Activity ID



March 31, 2020

Format Type


CME Credit



CME Provider

American Medical Association


Increasing administrative responsibilities due to regulatory pressures and evolving payment and care delivery models reduce the amount of time physicians spend delivering direct patient care. End of life decisions are challenging yet necessary (particularly with our advances in medicine today), and physicians must receive training in how to discuss these decisions with patients and families. Yet many physicians do not have training in how to discuss these issues, which may lead to patients’ decisions not being reflected in their care. Very few of the nearly 2.6 million Americans who will die this year have their end of life decisions on file with their healthcare providers. Without this information, end of life decisions may be made by family members and the care team that do not reflect the patient’s decisions. Patients then receive unwanted, expensive high-intensity care that does not increase their quality of life or death or families may face greater strain, not knowing what their loved one would have wanted. This module will assist caregivers in starting these important conversations with patients and families.

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NOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

Educational Objectives

Prepare your practice to use the letter
Share the letter with patients and their families
Review and discuss the letter with patients
Periodically update the letter with patients


End-of-Life Care


Interpersonal & Communication Skills, Practice-based Learning & Improvement, Professionalism, Systems-based Practice

CME Credit Type

AMA PRA Category 1 Credit

MIPS Approved

This activity qualifies for the CMS Merit-based Incentive Payment System (MIPS), where you can earn a performance-based payment adjustment to your Medicare payment

Physician Well-being activity

Efficiencies in Medical Practice

Practice Setting

Rural, Urban, VA/Military

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