Communication and Bioethics
of End-of-Life Care
Monday, March 23, 2015 (evening)
or Tuesday, April 14, 2015 (morning)
Cooper Medical School of Rowan University Auditorium
401 S. Broadway, Camden, NJ 08103
Monday, March 23, 2015
Registration is REQUIRED.
5:00 PM – 5:20 PM Registration/Buffet Dinner
5:20 PM – 5:30 PM Welcome and Pre-evaluation
Mark Angelo, MD
5:30 PM – 5:50 PM Statistics and the Scope of Need for Palliative Care
in the United States
Vincent Jay Vanston, MD, FAAHPM
5:50 PM – 6:35 PM Goals of Care and Advanced Directives and POLST
in NJ
David R. Barile, MD
6:35 PM – 7:10 PM Bioethical Challenges in Palliative Medicine
Mark Angelo, MD, FACP
7:10 PM – 7:20 PM Question and Answer Period/Post-evaluation
All Faculty
Space is limited, so registrations will be accepted on a first-come, first-served basis.
Tuesday, April 14, 2015
7:00 AM – 7:20 AM Registration/Continental Breakfast
7:20 AM – 7:30 AM Welcome and Pre-evaluation
Mark Angelo, MD
7:30 AM – 7:50 AM Statistics and the Scope of Need for Palliative Care
in the United States
Vincent Jay Vanston, MD
7:50 AM – 8:35 AM Goals of Care and Advanced Directives and POLST
in NJ
David R. Barile, MD
8:35 AM – 9:10 AM Bioethical Challenges in Palliative Medicine
Mark Angelo, MD
9:10 AM – 9:20 AM Question and Answer Period/Post-evaluation
All Faculty
No registrations by telephone will be accepted. No walk-in registrations please.
Mail registration and payment to:
Or fax to: (856) 382-6495
Continuing Medical Education
Or e-mail ALL of the registration
The Cooper Health System
Three Executive Campus, Suite 240
information requested below to:
Route 70 & Cuthbert Blvd., Cherry Hill, NJ 08002
[email protected]
Or register on-line: events.cooperhealth.org Click on Continuing Medical Education on left side of screen.
Faxed, e-mailed, and on-line registrations accepted for credit card payments only.
Conference Fee: $20.00 A notice will be sent to you to confirm your registration.
Pursuant to the Physician Self-Referral Law (Stark Law), Cooper is limited in the amount of nonmonetary compensation
that it may provide to physicians. To ensure that it meets these regulatory limitations, Cooper documents the monetary
value of your participation in each Cooper CME activity. If the monetary value provided to you would exceed these regulatory
limits, you must pay to participate in the additional CME. Should you have any questions or wish to discuss this further,
please contact Cooper’s Compliance Department at (856) 536-1309. Thank you for your interest in the CME opportunities.
Method of Payment:
o My check for $_________ payable to The Cooper Health System is enclosed.
o Please charge my: o Am. Express o MasterCard o Visa in the amount of $_________.
Card Number
Expiration Date
Name as it appears on the credit card
Authorized Signature
Please select one date: o Monday, March 23, 2015, 5:00 PM - 7:20 PM
o Tuesday, April 14, 2015, 7:00 AM - 9:20 AM
Name: ______________________________________________________________________________
Please check the status of your medical license: o MD/DO - Active o MD/DO - Retired
Please check if you are a o resident or o fellow.
First
Last
Degree
Address: ____________________________________________________________________________
Overall Learner Objectives:
City/State/Zip: ______________________________________________________________________
This is a CME activity to introduce important topics relevant to palliative care and
end-of-life care. The learner should be able to recognize the scope of need for
palliative care for patients with severe illness as well as describe the challenges
that these patients face. The learner will be introduced to goals of care communication and how it relates to severe illness while effectively documenting patient
wishes through the New Jersey Practitioner’s Orders for Life Sustaining Treatment
(POLST). Finally, the learner will be
introduced to some of the bioethical
Activity Director:
challenges faced by patients at the end
Mark Angelo, MD, FACP
of life. This CME activity satisfies the
Head, Division of Palliative Medicine
NJ CME requirement for 2 AMA PRA
Director, Hospice and Palliative Medicine
Fellowship
Category 1 Credits,TM pursuant to P.L.
Chairperson, Bioethics Committee at
2011, c. 145 (C.45:9-7.7) in programs or
Cooper University Hospital
topics related to end-of-life care.
MD Anderson Cancer Center at Cooper
Cooper University Health Care
Assistant Professor of Medicine
Cooper Medical School of Rowan University
Camden, NJ
Additional Faculty:
David R. Barile, MD
Director, New Jersey Goals of Care
Director, Palliative Medicine Services,
University Medical Center at Princeton
Medical Director, Acute Care for the
Elderly Unit
Princeton, NJ
Vincent Jay Vanston, MD, FAAHPM
Division of Palliative Medicine
MD Anderson Cancer Center at Cooper
Cooper University Health Care
Associate Professor of Medicine
Cooper Medical School of Rowan University
Camden, NJ
Intended Audience:
The intended audience for this conference includes primary care physicians
and all specialists. Residents, fellows,
physician assistants, advanced practice
nurses, and other allied health professionals with an educational need or
interest in this topic may also attend.
Need More Information?
Please contact:
Continuing Medical Education
The Cooper Health System
Three Executive Campus, Suite 240
Route 70 & Cuthbert Blvd.
Cherry Hill, NJ 08002
Tel: (856) 382-6480 • Fax: (856) 382-6495
E-mail: [email protected]
o Home
Telephone: o Work ________________________________ Fax: ________________________________
o Mobile
E-mail (required): ____________________________________________________________________
Company Name: ____________________________________________________________________
City/State: _________________________________________________________________________
Specialty/Occupation: ________________________________________________________________
o If you require assistance with hearing, vision, or mobility to make this activity accessible to you, please
check here and return your registration no later than two weeks prior to the session. You may also contact
us if you have special meal requirements. We will contact you directly.
Cancellation Policy: The Cooper Health System reserves the right to cancel this conference due to insufficient
enrollment or other unforeseen circumstances.
Please Note: If you are unable to attend after registering, please contact us as soon as possible at (856) 382-6480.
Refund Policy: Your conference registration fee will be refunded (minus a $10 processing charge) if we receive
notification of your cancellation no later than two weeks prior to the session. No exceptions.
Accreditation/Designation/Disclosure:
The Cooper Health System is accredited by the Accreditation Council for Continuing Medical Education to provide
continuing medical education for physicians. The Cooper Health System takes responsibility for the content,
quality, and scientific integrity of this CME activity.
The Cooper Health System designates this live activity for a maximum of 2 AMA PRA Category 1 CreditsTM per session.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of one hour of a continuing medical education (CME) course recognized by the American
Medical Association, the American Osteopathic Association, or the American Podiatric Medical Association is equal
to one hour of continuing education for New Jersey nursing license renewal (New Jersey Board of Nursing 13:37-5.3).
All faculty participating in continuing medical education activities sponsored by The Cooper Health System are expected
to disclose to the audience any real or apparent conflict of interest related to the content of their presentation.
CONTINUING MEDICAL EDUCATION