Incorporating a Medical Aid in Dying Curriculum into Resident Education (Live Webinar)
Please join CAFP on Tuesday, March 1, 2022 from 6:00-7:00 PM for an educational webinar on incorporating Medical Aid in Dying (MAID) into family medicine residency training. MAID is a service available to patients at the end of their lives and is designed to reduce suffering and improve patient agency for those who desire it as an option. MAID has been legal in California since 2016 and changes made to the law will make it more accessible starting January 1st, 2022. Additionally in California, primary care physicians are oftentimes the ones fielding and fulfilling MAID requests from their patients, yet training is generally lacking.
At the end of this session, learners should be able to:
- Describe the eligibility criteria for medical aid in dying and assess eligible patients.
- Gain an understanding of patient’s attitudes at the end of life.
- Understand resident attitudes and educational desires around medical aid in dying.
- Describe curricular aspects of medical aid in dying in resident education.
- Apply knowledge gained to develop a medical aid in dying curriculum at your residency program.
This activity is designed for family medicine physicians, and other primary care team members.
Participation and Credit:
Learners must register to participate in and receive credit for this online educational activity. Read the target audience, learning objectives, and author disclosures. Study the educational content online and complete the activity evaluation. Your certificate will be available to you as a downloadable link. You may print the certificate, but you cannot alter it. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.
Unlabeled Use Disclosure:
All of the medications used for aid in dying are used in an off-label manner, which are not currently approved for use by the Food and Drug Administration (FDA), and the curriculum clearly indicates this fact.
This activity is supported by the California Academy of Family Physicians.
There is no charge for this activity.
CAFP policy and California state law requires that each learning activity have elements of cultural and linguistic proficiency included in the content. The definition of cultural and linguistic competency is the ability and readiness of health care providers and health organizations to humbly and respectfully demonstrate, effectively communicate, and tailor delivery of care to patients with diverse values, beliefs, identities, and behaviors, in order to meet patients’ social, cultural, and linguistic needs as it relates to patient health. This activity meets these requirements.
CAFP policy and California state law requires that all CME activities comprising a patient care element include either (1) examples of how implicit bias affects perceptions and treatment decisions of physicians and surgeons, leading to disparities in health outcomes and/or (2) strategies to address how unintended biases in decision-making may contribute to health care disparities by shaping behavior and producing differences in medical treatment along lines of race, ethnicity, gender identity, sexual orientation, age, socioeconomic status, or other characteristics. This activity meets these requirements.
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The CAFP has made all reasonable efforts to ensure that information contained herein is accurate in accordance with the latest available scientific knowledge at the time of accreditation of this continuing education program. Information regarding drugs (e.g., their administration, dosages, contraindications, adverse reactions, interactions, special warnings, and precautions) and drug delivery systems is subject to change, however, and the learner is advised to check the manufacturer's package insert for information concerning recommended dosage and potential problems or cautions prior to dispensing or administering the drug or using the drug delivery systems.
Approval of credit for this continuing education program does not imply endorsement by CAFP of any product or manufacturer identified.
Any medications or treatment methods suggested in this CME activity should not be used by the practitioner without evaluation of their patient's condition(s) and possible contraindication(s) or danger(s) of use of any specific medication.
© 2022 California Academy of Family Physicians. No part of this activity may be used or reproduced in any manner whatsoever without written permission except in the case of brief quotations embedded in articles or reviews.
Ryan Spielvogel, MD, MS
Ryan Spielvogel, MD, MS is a family physician and core faculty for the Sutter Family Medicine Residency Program in Sacramento and is the medical director for medical aid in dying (MAID) services for Sutter Health. Dr. Spielvogel has been personally involved with or overseen approximately 200 cases of MAID through the residency over the past 4 years. Over that time, 36 out of 44 residents (81%) have opted to receive training in MAID and most of the graduates are continuing to practice MAID in their communities. Dr. Spielvogel is also active in state and national education and advocacy efforts to standardize MAID practices and improve patient access.
Taylor Duke, MD
Taylor Duke, MD is a third year resident at the Sutter Family Medicine Residency Program and is the chief resident for the Sacramento track. Dr. Duke has always been interested in providing full-spectrum family medicine and she plans to continue being primary care provider in the Sacramento area after graduation. Being from the Midwest where medical aid in dying (MAID) is less prevalent, Dr. Duke was completely unaware of the concept of MAID and was delighted to learn that she could opt-in to receive training on it at Sutter FMRP. Dr. Duke has since been engaged with MAID throughout her residency training to date, having been either the primary or consulting physician for 8-10 patients thus far. Incorporating MAID into her training has been immensely rewarding, and she plans to continue being a MAID provider throughout her career.
Conflict of Interest Statements:
The Committee on Continuing Professional Development and CME will be responsible for mitigating any relevant financial relationships disclosed by an individual who may have influence on content, who have served as faculty, or who may produce CME/CPD content for the CAFP. Mitigation may include learner notification, peer review of content before presentation, requirement of EB-CME, changing topics, or even dismissing a potential faculty member.
It is the policy of the CAFP to ensure independence, balance, objectivity, scientific rigor, and integrity in all continuing education activities. All individuals with potential to influence the content of this program have submitted Disclosure of Interest declarations that have been reviewed according to policy. Learner notification of declarations is below. All individuals with relevant financial relationships with ineligible companies have been contacted by CAFP staff or CCPD members, and issues of conflict have been discussed and mitigated.
Faculty have no financial relationships with ineligible companies to disclose.
The following planners have no financial relationships with ineligible companies to disclose: Pamela Mann, MPH
The AAFP has reviewed Incorporating a Medical Aid in Dying Curriculum into Resident Education and deemed it acceptable for up to 1.00 Online Only, Live AAFP Prescribed credit. Term of Approval is from 03/01/2022 to 03/01/2022. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credit™ toward the AMA Physician's Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed credit, not as Category 1.
- 1.00 AAFP Prescribed
- 1.00 AMA PRA Category 1 Credit™
- 1.00 AOA Category 2-A