercises will include discussions of common clinical scenarios facilitated by a faculty expert.



EDUCATIONAL OBJECTIVES

Upon completion of this educational activity, participants should be better able to:

• Develop a framework for leading discussions with patients and families about advanced care planning and end-of-life care 


• Review evidenced-based methods for cross-cultural bargaining and discussion 


• Apply skills learned in didactic sessions to live simulated patient encounters 


• Comfortably address advance care planning and end-of-life care when a language or cultural barrier exists.

SCHEDULE

7:30 – 8:00 

Registration and Continental Breakfast

8:00 – 8:15 

Welcome and Introduction to health disparities in Advance Care Planning - Brett Hendel-Paterson, MD, CTropMed

8:15 – 8:45 

Panel Discussion about cross-cultural approaches to advance care planning - Miguel Ruiz, MD; Mohamed Hagi-Aden, MD, Channy Som, (Interpreter)

8:45 – 9:30 

Advance Care Planning – Definitions and Best Practices - Drew Rosielle,MD FAAHPM

9:30 - 9:45 

Break

9:45 – 10:15 

Introduction to Cross-Cultural Communication - Pat Walker, MD, DTM&H, FASTMH

10:15 – 10:45 

Cross-cultural bargaining and discussions of end-of-life care - Kathie Culhane-Pera, MD

10:45 – 11:15 

End of Life Care and Advance Care Planning – a practical framework for working across

cultures - Miguel Ruiz,MD

11:15AM – 12:00

Questions/Discussion

12:00 – 1:00 

Lunch

1:00 – 2:30 

Afternoon Session A*

1.) Sim-Center Cases

2.) Tabletop exercises (5-6 cases)

2:30 – 2:45 

Break and transition next group

2:45 – 4:15 

Afternoon Session B*

1.) Sim-Center Cases (3 cases)

2.) Tabletop exercises (5-6 cases)

4:30 – 5:00 

Group Debrief - Brett Hendel-Paterson, MD; Patricia Walker, MD



SIM CENTER CASES

The Sim Center Cases will include three cases with professional standardized patients and debriefing led by an experienced teacher in palliative care or primary care. The cases will include one inpatient case, one clinic-based case, and one home-based case. Each participant will have the opportunity to be the lead provider for at least one case, and be an active observer in one or two other cases.



TABLETOP EXERCISES

Tabletop Exercises will include small-group discussions of some common scenarios that arise in inpatient or outpatient medicine around advanced care planning and end-of-life care. Groups will be facilitated by a faculty expert in palliative care or primary care.