Better Talks, Better Tools, Better Outcomes: Rethinking Advance Care Planning (End-of-Life Care)

End-of-Life Care

Physicians with active Iowa medical licenses must complete two hours of Category 1 credits for end-of-life care every five years. The training must be related to end-of-life, not palliative care.  These requirements, which became effective August 17, 2011, are for physicians who provide primary care to patients and these specialties: emergency physicians, family physicians, general practice physicians, internists, neurologists, pain medicine specialists, and psychiatrists.

Physicians who have provided or expect to provide end-of-life care must complete the training, regardless of specialty designation.  The mandatory training requirements apply to physicians with active medical licenses who report they are retired or are not in clinical practice.

This course satisfies the Iowa requirement. 


This online course costs $40 and takes an estimated two (2) hours to complete. Learners will be asked to complete an activity post-assessment with a passing score of 75%.

Before enrolling in this educational activity, you must log in or create an account.

Once you register for the course, you will have 30 days from the date of enrollment to complete the course. The date your access expires will be indicated in the Course Summary box on this webpage.

Target Audience

Healthcare professionals.


  1. Describe advance care planning.
  2. Identify appropriate opportunities to address advance care planning.
  3. Discuss available tools for advance care planning, including Advance Directive, Durable Power of Attorney for Healthcare, Out of Hospital Do Not Resuscitate Order (OHDNR), and Iowa Physician Orders for Scope of Treatment (IPOST).


Alexander P. Gamble, MD
Board Certified Internist, Psychiatrist, and Palliative Physician, Kansas City, Missouri


  • Fellowship: Hospice & Palliative Medicine Fellowship, The University of Kansas
  • Residency: Internal Medicine & Psychiatry Residency, University of Iowa
  • MD: Saint Louis University


Terms of Use and Privacy Policy

Recording date: November 5, 2022
Date of original release: November 29, 2022
Most recent review/update: November 28, 2022
Termination date: November 28, 2024

Course summary
Available credit: 
  • 2.00 AMA PRA Category 1 Credits
  • 2.00 AOA Category 1­B
  • 2.00 CE Contact Hour(s)
  • 2.00 CPME
  • 2.00 IBON
Course opens: 
Course expires: 

Accreditation Statements

  • MD: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Iowa Medical Society (IMS). Des Moines University (DMU) is accredited by the IMS to provide continuing medical education for physicians. DMU designates this enduring materials activity for a maximum of 2.0 AMA PRA Category 1 Credit(s)™.  Physicians should only claim credit commensurate with the extent of their participation in the activity.
  • DO: Des Moines University (DMU) is accredited by the American Osteopathic Association (AOA) to provide osteopathic continuing medical education for physicians. DMU designates this activity for a maximum of 2.0 AOA Category 1-B credits and will report CME and specialty credits commensurate with the extent of the physician’s participation in this activity.
  • DPM: Des Moines University (DMU) is approved by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. DMU has approved this activity for a maximum of 2.0 continuing education contact hours.
  • Nurse: Des Moines University is Iowa Board of Nursing approved provider #112. This activity has been reviewed and approved for 2.0 continuing education contact hour(s). No partial credit awarded.​
  • Other Healthcare Professionals: This enduring materials activity is designated for a maximum of 2.0 AMA PRA Category 1 Credit(s)™.

Educational Grants

No ineligible company provided financial support for this continuing education activity. 


The planning committee member(s) and speaker(s) will disclose if any pharmaceuticals or medical procedures and devices discussed are investigational or unapproved for use by the U.S. Food and Drug Administration (FDA). The determination of educational content and the selection of speakers is the responsibility of the activity director. 

Relevant to the content of this educational activity, the following individual(s) have no conflict(s) with ineligible companies to disclose.

  • Alexander P. Gamble, MD - Speaker


The information provided in this activity is for continuing education purposes only. It is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition. The content of each presentation does not necessarily reflect the views of Des Moines University.

Available Credit

  • 2.00 AMA PRA Category 1 Credits
  • 2.00 AOA Category 1­B
  • 2.00 CE Contact Hour(s)
  • 2.00 CPME
  • 2.00 IBON


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