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VA » Health Care » National Center for Ethics in Health Care » Goals of Care Conversations Skills Training for Clinicians

National Center for Ethics in Health Care

Goals of Care Conversations Skills Training for Clinicians

Training for Physicians, Advance Practice Nurses, and Physician Assistants This training program consists of flexible, interactive modules to help practitioners improve their skills in delivering serious news and discussing goals of care and life-sustaining treatment decisions with seriously ill patients. It is intended for practitioners who care for patients with serious illness in outpatient, inpatient, long-term care, and home care settings.
Delivering Serious News	Slides with Facilitator Notes and WM Embedded Videos (QT Version) Drills Handout SPIKES Card
Part 1: Reframing and Expecting Emotion	Slides with Facilitator Notes and WM Embedded Videos (QT Version) Drills Handout REMAP Card
Part 2: Mapping the Future	Slides with Facilitator Notes and WM Embedded Videos (QT Version) Drills Handout
Part 3: Aligning with Patient Goals	Slides with Facilitator Notes and WM Embedded Videos (QT Version) Drills Handout
Part 4: Discussing Life-sustaining Treatments	Slides with Facilitator Notes Drills Handout CPR Outcomes Handout
Putting It All Together Practice Exercise	Slides with Facilitator Notes Drills Handout
Additional Training Resources	All Drills Handouts Empathic Responses Handout GoCC Worksheet for MDs/APRNs/PAs Prognostication Slides Values Exercise Communication Skills Drills Video
Customizing Training to Meet Learners' Needs	Slides with Facilitator Notes (QT Version)
Training for Nurses, Social Workers, Psychologists, and Chaplains This program consists of training modules to help clinicians improve their communication skills and conduct goals of care conversations with high-risk patients. It is intended for members of the multidisciplinary team who talk with patients and families about values and goals care, discuss the role of the surrogate decision-maker, and provide information about services and treatments. This course also addresses team-based practices for ensuring that goals of care conversations occur proactively in clinical settings across the health care continuum.
Part 1: Key Communication Skills	Slides with Facilitator Notes Handouts: Communications Skills Review Guide and Exercise
Part 2: Discussing and Documenting Goals and Preferences	Slides with Facilitator Notes and WM Embedded Videos Handout: Talking Map Handout: Services Handouts: CPR Outcomes, Progress Notes Handouts: Step 5 Exercise, Putting It All Together Exercise
Part 3: Implementation	Slides with Facilitator Notes Handout: Implementation Exercise Handouts: Roles, QI Tracking Sheet, Peer Observation
Other Files	Sample Training Agenda Training Sessions Tracking Sheet Optional Activity: Values Exercise Optional Handouts: Resources for Clinicians, Patients, and Families
Training for Multidisciplinary Renal Teams These training materials have been customized for use with multidisciplinary renal teams by adding examples and drills specific to kidney disease and dialysis. The curriculum includes information about the overlapping and unique roles each team member plays in eliciting patients' goals of care, providing information about treatmeant options, and making shared treatment decisions.
Delivering Serious News and Goals of Care Conversations for Renal Teams	Slides with Facilitator Notes and WM Embedded Videos (QT Version) Drills Handout SPIKES Card REMAP Card Empathic Responses Handout GoCC Worksheet
Optional: Putting It All Together Exercise	Slides with Facilitator Notes Drills Handout
Goals of Care Conversations training materials are available for public use. When using these materials outside of VA, please include this attribution: U.S. Department of Veterans Affairs National Center for Ethics in Health Care. Goals of Care Conversations Training for Physicians, Advance Practice Registered Nurses, and Physician Assistants. https://www.ethics.va.gov/goalsofcaretraining/practitioner.asp. Updated January 3, 2019. Accessed [date]. When citing this page, please use this format: U.S. Department of Veterans Affairs National Center for Ethics in Health Care. Goals of Care Conversations Training for Physicians, Advance Practice Registered Nurses, and Physician Assistants website. https://www.ethics.va.gov/goalsofcaretraining/practitioner.asp. Updated January 3, 2019. Accessed [date].

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National Center for Ethics in Health Care

Goals of Care Conversations Skills Training for Clinicians

Training for Physicians, Advance Practice Nurses, and Physician Assistants

Delivering Serious News

Part 1: Reframing and Expecting Emotion

Part 2: Mapping the Future

Part 3: Aligning with Patient Goals

Part 4: Discussing Life-sustaining Treatments

Putting It All Together Practice Exercise

Additional Training Resources

Customizing Training to Meet Learners' Needs

Training for Nurses, Social Workers, Psychologists, and Chaplains

Part 1: Key Communication Skills

Part 2: Discussing and Documenting Goals and Preferences

Part 3: Implementation

Other Files

Training for Multidisciplinary Renal Teams

Delivering Serious News and Goals of Care Conversations for Renal Teams

Optional: Putting It All Together Exercise

Goals of Care Conversations training materials are available for public use.

Training for Physicians, Advance Practice Nurses, and
Physician Assistants