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").
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
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
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.