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Evidence-based Neonatal-Perinatal Palliative Care

Title: Evidence-based Neonatal-Perinatal Palliative Care with Brian Carter, MD                 

CE/CME Offered:

CE/CME Credit Available: Counselor, Nurse, Physician, and Non-Physician Healthcare Professional CE credit

Member Price: $105.00
Non-Member Price: $210.00

Payment Options:

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Length: 1.5 hours
Perinatal palliative care discussions and decisions may follow a prenatal diagnosis of a complex fetal condition - one that may result in a need for immediate intensive intervention at birth, or an option for limited care or predominantly comfort. If a baby is managed in the Neonatal ICU or newborn nursery and becomes symptomatic, symptom relief and supportive care are important. The provision of care to the newborn or young infant at the end of life is primarily motivated by concern and compassion. When examining the evidence base for most interventions, it is lacking - but this is not unique to this aspect of neonatal care. Nevertheless, a redirection of care from cure-oriented and life-extending measures to comfort and limitations of life-sustaining technological interventions requires the neonatologist, pediatrician or palliative care clinician to apply practical knowledge skillfully and with prudence. Clinicians can acknowledge that patient needs require managing their end-of-life symptoms now; neither these patients nor their families should have to wait for research to catch up to their current needs.


  • Identify the frequency of prenatal detection of fetal anomalies in the US that may shape perinatal palliative care decisions for patients and providers
  • List three common end-of-life symptoms in neonatal end-of-life care
  • Discuss key components for discussing with parents the redirection of care goals for their infant
Brian Carter, MD

Brian Carter is a neonatologist who received his medical degree from the University Of Tennessee College of Medicine, completed his pediatric residency at Fitzsimons Army Medical Center in Aurora, Colorado and his neonatal-perinatal medicine fellowship at the University of Colorado. He has served on the faculty of five US medical schools – both while in the US Army Medical Corp and thereafter. He is an editor and contributing author to Palliative Care for Infants, Children and Adolescents: A Practical Handbook – now in its 2nd edition (2011) and has previously been awarded the NHPCO Research Award (2003). Dr. Carter has extensive experience, as well as additional education in both ethics, from the Kennedy Institute of Ethics, and end-of-life care from EPEC and IPPC. Presently Dr. Carter serves as the Chairman of the American Academy of Pediatrics Section on Hospice and Palliative Medicine. He relocated from Vanderbilt to the Division of Neonatoloy and the Bioethics Center at Children’s Mercy Hospital in Kansas City in 2012, where he continues his clinical practice in neonatology, perinatal palliative care, and pediatric bioethics.

Disclosure: Planners: Barbara L. Bouton, MA, FT, and Jennifer Kennedy, MA, BSN, RN, have no relevant financial relationships to disclose.
Faculty:  Brian Carter, MD, has no relevant financial relationships to disclose.
CE/CME Credit Hours: Nurse: 1.5 Contact Hours
Social Work: 1.5 Contact Hours
Physicians:  1.5 AMA PRA Category 1 Credits ™
Completion: In order to complete this online activity and obtain CE/CME credit, participants must view the course in its entirety, correctly answer all case studies and quiz/test questions (as appropriate) and complete the evaluation. You will have 90 days to access this course from the date of purchase. 
CE/CME Info:


Counselor: The National Hospice and Palliative Care Organization has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6232. Programs that do not qualify for NBCC credit are clearly identified. NHPCO is solely responsible for all aspects of the program.


Nurse: NHPCO is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

NHPCO designates this enduring material for a maximum of 1.5 contact hours. Nurses should claim only the contact hours commensurate with the extent of their participation in the activity. Accredited status by ANCC refers only to continuing nursing education and does not imply   endorsement of any commercial product discussed in conjunction with this activity.


Physician: The National Hospice and Palliative Care Organization is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

NHPCO designates this enduring material 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.

Certificate of Participation for Non-physician Healthcare Professionals: 
For participants* whose disciplines are other than counselor, nurse, physician, and social worker, you may request a Certificate of Participation for Non-physician Healthcare Professionals to submit to your accrediting bodies/licensing boards for continuing education credit. This certificate will indicate the Webinar was certified for AMA PRA Category 1 Credit(s) TM. It is the responsibility of participants to submit the certificates to their accrediting bodies/licensing boards for approval. Unfortunately, NHPCO cannot guarantee its acceptance. To receive this certificate, you must complete all CE/CME requirements and indicate your desire to receive this certificate on the evaluation form. *including bereavement professionals, finance professionals, physician assistants, spiritual care givers, etc.

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