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National Center for Ethics in Health Care

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Goals of Care Conversations Communications Skills Training for Multidisciplinary Renal Teams

Doctor comforts patient

Based on VA's Goals of Care Conversations skills training course for MDs, APRNs, and PAs, these training materials have been customized for use with multidisciplinary renal teams by adding examples and drills specific to kidney disease and dialysis. The curriculum includes information about the overlapping and unique roles each team member plays in eliciting patients' goals of care, providing information about treatmeant options, and making shared treatment decisions. The training is highly interactive, and takes approximately 4-5 hours to deliver if done all at one time. The training can also be delivered over a series of shorter sessions. The "Putting It All Together" exercise can be used during a later skills refresher session.

Training Materials

Delivering Serious News & Goals of Care Conversations for Renal Teams

Slides with Facilitator Notes and Embedded Videos

Windows Media compatible
QuickTime compatible
Windows Media compatible – open captioned
QuickTime compatible – open captioned

Handouts

Drills Handout
SPIKES Card
REMAP Card
Empathic Responses Handout 
Goals of Care Conversations Talking Map for Renal Teams

Optional: Putting It All Together Practice Exercise

Slides with Facilitator Notes Drills Handout

VA Life-Sustaining Treatment Decisions Initiative (LSTDI) Resources

 Resources for Health Care Facilities
Resources for Clinical Staff
Patient Education Materials

Goals of Care Conversations training materials are available for public use.

When using these materials outside of VA, please include this attribution:

U.S. Department of Veterans Affairs National Center for Ethics in Health Care. Goals of Care Conversations Communications Skills Training for Multidisciplinary Renal Teams. https://www.ethics.va.gov/goalsofcaretraining/renalteams.asp. Updated May 8, 2019. Accessed [date].

When citing this page, please use this format:

U.S. Department of Veterans Affairs National Center for Ethics in Health Care. Goals of Care Conversations Communications Skills Training for Multidisciplinary Renal Teams website. https://www.ethics.va.gov/goalsofcaretraining/renalteams.asp. Updated May 8, 2019. Accessed [date].
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