Approaching Prognostication and Goals-of-Care Discussions with Patients Who Have Cirrhosis

Needs Statement

General internists (hospitalists and primary care clinicians) prevent, diagnose, and treat a wide spectrum of complex medical conditions requiring ongoing education to stay current with evolving clinical guidelines and to effectively manage complex medical conditions across inpatient and outpatient settings. Educational needs include improving knowledge and competence in perioperative cardiovascular risk assessment and management, particularly in applying updated evidence-based guidelines, enhancing the ability to care for adult patients with cardiovascular conditions such as heart failure, stroke, and congenital heart disease. For example, the management of congenital heart disease may differ significantly from that of patients with acquired cardiovascular disease. Additionally, clinicians need training in developing practical skills in nutrition therapy, including the use of food as medicine to support chronic disease management, and effective bedside teaching strategies to support learner development and in fostering professionalism as a foundation for high-quality, patient-centered care.

Target Audience

Physicians, fellows, residents, medical students, nurses, and other health professionals.

Learning Objectives

At the conclusion of the activity, the participants should be able to:
  • Describe the importance of discussing goals of care with patients who have cirrhosis.
  • Discuss common barriers to goals-of-care discussions.
  • Estimate the prognosis of patients with cirrhosis.
  • Conduct goals-of-care conversations with patients who have cirrhosis.
Course summary
Available credit: 
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Ethics
  • 1.00 Participation
Course opens: 
04/01/2026
Course expires: 
04/30/2028
Cost:
$1.00
Rating: 
0

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity has been designated by Baylor College of Medicine for 1 credit of education in medical ethics and/or professional responsibility.

Available Credit

  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Ethics
  • 1.00 Participation

Price

Cost:
$1.00
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