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eDoctoring 2018: Palliative Care/End-of-Life 12 Hour Pediatric Course
This post-activity is intended for the eDoctoring Palliative Care/End-of-Life 12 Hour Pediatric Course registrants only. (MED17019, MED21019)

Palliative and End-of-Life Care: Pediatrics


This course is offered on the eDoctoring platform, available on demand.  You must register with eDoctoring here to complete your desired course.  This course is available for treatment of Adults and for Pediatrics in both 6-hour and 12-hour lengths.

Register on
this site (CMECalifornia) to claim CME credit for your participation. You may only claim credit after you have received your completion notice from eDoctoring and passed the post-test with a score of 75% or better.

The information below will help you to claim your CME certificate upon completion of the course on eDoctoring.

Register for CME at

  1. Click the Launch/Select button in the upper right of this page to enroll for CME.  You may need to create an account on CMECalifornia if this is your first time participating in a UC online course.  (A Resume button indicates you are already registered for CME.)
  2. Confirm you have reviewed the introductory material by clicking the Continue button at the very bottom of this page.
  3. View Content at the link provided in the Content tab:
    1. Register with eDoctoring and select the Palliative Care: Pediatric 12-Hour course.
    2. Upon notice of completion, you will return to this site to complete your post-test for CME credit.
    (This does not have to be completed in one session!)
  4. Continue to the post-test and evaluation to complete your certificate.

The eDoctoring courses are offered free of charge.  The fee to claim CME is $95.

Learning Objectives

At the completion of this course, the health care professional will have improved strategies and skills to:

  • Refine the approach to and delivery of bad news;
  • Refine approach to pain control;
  • Consider adjuvant therapy in situations;
  • Apply new knowledge to the timing and deliver of analgesia and/or the use of PCA pumps;
  • Maintain hope in the context of incurable illness;
  • Refine the approach to the use of and/or communication related to opioids;
  • Facilitate religious support in certain situations;
  • Converse with family to explain practical considerations and expected aspects of death;
  • Debrief after patient tragedies;
  • Incorporate discussion of important components in Advance Directives where appropriate;
  • Apply improved understanding of physician-assisted suicide to practice;
  • Apply new knowledge and/or increase vigilance in discerning when a patient is not competent to make decisions about his/her own care
  • Use "slow code" and/or a POLST when ethical ambiguity arises;
  • Consider the use of Complementary Alternative Medicine;
  • Consider including a Child Life Specialty in cases of seriously ill children;
  • Align recommendations to cultural values and socioeconomic concerns;
  • Facilitate the connection of patients to hospice care when appropriate;
  • Respond to patient spirituality;
  • Explore interventions prior to dying that can alter the experience of grief for survivors;
  • Recognize one's own wellness/grief as a provider and apply strategies to remain emotionally healthy.

The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

UCSF designates this enduring material for a maximum of 12 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This CME activity meets the requirements under California Assembly 1195, continuing education and cultural and linguistic competency. 

Nurses: For the purposes of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 CreditTM issued by organizations accredited by the ACCME.

Pharmacists: The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 CreditTM.


Michael Wilkes, MD, PhD, MPH
Jerome Hoffman, MD
Scott Votey, MD
Ian Coulter, PhD
Tahlia Spector, MD
Charles Von Gunten, MD, PhD
Frank Ferris, MD
Frank Day, MD, MPH
Malathi Srinivasan, MD
Geri-Ann Galanti, PhD
Mark Robinson, MSW 


The faculty speakers, moderators, and planners have disclosed they have NO financial interest/arrangement or affiliation with any commercial interests.

This UCSF CME educational activity was planned and developed to uphold academic standards that ensure balance, independence, objectivity, and scientific rigor, that adhere to requirements to protect health information under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and that include a mechanism to inform learners when unapproved or unlabeled uses of therapeutic products or agents are discussed or referenced.

This activity has been reviewed and approved by members of the UCSF CME Governing Board in accordance with UCSF CME accreditation policies. Office of CME staff, planners, reviewers, and all others in control of content have disclosed they have no relevant financial relationships.

This activity has received no commercial support.
The eDoctoring project was funded by grants from the US Department of Health and Human Services (DHHS), National Cancer Institute (NCI), National Institutes of Health (NIH), Centers for Disease Control (CDC), Health Resources and Services Administration (HRSA), National Human Genome Research Institute (NHGRI), The Paul G. Allen Family Foundation, and The Robert Wood Johnson Foundation.

Instructions for Obtaining Credit

At the end of the online course on the e-doctoring platform, you will receive notification of satisfactorily completing it.

  1. Login to your account at and continue to the Post-Assessment tab to complete your post-test.  You must pass the test with a score of 75% or higher (approximately 10 of 13 items correct.)  You have an unlimited number of attempts to pass the post-test.

  2. Then continue to the Evaluation tab to complete the evaluation. Your certificate of credit will be available immediately to print for your records.

  3. You may also view or print your certificate at any time in the future by logging into your account at

About this Online Course

Although you will find a link to the course content within this module, registering with CMECalifornia enrolls you only in the process to receive CME credit, but does not register you for the content.  Please see the instructions at the top of this page and on eDoctoring for details.

Estimated Time

The estimated time to complete this activity is approximately 12 hours.

Release Date: July 1, 2014
Expiration Date: December 14, 2020

  • The original expiration date was June 30, 2017. The content of this module was reviewed by subject matter experts who deemed the information current and accurate in December 2017.

Supplemental Material
CLC Info and Resources

UCSF CME Online Privacy Policy

Software Requirements

Microsoft Windows 2000 SE or above.
Internet Explorer (v5.5 or greater) , or Firefox
Flash Player Plug-in (9.0 or later) Check your version here.
Sound Card & Speakers
800 x 600 Minimum Monitor Resolution (1024 x 768 Recommended)
Adobe Acrobat Reader*

MAC OS 10.2.8
Safari or Firefox
(Internet Explorer is not supported on the Macintosh.)
Flash Player Plug-in (9.0 or later) Check your version here.
Sound Card & Speakers
800 x 600 Minimum Monitor Resolution (1024 x 768 Recommended)
Adobe Acrobat Reader*

* Required to view printable (PDF) version of the lesson.

UCSF School of Medicine
Office of Continuing Medical Education
3333 California Street, Suite 450
San Francisco, CA  94118

Phone: (415) 476-4251(415) 476-4251 • Fax: (415) 476-0318
Email: • Web:

Type:     Internet Activity (Enduring Material)
192 Registered Users