Education Design I Documentation Format

MIDWEST MULTISTATE DIVISION EDUCATIONAL PLANNING TABLE

Instructions: Type directly into blank cells of the tables. Save the completed form to your computer.

EDUCATIONAL ACTIVITY TITLE: 1 INDIVIDUAL SESSION TITLE : (IF DIFFERENT THAN ACTIVITY TITLE) PTSD in the Context of Hospice and Palliative Care

PRESENTER/FACU OBJECTIVES CONTENT TIME FRAME TEACHING METHOD LTY/AUTHOR Provide an outline of the content to be presented, List learner objectives in behavioral related to each objective List the presenter, List the teaching method(s), terms. Use a single measurable verb (topic), in sufficient detail to List the number of minutes2 for each topic/ faculty person or strategies, materials, and for each objective. determine consistency with content area3. author for each resources used by each (After completing this activity the objectives and appropriate objective. presenter for each objective. participant/learner will be able to…) time allotted. (Restatement of objectives does not meet the criteria) Participants will be able to Will present/discuss all Information presentation identify main categories of PTSD criteria for DSM-5 PTSD 40 minutes J. Skala using slides, case examples, diagnostic criteria diagnosis discussion

Participants will be able to 1) Examples from Information presentation identify 3 ways in which PTSD current literature 40 minutes J. Skala using slides, case examples, may impact palliative/hospice 2) Case Examples discussion care. 3) Various reasons for such impact 1) Strategies to help Participants will be able to palliative Information presentation identify 5 strategies to improve care/hospice 40 minutes J. Skala using slides, case examples, coping of palliative/hospice care patients with PTSD DVD, discussion patients with PTSD. 2) Case examples 3) Discussion, Q&A 1 For educational activities with multiple sessions, please complete a planning table for each individual session for which contact hours will be awarded 2 Total number of minutes should match the total number of hours used to calculate the contact hours awarded. 3 Time spent on learner feedback and/or evaluation is acceptable to include in calculation of contact hours. (Add more rows as needed by placing cursor inside the last row & cell and pressing the “Tab” key OR outside of last row and pressing the ‘Enter’ key.) Total minutes for this activity/session (including time spent evaluating the activity) = 120 minutes

Method of calculating contact hours for enduring material activities: P Previously Validated/ Historical data Estimation based on complexity of content i and delivery method l o t

s t u d y X Previous presentations

List the evidence-based reference(s) used for developing the content of this educational activity/session next to the appropriate category. Information from organization/website: Institute of Medicine Committee on Approaching Death: Addressing Key End-of-Life Issues (current available evidence within past 5-7 years; may be published or unpublished content. Examples – Agency for Healthcare Research and Quality, Centers for Disease Control, National Institutes of Health) Peer –reviewed journal/resource: Feldman DB and Periyakoil, VS; Posttraumatic Stress Disorder at the End of Life. (reference should be within past 5-7 years) Journal of Palliative Medicine, Vol 9, No 1, 2006 Clinical guidelines: (published or online. Example -www.guidelines.gov) Expert resource: Veteran’s Hospital Administration, Center for PTSD (individual, organization, or educational institution - book, article, website) Textbook reference: Breitbart WS and Alici, Y; Psychosocial Palliative Care Oxford University Press. New York, NY 2014 Other: