To Be or Not To Be is NOT the Question: Caring for Patients with Advanced Illnesses

Effective Date: 12/01/18

Expiration Date: 06/30/19

Instructions to Receive CME credit:

Once you have watched the entire presentation, click on the post-activity test and evaluation. Please answer the entire program test, post evaluation form, and return via email to or fax to 732-557-8935. Mark answers clearly. In order to receive CME credit you must score 100% on the post test. A Certificate of Completion will be emailed to you.

Faculty: Marianne Holler, DO Chief Medical Officer VNA Health Group


A growing consensus is emerging across the nation about the importance of expert end-of-life care, especially as it relates to honoring individual wishes and preferences in the context of an advanced or terminal illness. In New Jersey, patients at the end-of-life are treated with more aggressive medical care than in any other state in the nation. The need to improve the current state of end-of-life care delivery in New Jersey is by establishing patient priorities and defining goals of care both through effective communication and better utilization of palliative care is urgent; thus patients and families will be assured of being provided with quality care, respect, compassion and dignity.


  • Recognize ways in which palliative care benefits patients with life-limiting illnesses
  • Identify ways to integrate palliative care in practice
  • Discuss how to help patients and families make decisions about treatment based on goals of care

Disclosures: Marianne Holler, DO – No disclosures
Non-faculty contributors and other involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

Accreditation Statement: Community Medical Center is accredited by the Medical Society of New Jersey to provide continuing medical education for physicians.

Designation Statement: Community Medical Center designates this enduring material for a maximum of 1 AMA PRA Category I Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Estimated completion time: 1.0 hour of instruction

Target Audience: This program has been designed for Physicians, Physician Assistant’s, Nurse Practitioners, and other healthcare professionals who are involved with End of Life Care.

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  • Mastering Communication with Seriously Ill Patients, Back, Arnold, Tulsky. Cambridge Univ Press, NY 2009
  • Leading a Family Meeting, David E. Wasserman, MD
  • The Conversation: A Revolutionary Plan for End of Life Care; Volandes 2015
  • NJ Governor’s Advisory Council on End-of-Life Care Report and Recommendations, Nov. 2018

CME Program Test ( pdf)

CME Post-Activity Evaluation (pdf)