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. You may also find CME articles from JAMA and from Southern Medical Association. 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
From the Southern Medical Association: Who Is this Patient?
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)
JAMA: Refusal of Care
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
End-of-Life Care/Dying/Futility
Medscape on “the last hours of living”
TMA has a program called “End of Life Care: From Advance Directives to the Death Certificate”
NEJM: Pediatric Palliative Care
NEJM: Experiences of Oregon Nurses and Social Workers with Hospice Patients Who Requested Assistance with Suicide
NEJM: A Communication Strategy and Brochure for Relatives of Patients Dying in the ICU
NEJM: Talking about Death with Children Who Have Severe Malignant Disease
JAMA: Sudden Traumatic Death in Children
A medscape program: End-of-Life Care in the setting of cancer: withdrawing nutrition and hydration.
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.
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
NEJM: Claims, Errors, and Compensation Payments in Medical Malpractice Litigation
JAMA: Medical and Legal Issues Impacting the Cardiovascular Evaluation of Competitive Athletes
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.”
Newborn Screening
Medscape on “New Guidelines Recommend Universal Prenatal Screening”
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
on Umbilical cord blood banking
JAMA: Stem Cell Research
From the Southern Medical Association: Stem Cell Research-The Science and Ethics
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