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Withholding Life Sustaining Treatment: An Ethical Paradox

Expiration Date
Nov 10, 2024
Media Format
Interactive
MOC Approved
Yes
Activity Type
Online
Est. Duration
1 hour
Credits
CME: 1.00

$150


ACCESS EXPIRES IN 7 DAY(S)

This course is part of the following bundle(s):

Target Audience

Practicing and resident physicians of all specialties who are likely to treat patients at or near the end-of-life. Other healthcare practitioners are welcome to participate.

Description

CMS is allowing reimbursement for healthcare providers who have stand-alone discussions with patients about their health care options near the end of life, including life-sustaining treatment. Lack of reimbursement has likely represented one barrier to these important discussions. Another obstacle has been lack of knowledge on the right way to guide patients as they approach the end of their lives and need to make decisions about the type of care they want or need. There are several ethical issues that arise in this decision making process that can be difficult to resolve. As a result, some physicians as well as their patients simply choose to avoid the topic altogether or give it short shrift. Fortunately, guidelines such as set forth by the Hastings Center, which are discussed in this activity, help address these issues and promote effective and productive dialogue at a time when some argue it is most needed.

Learning Outcomes/Objectives

Upon completion, participants should be able to:

  1. Use guidelines as tools to identify the appropriate patient in need of end-of- life discussions.
  2. In each appropriate circumstance, decide who should undertake an end-of-life discussion and identify the identified key decision-maker.
  3. Provide end-of-life treatment according to the expressed preferences of the patient.

Release Date:
March 29, 2016
Last Review Date:
November 10, 2021
Expiration Date:
November 10, 2024

Copyright Information

Copyright © 2016-2021

CME Information

This activity is sponsored by LAMMICO/Medical Interactive.

LAMMICO/Medical Interactive designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Accreditation Statement

LAMMICO/Medical Interactive is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Learning Assessment

There will be a post test for this activity with a minimum performance requirement of 8 out of 10 correct answers.

Method and Medium

To obtain CME credit, view the entire online presentation, complete the evaluation and posttest and print your certificate online.

Resident Information

Residents will earn a certificate of completion.

State Requirements

This course may meet specific CME requirements for the following states. It is the user's responsibility to confirm whether content meets the user's state's specific requirements:

  • Connecticut - This activity includes content in Risk Management
  • Massachusetts - This activity includes content in Risk Management
  • Pennsylvania - This activity includes content in Risk Management / Patient Safety
  • Texas - This activity includes content in Ethics and/or Professional Responsibility

MOC Approval Statement

Through the American Board of Medical Specialties ("ABMS") ongoing commitment to increase access to practice relevant Maintenance of Certification ("MOC") Activities through the ABMS Continuing Certification Directory, Withholding Life Sustaining Treatment: An Ethical Paradox has met the requirements as an MOC Part II CME Activity (apply toward general CME requirement) and/or an MOC Part II Learner Assessment Activity for the following ABMS Member Boards:

MOC Part II CME Activity

  • American Board of Family Medicine
  • American Board of Urology
  • American Board of Psychiatry and Neurology
Note: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement (only). Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Learner Assessment Program Requirements.

ABIM

Successful completion of this CME activity enables the participant to earn up to 1.00 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC points.

ABIM MOC points can only be submitted if the participant provides his/her ABIM member number and date of birth to this provider.

ABP

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 1.00 MOC points in the American Board of Pediatrics' (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.

ABP MOC points can only be submitted if the participant provides his/her ABP member number and date of birth to this provider.

ABA

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 1.00 MOC points in the American Board of Anesthesiology (ABA) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABA MOC credit.

ABA MOC points can only be submitted if the participant provides his/her ABA member number to this provider.

ABTS

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirements of the American Board of Thoracic Surgery’s Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABTS credit.

ABTS MOC points can only be submitted if the participant provides his/her member information as requested to this provider.

ABOS

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME requirements of the American Board of Orthopaedic Surgery’s Maintenance of Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABOS credit.

ABOS MOC points can only be submitted if the participant provides his/her member information as requested to this provider.

