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CME / ABIM MOC

Patient Prejudice? The Patient Said What?... and What Comes Next

  • Authors: Case History by Lois Snyder Sulmasy, JD and Paula Katz; Case Commentary by Thomas S. Huddle, MD, FACP and Lois Snyder Sulmasy, JD
  • CME / ABIM MOC Released: 11/15/2022; Reviewed and Renewed: 11/15/2023
  • Valid for credit through: 11/15/2024, 11:59 PM EST
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  • Credits Available

    Physicians - maximum of 0.25 AMA PRA Category 1 Credit(s)™

    ABIM Diplomates - maximum of 0.25 ABIM MOC points

    You Are Eligible For

    • Letter of Completion
    • ABIM MOC points

Target Audience and Goal Statement

This activity is intended for physicians caring for patients who may exhibit inappropriate speech, assumptions, or behavior regarding the healthcare provider.

The goal of this activity is for learners to be better able to describe appropriate responses to inappropriate behavior by patients in medical encounters, and associated ethical issues, according to an American College of Physicians (ACP) ethics case study and commentary.

Upon completion of this activity, participants will:

  • Describe how physicians may balance their obligation to treat patients with respect and serve their welfare and best interests with being treated with respect themselves, according to an American College of Physicians (ACP) ethics case study and commentary on appropriate responses to inappropriate behavior by patients in medical encounters
  • Determine potential solutions to reestablishing trust and respect in the patient-physician relationship, according to an ACP ethics case study and commentary on appropriate responses to inappropriate behavior by patients in medical encounters
  • Identify other ethical issues regarding the relationship between a physician and a patient behaving in an inappropriate manner, according to an ACP ethics case study and commentary on appropriate responses to inappropriate behavior by patients in medical encounters


Disclosures

Medscape, LLC requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated. Others involved in the planning of this activity have no relevant financial relationships.


Authors, Case History

  • Lois Snyder Sulmasy, JD

    Center for Ethics and Professionalism
    American College of Physicians
    Philadelphia, Pennsylvania

    Disclosures

    Lois Snyder Sulmasy, JD, has no relevant financial relationships.

  • Paula Katz

    Center for Ethics and Professionalism
    American College of Physicians
    Philadelphia, Pennsylvania

    Disclosures

    Paula Katz has no relevant financial relationships.

Authors, Commentary

  • Thomas S. Huddle, MD, FACP

    University of Alabama at Birmingham

    Disclosures

    Thomas S. Huddle, MD, FACP, has the following relevant financial relationships:
    Consultant or advisor for: Boston Scientific Corporation

  • Lois Snyder Sulmasy, JD

    As seen above.

CME Author

  • Laurie Barclay, MD

    Freelance writer and reviewer
    Medscape, LLC

    Disclosures

    Laurie Barclay, MD, has no relevant financial relationships.

Editor

  • Lois Snyder Sulmasy, JD

    As seen above.

Compliance Reviewer

  • Leigh Schmidt, MSN, RN, CNE, CHCP

    Associate Director, Accreditation and Compliance, Medscape, LLC

    Disclosures

    Leigh Schmidt, MSN, RN, CNE, CHCP, has no relevant financial relationships.


Accreditation Statements

Medscape

Interprofessional Continuing Education

In support of improving patient care, Medscape, LLC is jointly accredited with commendation by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

    For Physicians

  • Ethics case studies are developed by the American College of Physicians Ethics, Professionalism and Human Rights Committee and the ACP Center for Ethics and Professionalism.

    Medscape, LLC designates this enduring material for a maximum of 0.25 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.

    Contact This Provider

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]


Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

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 75% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or printed out.
  3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

You may now view or print the certificate from your CME/CE Tracker. You may print the certificate but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period you can print out the tally as well as the certificates from the CME/CE Tracker.

*The credit that you receive is based on your user profile.

CME / ABIM MOC

Patient Prejudice? The Patient Said What?... and What Comes Next

Authors: Case History by Lois Snyder Sulmasy, JD and Paula Katz; Case Commentary by Thomas S. Huddle, MD, FACP and Lois Snyder Sulmasy, JDFaculty and Disclosures

CME / ABIM MOC Released: 11/15/2022; Reviewed and Renewed: 11/15/2023

Valid for credit through: 11/15/2024, 11:59 PM EST

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References

  1. Filut A, et al. "This happens all the time:" a qualitative study of general internists' experiences with discriminatory patients. J Gen Intern Med. 2021;36:1553-1560.
  2. Xun H, et al. Public perceptions of physician attire and professionalism in the US. JAMA Netw Open. 2021;4:e2117779.
  3. Wheeler M, et al. Physician and trainee experiences with patient bias. JAMA Intern Med. 2019;179:1678-1685.
  4. Sue DW, et al. Racial microaggressions in everyday life. Am Psychol. 2007;62:271-286.
  5. Oxford University Press. Oxford English Dictionary. OED Online. 2022. Accessed July 20, 2022. http://www.oed.com/viewdictionaryentry/Entry/11125
  6. Lardieri A. Study: cursing is the most common way Americans deal with frustrations. U.S. News & World Report. April 19, 2018. Accessed July 20, 2022. https://www.usnews.com/news/health-care-news/articles/2018-04-19/study-cursing-is-the-most-common-way-americans-deal-with-frustrations
  7. Wong K. The case for cursing. The New York Times. July 27, 2017. Accessed July 20, 2022. https://www.nytimes.com/2017/07/27/smarter-living/the-case-for-cursing.html
  8. Snyder Sulmasy L, et al; for the American College of Physicians Ethics, Professionalism, and Human Rights Committee. American College of Physicians Ethics Manual: Seventh Edition. Ann Intern Med. 2019;170(suppl):S1-32.
  9. Soleymani Lehmann L, et al; for the American College of Physicians Ethics, Professionalism, and Human Rights Committee. Hidden curricula, ethics, and professionalism: optimizing clinical learning environments in becoming and being a physician: a position paper of the American College of Physicians. Ann Intern Med. 2018;168:506-508.
  10. Farkas AH, et al. The experience of male physicians with sexual and gender-based harassment: a qualitative study. J Gen Intern Med. 2020;35:2383-2388.
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Table of Contents

  1. CASE HISTORY
  2. COMMENTARY
  • Print