Care and Choices at the End of Life: A Discussion on Hawai‘i’s ‘Our Care, Our Choice’ Act – Update

Learning objectives:

• Integrate the clinical competencies necessary for participating in medical aid in dying & the requirements of aid-in-dying laws
• Identify how medical aid in dying interfaces with palliative care
• Apply a team approach to patient-centered management for end-of-life care
• Examine the role of pharmacists in relation to medical aid-in-dying medications and dispensing requirements
• Review proper medication protocols for writing prescriptions and other resources

Presented by David R. Grube, MD, National Medical Director, Compassion & Choices. Dr. Grube practiced family medicine for 35 years. He graduated from the University of Oregon Medical School (now OHSU), became a commissioned of cer in the USPHS, National Health Service Corps and practiced family medicine in Philomath, Oregon. Dr. Grube has been a leader in the Oregon Academy of Family Physicians and OAFP Foundation. He was appointed to the Oregon Board of Medical Examiners (now Oregon Medical Board) in 2001, and served seven years (two years as Chair). He was chosen OAFP Family Physician of the Year in 1986 and OMA Doctor Citizen of the Year in 2009. He has served as the Medical Director pro tem for the Oregon Medical Board.

Dr. Charlotte Charfen is a board-certi ed emergency medicine physician who has practiced ER work for the last 20 years, from the inner cities like Detroit to some of the most rural spots across our nation. She practices in the ER on Hawaii Island, and, with other death-positive pioneers, created a nonpro t called Life & Death Wellness to educate about all life matters, especially end-of-life. Dr. Charfen is the only physician outside Oahu to have written a prescription for a quali ed patient during the rst year of the Our Care, Our Choice Act, Hawaii’s year-old medical aid-in-dying law. She will be sharing her experience and perspective on the amendments being proposed to improve access to the law.

East Hawaii Independent Physicians Association

Hawaiian Islands Association for Marriage and Family Therapy

Hawaii State Department of Health

Community First

Compassion & Choices