Professional Education

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Physician Education

California physicians now have CME requirement in pain management and end-of-life care.

With the passage of AB 487, physicians now have a mandatory one-time requirement of 12 credit hours of continuing medical education (CME) in the subjects of pain management and the treatment of terminally ill and dying patients. Following are some frequently asked questions regarding this CME:

Who is covered by this requirement? 

This requirement applies to most physicians. However, those physicians who are currently practicing in pathology or radiology are exempted, by law, from this requirement.

When must this requirement be completed? 

Physicians who were granted licensure prior to Jan.1, 2002 will need to complete this requirement by Dec. 31, 2006. All physicians licensed on or after Jan.1, 2002 will need to complete this requirement within four years of initial licensure or by the second renewal date, whichever occurs first.

Which courses are acceptable? 

Currently, acceptable programs and courses are those relating to pain management and/or end-of-life care which qualify for Category I credit from: 1) the California Medical Association, 2) the American Medical Association, 3) the American Academy of Family Physicians, and 4) the Accreditation Council for Continuing Medical Education.

Are the 12 hours of CME on pain and end-of-life care required in addition to the current CME requirements? 

No. This 12-hour requirement will be counted as part of the minimum 100 hours of approved CME required every four years. Additional information related to CME is available on the Medical Board of California's web site, www.medbd.ca.gov (click on "Services for Licensees").

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Education for Physicians in End-of-Life Care (EPEC)

The EPEC Project, developed by the AMA's End-of-life Care Section of the Institute for Ethics with a grant from The Robert Wood Johnson Foundation, has designed a curriculum to educate physicians on the knowledge and skills needed to appropriately care for dying patients.

The EPEC Curriculum combines didactic sessions, videotape presentations, interactive discussions, and practical exercises. It teaches fundamental palliative care skills in communication, ethical decision-making, psychosocial considerations, and symptom management. The materials and their take-home messages can be easily adapted to teach interdisciplinary audiences.

The EPEC Project offers three types of conferences. Attend the "Learn Palliative Care" conference to acquire core skills in palliative care. Attend the "Become An EPEC Trainer" conference to achieve certification as an EPEC Trainer and then teach others core skills in palliative care. Attend the "Professional Development Conference" to enhance your teaching and leadership skills.

Information:  

For conference information, visit the EPEC web site at www.epec.net, or contact The EPEC Project at the address below.

The EPEC Project
Northwestern University, Feinberg School of Medicine
750 N Lake Shore Drive, Suite 601, Chicago, IL 60611
Phone: (312) 503-EPEC
Fax: (312) 503-4355
Email: info@epec.net

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Nursing Education

End-of-Life Nursing Education Consortium (ELNEC)

The End-of-Life Nursing Education Consortium (ELNEC) project is a national education initiative to improve end-of-life care in the United States.  The project provides undergraduate and graduate nursing faculty, CE providers, staff development educators, specialty nurses in pediatrics, oncology, critical care and geriatrics, and other nurses with training in end-of-life care so they can teach this essential information to nursing students and practicing nurses. The project, which began in February 2000, was initially funded by a major grant from The Robert Wood Johnson Foundation (RWJF).  Additional funding has been received from the National Cancer Institute (NCI), the Aetna Foundation, the Archstone Foundation, and the California HealthCare Foundation. 

To date, over 3,700 nurses representing all 50 states have received ELNEC training through these national courses and are sharing this new expertise in educational and clinical settings.  ELNEC Trainers are hosting professional development seminars for practicing nurses, incorporating ELNEC content into nursing curriculum, hosting regional training sessions to expand ELNEC’s reach into rural and underserved communities, presenting ELNEC at national and international conferences, and improving the quality of nursing care in other innovative ways. Over the next few years, ELNEC trainers will touch the lives of millions of people facing the end-of-life.

The ELNEC project is administered by the American Association of Colleges of Nursing (AACN) and the City of Hope National Medical Center of Los Angeles and the esteemed faculty includes a national cadre of nurse leaders.

Currently, there are 4 specific curriculums to meet the unique needs of a variety of nurses.  These curriculums are:

·        ELNEC Super-Core

·        ELNEC-Pediatric Palliative Care

·        ELNEC-Critical Care

·        ELNEC-Geriatrics

For more information about the ELNEC project and/or to register for an upcoming national train-the-trainer course, go to:  www.aacn.nche.edu/ELNEC

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Fact Sheets on Palliative Care

The End of Life Physician Education Resource Center (EPERC) provides excellent resources on a variety of concepts and conditions encountered when caring for patients at the end of life. These Fast Facts are one page flash cards with definitions, suggested treatment modalities and references that can be downloaded and printed or forwarded electronically. To access these fact sheets, go to www.eperc.mcw.edu and click on the "Fast Facts" link. You must be a registered user to access the Fast Facts; join via the "Registration" link at the top of their home page.

The City of Hope Pain/Palliative Care Resource Center (COHPPRC) serves as a clearinghouse to disseminate information and resources that will enable other individuals and institutions to improve the quality of pain management. COHPPRC, established in 1995, is a central source for collecting a variety of materials including pain assessment tools, patient education materials, quality assurance materials, research instruments and other resources. To access their website go to http://prc.coh.org.

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This web page was last updated on 7/23/07.

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