Through Advance Care Planning (ACP), people have the opportunity to express their wishes and values regarding the care they might receive in the future when they are no longer able to make medical decisions on their own behalf. The clinician’s role in this process is multi-faceted and requires an understanding of the medical, legal, and ethical issues involved, as well as skills in eliciting their patients’ values and navigating challenging conversations.
In this interactive Ethics Grand Rounds session presented by Unity Health Toronto’s palliative care and ethics services, clinicians will be given an overview of the laws, policies and procedures relevant to ACP. The speakers will also explore relationship building with patients and how to engage in difficult conversations about their patients’ wishes and values. Topics for discussion include the role and responsibilities of substitute decision-makers (SDMs), powers of attorney for personal care, clarifying and interpreting the wishes and values of patients, and communication strategies for conversations with patients and their families. Unity Health Toronto’s palliative care clinicians and CCE ethicists will share some of their own experiences with and lessons learned through ACP.
Goals and Objectives
After attending these rounds, clinicians will be able to:
- Discuss the legal, administrative, and ethical aspects of advance care planning
- Work with their patients (and/or their substitute decision-makers) to clarify wishes, values, goals
- Engage in challenging conversations with patients and families while fostering good relationships
CME Accreditation -- Physician attendees will be eligible to receive one Section 1 Continuing Professional Development (CPD) credit as certified by the Royal College of Physicians and Surgeons of Canada. Links for providing feedback and registering for CME credit will be available live in the session.