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
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