Practical Medical Ethics and Professionalism

This course is accepted by the California Medical Board as CME designed for clinicians who would like to improve their ethical knowledge and practices. Attendees will learn best practices that will ensure that their ethical knowledge and behaviors meet applicable standards, laws, and regulations. These skills will help improve medical care and help ensure that attendees’ practice conforms to ethical requirements. This intensive two day long course with enduring materials fills a huge gap in clinician training, and is critical for clinicians who have been found deficient in their ethical behaviors by hospitals, medical groups, or regulatory agencies. The California Medical Board accepts this course as meeting the coursework
requirements of physician probation.

Note: “The March 2017 Ethics course is full. If you would like to be placed on the waiting list for March in the event of any cancellations, call Pat at (650) 212-4904. If you are taking Ethics as a Board requirement, the Board will usually allow you to delay taking the course and register for our September 17–18 Ethics course instead. Check with your probation official. We will provide you with a letter confirming that our March course is full and you are registered for September.”

Course Agenda PDF Register for Practical Medical Ethics Why You Should Take WILM’s Ethics Course

23 CME Hours – 2 Day Program

12 attendee limit per course by Licensing Board regulation.

Live-program content:

I. INTRODUCTION

1. Introduction to ethics.

2. Distinguishing ethics from law.

3. Possible repercussions of unethical conduct.

4. Disciplinary actions by peer review bodies for ethics violations.

II. BOUNDARY VIOLATIONS

5. Boundary violation behaviors.

6. Boundary violation consequences.

7. Boundary violation risk factors and triggers.

8. Boundary violation prevention.

III. UNPROFESSIONALISM

9. Unprofessional comments to patients or their families.

10. Improper disclosure of confidential patient information.

IV. OVER-REACHING

11. Attempting care beyond the clinician’s level of competence.

12. Informal experimentation.

13. Gatekeeper roles and managed care relationships.

14. Excessive patient load.

15. Properly terminating care of a patient.

16. Supervision, delegation of responsibilities and unlicensed practice.

17. Ethics of collaborative (split) treatment.

V. DEFENSIVENESS

18. Defensive medicine.

19. Agreeing to inappropriate demands by patient or family.

20. Life-sustaining measures.

VI. FRAUD AND DISHONESTY

21. Fraudulent misrepresentations to patients, including excessive diagnostic procedures

and excessive treatment.

22. Insurance fraud.

23. Miscoding, over-billing and Medicare/Medi-Cal fraud.

24. False documents for disability, competence, employment or hospital staff privileges.

25. Referral fees and financially profitable referrals for medical services.

26. Other forms of dishonesty comprising unethical conduct.

27. Interactions with pharmaceutical and device manufacturers.

28. Defamation and undermining patient confidence in other clinicians.

29. False advertising or misrepresenting qualifications.

30. Solicitation of patients.

VII. IMPAIRMENTS

31. Physical and mental impairment of the clinician that interferes with safe practice.

32. Temporary impairments that interfere with safe practice.

33. Substance use disorder that impairs clinicians.

34. Prescribing for self, family members or friends.

35. Reporting clinicians for substance use disorder, improper prescribing or incompetence.

VIII. MEDICAL STAFF ETHICS

36. Medical staff peer review, conflicts of interest and abuse of authority.
37. Disruptive clinicians and corrective actions in hospitals or group practices.

38. Effects on clinicians and their practices due to substance use disorder.

IX. CLINICIAN BIAS

39. Identifying and minimizing clinician bias.

Enduring materials content:

I. INTRODUCTION

1. Medically ethical conduct defined and explained.

II. ACTIONS REQUIRING SPECIAL CARE

2. Utilizing placebo effect.

III. CLINICIAN-ATTORNEY INTERACTIONS

3. Ethical conduct expected of clinicians when interacting with attorneys in legal matters involving their patients.

4. Ethical conduct expected of a medical witness or expected of a medical consultant to an attorney or the court.

IV. BUSINESS RELATIONS

5. Ethical challenges arising from business competition with other clinicians.

6. Ethical conduct in relations between clinicians and their present and former partners, employers, and employees.

7. Ethical conduct by occupational clinicians pressured by patients’ employers to protect the employers’ interests.

V. ECONOMICALLY MOTIVATED CONDUCT

8. Protecting a hospital’s income at the patient’s expense.

9. Protecting the clinician’s managed care participation at the patient’s expense.

10. Ethical risks of giving pharmaceutical company-sponsored lectures.

VI. INADEQUATE MEASURES

11. Failure to accommodate to differences in cultural/ethnic background, race, language, religion, or socio-economic status of patients.

12. Lack of an effective continuous quality improvement program.

13. Inadequate warnings to patients regarding drug-related risks from concomitant use of other substances.

14. Inadequate measurement of clinical findings.

15. Failure to prepare adequate printed handouts for patients.

VII. MEDICAL RECORD KEEPING

16. Delayed and anticipatory record keeping.

17. Jousting in the medical records.

18. Misleading record keeping by patient labeling.

19. Defensive record keeping.

20. Inadequate review of prior patient records.

VIII. BIAS

21. Inaccurate and disparaging comments about alternative medicine.

22. Overuse of alternative medicine practitioners.

Scheduled dates:

Daily times:

8:00 AM – 12:30 PM and 1:30 PM – 6:15 PM.
Please do not schedule airline flights out of the Bay Area before 8:00 PM on the second day.

Location:

Courses are held in the San Francisco Bay Area, typically nearby the San Francisco International Airport or within downtown San Francisco, depending on the number of registrants.  Call for details and for help booking nearby hotels.

Tuition:

$1875. Organizations sponsoring multiple registrants should call (650) 212-4904 to discuss reduced tuition fees that may apply.

Register for Practical Medical Ethics

CME Accreditation:
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American College of Legal Medicine and the Western Institute of Legal Medicine. The American College of Legal Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The American College of Legal Medicine designates this live and enduring materials activity for a maximum of 23.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The American College of Legal Medicine, CME Office has reviewed this activity’s speaker and planner disclosures and resolved all identified conflicts of interest, if applicable.

COURSE OBJECTIVES

At the conclusion of the course, attendees should be able to:

1. Understand the fundamental principles that distinguish ethical from unethical conduct.
2. Identify and manage the conduct that may be perceived by others as unethical.
3. Distinguish ethical from legal responsibilities of medical practice.
4. Recognize and manage factors that predispose physicians to boundary violations with
patients.
5. Maintain high standards of professionalism in all medical practice-related conduct.
6. Alter current practices not previously recognized as being ethically questionable.