Complex Care Conversations: Creating a Climate of Healing

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(Click on the date of the session you wish to attend below to register.) 


This program is funded in part by the Rhode Island State Innovation Model Test Grant. There is no fee for Rhode Island licensed providers to attend, but registration is required and participating providers will be asked to provide practice data as part of the grant. 

Out of state liscensures are welcome to attend but should contact for fees and more information. 

Cancellation / No Show Policy
Please notify the Brown CME Office at least 3 days prior to your session if you are unable to attend. Due to the interactive nature of this program, attendance is limited and there is a waiting list of interested individuals. No Shows will be charged $100.

Program Overview

Complex Care Conversations is an interactive curriculum designed for small groups to increase clinician ease and effectiveness in approaching goals of care conversations with patients dealing with serious, progressive illnesses. This program offers guidance in how to approach this sometimes awkward subject so that important discussions are not delayed or postponed. The sessions offer a framework for navigating these conversations that elicit patient values and preferences in a way that is mutually transformative for clinicians and patients

Learning Objective

The overall objective is to give clinicians key tools for effective communication, and learn skills of balancing patients’ values with the medical reality when recommendations are given to patients and families. Providers will learn how to properly bill and code for these reimbursable activities. In addition, participants will receive education on bedside ethics when faced with surrogate decision makers, as well as prognostication that will help them guide patients and families in effective ways as patients approach the end of their life. Lastly, participants will learn techniques to reduce burnout and compassion fatigue in caring for very complex and fragile patients, creating a climate of healing for all involved.

Who Should Attend?

Practice teams including physicians, nurses, nurse care managers, medical assistants, and other team members as well as public health professionals.

Planning Committee

Christine Ann Nevins-Herbert, MD
Assistant Professor of Medicine
Warren Alpert Medical School, Brown University
Medical Director
Hope Hospice & Palliative Care Rhode Island
Providence, Rhode Island

Jennifer M. Ritzau, MD
Complex Care Conversations Program Director, 
Medical Director/Director of Palliative Care
Hope Hospice and Palliative Care Rhode Island
Providence, Rhode Island

Mercedes Pacheco, MD
Medical Director, Hope Hospice and Palliative Care Rhode Island
Providence, Rhode Island

Tammy Bhang DNP, ARNP, ACHPN
Board Certified Palliative Care Nurse Practitioner, Educator
CORE Healthcare Consulting Group, Snoqualmie, Washington

Nancy Forte, RN, BSN
VP of Care Transitions and Growth
Hope Hospice and Palliative Care Rhode Island
Providence, RI

Juan C. Iregui MD, MA, FAAHPM
Board Certified Palliative Medicine Physician, Ethicist, Educator
CORE Healthcare Consulting Group
Snoqualmie, WA

Julia Issa
CME Coordinator 
Warren Alpert Medical School, Brown University

Maria Sullivan
Director, Office of Continuing Medical Education
Warren Alpert Medical School, Brown University
Providence, RI

CME Accreditation

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 Warren Alpert Medical School of Brown University and Hope Hospice & Palliative Care Rhode Island. The Warren Alpert Medical School of Brown University is accredited by the ACCME to provide continuing medical education.

Credit Designation

The Warren Alpert Medical School of Brown University designates this live activity for a maximum of 8.0 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physicians Assistants/Nurse Practitioners:
Participants will receive a Certificates of Attendance stating this program is designated for 8.0 AMA PRA Category 1 CreditsTM. These credits are accepted by the AAPA and AANP.

Nurses: As an American Psychological Association approved provider CES programs are accepted by the American Nurses Credentialing Center (ANCC). Every state Board of Nursing accepts ANCC approved programs except California and Iowa, however CES is also an approved Continuing Education provider by the California Board of Registered Nursing, (Provider Number CEP15567) which is also accepted by the Iowa Board of Nursing. Nurses completing this program receive 7.5 CE hours of credit.

Social Workers: Commonwealth Educational Seminars (CES), provider #1117, is approved as a Provider for Social Work Continuing Education by the Association of Social Work Boards (ASWB), through the Approved Continuing Education (ACE) program. CES maintains responsibility for the program. ASWB Approval Period: 10/5/15 through 10/5/18. Social workers should contact their regulatory board to determine course approval. Social workers participating in this course will receive 7.5 clinical continuing education clock hours.

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