Training

Physicians, Nurse Practitioners & Clinicians

Physicians, clinicians and all other staff members in all clinical settings require training based on their clinical roles, within scope of practice, and their administrative roles.

To be successful, all staff members need a basic understanding of the value of advance care planning. At the end of the initial basic training, staff will be able to:

• Review advance care planning as a communication process, a wellness initiative, a key pillar of palliative care and an integral component of the practice of medicine
• Discuss key barriers and ways to overcome those barriers
• Explain the difference between advance directives and medical orders (MOLST)

Additional training will be required for physicians, nurse practitioners, physician assistants and nurses, social workers and chaplains involved in thoughtful MOLST discussions. This is necessary to ensure a team-based approach is patient-centered and accomplished within scope of practice.

At the end of this additional training, physicians, nurse practitioners, physician assistants, nurses, social workers and chaplains will be able to:

• Discuss the clinical process, the ethical framework, and the shared, informed medical decision-making process for making MOLST decisions and define MOLST form elements
• Use effective communication skills and the 8-Step MOLST protocol
• Recognize the ethical framework for making decisions to WH/WD life-sustaining treatment and legal requirements in NY, with or without MOLST
• Explain how eMOLST improves quality and patient safety, reduces harm and achieves the quadruple aim

With the changes in NYS Public Health Law effective as of May 28, 2018, the MOLST form, the DOH MOLST Checklists and other supporting materials need to be revised.  Subsequently, Dr. Pat Bomba will revise MOLST training materials.  Please check back for updated training opportunities.

ECHO MOLST

Project ECHO is a lifelong learning and guided practice model that revolutionizes medical education and exponentially increases workforce capacity to provide best-practice specialty care and reduce health disparities.

Project ECHO’s innovative approach will support the current and future needs of our clinicians and system leaders. Excellus BlueCross BlueShield is a partner with Project ECHO.

For more information see ECHO MOLST.

EMS

MOLST EMS training is specifically designed to provide an overview of the MOLST Program and MOLST Comprehension for First Responders and EMS Personnel.

With the changes in NYS Public Health Law effective as of May 28, 2018, MOLST EMS training is being revised by members of the MOLST Statewide Implementation Team in partnership with Cypherworx and the University of Rochester Division of Prehospital Medicine.

Please check back for updated training opportunities.