Objectives (Educational Content) :
1. Explore 2 potential benefits of graphic medicine patients of various ages and demographics, and their caregivers.
2. Illustrate the process of co-creating a graphic medicine book with design students.
3. Describe three common issues in communicating with adolescents and young adults (AYAs) about a poor prognosis..
4. Name at least three cultural considerations that may influence communication with AYAs around a poor prognosis.
Target Audience:
General pediatricians, family physicians, nurse practitioners, physician assistants, social workers, psychologists, and nurses.
Identified Gap:
Many clinicians lack consistent training and practical tools for conducting developmentally appropriate, culturally responsive conversations with adolescents and young adults (AYAs) and their caregivers about a poor prognosis. Current practice often relies on clinician led, medically focused discussions that may not fully engage AYAs, address common communication challenges, or account for family dynamics and cultural considerations. Although graphic medicine has emerging potential to support understanding, emotional expression, and shared dialogue across diverse patient populations, clinicians are frequently unfamiliar with its benefits, co creation processes, and application in difficult prognostic conversations. This gap limits clinicians’ ability to effectively communicate complex and emotionally charged information with AYAs and caregivers.
Estimated Time to Complete the Educational Activity:
1 hour(s)
Expiration Date for CE/CME Credit:
05-07-2027
Method of Participation in the Learning Process:
The learner will view the presentation, successfully complete a post-test and complete an activity evaluation.
Evaluation Methods:
All learners must successfully complete a post-test, as well as an activity evaluation, to claim CE/CME credit.
Disclosure:
The speaker(s) has returned the disclosure form, indicating that there are no financial relationships with ineligible companies: Tara Robare, DO Yael Siedner Weintraub, MD The following CME Committee/Planning Committee member(s) has the following financial relationships with ineligible companies to disclose: Merck - Maria Cristina Victorio, MD All financial relationships have been mitigated. All remaining CME and planning committee members have returned their disclosure forms, indicating that they have no financial relationships with ineligible companies.
Accreditation Statement:
Children’s Hospital Medical Center of Akron is accredited by the Ohio State Medical Association to provide continuing medical education for physicians.
CHMCA designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit TM. Physicians should only claim the credit commensurate with the extent of their participation in the activity.
Bibliography:
1. Christianson C, Stein E, Farner H, Mehler S, Batchelor E, Reeves C, Mack JW, Kaye EC. Managing Conflicting Prognostic Communication Preferences in Pediatric Oncology. JAMA Netw Open. 2026 Mar 2;9(3):e262793. doi: 10.1001/jamanetworkopen.2026.2793. PMID: 41870426; PMCID: PMC13010190.
2. Rosenberg AR, Wolfe J, Wiener L, Lyon M, Feudtner C. Ethics, Emotions, and the Skills of Talking About Progressing Disease With Terminally Ill Adolescents: A Review. JAMA Pediatr. 2016 Dec 1;170(12):1216-1223. doi: 10.1001/jamapediatrics.2016.2142. PMID: 27749945; PMCID: PMC5636611
.3. van der Geest IM, van den Heuvel-Eibrink MM, van Vliet LM, Pluijm SM, Streng IC, Michiels EM, Pieters R, Darlington AS. Talking about Death with Children with Incurable Cancer: Perspectives from Parents. J Pediatr. 2015 Dec;167(6):1320-6. doi: 10.1016/j.jpeds.2015.08.066. Epub 2015 Oct 1. PMID: 26427964.
