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The ruling in a recent legal case extends physician liability to third parties in selected situations. To minimize their risk of involvement in litigation in such circumstances—and in the interest of protecting both the patient and unnamed third parties—physicians need to implement and expand not only the informed consent process but also their duty to warn. Using two case studies, this activity offers specific steps to help physicians refine the informed consent process they use with pa...

A comprehensive patient history is often the key to a correct and timely diagnosis. This activity, an update of a Perspectives article first published in 1999, examines some of the issues that may arise when physicians try to address a patient’s medical concern or problem without having a complete patient history. Case studies from Coverys’ closed files are used to illustrate the potentially grievous impact that an incomplete history can have upon the health or life of a patient. Risk mana...

Nurse practitioners (NPs) are an integral part of healthcare today. However, as the number of NPs in office practice has increased, so too has their risk involvement in medical malpractice litigation. Using four case studies as illustrations, this issue of Perspectives examines some of the NP-related issues that may represent a risk to patient safety for both NPs and their collaborating/ supervising physician(s). The risk management considerations included at the end of each case study may be ...

Target audience: Speakers Bureau for the Foundation for Care Management courses. Objectives: At the completion of this course, the presenter will be able to: 1. Describe the rationale for interactive lectures 2. Design case-based problem solving presentations 3. Develop effective pre and post tests that measure knowledge and competence 4. Incorporate two of the following into every lecture: * Know your audience * Use additional case studies (speaker provided) and case...

As the electronic health record (EHR) gains wider and wider acceptance in healthcare practices, it also is increasingly likely to become a factor in medical malpractice litigation. This activity explores some of the legal risks and challenges inherent in the use of the EHR and specifically addresses some of the legal implications of the use (and misuse) of the EHR. Case studies are used to illustrate some of the specific issues that may ensnare the unsuspecting physician. They include: comp...

The presentation is designed to walk you through all stages of a malpractice case in order to equip you with the information you need to deal with this common problem. Using a model malpractice case, this guide helps to prepare the physician for the challenges and pitfalls of being a defendant. It begins when the doctor is notified about the initiation of a malpractice case, explains the elements of a malpractice case, describes the claim, and introduces the people involved in bringing the cla...

In conclusion of our three-part series, Dr. Bruce Nicholson and Dr. Paul Arnstein present and discuss a challenging case study and strategies that will help improve assessment for low back pain and the management of ongoing treatment for low back pain.

Acknowledgement: This module is supported by a grant from the Donald Reynolds Foundation. The management of pain in hospitalized elderly patients represents a clinical challenge for many clinicians and most trainees. Appropriate analgesic choice and dosing require knowledge of the unique characteristics of older patients that affect their response to medications and susceptibility to its side effects. This web-based, interactive virtual patient program aims to educate clinicians on the mult...

After reading Why Nurses and Case Managers Need to Know Customer Service the participant will be able to: 1. Define customer service. 2. Determine what contributes to customer satisfaction. 3. Explain why customer service will be even more important in the new millennium than it is today. 4. Focus on all of your customers, but recognize those who are truly assets to your organization over time. 5. Recognize and do something about those issues that will surely drive your c...

Each lesson within the Disease Management Clinical Decisions series includes an interactive case and an evaluation. Throughout the interactive case-based lesson, you may proceed to the next question once you answer each question correctly. In addition to allowing you to proceed, the correct answer also reveals the rationale for the answer. Upon completing the CME activity, the evaluation and registration forms, you will have an opportunity to print your CME certificate for your records. ...

Educational Objectives: At the conclusion of the course, participants should be able to: * Improve the diagnosis and treatment of common family practice problems * Apply traditional modes of diagnosis and management more effectively * Apply information to commonly asked questions in office practice * Increase proficiency and maintain competence by updating cognitive understanding of family medicine * Feel better prepared to pass the American Board of Family Medici...

The third volume of the Clinical Competence in Cardiac CT series features 25 Expert Mentored Case Videos. Includes Demonstrations of patient prep, image acquisition and interpretation. Fulfills the ACCF/AHA Level 2 Credentialing Requirement for Case Video Demonstrations!

The newest volume in the Clinical Competence in Cardiac CT series, Volume 4 contains 35 advanced cases and completes the ACCF/AHA Level 2 Case Requirements attainable through enduring materials. Also applicable to annual Cardiac CT case maintenance and ACR proficiency requirements. Several advanced Cardiac CT lectures, as well! Also, the 35 cases in this Volume can be applied towards the 75 non-protocoled case criteria to become eligible for the ACR CoAP exam. Cases also meet annual requirem...

In this Interactive Case Challenge, David S. Ettinger, MD, applies expert guideline recommendations to management of a nonsmoking patient with advanced lung cancer. Upon completion of this activity, participants should be able to: - Determine the appropriate first-line treatment regimens to improve outcomes in patients with advanced-stage NSCLC according to current guidelines and clinical trial data - Apply an optimal maintenance strategy to prolong the response and survival of patients...

This course provides the non-psychiatric physician with an up to date approach to the assessment and treatment of major depression in the primary care office setting. The program defines the key features and sub-classificant of depressive disorders and relates the subclassification to concrete treatment planning and medication prescribing issues. A longitudinal perspective on longterm management issues and relapse prevention is provided. Critical issues in the assessment of suicide risk are de...

