Withholding Life Sustaining Treatment: An Ethical Paradox
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- Expiration Date
- Nov 04, 2027
- Media Format
- Interactive
- MOC Approved
- Yes
- Activity Type
- Online
- Est. Duration
- 1 hour
- Credits
-
CME: 1.00
$150
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.
- Medical Legal/Ethics
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 the lack of knowledge on the best 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:
- Use guidelines as tools to identify the appropriate patient in need of end-of- life discussions.
- In each appropriate circumstance, decide who should undertake an end-of-life discussion and identify the identified key decision-maker.
- Provide end-of-life treatment according to the expressed preferences of the patient.
Copyright Information
Copyright © 2016-2024
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
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:
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.
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.
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.
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.
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
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