Analyzing decades of medical malpractice claim data has led the MI faculty to narrow our focus to pinpoint the most important roots of patient safety issues across a host of medical specialties. When we boil down our collection of risk management education topics, these key concepts most keenly respond to the roots of patient safety issues: 

Risk Management Concept: Cognition - Icon of human head with cog for brain

Cognition

Error in the mental action or process of learning can lead to adverse events stemming from inaccurate or incomplete thinking, perceiving, experiencing, recognizing, remembering and judging. Courses marked with this designation indicate that information presented within that specific education activity will illuminate actionable ways to improve analysis and synthesis of information, diagnosis and clinical decision making. 


Risk Management Concept: Communication - Icon of speech bubbles

Communication

Misunderstandings can lead to adverse events arising from errors in written, verbal and non-verbal information exchange. Courses marked with this designation indicate that concepts presented within that specific education activity will feature actionable ways to improve mutual understanding between healthcare providers and/or between medical professionals and their patients. 


Risk Management Concept: Performance - Icon of spedometer

Performance

Reactive behavior resulting in inaccuracy, incompletion, expensive and untimely tasks can lead to adverse events arising from poor execution of an action and/or fulfillment of a request. Courses marked with this designation indicate that the specific education activity will present realistic ways to apply learning, implement changes in a medical practice, improve competencies, critically assess performance, and utilize and incorporate evidence-based best practices. 


Risk Management Concept: Professionalism - Icon of people

Professionalism

Breach of competency standards and ethical values can result in adverse events stemming from a misunderstanding of professional expectations. Courses marked with this designation indicate that the education activity will clarify professional expectations in an effort to improve advocacy and participation, provider wellness, ethical decisions, cultural competence, professional organization participation, and adherence to patient care guidelines. 


Risk Management Concept: System - Icon of Cogs

System

System errors in medicine primarily consist of interrelated and interdependent components that habitually influence one another, and can often result in adverse consequences. Courses marked with this designation indicate that the education activity will present ways to address legal and regulatory issues, coordination of care and teamwork, electronic health record IT issues, policies and procedures, cost and risk benefits, and quality improvement activities. 

Disclosure Policy

LAMMICO/Medical Interactive requires planners, speakers, faculty and all those who influence the content of a CME activity to disclose any financial relationships they have with ineligible companies that are relevant to the activity. The disclosures shall be reviewed for any conflict of interest and subject to a mechanism for resolution of conflict of interest. A disclosure statement of relevant financial relationships will be made to the audience prior to the activity.

Disclosure Statement

The authors, editors, reviewers and planning committee members for this activity have no relevant financial relationships to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Author(s)

Ann Marie LeBlanc, JD - Read Bio

Medical Expert Reviewer(s)

David L. Meyers, MD, FACEP - Read Bio

Managing Editor(s)

Dawer Azizi, MHA, BSN, RN, CPHRM, LAMMICO Director of Risk Management

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members

Dawer Azizi, MHA, BSN, RN, CPHRM, LAMMICO Director of Risk Management

Geri Cook, RHIA, CPHRM, LAMMICO Risk Management Manager

Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Carol A. Curran, RNC, MS, OGNP, LAMMICO Senior Perinatal Educator and Medical Interactive Business Specialist

Karen K. Davis, MA, CPHRM, LAMMICO CME/CNE Writer/Editor

Amanda Martin-Sanchez, MEd, BSN, RN, CNOR, LAMMICO CME/CNE Educator

Lynda Sanders, LAMMICO Continuing Education Specialist

Karen Tong, Patient Representative and LAMMICO Communication Strategist

Joseph Tran, Attorney at Law, Legal Counsel – Medical Interactive

Lynne Vega, RN, LAMMICO Hospital RM Specialist

Electronic Hardware and Software Requirements

To view our online presentations, your computer must meet the requirements below:

Hardware: Participants must have a personal computer with internet connection and speakers or an iOS or Android phone.

Operating System

Windows or Mac OS for desktop computers.

iOS or Android for mobile devices

Browser (Internet Explorer is NOT recommended as a browser for any MI courses since it is no longer supported by Microsoft)

Firefox 55 or above

Chrome 60 or above

Safari 11 or above

Microsoft Edge

Bandwidth

High Speed or DSL

Web Master Contact Information

For assistance, contact Shea Ivey at (866) 398-1038 or help@medicalinteractive.com