Dermatology-related conditions are some of the most common conditions seen in the primary care pediatrician's office. These conditions can include such common conditions as eczema, and more life-threatening conditions, such as malignancies. Learning what to include in the differential diagnosis is key to ensure the best treatment and fast patient recovery.

Acknowledgement: This course is co-sponsored by the Institute of Lifestyle Medicine. "Stress" is a common patient complaint and chronic stress related symptoms can directly or indirectly account for a substantial proportion of primary care office visits. Adapting to excess stress may give rise to negative coping strategies such as poor diet, smoking and increased alcohol consumption. A NEJM review article on the damaging effect of stress mediators notes that these significant lifestyle chan...

Chronic pain is one of the main reasons for health care visits, so pharmacists play a vital role in pain management. Dr. Kathryn Hahn describes how to balance a precautionary approach to minimizing the risks associated with abuse and misuse of opioids with legitimate use. She describes patient risk assessment, as well as management options and communication between patients, clinicians, and pharmacists as an important factor in the pain management process. She then utilizes case studies to cle...

Target Audience This CME activity is intended for a national audience of medical oncologists and other medical professionals who treat patients with advanced melanoma. Program Overview This webcast uses case discussion and reviews of recent clinical studies to provide expert guidance on optimal treatment sequence for individuals with advanced BRAF mutant melanoma. - Case presentation, Michael Atkins - Case for ipilimumab or immunotherapy, Mario Sznol - Case for vemurafenib, Keith ...

To assist physicians with their ABIM recertification needs, the Cleveland Clinic is offering two ABIM Medical Knowledge Modules in Hospital and Internal Medicine. These modules provide an opportunity to learn, in an interactive environment, from clinical experts who will lead participants through the 50 case-based questions that comprise the two modules. These study sessions offer participants an opportunity to weigh the evidence on a case-by-case basis, discuss the options with expert facu...

Temporary labor, consulting, energy, freight, office supplies, construction, IT Equipment, software, vehicles, travel, MRO, HR benefits, etc. etc. etc. Do you have your arms around these and all the other non-clinical expenses? If not, then why not? The program involves:Review best practices and definitions for contracting, strategic sourcing and category management.Discuss the diverse portfolio of non-clinical expense categories and how these differ from clinical expense categories.Case Study...

The maintenance of nutritional health is paramount to successfully managing cystic fibrosis (CF). Approximately 90% of individuals with CF are affected by exocrine pancreatic insufficiency (EPI), a condition that interferes with normal digestive and absorptive processes. To prevent EPI-related malnutrition, poor growth, and compromised immune and pulmonary function, patients must supplement daily meals with orally administered pancreatic enzymes. EPI and other symptoms of CF are responsible fo...

Dr. Jeffrey Gudin and Dr. Neil Skolnik will present and discuss some challenging case studies. They will provide the clinician with strategies that will help improve success in opioid management.

Acknowledgement: This course is supported by educational grants from Celera and the Applera Charitable Foundation. This case study illustrates a common clinical scenario (i.e., renal cystic disease in a proband with an inconclusive family history) and many issues related to diagnosis and management of polycystic kidney disease.

This course will review a process for closing the gap between regulatory requirements and study execution. Participants will acquire strategies for risk management in the areas of regulatory compliance, protocol execution and participant safety. Guidance documents important to pediatric research will be reviewed within the context of case studies from completed programs. Participants will be given an opportunity to share their experience during working sessions on protocol design and ethical i...

In this time of financial crisis, many patients are finding it difficult to pay for the healthcare they need. At the same time, many physicians are struggling to be paid for the medical care they render. This article aims to explore both sides of the issue and, through case studies, to help physicians work more effectively within a decidedly faltering economic system not only for the fiscal strength of their practice but also, and most importantly, for the physical and emotional health of thei...

Respect for patient privacy and confidentiality is an issue of concern today for both physicians and patients. It is a concern that extends to the telephone—and not only the telephone, but also the electronic devices that complement the telephone, namely, voice message systems, caller ID, blocked lines, and the exploding array of cell phones, smart phones, and videophones. This activity uses case studies to highlight some of the common risks to privacy that physicians may encounter as they...

“Imaging-Based Neurodiagnosis” is designed for the practicing radiologist, neurosurgeon, neurologist, or related specialist seeking a thorough review of advanced neuroimaging principles, anatomy, and exhaustive case material. Discussions of imaging strategies and new modalities will be correlated with a broad range of specific clinical images, focusing on the development of appropriate differential diagnoses and the distinctions that will aid in the resolution of clinical diagnostic dilemm...

This course will be the first in a series of Cytopathology courses, each dedicated to an organ or body site. The case based approach will present the participant with reality based instruction simulating active practice. The patient situation will be the typical but sometimes the unusual presentation of non-neoplastic and neoplastic mass lesions in the liver that are commonly evaluated by FNAB. The cases will be richly illustrated to allow the participant to get a thorough view of the lesion. ...

Diabetes Update with Case Presentations This free CME activity is on the new UC CME California web site. Course consists of the following elements: Create account on the CME California web site and register for the activity. Participation is accomplished through self-directed viewing of the web-based material. CME credit is obtained upon completion of the program content and submission of the program evaluation/assessment. An electronic CME certificate will be available after successful...