Sunday, October 1, 2023
Physicians - maximum of 0.25 AMA PRA Category 1 Credit(s)™
ABIM Diplomates - maximum of 0.25 ABIM MOC points
This article is intended for physician/family caregivers and physicians treating patients who have physician/family caregivers.
The goal of this activity is to describe ethical issues involved in treating, assisting, and advocating for patients who have physician/family caregivers, according to an American College of Physicians (ACP) ethics case study.
Upon completion of this activity, participants will be able to:
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The case history and commentary were developed by the American College of Physicians.
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AMA PRA Category 1 Credit(s)™
. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.25 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 credit.
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This activity is designed to be completed within the time designated on the title page; physicians should claim only those
credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the
activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.
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CME / ABIM MOC Released: 2/21/2020; Reviewed and Renewed: 2/6/2023
Valid for credit through: 2/6/2024, 11:59 PM EST
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Dr Walsh's mother has been experiencing a loss of appetite and increasing weakness over the past few months. Although Dr Walsh had gently encouraged her mother to call her primary care physician, it wasn't until Mrs Walsh's friends remarked on her weight loss that she finally scheduled an appointment. Initial workup revealed elevated liver function tests and a 4.5-cm abdominal mass.
Dr Walsh, a rheumatologist, wants her mother to be evaluated and treated at the university health system where she practices. Mrs Walsh, her husband, and her 2 other children are reassured by the thought that Dr Walsh will be able to keep a close eye on Mrs Walsh's care. With her mother's permission, Dr Walsh contacted her friend and colleague, Dr Golden, a medical oncologist, who agreed to coordinate a workup for Mrs Walsh with the multidisciplinary team.
Although Dr Walsh is relieved that her mom will be receiving medical care at her health system, she questions the specifics of her own role in facilitating her mother's care. The American College of Physicians (ACP) Ethics Manual, seventh edition,[1] clearly stresses the need for caution in providing direct care to family and friends, noting that the role of advisor is permitted. But how should this be implemented? As a medical professional who is very familiar with her mother's medical history, Dr Walsh can quickly recognize subtle changes in her condition. She wants to use her knowledge and experience to benefit her mother but not to interfere with the medical team. How will she negotiate the boundaries between being her mother's family caregiver and advocate vs assuming the responsibilities of a treating physician? Dr Walsh decides to address her questions and concerns to Dr Golden, the physician who will be coordinating her mother's care.
