EM Talk: Goals of Care and a Roadmap to Master Difficult Conversations

Tuesday, May 15, 2018, 8:00 AM – 12:00 PM

Add workshops to your SAEM18 registration for an additional fee.

Emergency physicians care for critically ill patients with both acute and chronic disease. Many EM physicians are reluctant to have discussions with patients and their families about treatment options because they perceive that they lack the skills, information, or time to engage in these difficult conversations. Not surprisingly, few EM physicians have had formal training in so-called “goals of care” discussions, in which patient values are explored and then matched to an appropriate medical plan. This workshop offers an opportunity for providers to embrace new skills, and for educators to experience a novel model to facilitate learners in mastery of new skills. 

EMTalk, a communication course adapted from the internationally recognized VitalTalk model, bridges this educational gap. The VitalTalk model uses a combination of small group training sessions, deliberate skills practice, just-in-time feedback, and simulated patients to create a real-world experience for learners. Training results in immediate, significant and lasting improvement to the medical practitioner’s ability to communicate and address patient and family needs during medical crises. Specifically, emergency physicians will be able to confidently and compassionately engage patients and families in discussions about potentially life-saving care, invasive procedures, and disposition from the emergency department to match their goals and values with the appropriate care. 

Schedule of Course: 
8:00-8:10 AM - Introduction to Course 
8:10-8:40 AM - Discussing Goals of Care 
8:40-9:15 AM - Small group set-up: introductions, ground rules, note taking, "why we hate simulation/feedback" 
9:15-10:15 AM - Case 1*
10:15-10:30 AM - Break 
10:30-11:30 AM - Case 2* 
11:30-11:40 AM - Break 
11:40-11:55 AM - Debrief and taking skills back to practice 
11:55 AM-12:00 PM - Course Evaluations 

*Two cases: 
1. Severe recurrent stroke intubated with uncertain prognosis
2. Debility, failure to thrive, pneumonia, SNF, consider hospice referral