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In this CME, Robert Arnold, MD, discusses how to use hope/worry subtexts, how to talk about disease progression, and describes two motivational interviewing techniques to help with patient reluctance to talk about disease progress.

Educational Objectives 

Upon completion of this activity, participants should be able to:

  • Describe how to use hope/worry subtexts
  • Describe how to negotiate how/whether to talk about disease progression
  • Describe two motivational interviewing techniques to help with patient reluctance to talk about disease progress


All individuals in a position to control the content of this education activity have disclosed all financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. All of the relevant financial relationships for the individuals listed below have been mitigated.

Dr. Robert Arnold receives:

  • Other: Board, VitalTalk; Editor, Up to Date

Accreditation Statement

In support of improving patient care, the University of Pittsburgh is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

The University of Pittsburgh designates enduring material activity for a maximum of 0.50 AMA PRA Category 1 Credit[s]™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other health care professionals will receive a certificate of attendance confirming the number of contact hours commensurate with the extent of participation in this activity.

For your credit transcript, please access our website four weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last five digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 6/12/2023 | Last Modified On: 6/12/2023 | Expires: 6/12/2024

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