Continuing Medical Education (CME)/Trainings
Please note: The following information has not been approved or endorsed by the American Academy of Pediatrics or by the Section on Bioethics.

In some states ethics CME is required for licensure renewal. CME is available on line from various sources.  Texas Medical Association maintains a list of some courses for both online and home studies in ethics for physicians. The Texas Department of State Health Services Grand Rounds is a set of presentations in Austin.  It is possible to attend them online as well as in Austin.

To receive  New England Journal of Medicine CME credit you need not be a subscriber but you must register and there is a fee per exam.  Check for the subject heading medical ethics.  You may also find CME articles from JAMA BMJ Learning is a British CME site which includes some modules on ethics. British Medical Journal and Cleveland Clinic now have some joint CME (http://www.bmj.com/cgi/collection/cleveland_clinic_cme).

This is a listing of some CME links arranged by topic. Some of these have expiration dates so you might want to check them.

Communication/Relationships          
JAMA: Beyond Advance Directives: Importance of Communication Skills at the End of Life  

Complementary and Alternative Medicine
Applbaum AI, et al. A Family’s Request for Complementary Medicine after Patient Brain Death.  JAMA. 2008;299(18):2188-2193. (This has CME connected to it) 

Confidentiality/HIPAA/Privacy/Medical Records
From BMJ on confidentiality  

Consent (including parental consent)
Appelbaum PS. Assessment of Patients’ Competence to Consent to Treatment.  NEJM 2007;357(18):1834-1840
BMJ has a module: “Consent: an up to date guide”

Texas Department of State Health Services Grand Rounds: Lessons Learned from the  Immortal Life of Henrietta Lacks

Education/Mentors/Testing

Ethical Challenges in Short-Term Global Health Training

Emergency Care/Emergency Rooms/Disasters 

Leaning J, Guha-Spir D.  Natural disasters, armed conflict, and public health.  N Engl J Med 2013; 369:1836-1842. 

End-of-Life Care/Dying/Futility

Medscape on “the last hours of living” (Medscape free account log in required)v
A medscape program:  End-of-Life Care in the setting of cancer: withdrawing nutrition and hydration. (Medscape free account log in required )

From BMJ Learning on guidelines in the UK:
Decisions relating to cardiopulmonary resuscitation—part 1: patients with capacity.
Decisions relating to cardiopulmonary resuscitation—part 2: adults who lack capacity.

Global Health Bioethics
Ethical Challenges in Short-Term Global Health Training. (for trainees)

Health Care Reform
Iowa Law School offers a Healthcare Reform online class

Infectious Diseases
A module from BMJ: Pandemic flu: an update on ethical dilemmas

Legal

AAP Pedialink has a hot topic course on “Medical Liability and the Pediatrician”

Misconduct/Physician Impairment
Medscape on “Physician Impairment due to Substance Use Disorders.” (Medscape free account log in required)

Newborn Screening

Medscape on “New Guidelines Recommend Universal Prenatal Screening” (Medscape free account log in required)

In January 2007 Texas expanded its newborn screening to include 27 disorders.  There is an online training module if you are interested. 

Oncology
Harrington SE, Smith TJ. The Role of Chemotherapy at the End of Life: When Is Enough, Enough?  JAMA 2008;299(22): 2667-2678.

Religion
From the Southern Medical Association:  Strangers or Friends? A Proposal for a New Spirituality in Medicine Ethic.

Research
Ethical Challenges in Short-Term Global Health Training 

Stem cells/Embryos/Research/Cord Blood
Umbilical cord blood banking from Southern Medical Association:  Stem Cell Research-The Science and Ethics

 

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