Risk Management Education (RME)

For The University of Texas M. D. Anderson Cancer Center Employees Only

How to Apply for Risk Management Education (RME) Credit

All active, full-time M. D. Anderson Cancer Center medical staff and clinical trainees are required to obtain five credit hours of Risk Management Education per year. Carry-over credit from year to year is not allowed. A one-time credit is allowed for each module.

You may not view the same module in another one year period and get credit for it.
Note: #12 ACE lecture series - To obtain RME you may either attend or view online.

Below you will find video material available for RME credit. These videos are identical to the ones you’ll find in other parts of this Web site. However they are organized in "modules" or "courses" so that RME credit is awarded.

To obtain RME credit, review all the links for the module in order and view all videos. The links will open a new window. When finished, close the window to return to this page and complete the Risk Management Continuing Education Form (pdf) by checking off sessions you have viewed, sign, date and fax to:

Cathy Kirkwood, M.P.H.
I*CARE Project Director
Fax: 713-794-4236

Courses

1 - Introduction to Basic Principles and Non-Verbal Communication Skills

(2 RME Credit Hours - 134:43) In this course, you'll learn about four useful communication strategies: CLASS, SPIKES, EVE and CONES.
      Introduction to Basic Principles: CLASS-EVE-SPIKES-CONES (11:44)
       CLASS - in depth (5 videos - 57 minutes)
       SPIKES - in depth (5 videos - 33 minutes)
       CONES - in depth (2 videos - 11 minutes)
       Non-Verbal Communication Skills (22:52)

2 - Managing Difficult Communication: Mr. Carter (Diagnosis, Follow up, Transition To Palliative Care, End of Life)

(1 RME Credit Hour - 43:51) In the following interactions with Mr. Carter, you will get to follow him throughout the course of his illness by way of observing the interaction between him and his oncologist at four stages of his disease: at his initial diagnosis, at a well-patient follow-up, at a point of disease recurrence and transition to palliative care, and at the end of life.
Mr. Carter (8 videos - 44 minutes)

3 - Managing Difficult Communication: Mrs. Anderson (Clinical Trials, Recurrence, Saying Goodbye)

(1 RME Credit Hour - 67:25) Mrs. Anderson has been referred to a medical oncologist without much explanation for the reason. She is a candidate for a clinical trial comparing three different adjuvant therapy regimens. Here the doctor is seen discussing the clinical trial and then later in her illness dealing with recurrence and end of life issues.
Mrs. Anderson (6 videos - 67 minutes)

4 - Managing Difficult Communication: Mrs. Wright (Surgeon Said He Got it All, Recurrence, Transition to Palliative Care)

(1 RME Credit Hour - 45:39) When we first meet her, Mrs. Wright has been diagnosed with colon cancer, and has had her initial surgery. She arrives at the oncologist's office two weeks after her surgery, unaware of the seriousness of her disease, and unaware that she will require further treatment. View how the oncologist handles this and other sensitive communication during the course of her illness.
Mrs. Wright (6 videos - 46 minutes)

5 - Difficult Situations: Group #1

(1 RME Credit Hour - 51:03) Here you will see four videos dealing with difficult communication.
       An Error Has Occurred... (2 videos - 10 minutes)
       I'm Going To Mexico (2 videos - 13 minutes)
       My Mother's Not To Be Told (2 videos - 12 minutes)
       Don't Give Up On My Mother (2 videos - 15 minutes)

6 - Difficult Situations: Group #2

(1 RME Credit Hour - 49:39) Here you will see four videos dealing with difficult communication.
       Your Father Has died (2 videos - 14 minutes)
       I Will Not Take Tamoxifen... (2 videos - 12 minutes)
       We'd Like To Discontinue Ventilation (2 videos - 13 minutes)
       I'd Like More Information About Euthanasia (2 videos - 12 minutes)

7 - Difficult Situations: Group #3 and
Special Situations - Telephone Conversations

(1 RME Credit Hour - 34:27) Here you will see two videos dealing with difficult communication and three different types of conversations in which information about an abnormality is communicated over the telephone.
       How Much Time Have I Got? (2 videos - 17 minutes)
       The Patient Is Angry (2 videos - 7 minutes)
       Telephone Conversations (4 videos - 11 minutes)

8 - Special Situations: Genetic Counseling

(1 RME Credit Hour - 66:41) Genetic counseling is a topic of major interest to many patients who want to know if they're at increased risk. Here's an example of how a practitioner can assess the need and make a referral for genetic testing. The patient is then interviewed by a genetic counselor and you can watch the disclosure of both positive and negative test results.
Genetic Counseling (5 videos - 67 minutes)

9 - Important Conversations: Talking with Patients About Complementary Therapies

(1 RME Credit Hour - 64:25) This video describes why it is important for the physician to ask what complementary therapies patients are using and useful strategies of how you may go about it
Talking With Patients About Complementary Therapies (64:25)

10 - Important Conversations: Patients Talk About Complementary Therapies and Cancer
Important Conversations: Complementary Therapies...What You Must Ask and Why

(1 RME Credit Hour - 33:58) These videos describe the experiences that some patients have had in using complementary medicines. It will assist you in understanding why these therapies are important to patients. The last video emphasizes the importance of communicating with patients about complementary therapies in regard to interactions these therapies may have with conventional treatment, the physician’s legal and ethical responsibility, and how to provide guidance to the patient.
Patients Talk About Complementary Therapies and Cancer (13:58)
Complementary Therapies…What You Must Ask and Why (20:00)

11 - On Being An Oncologist: William Hurt, Megan Cole

(1 RME Credit Hour - 39:44) The following is a reflection on the challenges of treating a life-threatening illness such as cancer brought home by actors William Hurt and Megan Cole. [workbook available (pdf)]
On Being An Oncologist (39:44)

12 - Achieving Communication Excellence (ACE) Lecture Series (Various Topics)

(1 RME Credit Hour per lecture - approximately one hour each) The following are videotaped lectures of guest speakers who participated in our I*CARE Achieving Communication Excellence (ACE) lecture series.
ACE Lecture Series

CME Credit Available

Certain material on this Web site is available for Continuing Medical Education (AMA PRA Category 1 Credit^TM in medical ethics and/or professional responsibility) through The University of Texas M. D. Anderson Cancer Center. To obtain credit you must use the “Obtaining Continuing Education Credit” link on the left. You also have the option of watching the video from this page without applying for credit.