EPEC™-O Self-Study: Original Version

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Study Profile

Learning Objectives

After completing the training, the participant will be able to:

  • Describe the scope of knowledge, attitudes, and skills that comprise the core palliative care competencies needed throughout the trajectory of comprehensive cancer care.
  • Incorporate the described treatment recommendations and approaches into clinical practice.

Target Audience

Physicians, nurse practitioners, physician assistants, nurses, social workers, and therapists caring for persons with cancer and their families.

Estimated Time to Completion

The time to complete the activity and the associated self-assessment is approximately 1 hour for each plenary session and 1.5 hours for each module with the exception of Module 3, which takes approximately 8.5 hours to complete. The time to complete the entire curriculum is approximately 32.5 hours.

CE Accreditation

The Hospice and Palliative Nurses Association (HPNA) is approved by the California Board of Registered Nursing (provider # CEP 7976) as a provider for continuing education for nurses. HPNA provides a maximum of 31 nursing contact hours for the Original Curriculum educational activities. A link to the relevant online examination can be found under each plenary or module session.

Curriculum

Original Version

  • Module 1 – Comprehensive Assessment

    The first module of the EPEC-O (Education in Palliative and End-of-Life Care for Oncology) Self-Study Original Version reviews comprehensive assessments.

  • Module 2 – Cancer Pain Management

    Module two of the EPEC-O (Education in Palliative and End-of-Life Care for Oncology) Self-Study Original Version addresses patient-related, profession-related, and system-related barriers to effective pain control for cancer patients.

  • Module 3 – Symptoms

    Module three of the EPEC-O (Education in Palliative and End-of-Life Care for Oncology) Self-Study Original Version presents approaches to and management of commonly encountered symptoms and syndromes of cancer patients.

  • Module 4 – Loss, Grief, and Bereavement

    Module four of the EPEC-O Self-Study Original Version provides approaches to providing support for people facing losses.

  • Module 5 – Survivorship

    Module five of the EPEC-O Self-Study Original Version identifies coping mechanisms in the survival process for those with cancer.

  • Module 6 – Last Hours of Living

    Module six of the EPEC-O Self-Study Original Version covers clinical issues that commonly arise in the last hours of living.

  • Module 7 – Communicating Effectively

    Module seven of the EPEC-O Self-Study Original Version presents a six-step approach to structuring communication.

  • Module 8 – Clarifying Diagnosis and Prognosis

    Module eight of the EPEC-O Self-Study Original Version reviews physician disclosure of diagnosis and discussion of prognosis.

  • Module 9 – Negotiating Goals of Care

    Module nine of the EPEC-O Self-Study Original Version describes specific clinical skills needed for negotiating care goals and establishing what is important to the patient.

  • Module 10 – Clinical Trials

    Module ten of the EPEC-O Self-Study Original Version presents an approach to structuring communication about participation in Phase 1 clinical trials.

  • Module 11 – Withdrawing Nutrition, Hydration

    Module eleven of the EPEC-O Self-Study Original Version discusses the general aspects of withholding or withdrawing of life-sustaining therapies, and presents a specific application to artificial nutrition and hydration.

  • Module 12 – Conflict Resolution

    Module twelve of the EPEC-O Self-Study Original Version can be used to guide conflict resolution, including a fair process to resolve intractable difficulties.

  • Module 13 – Advance Care Planning

    Module thirteen of the EPEC-O Self-Study Original Version outlines the process of personal resolution for the patient, preparedness for the proxy, and effective teamwork for the professionals.

  • Module 14 – Physician-Assisted Suicide

    Module fourteen of the EPEC-O Self-Study Original Version focuses on the skills that the physician can use to respond both compassionately and confidently to a request, not on the merits of arguments for or against legalizing physician-assisted suicide (PAS) or euthanasia.

  • Module 15 – Cancer Doctors and Burnout

    Module fifteen of the EPEC-O Self-Study Original Version teaches how to to cope with stressors from work with patients, organizational demands, and managed care.

  • Plenary 1 – Gaps in Oncology

    The first plenary of the EPEC-O (Education in Palliative and End-of-Life Care for Oncology) Self-Study Original Version provides background for the curriculum and identifies gaps in current and desired comprehensive cancer care.

  • Plenary 2 – Models of Comprehensive Care

    The second plenary of the EPEC-O (Education in Palliative and End-of-Life Care for Oncology) Self-Study Original Version presents models of cancer care.

  • Plenary 3 – Charting the Future

    The third plenary of the EPEC-O (Education in Palliative and End-of-Life Care for Oncology) Self-Study Original Version aims to identify goals for comprehensive care.